Efficacy of Peginterferon Alfa-2b (SCH 054031) vs Glycyrrhizin in Interferon (IFN)-Treated Patients With Chronic Hepatitis C and F2/F3 Liver Fibrosis (P04773)
This study has been terminated.
(This study was terminated due to low enrollment)
Sponsor:
Schering-Plough
Information provided by (Responsible Party):
Schering-Plough
ClinicalTrials.gov Identifier:
NCT00686881
First received: May 27, 2008
Last updated: March 26, 2012
Last verified: March 2012
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Purpose
The objective of this study is to compare the efficacy of peginterferon alfa-2b (PegIFN-2b) monotherapy administered at a dose of 0.5 ug/kg vs stronger neo minophagen C (SNMC) in participants with chronic hepatitis C (CHC) and liver fibrosis (Metavir fibrosis score of F2 and F3) who were previously treated with interferon. The trial will evaluate the effect of treatment on the progression of liver fibrosis, liver inflammation, and liver function. Treatment will be administered for up to 156 weeks with a 4-week follow-up.
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatitis C, Chronic |
Biological: Peginterferon alfa-2b (PegIFN-2b) Drug: Comparator: Stronger neo minophagen C (SNMC) |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Clinical Study of SCH 54031 as Monotherapy in IFN-treated Patients With Chronic Hepatitis C |
Resource links provided by NLM:
Drug Information available for:
Interferon
Glycyrrhizinate dipotassium
Interferon Alfa-2a
Interferon Alfa-2b
Peginterferon Alfa-2b
Hepatitis A Vaccines
U.S. FDA Resources
Further study details as provided by Schering-Plough:
Primary Outcome Measures:
- Number of Participants With Change in Metavir Fibrosis Score [ Time Frame: Baseline and discontinuation of treatment (up to 156 weeks) ] [ Designated as safety issue: No ]Metavir fibrosis score is a 5-point scale based on the amount of fibrosis in the liver, ranging from F0 (best, no fibrosis) to F4 (worst, cirrhosis).
Secondary Outcome Measures:
- Number of Participants With Alanine Aminotransferase (ALT) Normalization of >16 Weeks Duration [ Time Frame: Week 24 ] [ Designated as safety issue: No ]The ALT was judged to have been normalized when the ALT level was 35 IU/L or below.
- Number of Participants With Change in Metavir Inflammation Score [ Time Frame: Baseline and Week 48 ] [ Designated as safety issue: No ]Metavir inflammation score is a 4-point scale based on the severity of inflammation in the liver, ranging from A0 (best, no activity) to A3 (worst, severe activity).
| Enrollment: | 261 |
| Study Start Date: | December 2006 |
| Study Completion Date: | February 2011 |
| Primary Completion Date: | February 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: PegIFN-2b
Participants receiving PegIFN-2b at 0.5 ug/kg subcutaneously (SC) once a week for up to 156 weeks.
|
Biological: Peginterferon alfa-2b (PegIFN-2b)
PegIFN-2b administered at a dose of 0.5 ug/kg SC once a week for 156 weeks
Other Names:
|
|
Active Comparator: SNMC
Participants receiving SNMC 40 mL by intravenous (IV) injection or IV infusion 3 times weekly for up to 156 weeks.
|
Drug: Comparator: Stronger neo minophagen C (SNMC)
SNMC (as glycyrrhizin-containing compound) administered at 40 mL by intravenous (IV) injection or IV infusion 3 times weekly for 156 weeks .
|
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Patients with chronic hepatitis C previously treated with interferon
- At least 20 years of age
- Liver fibrosis score rated as F2 or F3 based on the result of liver biopsy at screening
- Female patients willing to use contraception
- Body weight from 35.0 kg to 110.0 kg (inclusive)
- Positive for hepatitis C virus ribonucleic acid (HCV-RNA) by qualitative assay
Patients who meet the following laboratory criteria:
- Serum alanine aminotransferase (ALT) level: >60 IU/L
- Neutrophil count: >=1,200/mm^3
- Platelet count: >=100,000/mm^3
- Serum potassium level: >=3.5 mEq/L
Exclusion Criteria:
- Patients who received interferon therapy within 90 days of Screening
- Patients who have received antiviral agents or antitumor agents, or immunomodulator therapy (including chronic glucocorticoids and radiotherapy) within 90 days of Screening (excluding local administration and topical use)
- Patients who have received other investigational drugs within 90 days of Screening
- Hepatitis B surface antigen (HBs)positive
- Antinuclear antibody titer of 1:320 or higher
- Creatinine level exceeding the upper limit of the reference range measured at screening test 2;
- Fasting blood glucose level of >=126 mg/dL
- Patients on insulin therapy regardless of the fasting blood glucose level
- Patients who have a concurrent or past history of any of the following conditions: liver cirrhosis, liver failure, or liver carcinoma; hepatic encephalopathy, esophageal varices requiring treatment, or ascites; suicidal attempt or ideation; epileptic seizures requiring drug therapy; angina pectoris, heart failure, myocardial infarction or fatal arrhythmia; autoimmune disease (Hashimoto's disease [chronic thyroiditis], Crohn's disease, ulcerative colitis, rheumatoid arthritis, idiopathic thrombocytopenic purpura, systemic lupus erythematosus, autoimmune hemolytic anemia, scleroderma, etc.); malignant tumors (it is permitted to register patients with at least 5 years after cure).
- Patients who concurrently have any of the following conditions: liver disease such as autoimmune hepatitis, alcoholic liver injury, and drug-induced hepatitis; hemophilia; depression or schizophrenia which requires treatment; hypertension which cannot be controlled by drug therapy or arrhythmia which requires treatment, chronic pulmonary disease; abnormal thyroid function that cannot be controlled by drug therapy; organ transplants (other than corneal, hair transplant, etc.); aldosteronism, myopathy, or hypokalemia.
- Patients with a history of hypersensitivity to interferon preparations or biological products such as vaccines
- Patients with a history of hypersensitivity to monoammonium glycyrrhizinate, glycine, or L-cysteine monohydrochloride;
- Women who are pregnant or lactating, and women in whom pregnancy cannot be ruled out based on the result of serum human chorionic gonadotropin (HCG) measurement at Screening
Contacts and Locations
No Contacts or Locations Provided
More Information
No publications provided
| Responsible Party: | Schering-Plough |
| ClinicalTrials.gov Identifier: | NCT00686881 History of Changes |
| Other Study ID Numbers: | P04773, JPC-05-356-30 |
| Study First Received: | May 27, 2008 |
| Results First Received: | February 3, 2012 |
| Last Updated: | March 26, 2012 |
| Health Authority: | Japan: Pharmaceuticals and Medical Devices Agency |
Keywords provided by Schering-Plough:
|
hepatitis C |
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 Interferon-alpha Interferon Alfa-2b |
Interferons Peginterferon alfa-2b Reaferon Glycyrrhizic Acid Glycyrrhetinic Acid Glycine Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Immunologic Factors Physiological Effects of Drugs Antineoplastic Agents Angiogenesis Inhibitors Angiogenesis Modulating Agents |
ClinicalTrials.gov processed this record on May 19, 2013