Viral Kinetic Study With Viramidine in Therapy-Naive Patients With Chronic Hepatitis C
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Purpose
The purpose of this study is to examine the rapid virologic response (RVR) at combination therapy (CT) Week 4 between groups receiving a standard combination peginterferon alfa-2b/viramidine dosing regimen versus a cohort that receives 4 weeks of viramidine monotherapy prior to the start of peginterferon alfa-2b/viramidine combination therapy.
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatitis C, Chronic |
Drug: Viramidine Drug: Peginterferon alfa-2b |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Analysis of Hepatitis C Viral Kinetics and Viramidine Pharmacokinetics Utilizing Two Treatment Regimens in Therapy-Naive Patients With Chronic Hepatitis C |
- Efficacy: The proportion of patients with hepatitis C virus (HCV) RNA undetectable or with at least a 2-log drop from baseline at CT Week 4 in the viramidine pre-load group versus the viramidine standard dosing group.
- Safety: Evaluation of adverse events (AEs).
- Safety: Physical exams
- Safety: Vital signs
- Safety: Laboratory tests
- Efficacy: HCV RNA Response at CT Week 12, 24, end of treatment and at follow-up Week 24.
| Estimated Enrollment: | 100 |
| Study Start Date: | November 2005 |
| Study Completion Date: | May 2007 |
This Phase 2b multicenter study, which is being conducted solely in the United States, consists of a randomized, double-blind, monotherapy period, where patients will receive either viramidine or placebo for 4 weeks. After the monotherapy period, all patients will receive viramidine plus peginterferon alfa-2b combination therapy for 48 weeks in an open-label fashion and will then participate in a 24-week follow-up period after completion of combination therapy. The RVR at CT Week 4 between groups receiving a standard combination peginterferon alfa-2b/viramidine dosing regimen versus a cohort that receives 4 weeks of viramidine monotherapy prior to the start of peginterferon alfa-2b/viramidine combination therapy will be examined. The differences in virological response during treatment and end of follow-up between African-Americans and Caucasians (non-Hispanics), as well as a correlation between duration of viral negativity (DVN) and sustained virologic response (SVR) based on race and dosing regimen, will also be assessed.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Treatment-naive, genotype 1 only, compensated, chronic hepatitis C infected Caucasian or African-American patients
- Body weight greater than 61 kg and not more than 87.3 kg
- HCV RNA greater than 2 million copies/mL
- Elevated measured or historical alanine aminotransferase
- Hemoglobin at least 12.0 g/dL for females and at least 13.0 g/dL for males
- Calculated creatinine clearance greater than 70 mL/min
Exclusion Criteria:
- Cirrhosis of the liver
- Alanine aminotransferase greater than 3 times the upper limit of normal
- Severe neuropsychiatric disorders
- History or clinical manifestations of significant metabolic, hematological, pulmonary, ischemic, or unstable heart disease, gastrointestinal, neurological, renal, urological, endocrine, ophthalmologic disorders including severe retinopathy, or immune mediated disease
- Other co-morbid chronic viral infections including hepatitis B and the human immunodeficiency virus (HIV)
Contacts and Locations| United States, California | |
| University of Southern California -- Keck School of Medicine | |
| Los Angeles, California, United States, 90033 | |
| San Mateo Medical Center | |
| San Mateo, California, United States, 94403 | |
| United States, Florida | |
| Bach and Godofsky | |
| Bradenton, Florida, United States, 34205 | |
| University of Miami -- Center for Liver Diseases | |
| Miami, Florida, United States, 33136 | |
| United States, Georgia | |
| Digestive Healthcare of Georgia | |
| Atlanta, Georgia, United States, 30309 | |
| United States, Maryland | |
| Maryland Digestive Disease Research | |
| Laurel, Maryland, United States, 20707 | |
| United States, New Jersey | |
| Atlantic Gastroenterology Associates | |
| Egg Harbor Township, New Jersey, United States, 08234 | |
| United States, New York | |
| Liver Center of Long Island | |
| Plainview, New York, United States, 11803 | |
| United States, Pennsylvania | |
| Thomas Jefferson University -- Gastroenterology and Hepatology | |
| Philadelphia, Pennsylvania, United States, 19107 | |
| United States, Utah | |
| Mountain West Gastroenterology -- Research Office | |
| Salt Lake City, Utah, United States, 84121 | |
| United States, Virginia | |
| Metropolitan Research -- Georgetown Medical Center | |
| Fairfax, Virginia, United States, 22031 | |
| Study Director: | Ralph T. Doyle | Valeant Pharmaceuticals International, Inc. |
More Information
No publications provided
| Responsible Party: | Valeant Pharmaceuticals International, Inc. |
| ClinicalTrials.gov Identifier: | NCT00305383 History of Changes |
| Other Study ID Numbers: | RNA003142-202 |
| Study First Received: | March 17, 2006 |
| Last Updated: | June 21, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Valeant Pharmaceuticals International, Inc.:
|
Viramidine Peginterferon alfa-2b Valeant |
Hepatitis C Rapid virologic response HCV RNA |
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 Peginterferon alfa-2b Interferon-alpha Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Immunologic Factors Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 19, 2013