Hepatitis C Clinical Trial
Official title:
A Phase 2 Rollover Protocol of Telaprevir (VX-950) in Combination With Peginterferon Alfa-2a (Pegasys®) and Ribavirin (Copegus®) in Subjects Enrolled in the Control Group (Group A) of Study VX06-950-106, VX05-950-104 and VX05-950-104EU Who Did Not Achieve or Maintain an Undetectable HCV RNA Level Through Sustained Viral Response
To provide access to a telaprevir-based treatment to subjects of the Control Group of Study VX06-950-106 (NCT00420784), VX05-950-104 (NCT00336479), and VX05-950-104EU (NCT00372385) who stopped treatment due to inadequate response to treatment. Safety, tolerability, and Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) levels will be collected.
| Status | Completed |
| Enrollment | 117 |
| Est. completion date | February 2010 |
| Est. primary completion date | February 2010 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 18 Years to 70 Years |
| Eligibility |
Inclusion Criteria: - Enrolled in the control arm of Study VX06-950-106 (NCT00420784), VX05-950-104 (NCT00336479) or VX05-950-104EU (NCT00372385) |
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
| Country | Name | City | State |
|---|---|---|---|
| Canada | University of Calgary Medical Clinic | Calgary | Alberta |
| Canada | University of Alberta | Edmonton | Alberta |
| Canada | University of British Columbia Vancouver General Hospital | Vancouver | British Columbia |
| France | Hospital Henri Mondor | Creteil | |
| Germany | Universitatsklinikum Bonn | Bonn | |
| Germany | University of Cologne | Cologne | |
| Germany | Uniklinik Duesseldorf | Dusseldorf | |
| Netherlands | Academic Medical Center | Amsterdam | |
| Netherlands | Leiden University Medical Center | Leiden | |
| Netherlands | Erasmus MC Medical Center | Rotterdam | |
| Puerto Rico | Fundacion de Investigation de Diego | Santurce | |
| United States | University of New Mexico | Albuquerque | New Mexico |
| United States | Atlanta Gastroenterology Associates | Atlanta | Georgia |
| United States | Johns Hopkins University | Baltimore | Maryland |
| United States | Digestive and Liver Disease Clinic | Baton Rouge | Louisiana |
| United States | Beth Israel Deaconess Medical Center | Boston | Massachusetts |
| United States | University of Virginia Health Systems | Charlottesville | Virginia |
| United States | University of Chicago | Chicago | Illinois |
| United States | University of Cincinnati | Cincinnati | Ohio |
| United States | Columbia Gastroenterology Associates, PA | Columbia | South Carolina |
| United States | Liver Institute at Methodist Dallas | Dallas | Texas |
| United States | University of Colorado Health Sciences Center | Denver | Colorado |
| United States | Henry Ford Hospital | Detroit | Michigan |
| United States | Duke University Medical Center | Durham | North Carolina |
| United States | South Denver Gastroenterology | Englewood | Colorado |
| United States | Metropolitan Research | Fairfax | Virginia |
| United States | University of Florida | Gainesville | Florida |
| United States | Memphis Gastroenterology Group | Germantown | Tennessee |
| United States | Penn State Hershey Medical Center | Hershey | Pennsylvania |
| United States | Borland-Groover Clinic | Jacksonville | Florida |
| United States | Mayo Clinic Jacksonville | Jacksonville | Florida |
| United States | North Shore University Hospital | Manhasset | New York |
| United States | University of Miami Center for Liver Diseases | Miami | Florida |
| United States | The Nebraska Medical Center | Omaha | Nebraska |
| United States | University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania |
| United States | Virology Treatment Center, Maine Medical Center | Portland | Maine |
| United States | McGuire DVAMC | Richmond | Virginia |
| United States | Alamo Medical Research | San Antonio | Texas |
| United States | Kaiser Permanente Internal Medicine | San Diego | California |
| United States | St Louis University | St Louis | Missouri |
| United States | University of Massachusetts Memorial Medical Center | Worcester | Massachusetts |
| Lead Sponsor | Collaborator |
|---|---|
| Vertex Pharmaceuticals Incorporated | Tibotec, Inc |
United States, Austria, Canada, France, Germany, Netherlands, Puerto Rico, United Kingdom,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Treatment | The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL). | 24 weeks after the completion of treatment (up to Week 72) | No |
| Primary | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | AE: any adverse change from the subject's baseline (pre-treatment) condition, including any adverse experience, abnormal recording or clinical laboratory assessment value which occurs during the course of the study, whether it is considered related to the study drug or not. An adverse event includes any newly occurring event or previous condition that has increased in severity or frequency since the administration of study drug. SAE: medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. "Study drug" includes all investigational agents (including placebo, if applicable) administered during the course of the study. | Baseline through Week 48 | Yes |
| Secondary | Percentage of Prior Relapsers With Undetectable HCV RNA | Prior relapsers: subjects who had undetectable HCV RNA at the end of treatment in parent study but reverted to detectable levels of HCV RNA after stopping treatment in parent study were categorized as prior relapsers. Percentage of prior relapsers with undetectable HCV RNA 24 weeks after the completion of treatment in this study were presented. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL). | 24 weeks after the completion of treatment (up to Week 72) | No |
| Secondary | Percentage of Subjects With End of Treatment Response | Subjects were considered to have an end of treatment response if they completed the assigned treatment regimen and had undetectable HCV RNA at end of treatment or prematurely discontinued the assigned treatment regimen and had undetectable HCV RNA at the time of discontinuation. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL). | End of treatment (up to Week 48) | No |
| Secondary | Percentage of Subjects With Undetectable HCV RNA at Week 48 After Completion of Treatment Among Subjects Who Completed Assigned Treatment | The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL). | 48 weeks after completion of treatment (up to Week 96) | No |
| Secondary | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Cross tabulation of number of subjects with eRVR/SVR status in present study was presented with respect to prior response status of subjects in parent studies. eRVR=undetectable HCV RNA at Week 4 and Week 12, SVR=undetectable HCV RNA at end of treatment (EOT) and at 24 weeks after last dose of study treatment without any confirmed detectable HCV RNA in between. Prior response=subjects were categorized into following categories based on their viral response in the parent study: Null Response (less than [<] 1-log10 decrease in HCV RNA at Week 4 or <2-log10 decrease in HCV RNA at Week 12), Partial Response (greater than [>] 2-log10 decrease in HCV RNA at Week 12, but detectable HCV RNA at Week 24), Viral Breakthrough (detectable HCV RNA during treatment after achieving undetectable HCV RNA), Relapse (undetectable HCV RNA at EOT but detectable HCV RNA during viral follow-up). Plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay; lower limit of detection=10 IU/mL. | Baseline up to Week 72 | No |
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