Phase 3
Completed N=1,097
Safety and Efficacy of Boceprevir in Previously Untreated Subjects With Chronic Hepatitis C Genotype 1 (Study P05216AM2) (COMPLETED)
Hepatitis C, Chronic
Source: ClinicalTrials.gov NCT00705432 ↗
Enrolled (actual)
1,097
Serious AEs
10.8%
Results posted
Jun 2011
Primary outcomePrimary: Sustained Virologic Response (SVR) Rate — 40.2; 66.8; 68.5; 23.1 Percentage of participants — p=<0.0001
Summary
This study involves treatment with boceprevir or placebo in combination with PegIntron (PEG) + Ribavirin (RBV) (weight-based dosing [WBD]) in previously untreated adult participants with chronic hepatitis C (CHC) genotype 1. It is hypothesized that the addition of a third active anti- Hepatitis C Virus (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 sustained virologic response (SVR) and shorter treatment durations (in some populations) than treatment with PegIntron plus ribavirin alone.
The study includes two separate cohorts, Cohort I (White participants) and Cohort II (Black participants). Participants from each cohort are assigned (randomized) to one of three study arms, all of which have a 4-week lead-in period with (PEG + RBV).
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Sustained Virologic Response (SVR) Rate |
40.2; 66.8; 68.5; 23.1; 42.3; 52.7 | <0.0001 sig |
| SECONDARY Sustained Virologic Response (SVR) Rate in Participants Treated With Study Drug (Boceprevir or Placebo) |
42.1; 69.6; 71.2; 25.5; 46.8; 52.7 | <0.0001 sig |
| SECONDARY Number of Participants With Undetectable HCV-RNA at Follow-up Week 12 and at 72 Weeks After Randomization. |
127; 209; 209; 11; 21; 29 | — |
| SECONDARY Number of Participants With Early Virologic Response (Undetectable HCV-RNA at Treatment Week 2, 4, 8, 12, 16, or 20) |
8; 11; 8; 0; 1; 0 | — |
| SECONDARY Number of Participants With Early Virologic Response (Undetectable HCV-RNA at Treatment Week 4, 8, 12, 16, or 20) Who Achieved SVR |
27; 16; 18; 2; 1; 0 | — |
Eligibility Criteria
Inclusion Criteria
- Participant must have previously documented CHC genotype 1 infection.
- Participant must have a liver biopsy with histology consistent with CHC and no other etiology.
- Participants 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).
- Participant must be >=18 years of age.
- Participant must weigh between 40 kg and 125 kg.
- Participant and participant'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.
- Participants must be willing to give written informed consent.
Exclusion Criteria
- Coinfection with the human immunodeficiency virus (HIV) or hepatitis B virus (HBsAg positive).
- Participants who received prior treatment for hepatitis C; other than herbal remedies, except those with known hepatotoxicity.
- Treatment with any investigational drug within 30 days of the randomization visit in this study.
- Participation in any other clinical trial within 30 days of randomization or intention to participate in another clinical trial during participation in this study.
- 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 participants with clinically significant ocular examination findings: retinopathy, cotton wool spots, optic nerve disorder, retinal hemorrhage, or any other clinically significant abnormality.
- Pre-existing psychiatric condition(s).
- Clinical diagnosis of substance abuse of the specified drugs within the specified timeframes.
- Any known pre-existing medical condition that could interfere with the participant'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). Participants under evaluation for malignancy are not eligible.
- Participants who are pregnant or nursing. Participants who intend to become pregnant during the study period. Male participants 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 participant unsuitable for enrollment or could interfere with the participant participating in and completing the study.
- Participants who are part of the site personnel directly involved with this study.
- Participants who are family members of the investigational study staff.
- Participants who had life-threatening serious adverse event (SAE) during screening period.
- Protocol-specified hematologic, biochemical, and serologic criteria: Hemoglobin 1.5 x upper limit of normal (ULN)
- Serum albumin 1.2 x ULN or ULN of the laboratory reference.
- Protocol-specified serum glucose concentrations.
- protocol-specified alpha fetoprotein levels.
- Prothrombin time/partial thromboplastin time (PT/PTT) values >10% above laboratory reference range.
- Anti-nuclear antibodies (ANA) >1:320.
Data sourced from ClinicalTrials.gov (NCT00705432). 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.