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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00882908
Registration number
NCT00882908
Ethics application status
Date submitted
16/04/2009
Date registered
17/04/2009
Date last updated
16/06/2014
Titles & IDs
Public title
A Study of TMC435 in Combination With Pegylated Interferon Alp\Fa-2a and Ribavirin in Patients Infected With Genotype 1 Hepatitis C Virus Who Never Received Treatment
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Scientific title
A Phase IIb, Randomized, Double-Blind, Placebo-Controlled Trial to Investigate the Efficacy, Tolerability, Safety and Pharmacokinetics of TMC435 as Part of a Treatment Regimen Including Peginterferon Alfa-2a and Ribavirin In Treatment-Naive Genotype 1 Hepatitis C-Infected Subjects
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Secondary ID [1]
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0
TMC435-TiDP16-C205
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Secondary ID [2]
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CR015799
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Universal Trial Number (UTN)
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Trial acronym
PILLAR
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hepatitis C
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0
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Condition category
Condition code
Infection
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0
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0
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Other infectious diseases
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Oral and Gastrointestinal
0
0
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - TMC435
Treatment: Drugs - Ribavirin (R)
Treatment: Drugs - PegIFNa-2a (P)
Treatment: Drugs - Placebo
Experimental: TMC435 75 mg 12 Wks + PR 24/48 - Participants will receive TMC435 75 mg once daily with PegIFNa-2a (P) once weekly and ribavirin (R) twice daily for 12 weeks followed by Placebo once daily and PR for 12 weeks. Treatment with PR was stopped at Week 24 for participants who met response-guided treatment (RGT) criteria. All other participants continued PR until Week 48.
Experimental: TMC435 75 mg 24 Wks + PR 24/48 - Participants will receive TMC435 75 mg once daily with PegIFNa-2a (P) once weekly and ribavirin (R) twice daily for 24 weeks. Treatment with PR was stopped at Week 24 for participants who met response-guided treatment (RGT) criteria. All other participants continued PR until Week 48.
Experimental: TMC435 150 mg 12 Wks + PR 24/48 - Participants will receive TMC435 150 mg once daily with PegIFNa-2a (P) once weekly and ribavirin (R) twice daily for 12 weeks followed Placebo and PR for 12 weeks. Treatment with PR was stopped at Week 24 for participants who met response-guided treatment (RGT) criteria. All other participants continued PR until Week 48.
Experimental: TMC435 150 mg 24 Wks + PR 24/48 - Participants will receive TMC435 150 mg once daily with PegIFNa-2a (P) and ribavirin (R) for 24 weeks. Treatment with PR was stopped at Week 24 for participants who met response-guided treatment (RGT) criteria. All other participants continued PR until Week 48.
Placebo comparator: Placebo 24 Wks + PR48 - Participants will receive Placebo once daily with PegIFNa-2a (P) and ribavirin (R) for 24 weeks followed by PR until Week 48.
Treatment: Drugs: TMC435
TMC435 will be administered as one or two 75 mg capsules orally, once daily, for 12 or 24 weeks.
Treatment: Drugs: Ribavirin (R)
Ribavirin (R) will be administered as 200 mg tablets (5 to 6 tablets) orally, twice daily, for 48 weeks.
Treatment: Drugs: PegIFNa-2a (P)
PegIFNa-2a (P) 180 micrograms will be administered as a subcutaneous (under the skin) injection, once weekly for 48 weeks.
Treatment: Drugs: Placebo
Placebo capsules identical in appearance to TMC435 capsule will be administered orally, once daily, for 48 weeks.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The Percentage of Participants Achieving a Sustained Virologic Response at Week 72 (SVRW72)
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Assessment method [1]
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The table below shows the percentage of participants in each treatment group who achieved a SVRW72, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels at end of treatment (EOT) and at Week 72.
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Timepoint [1]
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Week 72
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Secondary outcome [1]
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The Percentage of Participants Achieving Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels of Less Than 25 IU/mL Undetectable During Treatment and Follow-up
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Assessment method [1]
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The table below shows the percentage of participants in each treatment group who achieved plasma HCV RNA levels of less than 25 IU/mL undetectable at selected time points during treatment, follow-up, and at end of treatment (EOT).
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Timepoint [1]
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Weeks, 2, 4, 8, 12, 24, 36, 48, 60, 72, and at EOT (up to Week 24 or 48)
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Secondary outcome [2]
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The Percentage of Participants Who Achieved Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels of Less Than 25 IU/mL Detectable or Undetectable During Treatment and Follow-up
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Assessment method [2]
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The table below shows the percentage of participants in each treatment group who achieved plasma levels of HCV RNA less than 25 IU/mL detectable or undetectable at selected time points during treatment, follow-up, and at end of treatment (EOT).
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Timepoint [2]
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Weeks 2, 4, 8, 12, 24, 36, 48, 60, 72, and at EOT (up to Week 24 or 48)
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Secondary outcome [3]
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The Percentage of Participants Achieving Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels of Greater Than or Equal to 2 log10 Drop During Treatment
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Assessment method [3]
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The table below shows the percentage of participants in each treatment group who achieved plasma levels of HCV RNA greater than or equal to 2 log10 drop from Baseline at selected time points during treatment.
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Timepoint [3]
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Baseline (Day 1) and Weeks, 2, 4, 8, and 12
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Secondary outcome [4]
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The Percentage of Participants Who Achieved a Sustained Virologic Response 24 Weeks After the Planned End of Treatment (SVR24)
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Assessment method [4]
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The table below shows the percentage of participants in each treatment group who achieved a SVR24, defined as having undetectable plasma Hepatitis C virus ribonucleic acid levels at the end of treatment (EOT) and 24 weeks after the EOT.
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Timepoint [4]
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Week 48 or 72
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Secondary outcome [5]
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The Percentage of Participants Achieving a Rapid Virologic Response (RVR)
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Assessment method [5]
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The table below shows the percentage of participants in each treatment group who achieved a RVR, defined as having undetectable plasma Hepatitis C virus ribonucleic acid levels after receiving 4 weeks of treatment.
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Timepoint [5]
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Week 4
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Secondary outcome [6]
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The Percentage of Participants Achieving an Early Virologic Response (EVR)
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Assessment method [6]
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The table below shows the percentage of participants who achieved an EVR, defined as having a change from baseline in plasma Hepatitis C virus ribonucleic acid of 2 log10 at Week 12.
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Timepoint [6]
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Baseline (Day 1) and Week 12
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Secondary outcome [7]
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The Percentage of Participants Achieving a Complete Early Virologic Response (cEVR)
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Assessment method [7]
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The table below shows the percentage of participants in each treatment group who had a cEVR, defined as having undetectable plasma Hepatitis C Virus ribonucleic acid levels at Week 12.
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Timepoint [7]
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Week 12
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Secondary outcome [8]
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The Percentage of Participants Achieving a Sustained Virologic Response 12 Weeks After the Planned End of Treatment (SVR12)
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Assessment method [8]
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The table below shows the percentage of participants who achieved undetectable plasma Hepatitis C virus ribonucleic acid levels at the end of treatment (EOT) and 12 Weeks after the EOT.
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Timepoint [8]
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Up to Week 36 or 52
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Secondary outcome [9]
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Number of Participants With Viral Breakthrough
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Assessment method [9]
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The table below shows the number of participants in each treatment group who experienced viral breakthrough during the TMC435 treatment period of the study, defined as a confirmed increase of more than 1 log10 IU/mL in plasma Hepatitis C virus (HCV) ribonucleic acid (RNA) level from the lowest level reached or a confirmed value of plasma HCV RNA more than 100 IU/mL in participants whose plasma HCV RNA level had previously been below the limit of quantification (less than 25 IU/mL detectable or undetectable).
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Timepoint [9]
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Week 24 or 48
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Secondary outcome [10]
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The Number of Participants With Viral Relapse
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Assessment method [10]
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The table below shows the number of participants who experienced viral relapse, defined as a confirmed detectable plasma Hepatitis C virus (HCV) ribonucleic acid (RNA) level during the follow-up period in participants with undetectable plasma HCV RNA (less than 25 IU/mL undetectable) at the end of treatment.
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Timepoint [10]
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Up to Week 72
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Secondary outcome [11]
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The Number of Participants With Abnormal Alanine Aminotransferase (ALT) Levels at Baseline Who Achieved Normalized ALT Levels at the End of Treatment (EOT)
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Assessment method [11]
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The table below shows the number of participants with abnormal ALT levels at Baseline who achieved ALT levels within the normal range at the EOT.
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Timepoint [11]
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Baseline (Day 1) up to Week 24 or 48
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Secondary outcome [12]
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Plasma Concentrations of TMC435
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Assessment method [12]
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The table below shows median (range) predose plasma concentration (C0h) values and median (range) average steady-state plasma concentration (Css,av) values for participants in each of the 4 TMC435 treatment groups.
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Timepoint [12]
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Two random blood samples taken at least 2 hours apart at Weeks 2, 4, 8, 12, 16, and 24
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Secondary outcome [13]
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Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435
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Assessment method [13]
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The table below shows the median (range) AUC24h values for TMC435 for participants in each of the 4 TMC435 treatment groups. Two blood samples taken at least 2 hours apart from each other for determination of TMC435 plasma pharmacokinetics were obtained in all participants on Weeks 2, 4, 8, 12, 16, and 24 to obtain Bayesian estimates of TMC435 AUC24h (overall exposure).
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Timepoint [13]
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Two random blood samples taken at least 2 hours apart at Weeks 2, 4, 8, 12, 16, and 24
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Eligibility
Key inclusion criteria
* Patients with documented chronic genotype-1 hepatitis C infection and with plasma HCV RNA of > 100,000 IU/mL at screening
* Patients that have not been treated before for HCV
* Patients that are of childbearing potential or have a partner of childbearing potential should agree to use 2 effective methods of contraception
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients with cirrhosis or evidence of hepatic decompensation
* Co-infection with the human immunodeficiency virus (HIV)
* Any contraindication to Pegasys or Copegus therapy
* History of, or any current medical condition which could impact the safety of the patient in the study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2009
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/04/2011
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Sample size
Target
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Accrual to date
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Final
386
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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- Concord
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Recruitment hospital [2]
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- Darlinghurst
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Recruitment hospital [3]
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- Fitzroy
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Recruitment hospital [4]
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- Melbourne
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Recruitment hospital [5]
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- Sydney
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Recruitment hospital [6]
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- Woolloongabba N/A
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Recruitment postcode(s) [1]
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- Concord
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Recruitment postcode(s) [2]
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- Darlinghurst
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Recruitment postcode(s) [3]
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- Fitzroy
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Recruitment postcode(s) [4]
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- Melbourne
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Recruitment postcode(s) [5]
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- Sydney
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Recruitment postcode(s) [6]
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- Woolloongabba N/A
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Recruitment outside Australia
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United States of America
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California
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United States of America
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Florida
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United States of America
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Illinois
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United States of America
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Louisiana
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United States of America
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Minnesota
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United States of America
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New York
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United States of America
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North Carolina
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United States of America
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Ohio
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United States of America
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Tennessee
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United States of America
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Virginia
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Austria
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Wien
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Belgium
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Brugge
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Belgium
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Brussels
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Belgium
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Bruxelles
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Belgium
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Edegem
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Belgium
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Gent
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Belgium
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Leuven
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Belgium
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Roeselare
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Canada
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Alberta
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Canada
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Ontario
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Canada
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Quebec
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Denmark
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Aarhus
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Denmark
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Copenhagen
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Denmark
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Hvidovre N/A
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Denmark
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Kolding
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Denmark
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Odense N/A
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France
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Clichy
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France
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Creteil N/A
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France
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Grenoble
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France
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Lyon
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France
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Nice
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France
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Paris
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France
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Vandoeuvre Les Nancy
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Germany
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Berlin
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Germany
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Düsseldorf
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Germany
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Frankfurt A. M.
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Germany
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Freiburg
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Germany
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Hamburg
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Germany
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Hannover
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Germany
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Köln
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Germany
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Stuttgart
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Germany
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Würzburg
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New Zealand
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Auckland
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New Zealand
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Christchurch
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New Zealand
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Hamilton
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Norway
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Bergen
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Norway
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Nordbyhagen
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Norway
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Oslo
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Norway
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Tromsø
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Poland
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Bialystok
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Poland
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Bydgoszcz
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Poland
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Czeladz
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Poland
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Kielce
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Poland
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Lodz
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Poland
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Warschau
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Russian Federation
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Moscow
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Russian Federation
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Nizhny Novgorod
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Russian Federation
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Saint-Petersburg
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Russian Federation
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Samara
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Russian Federation
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Smolensk
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Russian Federation
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St Petersburg
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Spain
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Barcelona
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Spain
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Madrid
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Spain
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Sevilla N/A
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Spain
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Valencia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Tibotec Pharmaceuticals, Ireland
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the efficacy of 4 different regimens of TMC435 in combination with peginterferon alfa-2a (PegIFNa-2a) and ribavirin (RBV), defined as the proportion of patients with sustained virologic response at Week 72 (patients with undetectable plasma HCV RNA \[less than 25 IU per mL undetectable\] at the end of treatment and at Week 72), compared to the control group receiving PegIFN and RBV in combination with TMC435-matched placebo.
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Trial website
https://clinicaltrials.gov/study/NCT00882908
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Trial related presentations / publications
Lenz O, Verbinnen T, Fevery B, Tambuyzer L, Vijgen L, Peeters M, Buelens A, Ceulemans H, Beumont M, Picchio G, De Meyer S. Virology analyses of HCV isolates from genotype 1-infected patients treated with simeprevir plus peginterferon/ribavirin in Phase IIb/III studies. J Hepatol. 2015 May;62(5):1008-14. doi: 10.1016/j.jhep.2014.11.032. Epub 2014 Nov 28. Scott J, Rosa K, Fu M, Cerri K, Peeters M, Beumont M, Zeuzem S, Evon DM, Gilles L. Fatigue during treatment for hepatitis C virus: results of self-reported fatigue severity in two Phase IIb studies of simeprevir treatment in patients with hepatitis C virus genotype 1 infection. BMC Infect Dis. 2014 Aug 26;14:465. doi: 10.1186/1471-2334-14-465. Fried MW, Buti M, Dore GJ, Flisiak R, Ferenci P, Jacobson I, Marcellin P, Manns M, Nikitin I, Poordad F, Sherman M, Zeuzem S, Scott J, Gilles L, Lenz O, Peeters M, Sekar V, De Smedt G, Beumont-Mauviel M. Once-daily simeprevir (TMC435) with pegylated interferon and ribavirin in treatment-naive genotype 1 hepatitis C: the randomized PILLAR study. Hepatology. 2013 Dec;58(6):1918-29. doi: 10.1002/hep.26641. Epub 2013 Oct 11.
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Public notes
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Contacts
Principal investigator
Name
0
0
Tibotec Pharmaceuticals, Ireland Clinical Trial
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Address
0
0
Tibotec Pharmaceuticals, Ireland
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for public queries
Name
0
0
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Address
0
0
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00882908
Download to PDF