NCT00980330

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

98
On Track

Trial Health Score

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

Enrollment
463

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Oct 2009

Geographic Reach
13 countries

77 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

September 10, 2009

Completed
11 days until next milestone

First Posted

Study publicly available on registry

September 21, 2009

Completed
10 days until next milestone

Study Start

First participant enrolled

October 1, 2009

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2011

Completed
2.5 years until next milestone

Results Posted

Study results publicly available

February 6, 2014

Completed
Last Updated

June 9, 2014

Status Verified

May 1, 2014

Enrollment Period

1.8 years

First QC Date

September 10, 2009

Results QC Date

December 18, 2013

Last Update Submit

May 30, 2014

Conditions

Keywords

Hepatitis CPeginterferon alpha-2aPegIFNalpha-2aRBVRibavirinPlaceboTMC435-TIDP16-C206TMC435-C206TMC435HCV

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

EXPERIMENTAL

Participants 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.

Drug: TMC435Drug: PlaceboDrug: Peg-IFN-alfa-2a (P)Drug: Ribavirin (R)

TMC435 100 mg 24 Wks + PR48

EXPERIMENTAL

Participants 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.

Drug: TMC435Drug: PlaceboDrug: Peg-IFN-alfa-2a (P)Drug: Ribavirin (R)

TMC435 100 mg 48 Wks + PR48

EXPERIMENTAL

Participants will receive TMC435 100 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 48 weeks.

Drug: TMC435Drug: PlaceboDrug: Peg-IFN-alfa-2a (P)Drug: Ribavirin (R)

TMC435 150 mg 12 Wks + PR48

EXPERIMENTAL

Participants 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.

Drug: TMC435Drug: PlaceboDrug: Peg-IFN-alfa-2a (P)Drug: Ribavirin (R)

TMC435 150 mg 24 Wks + PR48

EXPERIMENTAL

Participants 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.

Drug: TMC435Drug: PlaceboDrug: Peg-IFN-alfa-2a (P)Drug: Ribavirin (R)

TMC435 150 mg 48 Wks + PR48

EXPERIMENTAL

Participants will receive TMC435 150 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 48 weeks.

Drug: TMC435Drug: Peg-IFN-alfa-2a (P)Drug: Ribavirin (R)

Placebo 48 Wks + PR48

PLACEBO COMPARATOR

Participants will receive Placebo once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 48 weeks.

Drug: TMC435Drug: Peg-IFN-alfa-2a (P)Drug: Ribavirin (R)

Interventions

TMC435DRUG

One TMC435 100-mg capsule or two 75-mg capsules orally (by mouth) once daily for 12, 24, or 48 weeks.

Placebo 48 Wks + PR48TMC435 100 mg 12 Wks + PR48TMC435 100 mg 24 Wks + PR48TMC435 100 mg 48 Wks + PR48TMC435 150 mg 12 Wks + PR48TMC435 150 mg 24 Wks + PR48TMC435 150 mg 48 Wks + PR48

One or 2 capsules of placebo identical in appearance to TMC435 taken orally once daily for 24, 36, or 48 weeks.

TMC435 100 mg 12 Wks + PR48TMC435 100 mg 24 Wks + PR48TMC435 100 mg 48 Wks + PR48TMC435 150 mg 12 Wks + PR48TMC435 150 mg 24 Wks + PR48

180 micrograms taken as one 0.5 mL subcutaneous injection once weekly for 48 weeks.

Also known as: PEGASYS
Placebo 48 Wks + PR48TMC435 100 mg 12 Wks + PR48TMC435 100 mg 24 Wks + PR48TMC435 100 mg 48 Wks + PR48TMC435 150 mg 12 Wks + PR48TMC435 150 mg 24 Wks + PR48TMC435 150 mg 48 Wks + PR48

1000 or 1200 mg/day (5 or 6 tablets) taken orally as a twice daily regimen taken for 48 weeks.

Also known as: COPEGUS
Placebo 48 Wks + PR48TMC435 100 mg 12 Wks + PR48TMC435 100 mg 24 Wks + PR48TMC435 100 mg 48 Wks + PR48TMC435 150 mg 12 Wks + PR48TMC435 150 mg 24 Wks + PR48TMC435 150 mg 48 Wks + PR48

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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)

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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

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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.

  • Scott 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.

  • Zeuzem 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.

MeSH Terms

Conditions

Hepatitis C

Interventions

Simeprevirpeginterferon alfa-2aRibavirin

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsHepatitis, Viral, HumanVirus DiseasesFlaviviridae InfectionsRNA Virus InfectionsHepatitisLiver DiseasesDigestive System Diseases

Intervention Hierarchy (Ancestors)

SulfonamidesSulfonesSulfur CompoundsOrganic ChemicalsHeterocyclic Compounds, 3-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsRibonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Results Point of Contact

Title
Global Clinical Development Manager
Organization
Jan-Cil France

Study Officials

  • Tibotec Pharmaceuticals, Ireland Clinical Trial

    Tibotec Pharmaceuticals, Ireland

    STUDY DIRECTOR

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

Locations