A Safety and Effectiveness Study of TMC435 in Chronic, Genotype 1, Hepatitis C Patients Who Failed to Previous Standard Treatment
ASPIRE
A Phase IIb, Randomized, Double-Blind, Placebo-Controlled Trial to Investigate the Efficacy, Tolerability, Safety and Pharmacokinetics of TMC435 as Part of a Treatment Regimen Including PegIFNa-2a and Ribavirin in HCV Genotype 1 Infected Subjects Who Failed Previous Standard Therapy
3 other identifiers
interventional
463
13 countries
77
Brief Summary
The purpose of this study is to determine the efficacy, safety and tolerability of different regimens of TMC435 with standard treatment compared to standard treatment alone in participants with chronic, genotype 1, hepatitis C virus (HCV) infection who has failed previous treatment with pegylated interferon (Peg-INF-alfa-2a) and ribavirin (RBV).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Oct 2009
77 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 10, 2009
CompletedFirst Posted
Study publicly available on registry
September 21, 2009
CompletedStudy Start
First participant enrolled
October 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2011
CompletedResults Posted
Study results publicly available
February 6, 2014
CompletedJune 9, 2014
May 1, 2014
1.8 years
September 10, 2009
December 18, 2013
May 30, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The Percentage of Participants Achieving a Sustained Virologic Response at the End of Treatment (EOT) and 24 Weeks After the EOT (SVR24)
The table below shows the percentage of participants in the overall population with an SVR24, defined as having plasma levels of Hepatitis C Virus ribonucleic acid less than 25 IU/mL undetectable at the EOT and 24 weeks after the EOT.
Week 72
Secondary Outcomes (12)
The Percentage of Participants With a Greater Than 2 log10 Drop in Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels at Time Points During Treatment
Weeks, 2, 4, 8, and 12
The Percentage of Participants Achieving Plasma Levels of Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable During Treatment and Follow-up
Weeks, 2, 4, 8, 12, 24, 36, 48, 60, 72 and EOT (up to Week 48)
The Percentage of Participants Achieving Plasma Levels of Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Detectable or Undetectable During Treatment and Follow-up
Weeks, 2, 4, 8, 12, 24, 36, 48, 60, 72, and EOT (up to Week 48)
The Percentage of Participants Achieving a Rapid Virologic Response (RVR)
Week 4
The Percentage of Participants Achieving an Early Virologic Response (EVR)
Week 12
- +7 more secondary outcomes
Study Arms (7)
TMC435 100 mg 12 Wks + PR48
EXPERIMENTALParticipants will receive TMC435 100 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 12 weeks followed by Placebo with PR for 36 weeks.
TMC435 100 mg 24 Wks + PR48
EXPERIMENTALParticipants willl receive TMC435 100 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 24 weeks followed by Placebo with PR for 24 weeks.
TMC435 100 mg 48 Wks + PR48
EXPERIMENTALParticipants will receive TMC435 100 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 48 weeks.
TMC435 150 mg 12 Wks + PR48
EXPERIMENTALParticipants will receive TMC435 150 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 12 weeks followed by Placebo and PR for 36 weeks.
TMC435 150 mg 24 Wks + PR48
EXPERIMENTALParticipants will receive TMC435 150 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 24 weeks followed Placebo and PR for 24 weeks.
TMC435 150 mg 48 Wks + PR48
EXPERIMENTALParticipants will receive TMC435 150 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 48 weeks.
Placebo 48 Wks + PR48
PLACEBO COMPARATORParticipants will receive Placebo once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 48 weeks.
Interventions
One TMC435 100-mg capsule or two 75-mg capsules orally (by mouth) once daily for 12, 24, or 48 weeks.
One or 2 capsules of placebo identical in appearance to TMC435 taken orally once daily for 24, 36, or 48 weeks.
180 micrograms taken as one 0.5 mL subcutaneous injection once weekly for 48 weeks.
1000 or 1200 mg/day (5 or 6 tablets) taken orally as a twice daily regimen taken for 48 weeks.
Eligibility Criteria
You may qualify if:
- Must have chronic hepatitis C infection as evidenced by liver biopsy, anti-hepatitis C virus (HCV) and HCV RNA positive
- Must have chronic hepatitis C infection (genotype 1) with HCV RNA level greater than10000 IU/mL
- Patient must have failed at least 1 prior course of peg interferon (Peg-IFN-alfa-2a)/ribavirin (RBV) therapy (standard treatment)
- Must be willing to use 2 effective methods of birth control for up to 7 months after last dose of study medication
You may not qualify if:
- Has an evidence of decompensated liver disease
- Co-infection with any other Hepatitis C virus genotype or co-infection with the human immunodeficiency virus (HIV)
- Has a medical condition which is a contraindication to Peg-INF or RBV therapy
- Have had history of, or any current medical condition which could impact the safety of the patient in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (78)
Unknown Facility
La Jolla, California, United States
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Los Angeles, California, United States
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Jacksonville, Florida, United States
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Miami, Florida, United States
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Orlando, Florida, United States
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Palm Harbor, Florida, United States
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Chicago, Illinois, United States
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New Orleans, Louisiana, United States
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Laurel, Maryland, United States
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Jackson, Mississippi, United States
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Tupelo, Mississippi, United States
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New York, New York, United States
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Chapel Hill, North Carolina, United States
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Cincinnati, Ohio, United States
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Germantown, Tennessee, United States
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Nashville, Tennessee, United States
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San Antonio, Texas, United States
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Concord, Australia
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Darlinghurst, Australia
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Fitzroy, Australia
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Melbourne, Australia
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New Lambton Heights, Australia
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Parkville, Australia
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Sydney, Australia
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Woolloongabba, Australia
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Vienna, Austria
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Bruges, Belgium
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Brussels, Belgium
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Edegem, Belgium
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Ghent, Belgium
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Leuven, Belgium
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Roeselare, Belgium
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Calgary, Alberta, Canada
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Ottawa, Ontario, Canada
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Toronto, Ontario, Canada
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Montreal, Quebec, Canada
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Créteil, France
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Grenoble, France
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Lyon, France
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Nice, France
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Paris, France
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Vandœuvre-lès-Nancy, France
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Berlin, Germany
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Cologne, Germany
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Düsseldorf, Germany
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Frankfurt A. M., Germany
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Freiburg im Breisgau, Germany
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Hanover, Germany
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Stuttgart, Germany
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Würzburg, Germany
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Haifa, Israel
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Jerusalem, Israel
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Nazareth, Israel
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Petah Tikva, Israel
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Ramat Gan, Israel
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Safed, Israel
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Tel Aviv, Israel
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Auckland, New Zealand
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Christchurch, New Zealand
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Hamilton, New Zealand
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Nordbyhagen, Norway
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Oslo, Norway
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Tromsø, Norway
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Bialystok, Poland
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Bydgoszcz, Poland
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Czeladź, Poland
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Kielce, Poland
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Warsaw, Poland
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Coimbra, Portugal
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Lisbon, Portugal
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Porto, Portugal
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Moscow, Russia
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Nizhny Novgorod, Russia
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Saint Petersburg, Russia
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Samara, Russia
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Smolensk, Russia
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London, United Kingdom
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Plymouth, United Kingdom
Related Publications (3)
Lenz O, Verbinnen T, Fevery B, Tambuyzer L, Vijgen L, Peeters M, Buelens A, Ceulemans H, Beumont M, Picchio G, De Meyer S. Virology analyses of HCV isolates from genotype 1-infected patients treated with simeprevir plus peginterferon/ribavirin in Phase IIb/III studies. J Hepatol. 2015 May;62(5):1008-14. doi: 10.1016/j.jhep.2014.11.032. Epub 2014 Nov 28.
PMID: 25445400DERIVEDScott J, Rosa K, Fu M, Cerri K, Peeters M, Beumont M, Zeuzem S, Evon DM, Gilles L. Fatigue during treatment for hepatitis C virus: results of self-reported fatigue severity in two Phase IIb studies of simeprevir treatment in patients with hepatitis C virus genotype 1 infection. BMC Infect Dis. 2014 Aug 26;14:465. doi: 10.1186/1471-2334-14-465.
PMID: 25164700DERIVEDZeuzem S, Berg T, Gane E, Ferenci P, Foster GR, Fried MW, Hezode C, Hirschfield GM, Jacobson I, Nikitin I, Pockros PJ, Poordad F, Scott J, Lenz O, Peeters M, Sekar V, De Smedt G, Sinha R, Beumont-Mauviel M. Simeprevir increases rate of sustained virologic response among treatment-experienced patients with HCV genotype-1 infection: a phase IIb trial. Gastroenterology. 2014 Feb;146(2):430-41.e6. doi: 10.1053/j.gastro.2013.10.058. Epub 2013 Nov 1.
PMID: 24184810DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Global Clinical Development Manager
- Organization
- Jan-Cil France
Study Officials
- STUDY DIRECTOR
Tibotec Pharmaceuticals, Ireland Clinical Trial
Tibotec Pharmaceuticals, Ireland
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 10, 2009
First Posted
September 21, 2009
Study Start
October 1, 2009
Primary Completion
August 1, 2011
Study Completion
August 1, 2011
Last Updated
June 9, 2014
Results First Posted
February 6, 2014
Record last verified: 2014-05