Study of PEG-rIL-29 (or PEG-IFN Lambda) in Subjects With Chronic Hepatitis C Virus Infection
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Purpose
Interleukin 29 (IL-29) is a substance that is produced in the body to help fight viral infections. The purpose of this study is to test the safety and antiviral effects of PEG-rIL-29 (a man-made form of IL-29) when it is given either by itself at different doses or in combination with the approved dose of ribavirin (an antiviral drug) to subjects with hepatitis C infection who have received no prior treatment for this disease or who have relapsed following previous treatment with PEGylated interferon alpha (PEG-IFN-α), or other form of IFN-α, and ribavirin.
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatitis C, Chronic |
Drug: PEGylated recombinant interleukin 29 (PEG-rIL-29) |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 1 Study to Assess the Safety and Antiviral Activity of PEG-rIL-29 Administered as a Single Agent and in Combination With Ribavirin in Treatment-Relapsed and Treatment-Naive Subjects With Chronic Hepatitis C Virus Infection |
- Adverse events and standard clinical laboratory abnormalities [ Time Frame: Day 59 ] [ Designated as safety issue: Yes ]
- HCV RNA levels, serum concentrations of PEG-rIL-29, serum beta2-microglobulin (B2M) levels, serum 2'5' oligoadenylate synthetase (OAS) levels, the presence of anti-PEG-rIL-29 antibodies [ Time Frame: Day 59 ] [ Designated as safety issue: No ]
| Enrollment: | 56 |
| Study Start Date: | December 2007 |
| Study Completion Date: | October 2009 |
| Primary Completion Date: | October 2009 (Final data collection date for primary outcome measure) |
-
Drug: PEGylated recombinant interleukin 29 (PEG-rIL-29)
This is a 3-part study of PEG-rIL-29 in subjects with chronic genotype 1 hepatitis C virus infection who have either received no prior treatment with a PEGylated IFN-α (or other form of IFN-α) or who have relapsed following prior treatment with a PEGylated IFN-α (or other form of IFN-α) and ribavirin. Part 1 of the study will evaluate the safety and tolerability of escalating doses of PEG-rIL-29 when given as a single agent either every other week or weekly over a 4-week period to treatment-relapsed subjects. Part 2 of the study will evaluate dose levels and/or schedules of PEG-rIL-29 in combination with daily oral ribavirin administered over a 4-week period to treatment-relapsed subjects. Part 3 of the study will evaluate dose levels and/or schedules of PEG-rIL-29 in combination with daily oral ribavirin administered over a 4-week period to subjects who have received no prior treatment.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Relapsed subjects (Parts 1 and 2) -- Prior treatment for HCV with PEG-IFN-alpha (or other IFN-alpha) and ribavirin for at least 12 weeks. Naive subjects (Part 3) -- No prior treatment with PEG-IFN-alpha (or other IFN-alpha)
- Genotype 1 HCV RNA greater than or equal to 100,000 IU/mL. Mixed genotype HCV infection is not allowed
- Documented liver biopsy ≤2 years of study enrollment with Ishak score ≤4
- No evidence of hepatocellular carcinoma documented by abdominal imaging within 12 months of study entry
- no evidence of clinically significant diastolic or systolic dysfunction or other clinically significant abnormalities on echocardiogram or ECG
- Negative drug and alcohol tests except for physician prescribed or approved medication
- If male, or female of child-bearing potential, agrees to use 2 forms of medically accepted contraception while on study
Exclusion Criteria:
- Evidence of decompensated liver disease
- History of hypersensitivity to IFN-alpha or ribavirin
- Active substance abuse, such as alcohol, inhaled or injection drugs within the previous 6 months
- Undergone surgery or received blood products within 30 days prior to study enrollment
- Prior history of cardiomyopathy, coronary artery disease including angina, interventive procedure for coronary artery disease including angioplasty, stent procedure or cardiac bypass surgery, prior myocardial infarction, or ventricular tachycardia
- Prior or current history of hemoglobinopathy or hemolytic anemia
Contacts and Locations| United States, Illinois | |
| Northwestern Memorial Hospital | |
| Chicago, Illinois, United States, 60611 | |
| United States, Michigan | |
| Henry Ford Health System | |
| Detroit, Michigan, United States, 48202 | |
| United States, Minnesota | |
| Mayo Clinic | |
| Rochester, Minnesota, United States, 55905 | |
| United States, New Jersey | |
| University Hospital (UMDNJ) | |
| Newark, New Jersey, United States, 07103 | |
| United States, North Carolina | |
| Duke University Medical Center | |
| Durham, North Carolina, United States, 27705 | |
| United States, Oregon | |
| Oregon Health Sciences University | |
| Portland, Oregon, United States, 97239 | |
| United States, Texas | |
| Michael E. DeBakey Veterans Affairs Medical Center, Baylor College of Medicine | |
| Houston, Texas, United States, 77030 | |
| St. Luke's Advanced Liver Therapies | |
| Houston, Texas, United States, 77030 | |
| Alamo Medical Research | |
| San Antonio, Texas, United States, 77030 | |
| United States, Virginia | |
| VCUHS Hepatology Research Division | |
| Richmond, Virginia, United States, 23249 | |
| Canada, Ontario | |
| London Health Sciences Center | |
| London, Ontario, Canada, N6A 5A5 | |
| Study Director: | Diana F Hausman, MD | ZymoGenetics |
More Information
No publications provided
| Responsible Party: | Sherri Souza, Clinical Trial Manager, ZymoGenetics |
| ClinicalTrials.gov Identifier: | NCT00565539 History of Changes |
| Other Study ID Numbers: | 526F06 |
| Study First Received: | November 29, 2007 |
| Last Updated: | October 6, 2009 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by ZymoGenetics:
|
PEGylated recombinant interleukin 29 interferon lambda interleukin 29 hepatitis C |
virus infection liver |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis, Chronic Hepatitis C Virus Diseases Hepatitis C, Chronic Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Enterovirus Infections |
Picornaviridae Infections RNA Virus Infections Flaviviridae Infections Interferons Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Antiviral Agents Anti-Infective Agents |
ClinicalTrials.gov processed this record on May 19, 2013