TMC435-TiDP16-C216 - Phase III Trial of TMC435 in Treatment-naive, Genotype 1 Hepatitis C-infected Patients (QUEST-2)
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Purpose
The purpose of this study is to investigate the effectiveness and safety of TMC435 compared with placebo in patients who are infected with genotype 1 hepatitis C virus who have never received treatment before. Patients will also receive peginterferon alfa-2a or peginterferon alfa-2b and ribavirin as part of their treatment.
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatitis C |
Drug: Placebo Drug: TMC435 |
Phase 3 |
Janssen R&D Ireland has indicated that access to an investigational treatment associated with this study is available outside the clinical trial.
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Phase III, Double-blind, Placebo-controlled Study to Investigate the Efficacy, Safety, and Tolerability of TMC435 vs Placebo as Part of a Treatment Regimen Including Peginterferon a-2a and Ribavirin or Peginterferon a-2b and Ribavirin in Treatment-naive, Genotype 1 Hepatitis C-infected Subjects |
- The proportion of patients with sustained viral response (SVR) 24 weeks after the planned end of treatment [ Time Frame: 24 weeks after planned end of treatment ] [ Designated as safety issue: Yes ]
| Enrollment: | 393 |
| Study Start Date: | March 2011 |
| Study Completion Date: | February 2013 |
| Primary Completion Date: | February 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 001
TMC435 150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a or peginterferon alfa-2b and ribavirin for 24 or 48 weeks
|
Drug: TMC435
150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a or peginterferon alfa-2b and ribavirin for 24 or 48 weeks
|
|
Placebo Comparator: 002
Placebo 150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a or peginterferon alfa-2b and ribavirin for 48 weeks
|
Drug: Placebo
150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a or peginterferon alfa-2b and ribavirin for 48 weeks
|
Detailed Description:
This is a randomized, double-blind (neither physician or patients knows the name of the assigned drug), placebo-controlled study of TMC435 in patients who are infected with genotype 1 hepatitis C virus who have never received treatment for this before. Patients in this study will also receive two other drugs for their infection (either peginterferon alfa-2a (Pegasys®) and ribavirin (Copegus®) or peginterferon alfa-2b (PegIntron®) and ribavirin (Rebetol®). The purpose of the study is to investigate if TMC435 is superior to placebo in reducing hepatitis C virus to an undetectable level 24 weeks after the end of treatment. For the first 12 weeks, patients will take either TMC435 or placebo, plus peginterferon and ribavirin. For the next 12 weeks, patients will take peginterferon and ribavirin only. After that, some patients will continue to take peginterferon and ribavirin for up to 24 additional weeks. Other patients will stop taking peginterferon and ribavirin. The study doctor will inform each patient about how to take their study medication and when they should stop taking it. After a patient stops taking study medication, they will continue to come to the doctor's office for study visits until a total of 72 weeks after they enroll in the study. The total duration of the study is 78 weeks (including screening). Patients will be monitored for safety throughout the study. Study assessments at each study visit may include but are not limited to: blood and urine collection for testing, electrocardiogram (ECG) assessments (a measurement of the electrical activity of your heart), patient questionnaires, and physical examinations. TMC435 will be taken as an oral capsule of 150 mg once per day. Peginterferon (Pegasys ®) will be given as an injection of 180 µg once each week. Peginterferon (PegIntron®) will be given as an injection once each week and the dose will depend on your body weight. Ribavirin will be taken as a tablet (Copegus ®) or a capsule (Rebetol ®) twice each day and the dose will depend on your body weight.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Genotype 1 hepatitis C infection (confirmed at screening)
- patient has not received any prior treatment for hepatitis C
- patient must have had a liver biopsy within 3 years before screening (or between the screening and baseline visit) showing chronic hepatitis C infection
- must agree to use 2 forms of effective contraception throughout study (both males and females).
Exclusion Criteria:
- Infection with HIV or non genotype 1 hepatitis C
- liver disease not related to hepatitic C infection
- hepatic decompensation
- significant laboratory abnormalities or other active diseases
- pregnant or planning to become pregnant
Contacts and Locations
Show 63 Study Locations| Study Director: | Janssen R&D Ireland Clinical Trial | Janssen R&D Ireland |
More Information
No publications provided
| Responsible Party: | Janssen R&D Ireland |
| ClinicalTrials.gov Identifier: | NCT01290679 History of Changes |
| Other Study ID Numbers: | CR017380, TMC435-TiDP16-C216 |
| Study First Received: | January 7, 2011 |
| Last Updated: | February 26, 2013 |
| Health Authority: | United States: Food and Drug Administration Ireland: Irish Agriculture and Food Development Authority |
Keywords provided by Janssen R&D Ireland:
|
TMC435-TiDP16-C216 TMC435-C216 TMC435 HCV |
Hepatitis C Hep C genotype 1 |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis C Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections |
Flaviviridae Infections Ribavirin Peginterferon alfa-2a Peginterferon alfa-2b Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Antimetabolites Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 22, 2013