An Open Label Study of the Effect of Telaprevir in Combination With Ribavirin and Peginterferon on HCV Infection in Stable Liver Transplant Patients
This study is ongoing, but not recruiting participants.
Sponsor:
Vertex Pharmaceuticals Incorporated
Information provided by (Responsible Party):
Vertex Pharmaceuticals Incorporated
ClinicalTrials.gov Identifier:
NCT01467505
First received: November 3, 2011
Last updated: January 2, 2013
Last verified: January 2013
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Purpose
To assess efficacy of telaprevir, peginterferon alfa-2a (Peg-IFN), and ribavirin (RBV) for HCV in a 48-week total treatment duration regimen following liver transplantation.
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatitis C |
Drug: Telaprevir Drug: ribavirin Drug: peginterferon alfa-2a |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A 2-Part, Open Label Study of Telaprevir in Combination With Peginterferon Alfa-2a (Pegasys®) and Ribavirin (Copegus®) in Subjects Chronically Infected With Genotype 1 Hepatitis C Virus Following Liver Transplantation |
Resource links provided by NLM:
Further study details as provided by Vertex Pharmaceuticals Incorporated:
Primary Outcome Measures:
- The safety and tolerability as assessed by adverse events (AEs), vital signs, 12-lead electrocardiograms (ECGs), and laboratory assessments (serum chemistry, hematology, and urinalysis) [ Time Frame: 12 weeks after the last planned dose of study drug ] [ Designated as safety issue: Yes ]
Secondary Outcome Measures:
- The proportion of subjects who have a sustained virologic response at 12 weeks after the last planned dose of treatment (SVR12) [ Time Frame: Up to 24 weeks ] [ Designated as safety issue: No ]
- The proportion of subjects who have an SVR at 24 weeks after the last planned dose of treatment (SVR24) [ Time Frame: up to Week 24 ] [ Designated as safety issue: No ]
- The proportion of subjects who have an SVR at 4 weeks after the last planned dose of treatment (SVR4) [ Time Frame: up to Week 16 ] [ Designated as safety issue: No ]
- Proportion of subjects with viral relapse [ Time Frame: up to 96 Weeks ] [ Designated as safety issue: No ]
- PK of telaprevir, Peg-IFN, RBV, and selected immunosuppressant medications [ Time Frame: up to Week 48 ] [ Designated as safety issue: No ]
- Dose titration requirements of selected immunosuppressant medications [ Time Frame: up to week 48 ] [ Designated as safety issue: No ]
- Proportion of subjects with biopsy confirmed and treated rejection during treatment through 24 weeks after the last planned dose of study drug [ Time Frame: 24 weeks after the last planned dose of study drug ] [ Designated as safety issue: No ]
- Proportion of subjects with histological evidence of stabilization or improvement in inflammation grade or fibrosis stage, 24 weeks after the last planned dose of study drug compared to baseline [ Time Frame: 24 weeks after the last planned dose of study drug ] [ Designated as safety issue: No ]
- Changes in amino acid sequence of the HCV NS3•4A protease region [ Time Frame: up to 96 Weeks ] [ Designated as safety issue: No ]
- The proportion of subjects who have an SVR at 4 weeks after the last planned dose of treatment (SVR4) [ Time Frame: Up to 16 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 75 |
| Study Start Date: | February 2012 |
| Estimated Primary Completion Date: | May 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Treatment Naive and Experienced Pre-transplant
Telaprevir + Peg-IFN-alfa-2a + RBV for 12 weeks followed by Peg-IFN-alfa-2a + RBV for 36 weeks
|
Drug: Telaprevir
1125 mg bid for 12 weeks
Drug: ribavirin
Initial dose of 600 mg total daily dose with goal of up to 1000mg-1200mg total daily dose based on body weight for 48 weeks
Drug: peginterferon alfa-2a
180 mcg/week for 48 weeks
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Male and female subjects between the ages of 18 and 65 years
- History of orthotopic liver transplantation less than 10 years before the Screening visit but no sooner than 6 months before Day 1
- Taking a stable immunosuppressant regimen based on either tacrolimus or cyclosporine without substantial dose changes over the past 3 months
- Naive to P/R treatment or experienced with P/R prior to transplantation with relapse, partial, or null response
Exclusion Criteria:
- Documented cirrhosis after liver transplantation
- Ascites or hepatic encephalopathy within 6 months before Screening
- Retransplantation for recurrent hepatitis C
- Treatment for hepatitis C post liver transplantation
- History within the past 3 months of: rejection within 3 months or > 1 rejection within 12 months
- Current treatment with sirolimus or methylprednisolone. Low dose prednisone use (<5 mg/day) is permitted
- History within 3 months of any bacterial infection requiring > 1 week of intravenous antibiotics, cytomegalovirus viremia or cytomegalovirus infection with end-organ involvement, fungal disease (except cutaneous and mild oral thrush)
- History of post transplant lymphoproliferative disease
- Acceptable laboratory values at Screening as specified in the protocol
- Positive for HIV1/2 EIA antibody screen or Hepatitis B DNA or Hepatitis B surface antigen
- History of hepatocellular carcinoma with high risk of recurrence
- Any other cause of liver disease deemed clinically significant by the investigator in addition to hepatitis C
- Autoimmune-mediated disease
- History of acute pancreatitis within 5 years before the Screening visit
- Prior treatment with an HCV protease inhibitor
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01467505
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Sponsors and Collaborators
Vertex Pharmaceuticals Incorporated
Investigators
| Study Director: | Medical Monitor | Vertex Pharmaceuticals Incorporated |
More Information
No publications provided
| Responsible Party: | Vertex Pharmaceuticals Incorporated |
| ClinicalTrials.gov Identifier: | NCT01467505 History of Changes |
| Other Study ID Numbers: | VX11-950-117 |
| Study First Received: | November 3, 2011 |
| Last Updated: | January 2, 2013 |
| Health Authority: | United States: Food and Drug Administration Canada: Health Canada |
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 Interferon-alpha Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Antimetabolites Molecular Mechanisms of Pharmacological Action Immunologic Factors Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on June 13, 2013