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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01331850
Registration number
NCT01331850
Ethics application status
Date submitted
28/03/2011
Date registered
8/04/2011
Date last updated
2/11/2016
Titles & IDs
Public title
A Study of Danoprevir/Ritonavir and Copegus With RO5024048 and/or Pegasys in Patients With Chronic Hepatitis C
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Scientific title
A Randomized Open-label Study to Evaluate the Sustained Virologic Response of Danoprevir/Ritonavir and Copegus in Combination With RO5024048 and/or Pegasys in Chronic Hepatitis C Genotype 1 Patients Who Failed Previous Standard Therapy
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Secondary ID [1]
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2010-019585-90
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Secondary ID [2]
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WV21913
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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:
Hepatitis C, Chronic
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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 - Copegus
Treatment: Drugs - Copegus
Treatment: Drugs - Pegasys
Treatment: Drugs - Pegasys
Treatment: Drugs - RO5024048
Treatment: Drugs - danoprevir
Treatment: Drugs - ritonavir
Experimental: Previous null responders (Cohort B): Group 4 - Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Group 4 will receive RO5024048 1000 mg twice a day and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.
Experimental: Previous null responders (Cohort B): Group 5 - Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. Group 5 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.
Experimental: Previous null responders (Cohort B): Group 6 - Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. Group 6 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks. In addition, patients in Group 6 will receive another 24 weeks of Pegasys plus Copegus treatment.
Experimental: Previous partial responders (Cohort A): Group 1 - Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Group 1 will receive RO5024048 1000 mg twice a day and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.
Experimental: Previous partial responders (Cohort A): Group 2 - Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Group 2 will receive Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.
Experimental: Previous partial responders (Cohort A): Group 3 - Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. Group 3 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.
Treatment: Drugs: Copegus
1000 mg or 1200 mg daily oral doses for 24 weeks
Treatment: Drugs: Copegus
1000 mg or 1200 mg daily oral doses for 48 weeks
Treatment: Drugs: Pegasys
180 microgram subcutaneously once weekly for 24 weeks
Treatment: Drugs: Pegasys
180 microgram subcutaneously once weekly for 48 weeks
Treatment: Drugs: RO5024048
1000 mg oral doses twice a day for 24 weeks
Treatment: Drugs: danoprevir
100 mg oral doses twice a day for 24 weeks
Treatment: Drugs: ritonavir
100 mg oral doses twice a day for 24 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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Sustained virological response (SVR) of danoprevir/ritonavir with RO5024048 and Copegus in patients with previous partial or null response to peginterferon/ribavirin treatment
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Assessment method [1]
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Timepoint [1]
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24 weeks
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Primary outcome [2]
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Sustained virological response (SVR) of danoprevir/ritonavir with Pegasys and Copegus in patients with previous partial response to peginterferon/ribavirin treatment
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Assessment method [2]
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Timepoint [2]
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24 weeks
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Primary outcome [3]
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Sustained virological response (SVR) of danoprevir/ritonavir and RO5024048 with Pegasys and Copegus in patients with previous partial or null response to peginterferon/ribavirin treatment
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Assessment method [3]
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Timepoint [3]
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24 weeks
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Primary outcome [4]
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Sustained virological response (SVR) of danoprevir/ritonavir and RO5024048 with Pegasys and Copegus followed by 24 weeks of Pegasys and Copegus treatment in patients with previous null response to peginterferon/ribavirin treatment
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Assessment method [4]
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Timepoint [4]
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48 weeks
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Secondary outcome [1]
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Safety (Incidence of adverse events) of danoprevir, RO5024048 and Copegus
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Assessment method [1]
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Timepoint [1]
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48 weeks
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Secondary outcome [2]
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Safety (Incidence of adverse events) of danoprevir, Pegasys and Copegus
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Assessment method [2]
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Timepoint [2]
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48 weeks
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Secondary outcome [3]
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Safety (Incidence of adverse events) of danoprevir, RO5024048, Pegasys and Copegus
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Assessment method [3]
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Timepoint [3]
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72 weeks
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Secondary outcome [4]
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Virological response over time
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Assessment method [4]
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Timepoint [4]
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48 weeks
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Secondary outcome [5]
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Change in danoprevir plasma concentration
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Assessment method [5]
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Timepoint [5]
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24 weeks
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Secondary outcome [6]
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Change in RO5024048 plasma concentration
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Assessment method [6]
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Timepoint [6]
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24 weeks
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Secondary outcome [7]
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Hepatitis C virus drug resistance profile
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Assessment method [7]
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Timepoint [7]
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24 weeks
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Eligibility
Key inclusion criteria
* Adult patients, age 18 years and older
* Presence of hepatitis C infection, genotype 1a or 1b
* Documentation of previous treatment failure after receiving approved doses of peginterferon plus ribavirin for at least 12 weeks
* Patients must have discontinued prior hepatitis C treatment at least 12 weeks prior to study start
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Minimum age
18
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Maximum age
No limit
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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
* Infection with any hepatitis C genotype or subtype other than genotype 1a or 1b
* Patients with cirrhosis
* Patients who were discontinued from previous peginterferon plus ribavirin therapy due to reasons other than insufficient therapeutic response
* Co-infection with hepatitis B or human immunodeficiency virus (HIV)
* History or evidence of chronic liver disease other than hepatitis C
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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 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
1/05/2011
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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
1/01/2013
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Sample size
Target
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Accrual to date
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Final
381
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
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Recruitment hospital [1]
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- Darlinghurst
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Recruitment hospital [2]
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- Kingswood
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Recruitment hospital [3]
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- Westmead
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Recruitment hospital [4]
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- Adelaide
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Recruitment hospital [5]
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- Melbourne
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Recruitment postcode(s) [1]
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2010 - Darlinghurst
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Recruitment postcode(s) [2]
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2747 - Kingswood
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Recruitment postcode(s) [3]
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2145 - Westmead
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Recruitment postcode(s) [4]
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5000 - Adelaide
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Recruitment postcode(s) [5]
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3004 - Melbourne
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Recruitment postcode(s) [6]
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3186 - Melbourne
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Recruitment outside Australia
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United States of America
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California
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Colorado
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Wien
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Manchester
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Hoffmann-La Roche
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This randomized, open-label, multi-center study will evaluate the sustained virological response, pharmacokinetics and safety of various combinations of danoprevir/ritonavir with Copegus plus RO5024048 and/or Pegasys in patients with chronic hepatitis C infection. Patients will be divided into 2 separate cohorts. Cohort A, previous partial responders, will be randomized to Groups 1-3 and cohort B, previous null responders, will be randomized to Groups 4-6. Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Groups 1 and 4 will receive RO5024048 1000 mg twice a day and Copegus 1000 mg or 1200 mg twice a day for 24 weeks; Group 2 will receive Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks; Groups 3, 5 and 6 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks. In addition, patients in Group 6 will receive another 24 weeks of Pegasys plus Copegus treatment.
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Trial website
https://clinicaltrials.gov/study/NCT01331850
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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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Address
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Hoffmann-La Roche
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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 not provided in
https://clinicaltrials.gov/study/NCT01331850
Download to PDF