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Efficacy and Safety of Alisporivir Alone or Combined With RBV or PEG in Chronic Hepatitis C Genotype 2 and 3 Treatment-naïve Participants

Phase 2
Completed
Conditions
Chronic Pain
Hepatitis C
Interventions
Registration Number
NCT01215643
Lead Sponsor
Debiopharm International SA
Brief Summary

The study is to investigate whether alisporivir (ALV; DEB025) alone or in combination with either ribavirin (RBV) or peginterferon alfa-2a (PEG) is more efficient compared to standard of care (PEG+RBV) in treatment-naïve participants with hepatitis C virus (HCV) genotype 2 and 3. In addition, triple therapy with DEB025 plus standard of care will be applied to participants not achieving rapid viral response (RVR) in the different arms.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
340
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ALV 1000 mgAlisporivirAlisporivir (ALV) 600 mg twice daily (BID) for 1 week, followed by ALV 1000 mg once daily (QD) during Weeks 2 to 24.
PEG+RBVPeginterferon alfa-2aPeginterferon alfa-2a (PEG) and RBV during Weeks 1 to 24.
ALV 600 mg+RBVRibavirinAlisporivir (ALV) 600 mg BID with RBV for 1 week, followed by ALV 600 mg QD with ribavirin (RBV) during Weeks 2 to 24.
ALV 800 mg+RBVAlisporivirAlisporivir (ALV) 600 mg BID with RBV for 1 week, followed by ALV 800 mg QD with RBV during Weeks 2 to 24.
ALV 600 mg+RBVAlisporivirAlisporivir (ALV) 600 mg BID with RBV for 1 week, followed by ALV 600 mg QD with ribavirin (RBV) during Weeks 2 to 24.
ALV 800 mg+RBVRibavirinAlisporivir (ALV) 600 mg BID with RBV for 1 week, followed by ALV 800 mg QD with RBV during Weeks 2 to 24.
ALV 600 mg+PEGAlisporivirAlisporivir (ALV) 600 mg BID with Peginterferon alfa-2a (PEG) for 1 week, followed by ALV 600 mg QD with PEG once weekly during Weeks 2 to 24.
ALV 600 mg+PEGPeginterferon alfa-2aAlisporivir (ALV) 600 mg BID with Peginterferon alfa-2a (PEG) for 1 week, followed by ALV 600 mg QD with PEG once weekly during Weeks 2 to 24.
PEG+RBVRibavirinPeginterferon alfa-2a (PEG) and RBV during Weeks 1 to 24.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Rapid Viral Response (RVR) After 4 Weeks of Treatment < the Limit of Quantification (RVR4LOQ)after 4 weeks of treatment

RVR4LOQ was defined as RVR \[serum hepatitis C virus (HCV) ribonucleic acid (RNA) \< the limit of quantification (LOQ), i.e., \< 25 IU/mL\], after 4 weeks of treatment.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants With RVR After 4 Weeks of Treatment < the Limit of Detection (RVR4LOD)after 4 weeks of treatment

RVR4LOD was defined as Rapid Viral Response (RVR) \[serum HCV RNA \< the limit of detection (LOD), i.e., \< 10 IU/mL\], after 4 weeks of treatment.

Percentage of Participants With RVR4LOQ and RVR4LOD (Genotype 2)after 4 weeks of treatment
Percentage of Participants With RVR4LOQ and RVR4LOD (Genotype 3)after 4 weeks of treatment
Percentage of Participants With Complete Early Viral Response (cEVR) After 12 Weeks of Treatment (cEVR12LOQ and cEVR12LOD)after 12 weeks of treatment

cEVR12LOQ and cEVR12LOD were defined as cEVR \[serum HCV RNA \< LOQ and \< LOD\] after 12 weeks of treatment, respectively.

Percentage of Participants With End of Treatment Response (ETR) Within 24 Weeks (ETR24LOQ and ETR24LOD)at end of treatment, within 24 weeks

ETR24LOQ and ETR24LOD were defined as ETR \[serum HCV RNA \< LOQ and \< LOD\] after 24 weeks of treatment or when prematurely discontinued.

Percentage of Participants With RVR Who Achieved Sustained Viral Response (SVR) 12 Weeks After the End of Treatment (SVR12LOQ and SVR12LOD)12 weeks after the end of treatment

SVR12LOQ and SVR12LOD were defined as Sustained Viral Response (SVR) \[serum HCV RNA \< LOQ and \< LOD\] 12 weeks after treatment, respectively.

Percentage of Participants With cEVR12LOQ and cEVR12LOD (Genotype 2)after 12 weeks of treatment
Percentage of Participants With cEVR12LOQ and cEVR12LOD (Genotype 3)after 12 weeks of treatment
Percentage of Participants With RVR Who Achieved SVR at 24 Weeks After the End of Treatment (SVR24LOQ and SVR24LOD)24 weeks after the end of treatment
Percentage of Participants With RVR Who Achieved SVR24LOQ and SVR24LOD (Genotype 2)24 weeks after the end of treatment
Percentage of Participants With ETR24LOQ and ETR24LOD (Genotype 2)at end of treatment, within 24 weeks
Percentage of Participants With ETR24LOQ and ETR24LOD (Genotype 3)at end of treatment, within 24 weeks
Percentage of Participants With RVR Who Achieved SVR12LOQ and SVR12LOD (Genotype 3)12 weeks after the end of treatment
Percentage of Participants With RVR Who Achieved SVR12LOQ and SVR12LOD (Genotype 2)12 weeks after the end of treatment
Percentage of Participants With On-treatment Viral Breakthroughwithin 24 weeks of treatment

Viral breakthrough was defined as either:

* Confirmed increase of HCV RNA ≥1 log10 above nadir (nadir = lowest HCV RNA value during treatment), or

* HCV RNA becoming ≥ 100 IU/mL after previously being undetectable (\< LOD) during treatment

Percentage of Participants With RVR Who Achieved SVR24LOQ and SVR24LOD (Genotype 3)24 weeks after the end of treatment
Percentage of Participants With Viral Relapsewithin 24 weeks after the end of treatment

Viral relapse was defined as having reappearance of detectable HCV RNA after previously being undetectable (\< LOD) during treatment.

Trial Locations

Locations (22)

The North Texas Research Institute

🇺🇸

Arlington, Texas, United States

Saint Louis University

🇺🇸

St. Louis, Missouri, United States

Liver Associates of Texas

🇺🇸

Houston, Texas, United States

Scripps Clinic

🇺🇸

La Jolla, California, United States

Sharp Rees-Stealy Medical Group, Inc.

🇺🇸

San Diego, California, United States

Island View Gastroenterology Associates

🇺🇸

Ventura, California, United States

Research and Education Inc.

🇺🇸

San Diego, California, United States

Hawai Medical Center East LLC

🇺🇸

Honolulu, Hawaii, United States

Weill Cornell Medical Center

🇺🇸

New York, New York, United States

The Office of Dr. Claudia Martorell

🇺🇸

Springfield, Massachusetts, United States

Mount Sinai Medical Center

🇺🇸

New York, New York, United States

Liver Specialist of Texas

🇺🇸

Houston, Texas, United States

Columbia University Medical Center

🇺🇸

New York, New York, United States

Alamo Medical Research

🇺🇸

San Antonio, Texas, United States

Novartis Investigative Site

🇬🇧

Plymouth, United Kingdom

Novartis Korea Ltd.

🇰🇷

Seoul, Korea, Republic of

Novartis Investigative Center

🇦🇺

Greenslopes, Queensland, Australia

Novartis Inestigative Center

🇰🇷

Pusan, Korea, Republic of

Cotton O'Neil Clinical Research

🇺🇸

Topeka, Kansas, United States

Novartis Inestigative Site

🇮🇹

Roma, Italy

Fundacion de Investigacion de Diego

🇵🇷

San Juan, Puerto Rico

Dartmouth-Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

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