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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT01241760
Registration number
NCT01241760
Ethics application status
Date submitted
28/10/2010
Date registered
16/11/2010
Date last updated
4/06/2014
Titles & IDs
Public title
VX-950-C211 - A Dosing Regimen Study (Twice Daily Versus Every 8 Hours) of Telaprevir in Treatment-naïve Participants With Genotype 1 Chronic Hepatitis C Virus Infection
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Scientific title
A Randomized, Open-Label, Phase 3 Study of Telaprevir Administered Twice Daily or Every 8 Hours in Combination With Pegylated Interferon Alfa-2a and Ribavirin in Treatment-Naïve Subjects With Genotype 1 Chronic Hepatitis C Virus Infection
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Secondary ID [1]
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OPTIMIZE-HCV
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Secondary ID [2]
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CR013711
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Genotype 1 Chronic Hepatitis C
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Treatment Naive
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Condition category
Condition code
Infection
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Other infectious diseases
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Oral and Gastrointestinal
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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 - Ribavirin
Treatment: Drugs - Telaprevir
Treatment: Drugs - Pegylated interferon alfa-2a
Treatment: Drugs - Telaprevir
Experimental: 001 T(q8h) / PR - Telaprevir (T) 750 mg (2 oral tablets) every 8 hours for 12 weeks, in combination with pegylated interferon (P) and ribavirin (R)
Experimental: 002 T(b.i.d.) / PR - Telaprevir (T) 1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks, in combination with pegylated interferon (P) and ribavirin (R)
Treatment: Drugs: Ribavirin
Ribavirin (RBV) 1000-1200 milligram (mg) per day (weight dependent) twice daily regimen oral tablets for 24 or 48 weeks depending on the patient's treatment response at week 4
Treatment: Drugs: Telaprevir
1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks
Treatment: Drugs: Pegylated interferon alfa-2a
180 microgram (µg) per week, subcutaneous injection, for 24 or 48 weeks Pegylated interferon alfa-2a 180 microgram (µg) per week subcutaneous injection for 24 or 48 weeks depending on the patient's treatment response at week 4
Treatment: Drugs: Telaprevir
750 mg (2 oral tablets) every 8 hours for 12 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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Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After the Last Planned Dose of Study Drugs (SVR12 Planned)
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Assessment method [1]
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The table below shows the percentage of participants achieving Sustained Virologic Response 12 weeks after last planned dose of study medication (SVR12 planned). SVR was defined as having Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 international units/milliliter (IU/mL).
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Timepoint [1]
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End of trial, 12 weeks after last planned dose
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Secondary outcome [1]
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Percentage of Participants With Sustained Virologic Response 24 Weeks After the Last Planned Dose of Study Drugs (SVR24 Planned)
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Assessment method [1]
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The table below shows the percentage of participants achieving SVR 24 weeks after the last planned dose of study medication. SVR was defined as having Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 international units/milliliter (IU/mL). The response for T12(b.i.d)/PR group is higher than that after 12 weeks because HCV RNA data for two participants were missing for SVR assessment at that time. Consequently, by definition of SVR12, they were counted as not having achieved SVR12.
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Timepoint [1]
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End of trial, 24 weeks after last planned dose
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Secondary outcome [2]
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Percentage of Participants With Sustained Virologic Response 72 Weeks After the Start of Study Medication (SVR72 Planned)
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Assessment method [2]
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The table below shows the percentage of participants achieving SVR 72 weeks after the start of study medication (SVR72 planned). SVR was defined as having plasma Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 IU/mL, target not detected, at end of treatment and up to 72 weeks after start of study medication (i.e., no confirmed detectable HCV RNA in between).
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Timepoint [2]
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End of trial, 72 weeks after the start of study medication
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Secondary outcome [3]
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Percentage of Participants Achieving Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Values of Less Than 25 IU/ml, Target Not Detected, at Different Time Points.
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Assessment method [3]
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The table below shows the percentage of participants with undetectable hepatitis C virus (HCV) ribonucleic acid (RNA) levels, which means less than 25 IU/ml, target not detected, at different time points during the study.
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Timepoint [3]
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Baseline, Week 4 and Week 4+12.
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Secondary outcome [4]
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Percentage of Participants With On-treatment Virologic Failure Which Required Them to Permanently Discontinue All Study Drugs
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Assessment method [4]
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The table below shows the percentage of participants who met a stopping rule, defined as having a hepatitis C virus (HCV) ribonucleic acid (RNA) value at Week 4 >1000 IU/mL and at Weeks 12, 24, 32 and 40 =25 IU/mL.
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Timepoint [4]
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Week 4, 12, 24, 32, 40
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Secondary outcome [5]
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Percentage of Participants Who Relapsed During Follow-up Period
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Assessment method [5]
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The table below shows the percentage of participants who relapsed (ie, those having confirmed detectable hepatitis C virus [HCV] ribonucleic acid [RNA] during the 12-week follow-up period after previous HCV RNA <25 IU/mL, target not detected, at end of treatment).
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Timepoint [5]
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During Follow-Up (24 weeks after the last dose of study drug)
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Secondary outcome [6]
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Percentage of Participants of Each IL28B Genotype Achieving Sustained Virologic Response 12 Weeks After the Last Planned Dose of Study Medication (SVR12 Planned)
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Assessment method [6]
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The table below shows the effect of interleukin 28B (IL28B) gene's subtype (CC, CT or TT genotype) on the primary outcome measure: SVR12 planned.
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Timepoint [6]
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End of trial, 12 weeks after the last planned dose
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Eligibility
Key inclusion criteria
- Patient has chronic HCV infection genotype 1 with HCV RNA level > 1,000 IU/mL
- Patients should not have had any previous treatment for hepatitis C
- Patient must have documentation of a liver biopsy within 2 years before the screening
visit or the patient must agree to have a biopsy performed within the screening period
- Patients with cirrhosis should have serum alpha-fetoprotein (AFP) <= 50 ng/mL. If AFP
> 50 ng/mL, absence of a mass must be demonstrated by ultrasound within the screening
period
- A female patient of childbearing potential and a nonvasectomized male patient who has
a female partner of childbearing potential must agree to the use of 2 effective
methods of birth control from screening until 6 months (female patient) or 7 months
(male patient) after the last dose of RBV.
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Minimum age
18
Years
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Maximum age
70
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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
- Patient is infected or co-infected with HCV of another genotype than genotype 1 and/or
patient is infected with more than one genotype subtype
- Patient has a pre-existing psychiatric condition
- Patient has history of decompensated liver disease or shows evidence of significant
liver disease in addition to hepatitis C
- Patient has human immunodeficiency virus (HIV) or hepatitis B virus (HBV) co-infection
- Patient has active malignant disease or history of malignant disease within the past 5
years (with the exception of treated basal cell carcinoma).
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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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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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
1/12/2010
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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
1/11/2012
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Sample size
Target
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Accrual to date
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Final
744
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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- Adelaide
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- Camperdown
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- Clayton
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- Darlinghurst
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- Fitzroy
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- Greenslopes
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- Melbourne
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- Perth
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- Adelaide
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- Camperdown
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- Clayton
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- Darlinghurst
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- Fitzroy
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- Perth
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Recruitment outside Australia
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California
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Colorado
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Sevilla N/A
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Valencia
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London
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Manchester
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Janssen Infectious Diseases BVBA
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Address
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Other collaborator category [1]
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Commercial sector/Industry
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Name [1]
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Vertex Pharmaceuticals Incorporated
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Address [1]
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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 effectiveness of telaprevir administered twice
daily versus every 8 hours in combination with Peg-IFN-alfa-2a and ribavirin in
treatment-naïve participants with chronic HCV genotype 1 infection.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT01241760
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Janssen Infectious Diseases BVBA Clinical Trial
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Address
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Janssen Infectious Diseases BVBA
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT01241760
Download to PDF