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Boceprevir in Subjects With Chronic Hepatitis C Genotype 1 Who Failed Prior Treatment With Peginterferon/Ribavirin (Study P05101AM1)
This study is ongoing, but not recruiting participants.
Sponsored by: Schering-Plough
Information provided by: Schering-Plough
ClinicalTrials.gov Identifier: NCT00708500
  Purpose

This study involves treatment with boceprevir or placebo in combination with PegIntron (PEG) + Ribavirin (RBV) (weight-based dosing [WBD]) in adult subjects with chronic hepatitis C (CHC) genotype 1 who demonstrated interferon responsiveness (a decrease in HCV-RNA viral load >=2 log10 by Week 12 or undetectable HCV-RNA at end of treatment) but who failed to achieve sustained virologic response (SVR) on prior treatment with any combination therapy of peginterferon alpha and ribavirin. This trial includes three arms, one control arm (PEG + RBV for 48 weeks) and two experimental arms (PEG + RBV + boceprevir). One of the experimental arms, Arm 3, consists of treatment with all three drugs for 44 weeks after the lead-in. The other experimental arm, Arm 2, consists of all three drugs for 32 weeks after the lead-in. Those subjects in Arm 2 who were undetectable for HCV-RNA at Treatment Week 8 will complete treatment at that point. Those who were not undetectable for HCV-RNA at Treatment Week 8 will receive an additional 12 weeks of PEG + RBV + boceprevir placebo. It is hypothesized that the addition of a third active anti-HCV drug may lead to more rapid viral response than therapy with two drugs, and therefore, the addition of boceprevir to PegIntron plus ribavirin therapy after a 4-week lead-in period may allow for both increased rates of SVR and shorter treatment durations (in some populations) than treatment with peginterferon/ribavirin alone.


Condition Intervention Phase
Hepatitis C, Chronic
Drug: Boceprevir (SCH 503034)
Biological: Peginterferon alfa-2b (SCH 54031)
Drug: Ribavirin (SCH 18908)
Drug: Boceprevir placebo
Phase III

MedlinePlus related topics: Hepatitis Hepatitis C
Drug Information available for: Ribavirin Peginterferon Alfa-2b Boceprevir
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase 3 Safety and Efficacy Study of Boceprevir in Subjects With Chronic Hepatitis C Genotype 1 Who Failed Prior Treatment With Peginterferon/Ribavirin

Further study details as provided by Schering-Plough:

Primary Outcome Measures:
  • Sustained virologic response (SVR), defined as undetectable plasma HCV-RNA at Follow-up Week 24, after treatment with boceprevir and PegIntron plus ribavirin or PegIntron plus ribavirin alone in subjects with CHC genotype 1 who failed prior treatment. [ Time Frame: At Follow-up Week 24 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Proportion of subjects with early virologic response (undetectable HCV-RNA at Week 2, 4, 8, or 12) who achieved SVR. [ Time Frame: At Week 2, 4, 8, or 12 ] [ Designated as safety issue: No ]
  • Proportions of subjects with undetectable HCV-RNA at Follow-up Week 12 and at 72 weeks after randomization. [ Time Frame: At Follow-up Week 12 and at 72 weeks after randomization ] [ Designated as safety issue: No ]

Estimated Enrollment: 375
Study Start Date: August 2008
Estimated Study Completion Date: June 2010
Estimated Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Arm 1: Placebo Comparator
PegIntron (PEG) + Ribavirin (RBV) (weight-based dosing [WBD]) for 4 weeks followed by boceprevir placebo + PEG + RBV (WBD) for 44 weeks with 24 weeks post-treatment follow-up.
Biological: Peginterferon alfa-2b (SCH 54031)
Peginterferon alfa-2b 1.5 μg/kg/week subcutaneously (SC)
Drug: Ribavirin (SCH 18908)
Ribavirin weight-based dosing (WBD) 600 mg/day to 1400 mg/day PO divided twice daily (BID).
Drug: Boceprevir placebo
Boceprevir placebo, 200 mg capsules, 800 mg TID PO.
Arm 2: Experimental

Subjects in Arm 2 will be assigned either a 36-week or 48-week course of therapy based on their HCV-RNA status at Treatment Week 8.

PEG + RBV (WBD) for 4 weeks followed by boceprevir + PEG + RBV (WBD) for 32 weeks, then:

  • 36-week regimen: Subjects who have undetectable HCV-RNA at Treatment Week 8 discontinue treatment and enter 36 weeks of post treatment follow-up.
  • 48-week regimen: Subjects who have detectable HCV-RNA at Treatment Week 8 are assigned an additional 12 weeks of therapy, followed by 24 weeks of post treatment follow-up. Placebo replaces boceprevir for the remaining 12 weeks of therapy, and this switch will occur in a blinded fashion.
Drug: Boceprevir (SCH 503034)
Boceprevir, 200 mg capsules, 800 mg TID PO
Biological: Peginterferon alfa-2b (SCH 54031)
Peginterferon alfa-2b 1.5 μg/kg/week subcutaneously (SC)
Drug: Ribavirin (SCH 18908)
Ribavirin weight-based dosing (WBD) 600 mg/day to 1400 mg/day PO divided twice daily (BID).
Drug: Boceprevir placebo
Boceprevir placebo, 200 mg capsules, 800 mg TID PO.
Arm 3: Experimental
PEG + RBV (WBD) for 4 weeks followed by boceprevir + PEG + RBV (WBD) for 44 weeks with 24 weeks post-treatment follow-up.
Drug: Boceprevir (SCH 503034)
Boceprevir, 200 mg capsules, 800 mg TID PO
Biological: Peginterferon alfa-2b (SCH 54031)
Peginterferon alfa-2b 1.5 μg/kg/week subcutaneously (SC)
Drug: Ribavirin (SCH 18908)
Ribavirin weight-based dosing (WBD) 600 mg/day to 1400 mg/day PO divided twice daily (BID).

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Qualifying regimen defined as peginterferon alfa-2a plus ribavirin or peginterferon alfa-2b plus ribavirin for a minimum of 12 weeks.
  • During qualifying regimen, subjects must have either a documented undetectable HCV-RNA within 30 days of end of treatment (EOT) and a subsequent detectable HCV-RNA during follow-up or a documented decline in HCV-RNA by >=2 log10 by Treatment Week 12
  • Previously documented CHC genotype 1 infection.
  • Liver biopsy with histology consistent with CHC and no other etiology.
  • Subjects with bridging fibrosis or cirrhosis must have an ultrasound within 6 months of the Screening Visit (or between Screening and Day 1) with no findings suspicious for hepatocellular carcinoma (HCC).
  • Subjects participating in SPRI maintenance protocols P02570 or P02569 must have completed the study to be eligible for this protocol.
  • Subject must be >=18 years of age.
  • Subject must weigh between 40 kg and 125 kg.
  • Subject and subject's partner(s) must each agree to use acceptable methods of contraception for at least 2 weeks prior to Day 1 and continue until at least 6 months after last dose of study drug, or longer if dictated by local regulations.
  • Subjects must be willing to give written informed consent.

Exclusion Criteria:

  • Coinfection with the human immunodeficiency virus (HIV) or hepatitis B virus (HBsAg positive).
  • Discontinuation of previous interferon or ribavirin regimen for an AE considered by the investigator to be possibly or probably related to ribavirin and/or interferon.
  • Treatment with ribavirin within 90 days and any interferon-alpha within 1 month of Screening.
  • Treatment for hepatitis C with any investigational medication. Prior treatment with herbal remedies with known hepatotoxicity.
  • Treatment with any investigational drug within 30 days of the randomization visit.
  • Participation in any other clinical trial within 30 days of randomization or intention to participate in another clinical trial.
  • Evidence of decompensated liver disease including, but not limited to, a history or presence of clinical ascites, bleeding varices, or hepatic encephalopathy.
  • Diabetic and/or hypertensive subjects with clinically significant ocular examination findings.
  • Pre-existing psychiatric conditions.
  • Clinical diagnosis of substance abuse of the specified drugs within the specified timeframes
  • Any known pre-existing medical condition that could interfere with the subject's participation in and completion of the study.
  • Evidence of active or suspected malignancy, or a history of malignancy, within the last 5 years (except adequately treated carcinoma in situ and basal cell carcinoma of the skin). Subjects under evaluation for malignancy are not eligible.
  • Subjects who are pregnant or nursing. Subjects who intend to become pregnant during the study period. Male subjects with partners who are, or intend to become, pregnant during the study period.
  • Any other condition which, in the opinion of a physician, would make the subject unsuitable for enrollment or could interfere with the subject participating in and completing the study.
  • Subjects who are part of the site personnel directly involved with this study.
  • Subjects who are family members of the investigational study staff.
  • Subjects who had life-threatening serious adverse event (SAE) during screening period.
  • Protocol-specified hematologic, biochemical, and serologic criteria: Hemoglobin <12 g/dL for females and <13 g/dL for males; Neutrophils <1500/mm^3 (Blacks: <1200/mm^3); Platelets <100,000/mm^3; Direct bilirubin >1.5 x upper limit of normal (ULN).
  • Serum albumin <lower limit of normal (LLN)
  • Thyroid-stimulating hormone (TSH) >1.2 x ULN or <0.8 x LLN of laboratory reference range, with certain exceptions.
  • Serum creatinine >ULN of the laboratory reference.
  • Protocol-specified serum glucose concentrations.
  • Protocol-specified alpha fetoprotein range.
  • Prothrombin Time/Partial Thromboplastin Time (PT/PTT) values >10% above laboratory reference range.
  • Anti-nuclear antibodies (ANA) >1:320.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00708500

  Show 76 Study Locations
Sponsors and Collaborators
Schering-Plough
  More Information

Responsible Party: Schering-Plough ( Head, Clinical Trials Registry & Results Disclosure Group )
Study ID Numbers: P05101, 2007-005151-42
Study First Received: June 27, 2008
Last Updated: January 6, 2009
ClinicalTrials.gov Identifier: NCT00708500  
Health Authority: United States: Food and Drug Administration

Keywords provided by Schering-Plough:
Treatment failure

Study placed in the following topic categories:
Interferon-alpha
Liver Diseases
Hepatitis, Chronic
Interferons
Ribavirin
Hepatitis, Viral, Human
Hepatitis
Virus Diseases
Digestive System Diseases
Peginterferon alfa-2b
Hepatitis C
Interferon Alfa-2a
Hepatitis C, Chronic
Interferon Alfa-2b

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
RNA Virus Infections
Flaviviridae Infections
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Growth Substances
Physiological Effects of Drugs
Antiviral Agents
Angiogenesis Inhibitors
Pharmacologic Actions
Therapeutic Uses
Growth Inhibitors
Angiogenesis Modulating Agents

ClinicalTrials.gov processed this record on January 14, 2009