A Study of TMC435 in Genotype 1, Hepatitis C-Iinfected Patients (Treatment-Naive or Interferon-Based Treatment Experienced)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Janssen Pharmaceutical K.K.
ClinicalTrials.gov Identifier:
NCT01366638
First received: June 2, 2011
Last updated: May 10, 2013
Last verified: May 2013
  Purpose

The purpose of this study is to evaluate the efficacy and safety of TMC435 in combination with peginterferon alfa-2b and ribavirin in chronic genotype 1 hepatitis C virus (HCV)-infected patients who are treatment-naive or treatment-experienced (prior relapser or non-responder to Interferon-based therapy) in Japan.


Condition Intervention Phase
Hepatitis C, Chronic
Drug: TMC435
Drug: Peginterferon alfa-2a (pegIFN alfa-2a)
Drug: Ribavirin (RBV)
Phase 3

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase III, Open-Label Study in Japan to Assess the Efficacy and Safety of TMC435 as Part of a Treatment Regimen Including Peginterferon Alfa-2b and Ribavirin in Hepatitis C, Genotype 1 Infected Subjects

Resource links provided by NLM:


Further study details as provided by Janssen Pharmaceutical K.K.:

Primary Outcome Measures:
  • Proportion of patients with sustained virological response (SVR24 and SVR12) [ Time Frame: Follow-up Week 24 for SVR24 and Follow-up Week 12 for SVR12 ] [ Designated as safety issue: No ]
  • Number of patients with adverse events [ Time Frame: Up to 72 weeks ] [ Designated as safety issue: Yes ]
  • Plasma concentrations of TMC435 [ Time Frame: Up to 12 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Proportion of patients with undetectable HCV RNA [ Time Frame: Up to 72 weeks ] [ Designated as safety issue: No ]
  • Proportion of patients with viral breakthrough [ Time Frame: Up to 48 weeks ] [ Designated as safety issue: No ]
  • Proportion of patients showing viral relapse [ Time Frame: Up to 72 weeks ] [ Designated as safety issue: No ]
  • Proportion of patients within the normal limit of alanine aminotransferase levels [ Time Frame: the end of treatment and Follow-up Week up to 72 weeks ] [ Designated as safety issue: No ]
  • Proportion of patients with 2 log 10 IU/mL or more decrease in HCV RNA [ Time Frame: Up to 72 weeks ] [ Designated as safety issue: No ]

Enrollment: 79
Study Start Date: May 2011
Study Completion Date: November 2012
Primary Completion Date: November 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: TMC435 100 mg
Patients will be enrolled and and assigned to one of 3 panels (Panels A, B1, and B2). Patients in all panels will receive treatment with TMC435 100 mg taken orally by mouth once daily for 12 weeks. In addition, patients in Panel A (treatment-naive) and Panel B1 (prior relapsers to interferon [IFN]-based treatment) will take standard of care (SoC) therapy (Peginterferon alfa-2a [pegIFN alfa-2a] + ribavirin administered according to the manufacturer's prescribing information) plus TMC435 100 mg for 12 weeks followed by an additional 12 or 36 weeks of SoC. Patients in Panel B2 (non-responders to IFN-based therapy) will take TMC435 100 mg for 12 weeks plus SoC for 12 weeks followed by an additional 36 weeks of SoC.
Drug: TMC435
100 mg capsule once daily for 12 weeks
Drug: Peginterferon alfa-2a (pegIFN alfa-2a)
PegIFN alfa-2a (PEGINTRON) will be supplied as a vial containing dried and frozen powder with 74,148 or 222 mcg pegIFN alpha-2b attached to 0.7 ml injection water (50, 100 or 150 mcg/0.5mL pegIFN alpha-2b) and will be administered according to the manufacturer's prescribing information as 1.5 mcg/kg once weekly injected subcutaneous (under the skin) for up to 24-48 weeks.
Other Name: PEGINTRON
Drug: Ribavirin (RBV)
The dose of RBV given will be based on the patient's body weight. If body weight is > 80 kg the total daily dose of RBV will be 1000 mg, taken by mouth as 400 mg (2 capsules of 200 mg) after breakfast and 600 mg (3 capsules of 200 mg) after supper. If body weight is > 60 kg to <=80 kg the total daily dose will be 800 mg, taken by mouth as 400 mg (2 capsules of 200 mg per intake) after breakfast and supper. If body weight is <=60 kg the total daily dose of RBV will be 600 mg, taken by mouth as 200 mg (1 capsule of 200 mg) after breakfast and 400 mg (2 capsules of 200 mg) after supper. Total duration of RBV will be 24-48 weeks.
Other Name: REBETOL

Detailed Description:

This is an open-label study (all people involved know the identity of the intervention) to evaluate the efficacy and safety of TMC435 (also referred to as jnj-38733214-aaa) in combination with the standard of care therapy (SoC: peginterferon [pegIFN] alfa-2b and ribavirin) in adult, genotype 1 hepatitis C virus (HCV)-infected patients who are treatment-naive (who never received treatment for HCV), prior relapsers (who relapsed after previous interferon [IFN]-based therapy), or non-responders (who failed to respond to previous IFN-based therapy) in Japan. The study objective is to evaluate the efficacy, safety, and pharmacokinetics of TMC435. A sufficient number of treatment-naive patients, patients who are prior relapsers to treatment with IFN-based therapy, and patients who are prior non-responders to tretament with IFN-based therapy will be enrolled and assigned to Panel A, Panel B1, and Panel B2, respectively. Patients in Panel A (treatment-naive) and B1 (prior relapsers to IFN-based therapy) will receive 12 weeks of treatment with TMC435 (100 mg) once daily plus SoC followed by 12 or 36 weeks of treatment with SoC. Patients in Panel B2 (non-responders to IFN-based therapy) will receive 12 weeks of treatment with TMC435 (100 mg) once daily plus standard of care (SoC) therapy for HCV infection followed by an additional 36 weeks SoC. TMC435 is a 100-mg capsule and will be taken orally by mouth. The SoC treatment willl consist of Pegylated interferon (PegIFN alpha-2b) (1.5 mcg/kg) injected with a syringe subcutaneously (under the skin) once weekly and ribavirin 200-mg capsules (daily dose: 600-1000 mg based on body weight) taken orally by mouth 2 times a day after meals given for 24 or 48 weeks.

  Eligibility

Ages Eligible for Study:   20 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patient must have chronic genotype 1 HCV infection with HCV RNA level >= 5.0 log10 IU/mL
  • Patient has never received treatment for HCV (treatment-naive), relapsed after previous IFN-based therapy (prior relapser) or failed to respond to previous IFN-based therapy (non-responder)
  • Patient must be willing to use contraceptive measures from the time of informed consent to 6 months after last dose of study medication.

Exclusion Criteria:

  • Co-infection with any other HCV genotype or co-infection with the human immunodeficiency virus (HIV)
  • Diagnosed with hepatic cirrhosis or hepatic failure
  • A medical condition which is a contraindication to peg-IFN or ribavirin therapy
  • History of, or any current medical condition, which could impact the safety of the patient in the study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01366638

Locations
Japan
Amagasaki, Japan
Ikeda, Japan
Kawasaki, Japan
Kumamoto, Japan
Niigata, Japan
Ohmura, Japan
Osaka, Japan
Osaka-City, Japan
Sakai, Japan
Sapporo, Japan
Suita, Japan
Tokyo, Japan
Sponsors and Collaborators
Janssen Pharmaceutical K.K.
Investigators
Study Director: Janssen Pharmaceutical K.K. Clinical Trial Janssen Pharmaceutical K.K.
  More Information

No publications provided

Responsible Party: Janssen Pharmaceutical K.K.
ClinicalTrials.gov Identifier: NCT01366638     History of Changes
Other Study ID Numbers: CR017935, TMC435HPC3010
Study First Received: June 2, 2011
Last Updated: May 10, 2013
Health Authority: Japan: Japan Pharmaceuticals And Medical Devices Evaluation Center
Japan: Pharmaceuticals and Medical Devices Agency

Keywords provided by Janssen Pharmaceutical K.K.:
Hepatitis C, Chronic
TMC435
Hepatitis C
Hepatitis C virus
Interferon Alfa-2b
Ribavirin
Viral ribonucleic acid

Additional relevant MeSH terms:
Hepatitis
Hepatitis A
Hepatitis C
Hepatitis C, Chronic
Liver Diseases
Digestive System Diseases
Hepatitis, Viral, Human
Virus Diseases
Enterovirus Infections
Picornaviridae Infections
RNA Virus Infections
Flaviviridae Infections
Hepatitis, Chronic
Interferons
Ribavirin
Peginterferon alfa-2a
Interferon-alpha
Peginterferon alfa-2b
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Antiviral Agents
Anti-Infective Agents
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Physiological Effects of Drugs

ClinicalTrials.gov processed this record on June 18, 2013