Chronic Hepatitis C (CHC) Genotype 1 (Arms A and B) and Genotypes 1b and 4 (Arm C) MedDRA version: 15.0 Level: LLT Classification code 10008912 Term: Chronic hepatitis C System Organ Class: 10021881 - Infections and infestations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Adult patient, >/= 18 years of age - Chronic Hepatitis C of >/= 6 months duration at screening - HCV genotype 1 and quantifiable HCV RNA at screening (Roche COBAS TaqMan HCV test) - Naïve for treatment with interferon (pegylated or non-pegylated) - Body Mass Index (BMI) 18-35 inclusive, minimum weight 45 kg - Females of child-bearing potential and males with female partners of childbearing potential must use 2 forms of effective non-hormonal contraception Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 190 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: - Pregnant or lactating women and males with female partners who are pregnant or lactating - Decompensated liver disease or impaired liver function - Cirrhosis or incomplete/transition to cirrhosis - Non-hepatitis C chronic liver disease - Hepatitis B or HIV infection - History of neoplastic disease within the last 5 years, except for localized or in situ carcinoma of the skin - History of pre-existing renal disease (except for nephrolithiasis) or severe cardiac disease - History of drug or alcohol abuse within the last year or alcohol consumption of > 2 units per day; cannabinoid use is excepted
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: • To establish the safety, tolerability and efficacy (SVR24) of up to 24 weeks of treatment with an IFN-free regimen of RO5024048 and DNV/r, with or without RBV in interferon naïve CHC genotype 1 patients ;Secondary Objective: • To establish the antiviral activity (RVR, EOT, SVR12) of up to 24 weeks of treatment with an IFN-free regimen of RO5024048 and DNV/r, with or without RBV • To determine the impact of RBV on safety, tolerability and antiviral activity of the direct acting antiviral combination regimen • To compare 12 or 24 weeks duration on safety, tolerability and antiviral activity of the direct acting antiviral combination regimens • To evaluate the pharmacokinetics/pharmacodynamics of RO5024048, DNV/r and RBV when co-administered • To characterize drug resistance when RO5024048 and DNV/r are co-administered in the presence or absence of RBV • To assess the effect of IL28b genotype on treatment efficacy • To assess the effect of IFN-free treatment on patient reported quality of life measures;Primary end point(s): 1. Sustained virological response, defined as undetectable HCV RNA measured by Roche COBAS TaqMan HCV test 2. Safety: Incidence of adverse events;Timepoint(s) of evaluation of this end point: 1. 24 weeks after end of treatment 2. 1.5 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Virological response (HCV RNA measured by Roche COBAS Taqman HCV test) 2. Impact of Copegus (ribavirin) on efficacy of the direct-acting antiviral combination regimen: viral response (HCV RNA measured by Roche COBAS TaqMan HCV test) 3. Comparison of 12 and 24 weeks of treatment duration: viral response (HCV RNA measured by Roche COBAS TaqMan HCV test) 4. Pharmacokinetics: Plasma concentrations of danoprevir, ritonavir, RO4995855 (parent drug of RO5024048) and ribavirin 5. Viral resistance: HCV RNA sequencing and phenotypic analyses 6. Effect of interleukin 28B genotype on efficacy: viral response (HCV RNA measured by Roche COBAS TaqMan HCV test) 7. Quality of life: SF-36 questionnaire, Fatigue Severity Scale;Timepoint(s) of evaluation of this end point: 1. up to 48 weeks 2. 1.5 years 3. 1.5 years 4. up to 24 weeks 5. up to 48 weeks 6. 1.5 years 7. up to 36 weeks | — |
Countries
France, Germany, New Zealand, United States
Contacts
F.Hoffmann-La Roche Ltd.