A Study of Peginterferon Alfa-2a in Combination With Ribavirin in Patients With Chronic Hepatitis C
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Purpose
This study evaluated the efficacy and safety of the combination of peginterferon alfa-2a plus ribavirin in treatment-naïve patients with HCV genotype 1b infection, compared with peginterferon alfa-2a monotherapy.
Additionally, the study evaluated the efficacy and safety of the combination of peginterferon alfa-2a plus ribavirin in patients with CHC who had failed to respond to previous conventional-interferon based therapy.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Hepatitis C |
Drug: peginterferon alfa-2a Drug: rivavirin |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | A Phase III Study of Ro25-8310 (Peginterferon Alfa-2a) in Combination With Ro20-9963 (Ribavirin) in Patients With Chronic Hepatitis C |
- Sustained virological response, defined as undetectable HCV-RNA (<50IU per milliliter) after 24 weeks of untreated follow-up (week 72).
- Biochemical response (normalization of serum alanine aminotransferase activity),
- Virological response (HCV-RNA <50IU per milliliter) at the end of therapy.
| Enrollment: | 300 |
| Study Start Date: | May 2002 |
| Study Completion Date: | March 2005 |
Treatment-naïve patients were randomly assigned in a 1:1 ratio to 48 weeks of double-blind treatment with subcutaneous, once-weekly injections of 180 μg of peginterferon alfa-2a (40KD) plus either twice-daily oral ribavirin (600 to 1000mg/day) or placebo.
All patients who had received previous treatment with conventional interferon but had failed to respond (no suppression of HCV-RNA below detection limits of a sensitive assay) or had relapsed (reversion to HCV-RNA positive state after suppression) received the combination of peginterferon alfa-2a (40KD) plus ribavirin for 48 weeks at the dosages stated above.
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult patients with quantifiable serum HCV-RNA (≥500 IU/mL))
- elevated serum alanine aminotransferase activity (≥45 IU per liter)within six months of screening
- liver biopsy findings consistent with a diagnosis of chronic hepatitis C.
Exclusion Criteria:
- Patients with neutropenia (fewer than 1,500 neutrophils per cubic millimeter)
- leukopenia (fewer than 3,000 white blood cells per cubic millimeter)
- thrombocytopenia (fewer than 90,000 platelets per cubic millimeter)
- anemia (less than 12 g hemoglobin per deciliter )
- hepatitis B co-infection
- decompensated liver disease
- organ transplant
- creatinine clearance less than 50 milliliters per minute
- poorly controlled psychiatric disease
- poorly controlled diabetes
- malignant neoplastic disease
- severe cardiac or chronic pulmonary disease
- immunologically mediated disease
- retinopathy.
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More Information
No publications provided
| Responsible Party: | Chugai Pharmaceutical |
| ClinicalTrials.gov Identifier: | NCT00144469 History of Changes |
| Other Study ID Numbers: | JV15725 |
| Study First Received: | September 2, 2005 |
| Last Updated: | January 29, 2009 |
| Health Authority: | Japan: Ministry of Health, Labor and Welfare |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis, Chronic Hepatitis C Hepatitis C, Chronic Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections |
Flaviviridae Infections Ribavirin Peginterferon alfa-2a Interferon-alpha Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Antimetabolites Molecular Mechanisms of Pharmacological Action Immunologic Factors Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 23, 2013