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Safety and Efficacy Study of Peginterferon Lambda-1a vs. Peginterferon Alfa-2a, Plus Ribavirin in Subjects With Genotype 1 Hepatitis C

Phase 3
Completed
Conditions
Hepatitis C Virus (HCV)
Interventions
Biological: Peginterferon Lambda-1a
Biological: Peginterferon alfa-2a
Registration Number
NCT01754974
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to determine if 48 weeks of therapy with Peginterferon Lambda plus Ribavirin is effective and safe for a treatment of chronic hepatitis C (CHC) compared to therapy with Peginterferon alfa-2a plus Ribavirin.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Chronic hepatitis C, Genotype 1
  • HCV RNA ≥100,000 IU/mL at screening
  • Liver biopsy documenting no cirrhosis (within prior 3 years). Where approved for staging of liver disease, non-invasive imaging may be used to assess the extent of liver disease
  • Naïve to prior anti-HCV therapy
Exclusion Criteria
  • Infected with HCV other than Genotype 1
  • Positive Hepatitis B Surface Antigen (HBsAg), or Human Immunodeficiency Virus (HIV)-1/HIV-2 antibody at screening
  • Evidence of liver disease other than HCV
  • Active substance abuse
  • Use of hematologic growth factors within 90 days prior to study randomization
  • Evidence of history of cirrhosis based on radiologic criteria or biopsy results and clinical criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Peginterferon alfa-2a + RibavirinPeginterferon alfa-2aPeginterferon alfa-2a 180 μg solution for subcutaneous (sc) injection once weekly and Ribavirin 1000 or 1200 mg based on weight tablet by mouth twice daily for 48 weeks
Peginterferon Lambda-1a + RibavirinRibavirinPeginterferon Lambda-1a 180 μg solution for subcutaneous (sc) injection once weekly and Ribavirin 1000 or 1200 mg based on weight tablet by mouth twice daily for 48 weeks
Peginterferon Lambda-1a + RibavirinPeginterferon Lambda-1aPeginterferon Lambda-1a 180 μg solution for subcutaneous (sc) injection once weekly and Ribavirin 1000 or 1200 mg based on weight tablet by mouth twice daily for 48 weeks
Peginterferon alfa-2a + RibavirinRibavirinPeginterferon alfa-2a 180 μg solution for subcutaneous (sc) injection once weekly and Ribavirin 1000 or 1200 mg based on weight tablet by mouth twice daily for 48 weeks
Primary Outcome Measures
NameTimeMethod
Proportion of subjects who develop treatment emergent cytopenic abnormalities (anemia as defined by Hb < 10 g/dL, and/or neutropenia as defined by ANC < 750 mm3 and/or thrombocytopenia as defined by platelets < 50,000 mm3) in treatment-naive subjectsUp to 48 weeks of treatment

* ANC = Absolute Neutrophil Count

* Hb = Hemoglobin

Secondary Outcome Measures
NameTimeMethod
Proportion of subjects who discontinue due to Adverse Events (AEs) through end of treatmentUp to 48 weeks of treatment
Proportion of subjects with Sustained Virologic Response at Post-Treatment Follow-up Week 24 (SVR24), defined as Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) < Lower Limit of Quantitation of Assay (LLOQ)At Post-Treatment Follow-up Week 24
Proportion of subjects with Rapid Virologic Response (RVR) (HCV RNA not detected)On treatment Week 4 (of an up to 48-week treatment period)
Proportion of subjects with on-treatment Serious Adverse Events (SAEs) through end of treatmentUp to 48 weeks of treatment
Proportion of subjects with dose reductions through end of treatmentUp to 48 weeks of treatment
Proportion of subjects with on-treatment Interferon (IFN)-associated symptoms as determined by adverse event reportingUp to 48 weeks of treatment

On-treatment IFN-associated symptoms are:

* Flu-like symptoms (as defined by pyrexia or chills or pain)

* Musculoskeletal symptoms (as defined by arthralgia or myalgia or back pain)

* Neurological symptoms (headache or dizziness)

* Constitutional symptoms (fatigue or asthenia)

* Psychiatric symptoms (depression or irritability or insomnia)

Trial Locations

Locations (1)

Local Institution

🇲🇽

Distrito Federal, Mexico

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