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Phase 4 N=551 Randomized Double-blind Treatment

A Study of PEGASYS (Peginterferon Alfa-2a (40KD)) in Patients With Hepatitis Be Antigen (HBeAg) Positive Chronic Hepatitis B (CHB).

Hepatitis B, Chronic

Enrolled (actual)
551
Serious AEs
3.5%
Results posted
Jun 2013
Primary outcome: Primary: Percentage of Participants With Hepatitis Be Antigen (HBeAg) Seroconversion 24 Weeks Following End of Treatment — 14.08; 22.86; 25.76; 36.15 Percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
peginterferon alfa-2a [Pegasys] (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Hoffmann-La Roche
Primary completion
Dec 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Hepatitis Be Antigen (HBeAg) Seroconversion 24 Weeks Following End of Treatment
14.08; 22.86; 25.76; 36.15
SECONDARY
Percentage of Participants With Hepatitis Be Antigen (HBeAg) Seroconversion at Week 72
18.31; 27.14; 25.76; 36.15
SECONDARY
Percentage of Participants With Loss of Hepatitis Be Antigen (HBeAg) 24 Weeks Following End of Treatment
14.79; 22.86; 26.52; 36.15
SECONDARY
Percentage of Participants With Hepatitis B Surface Antigen (HBsAg) Seroconversion 24 Weeks Following the End of Treatment
0.0; 0.0; 1.52; 2.31
SECONDARY
Percentage of Participants With Loss of Hepatitis B Surface Antigen (HBsAg) 24 Weeks Following End of Treatment
0.70; 0.0; 2.27; 2.31
SECONDARY
Percentage of Participants With Normal Alanine Aminotransferase (ALT)
30.28; 30.71; 43.18; 52.31
SECONDARY
Percentage of Participants With Hepatitis B Virus Deoxyribonucleic Acid (HBV-DNA) Suppression < 20,000 IU/mL 24 Weeks Following End of Treatment
21.83; 21.43; 32.58; 42.31
SECONDARY
Percentage of Participants With Hepatitis Deoxyribonucleic Acid (HBV-DNA) Suppression < 2,000 IU/mL 24 Weeks Following End of Treatment
11.27; 11.43; 22.73; 30.0
SECONDARY
Percentage of Participants With Combined Endpoint Response 24 Weeks Following End of Treatment
7.75; 15.0; 17.42; 31.54
SECONDARY
Percentage of Participants With Dual Endpoint Response 24 Weeks Following End of Treatment
7.75; 9.29; 13.64; 24.62
SECONDARY
Quantitative Serum Alanine Aminotransferase (ALT) 24 Weeks Following End of Treatment
1.90; 1.97; 1.90; 1.73
SECONDARY
Quantitative HBV-DNA 24 Weeks Following End of Treatment
6.33; 6.38; 5.98; 5.29

Summary

This 4 arm study will compare the efficacy and safety of PEGASYS given for 24 or 48 weeks, and at doses of 90 or 180 micrograms weekly, in the treatment of HBeAg positive patients with chronic hepatitis B. Patients will be randomized to one of 4 treatment groups: a)PEGASYS 90 micrograms subcutaneous (sc) weekly for 24 weeks, b)PEGASYS 180 micrograms sc weekly for 24 weeks, c)PEGASYS 90 micrograms sc weekly for 48 weeks or d)PEGASYS 180 micrograms sc weekly for 48 weeks. Following treatment there will be a 24 week period of treatment-free follow-up in all treatment groups for the primary endpoint. The anticipated time on study treatment is 3-12 months, and the target sample size is 500+ individuals.

Eligibility Criteria

Inclusion Criteria

  • adult patients, >=18 years of age;
  • positive Hepatitis B surface antigen (HBsAg) for >6 months, positive HBeAg, HBV DNA >500,000 copies/mL, and anti-HBs negative;
  • liver disease consistent with Chronic Hepatitis B.

Exclusion Criteria

  • antiviral therapy for CHB within previous 6 months;
  • co-infection with Hepatitis A virus (HAV), Hepatitis C virus (HCV), Hepatitis D virus (HDV) or Human immuno deficiency virus (HIV);
  • evidence of decompensated liver disease;
  • medical condition associated with chronic liver disease.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00435825). 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.

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