NCT00517439

Brief Summary

This 7 arm study will determine the optimal treatment combination, based on efficacy and safety. Patients with chronic hepatitis C (CHC), genotype 1, will be randomized to one of 7 treatment groups. Groups 1, 2, 4, 5 and 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (at doses of 500, 1000 or 1500mg po bid) plus PEGASYS (90 or 180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Group 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks. Group 7 will receive standard of care (SOC) for 48 weeks. There will be a 24 week period of treatment-free follow-up for all treatment groups. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
516

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Dec 2007

Geographic Reach
8 countries

62 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 16, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 17, 2007

Completed
4 months until next milestone

Study Start

First participant enrolled

December 1, 2007

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2010

Completed
Last Updated

November 2, 2016

Status Verified

November 1, 2016

Enrollment Period

2.1 years

First QC Date

August 16, 2007

Last Update Submit

November 1, 2016

Conditions

Outcome Measures

Primary Outcomes (1)

  • Sustained virological response (SVR)

    24 weeks post treatment end (ie weeks 48 or 72)

Secondary Outcomes (4)

  • Virological response over time

    Throughout study

  • SVR

    12 weeks post treatment end (ie weeks 36 or 60)

  • Relapse rate

    End of treatment (ie weeks 24 or 48)

  • Adverse events (AEs), laboratory parameters.

    Throughout treatment

Study Arms (7)

Group 1

EXPERIMENTAL

Group 1 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).

Drug: CopegusDrug: PegasysDrug: RO4588161

Group 2

EXPERIMENTAL

Group 2 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).

Drug: CopegusDrug: PegasysDrug: RO4588161

Group 3

EXPERIMENTAL

Group 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks.

Drug: CopegusDrug: PegasysDrug: RO4588161

Group 4

EXPERIMENTAL

Group 4 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).

Drug: CopegusDrug: PegasysDrug: RO4588161

Group 5

EXPERIMENTAL

Group 5 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).

Drug: CopegusDrug: PegasysDrug: RO4588161

Group 6

EXPERIMENTAL

Group 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).

Drug: CopegusDrug: PegasysDrug: RO4588161

Group 7

ACTIVE COMPARATOR

Standard of care (SOC)

Drug: CopegusDrug: Pegasys

Interventions

1000/1200mg po daily for 24 weeks

Group 1Group 2Group 3Group 4Group 5Group 6Group 7

180 micrograms sc weekly for 24 weeks

Group 1Group 2Group 3Group 7

1000mg po bid for 24 weeks

Group 1Group 5

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • adult patients, 18-65 years of age;
  • chronic hepatitis C, genotype 1;
  • chronic liver disease consistent with CHC;
  • compensated liver disease.

You may not qualify if:

  • infection with any HCV genotype other than genotype 1;
  • previous treatment for CHC;
  • medical condition associated with chronic liver disease other than CHC;
  • HIV, hepatitis A, hepatitis B infection.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (63)

Unknown Facility

Phoenix, Arizona, 85054, United States

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La Jolla, California, 92037-1030, United States

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Long Beach, California, 90822, United States

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Sacramento, California, 95817, United States

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San Diego, California, 92103-8465, United States

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San Diego, California, 92154, United States

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San Francisco, California, 94115, United States

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Aurora, Colorado, 80045, United States

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Englewood, Colorado, 80110, United States

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Bradenton, Florida, 34209, United States

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Gainesville, Florida, 32610-0214, United States

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Miami, Florida, 33136-1051, United States

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Chicago, Illinois, 60637, United States

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Baltimore, Maryland, 21287, United States

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Plymouth, Minnesota, 55446, United States

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Manhasset, New York, 11030, United States

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New York, New York, 10021, United States

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The Bronx, New York, 10468, United States

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Chapel Hill, North Carolina, 27599-7584, United States

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Cincinnati, Ohio, 45267-0595, United States

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Portland, Oregon, 97239, United States

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Hershey, Pennsylvania, 17033, United States

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Providence, Rhode Island, 02905, United States

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Nashville, Tennessee, 37211, United States

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Dallas, Texas, 75203, United States

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Fort Sam Houston, Texas, 78234-3879, United States

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San Antonio, Texas, 78215, United States

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Salt Lake City, Utah, 84121, United States

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Fairfax, Virginia, 22031, United States

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Richmond, Virginia, 23249, United States

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Adelaide, 5000, Australia

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Greenslopes, 4120, Australia

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Melbourne, 3004, Australia

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Sydney, 2050, Australia

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Sydney, 2145, Australia

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Vienna, 1090, Austria

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Calgary, Alberta, T2N 4N1, Canada

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Vancouver, British Columbia, V5Z 1H2, Canada

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Vancouver, British Columbia, V5Z 1M9, Canada

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Ottawa, Ontario, K1H 8L6, Canada

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Toronto, Ontario, M5G 1L7, Canada

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Clichy, 92118, France

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Créteil, 94010, France

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Marseille, 13285, France

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Paris, 75014, France

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Paris, 75651, France

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Pessac, 33604, France

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Vandœuvre-lès-Nancy, 54511, France

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Berlin, 13353, Germany

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Cologne, 50937, Germany

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Frankfurt am Main, 60590, Germany

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Freiburg im Breisgau, 79106, Germany

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Hamburg, 20246, Germany

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Hanover, 30625, Germany

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Bologna, 40138, Italy

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Napoli, 80131, Italy

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Torino, 10126, Italy

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Santurce, 00909, Puerto Rico

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Badalona, 08915, Spain

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Barcelona, 08003, Spain

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Madrid, 28222, Spain

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Seville, 41014, Spain

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Unknown Facility

Valencia, 46014, Spain

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Related Publications (1)

  • Nelson DR, Zeuzem S, Andreone P, Ferenci P, Herring R, Jensen DM, Marcellin P, Pockros PJ, Rodriguez-Torres M, Rossaro L, Rustgi VK, Sepe T, Sulkowski M, Thomason IR, Yoshida EM, Chan A, Hill G. Balapiravir plus peginterferon alfa-2a (40KD)/ribavirin in a randomized trial of hepatitis C genotype 1 patients. Ann Hepatol. 2012 Jan-Feb;11(1):15-31.

MeSH Terms

Conditions

Hepatitis C, Chronic

Interventions

Ribavirinpeginterferon alfa-2a

Condition Hierarchy (Ancestors)

Hepatitis CBlood-Borne InfectionsCommunicable DiseasesInfectionsHepatitis, Viral, HumanVirus DiseasesFlaviviridae InfectionsRNA Virus InfectionsHepatitis, ChronicHepatitisLiver DiseasesDigestive System DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

RibonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Study Officials

  • Clinical Trials

    Hoffmann-La Roche

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 16, 2007

First Posted

August 17, 2007

Study Start

December 1, 2007

Primary Completion

January 1, 2010

Study Completion

January 1, 2010

Last Updated

November 2, 2016

Record last verified: 2016-11

Locations