Phase 3
Completed N=696
Three Regimens of PegIntron Plus Ribavirin in Previously Untreated Chronic Hepatitis C, Genotype 2 or 3 (Study P03548)
Hepatitis C, Chronic
Source: ClinicalTrials.gov NCT00302081 ↗
Enrolled (actual)
696
Serious AEs
4.7%
Results posted
Aug 2009
Primary outcomePrimary: The Number of Participants Who Achieve a Sustained Virologic Response (SVR) — 153; 144; 129 participants — p=0.041
Summary
This is a randomized, open-label, multinational study designed to evaluate the "standard" regimen, PegIntron 1.5 µg/kg subcutaneously once weekly plus ribavirin 800-1200 mg daily [Arm PEG2b 1.5/R (24 weeks)], compared to a lower dose regimen, PegIntron 1.0 µg/kg subcutaneously once weekly plus ribavirin 800-1200 mg daily [Arm PEG2b 1.0/R (24 weeks)], using a 24 week treatment duration for both arms. Additionally, the study examined the efficacy of reduced treatment duration: PegIntron 1.5 µg/kg subcutaneously once weekly plus ribavirin 800-1200 mg for 16 weeks [Arm PEG2b 1.5/R (16 weeks)] .
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Number of Participants Who Achieve a Sustained Virologic Response (SVR) |
153; 144; 129 | 0.041 sig |
| SECONDARY Virologic Response Rates at the End of Therapy. Biochemical Responses as Determined by ALT and AST Levels at the End of Treatment and at the End of Follow up. |
— | — |
Eligibility Criteria
Inclusion Criteria
The subject must meet ALL of the criteria listed below for entry into the study:
- Hemoglobin >= 11 g/dL (females); >= 12 g/dL (males)
- Platelet count >= 100,000/mm^3
- Neutrophil count >= 1,500/mm^3
- Adult male or female chronic hepatitis C (CHC) patients (HCV-RNA-positive in serum) with compensated liver disease (Child-Pugh Score = 18 to =< 70 years of age
- At least one abnormal ALT value in the last year
- HCV genotype 2 or 3
- Not previously treated with any interferon or ribavirin alone or in combination
- TSH level must be within normal limits
- At the Screen Visit, glucose must be 70-140 mg/dL. Results between 116-140 mg/dL require repeat fasting glucose to be less than140 mg/dL and HbA1C less than or equal to 8.5%. HbA1C must be less than or equal to 8.5% in diabetic subjects (whether on medication or diet controlled).
- Female subjects cannot be pregnant or breastfeeding and must be either postmenopausal, surgically sterile or using 2 methods of birth control. While abstinence from sexual activity is the only certain method to prevent pregnancy, female patients of childbearing potential who are or who anticipate the possibility of becoming sexually active with a male partner must use a combination of the following 2 methods: (1)contraceptive pill or IUD or depot hormonal preparation (ring, injection implant); and (2) a barrier method of contraception such as diaphragm, sponge with spermicide, condom, or a method of birth control considered acceptable by the study physician. Contraceptive measures will be reviewed with female subjects at each visit. Dual methods of contraception must be used for 6 months after treatment discontinuation.
- Sexually active male subjects must be practicing acceptable methods of contraception (vasectomy, use of condom plus spermicide, monogamous relationship with a female partner who practices an acceptable method of contraception) during the treatment period and for 7 months after stopping treatment
- Subjects must be willing to give written informed consent and able to adhere to dosing and visit schedules.
- Confirmation by the principal investigator or a sub-investigator that sexually active females of childbearing potential are practicing adequate contraception.
- A serum pregnancy test obtained at Screen Visit prior to the initiation of treatment must be negative
- Confirmation by the principal investigator or a sub-investigator that sexually active male subjects are practicing a method of contraception considered acceptable (vasectomy, condom plus spermicide, plus relationship with a female partner who practices an acceptable method of contraception). Contraception must be used during the treatment period and for seven months (or 6 months, according to local label) after the completion of therapy, including condom use by male subjects with pregnant partners.
- For subjects with a history of hypertension or diabetes, written clearance from an ophthalmologist has to be obtained prior to treatment start
Exclusion Criteria
- Patients younger than 18 years
- Patients older than 70 years of age.
- Positive Anti-HIV antibodies
- Positive HBsAg antibodies
- Patients with severe renal dysfunction or creatinine clearance < 50 mL/min must not be treated with PEG-Intron -Rebetol
- Pregnant women, women who plan to become pregnant, male subjects whose partner wants to become pregnant, and breastfeeding women.
- Suspected hypersensitivity to any interferon or ribavirin product.
- Subject has used any investigational product within 30 days prior to enrollment
- Subject is participating in any other clinical study
- Any cause of liver disease other than chronic hepatitis C, including but not limited to:
- Hemochromatosis
- Alpha-1 antitrypsin deficiency
- Wilson's disease
- Autoimmune hepatitis
- Alcoholic liver disease
- Non-alcoholic steatohepatitis (NASH)
- Drug-related liver disease
- Active malignant disease or suspicion or history of malignant disease within five p
Data sourced from ClinicalTrials.gov (NCT00302081). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.