Hepatitis C, Chronic
Conditions
Brief summary
This single arm study will evaluate the efficacy and safety of PEGASYS (180 micrograms sc weekly) plus ribavirin (1000-1200mg po daily) in treatment-naive Latino patients versus non-Latino Caucasian patients with chronic hepatitis C- genotype 1. The anticipated time on study treatment is 3-12 months and the target sample size is 500+ patients.
Interventions
1000-1200mg po daily for 48 weeks
180 micrograms sc/week for 48 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients 18-65 years of age * chronic hepatitis C , genotype 1 * serologic evidence of CHC infection by an antibody test * chronic liver disease, consistent with CHC infection on a liver biopsy obtained within the past 18 months * compensated liver disease * use of 2 forms of contraception during the study in both men and women
Exclusion criteria
* previous interferon or ribavirin therapy * systemic antiviral therapy less than 24 weeks before first dose of study drug or expected need for this treatment any time during the study * medical condition associated with chronic liver disease (eg, hemochromatosis, autoimmune hepatitis, alcoholic liver disease, toxin exposure) * decompensated liver disease * women who are pregnant or breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Sustained Virologic Response at Week 72 | At Week 72 | Sustained Virologic Response (SVR) is defined as percentage of participants with an undetectable hepatitis C virus-RNA (HCV-RNA) measurement (\<28 International Unit (IU)/millilitre (mL)) assessed 24 weeks post-treatment (week 72) which was assessed by Roche High Pure System/COBAS TaqMan HCV Test. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Early Virologic Response at Week 4 | At Week 4 | Percentage of participants with an early virologic response defined as an HCVRNA \>=1 log10 drop from baseline or undetectable HCV-RNA measurement at Week 4 (lower limit of detection 28 IU/mL). |
| Percentage of Participants With Early Virologic Response at Week 12 | At Week 12 | Percentage of participants with an early virologic response defined as an HCV-RNA \>=2 log10 drop from baseline or undetectable HCV-RNA measurement at Week 12 (lower limit of detection 28 IU/mL). |
| Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | From Baseline (Week 0) to Weeks 4, 12, 24, 48, 60 and 72 | The table below shows HCV-RNA log10 titers change from baseline values by study week and by study group. Analysis was performed for participants with a baseline and at least 1 post-baseline HCV-RNA assessment. HCV-RNA quantitation was performed using Roche High Pure System/COBAS® TaqMan® HCV Monitor Test. HCV-RNA measurement lower limit of detection was 28 IU/mL. |
| Percentage of Participants With Biochemical Response | At Weeks 4, 12, 24, 48, 60 and 72 | Biochemical response was defined as normal serum alanine transaminase (ALT) measurement. For ALT measurement the normal range is 5-37 IU/L. |
| Percentage of Participants With ISHAK Histological Activity Index Response | At Week 72 | ISHAK Histological Activity Index (HAI) activity response is defined as a decrease from baseline of at least 2 points (≥2 points drop from baseline) in the ISHAK modified HAI (necroinflammatory) score at week 72. ISHAK modified HAI activity (necroinflammatory) score is a total score of periportal ± bridging (P/B) necrosis + confluent necrosis + focal necrosis + portal inflammation (maximum score for each participant = 18). Where P/B necrosis grading as 0 = absent; 1 = mild; 2 = mild/moderate; 3 = moderate; 4 = severe; Confluent necrosis grading as 0 = absent; 1 = focal; 2 = zone 3 some areas; 3 = zone 3 most areas; 4 = zone 3 occasional portal; 5 = zone 3 multiple; 6 = panacinar necrosis and Focal necrosis grading as 0: absent; 1: \< = 1 focus; 2: 2 to 4 foci; 3: 5 to 10 foci; 4: \> 10 foci; Portal Inflammation grading: 0 = none; 1 = mild; 2 = moderate; 3 = moderate/marked; 4 = marked/all portal. |
| Mean Change From Baseline in ISHAK HAI Activity (Necroinflammatory) at Week 72 | From Baseline (Week 0) to Week 72 | ISHAK modified HAI activity (necroinflammatory) score is a total score of P/B necrosis + confluent necrosis + focal necrosis + portal inflammation (maximum score for each Participant = 18). Where P/B necrosis grading as 0 = absent; 1 = mild; 2 = mild/moderate; 3 = moderate; 4 = severe; Confluent necrosis as 0 = absent; 1 = focal; 2 = zone 3 some areas; 3 = zone 3 most areas; 4 = zone 3 occasional portal; 5= zone 3 multiple; 6= panacinar necrosis and Focal necrosis as 0: absent; 1: \<= 1 focus; 2: 2 to 4 foci; 3: 5 to 10 foci; 4: \> 10 foci; Portal Inflammation: 0 = none; 1 = mild; 2 = moderate; 3 = moderate/marked; 4 = marked/all portal. The difference between study groups in change from baseline in ISHAK modified HAI activity score at week 72 was tested using an analysis of covariance (ANCOVA) model with ethnicity and baseline ISHAK HAI score as the fixed effects. |
| Mean Change From Baseline in Fibrosis Score Based on ISHAK at Week 72 | From Baseline (Week 0) to Week 72 | ISHAK Histological Activity Index (HAI) activity response is defined as a decrease from baseline of at least 2 points (≥2 points drop from baseline) score at week 72. Baseline prognostic factors in the original model include ethnicity, sex, age, baseline ALT quotient, baseline HCV-RNA level, and ISHAK fibrosis and activity scores at baseline. ISHAK modified HAI fibrosis scale by fibrosis grading category as F0= no fibrosis; F1= some portal areas; F2= most portal areas; F3= bridging fibrosis; F4= bridging and portal to central; F5 = marked bridging; F6 = Cirrhosis; where '0' being the best and '6' being the worst. Decrease in score from baseline indicates improvement. The difference between study groups in change from baseline in ISHAK modified HAI activity score at week 72 was analysed. |
| Percentage of Participants With Improved, Stable and Worsened ISHAK Fibrosis Score | At Week 72 | Overall ISHAK Fibrosis Score is defined as Improved: \>= 1 category decrease in fibrosis scale; Stable: no change in fibrosis scale; Worsened: \>1 category increase in fibrosis scale. |
| Mean Change From Baseline in Activity and Fibrosis Scores Based on METAVIR Activity at Week 72 | From Baseline (Week 0) to Week 72 | METAVIR activity scores are categorised as histological activity (A) 0 = none; A1 = mild; A2 = moderate; A3 = severe where '0' being 'No activity' and '3' being 'the sever activity'. Changes in liver inflammation defined as Improved: Participants whose METAVIR activity score at up to Month-72 decreases by 1 or more units compared to baseline; stable: Participants whose METAVIR activity score at up to Month-72 is the same as the baseline score; worsened: Participants whose METAVIR activity score at up to Month-72 increases by 1 or more units compared to baseline. METAVIR fibrosis scores are categorised as fibrosis (F) 0 = no fibrosis; F1 = without septa; F 2 = with septa; F3 = many septa; F4 = cirrhosis where; '0' being the best and '4' being the worst. Decrease in score from baseline indicates improvement. The difference between study groups in change from baseline in activity and fibrosis scores based on METAVIR at week 72 was analysed. |
| Percentage of Participants Achieving Virologic Response | At Weeks 4, 12, 24, 48, 60, and 72 | Percentage of participants achieving a virologic response defined as an undetectable HCV-RNA measurement (HCV-RNA \<28 IU/mL by Roche High Pure System/COBAS TaqMan HCV Test) |
| Percentage of Participants With Improved, Stable, and Worsened METAVIR Fibrosis Score | At Week 72 | METAVIR fibrosis score is categorized as, Improved: \>= 1 category decrease in activity score; stable: no change in activity score; worsened: \>= 1 category increase in activity score. |
| Mean Change From Baseline in Fat Score at Week 72 | From Baseline (Week 0) to Week 72 | Grading categories for the fat scale were as follows: 1 = \<5% hepatocytes; 2 = 6 - 33% hepatocytes; 3 = 34 - 66% hepatocytes; 4 = 67 - 100% hepatocytes. |
| Percentage of Participants With Improved, Stable and Worsened Fat Score From Baseline to Week 72 | From Baseline (Week 0) to Week 72 | Fat scores are categorised as Improved: \> 1 category decrease in fat scale; stable: no change in fat scale; worsened: \>= 1 category increase in fat scale. |
| Percentage of Participants With Non-zero Nonalcoholic Steatohepatitis Score | At Week 72 | The Nonalcoholic Steatohepatitis (NASH) included an assessment of sinusoidal fibrosis, Mallory bodies, and hepatocyte ballooning (HB). Grading categories for the NASH scales were as: Sinusoidal fibrosis: 0 = absent; 1 = involvement of some lobules; 2 = involvement of most lobules, without diffuse interstitial sinusoidal collagen deposition; 3 = Involvement of most or all lobules;, with diffuse interstitial fibrosis involving some or most of the lobules Mallory bodies: 0 = absent; 1 = involvement of some lobules; 2 = involvement of most lobules; 3= involvement of most or all lobules; and Hepatocyte ballooning: 0 = absent; 1 = involvement of some lobules; 2 = involvement of most lobules; 3= involvement of most or all lobules. |
| Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72 | Baseline (Week 0), Week 48 and Week 72 | The Fatigue Severity Scale (FSS) is a 10-item self-report questionnaire designed to assess tiredness, lack of energy, or total body give-out. Participants were to react to nine statements regarding fatigue over the previous 2 weeks, each on a scale (1 = completely agree, 7 = completely disagree). The FSS is the average of the scores on the 9 questions; ranging from 1-7, with lower scores indicating less fatigue. In addition, participants were to react to how much fatigue they had in the past 2 weeks by marking on a visual analogue scale (VAS) labelled at one end with no fatigue ('0' being the best) and at the other end with greater fatigue ('100' being the worst). Longer distance on the scale from no fatigue indicated greater fatigue. FSS values are presented based on questionnaire and visual analog scale. FSS values at week 48 and 72 are presented based on questionnaire and visual analog scale. |
| Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72 | Baseline (Week 0), Week 48 and Week 72 | The 36-item Short Form Health Survey (SF-36) is a 36-item self-report questionnaire that includes 8 domain scales The 8 domains are incorporated into 2 components: mental and physical. The mental component (MC) includes social functioning, role limitations-emotional, mental health, and vitality. The physical component (PC) includes physical functioning, role limitations-physical, bodily pain, and general health perception. Raw domain scores are transformed to a 0 to 100 scale, \[0=worst score (or quality of life) and 100=best score\]. Two summary scale scores were computed based on weighted combinations of the 8 domain scores (Physical and the Mental Component) where no minimum or maximum score; higher score indicate better health status. The difference between study groups in change from baseline in SF-36 score at week 48 and 72 was analysed. |
| Number of Participants With Any Adverse Events and Serious Adverse Events | Up to Week 72 | An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An adverse event could therefore be any unfavorable or unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Pre-existing conditions that worsened during the study were reported as adverse events. A serious adverse event (SAE) was any untoward medical occurrence that at any dose results in death, is life threatening, requires hospitalization or prolongation of hospitalization, or results in disability/incapacity, or congenital anomaly/birth defect. |
| Number of Participants With Marked Abnormal Laboratory Parameters | Up to Week 72 | The below table includes participants with marked abnormal lab parameters. Standard reference ranges include: Hematocrit: (fraction) 0.37 - 0.49, Hemoglobin 130 - 180 g/L, Platelets 150 - 350 10\^9/L, White Blood Cell (WBC) 4.5 - 11.0 10\^9/L, Lymphocytes 1.00 - 4.80 10\^9/L, Neutrophils 1.80 - 7.70 10\^9/L, Aspartate aminotransferase (AST) 0-40 U/L, ALT 0 - 55 U/L, Total bilirubin 0 - 17 μmol/L, Thyroxine T4 58 - 140 nmol/L, Thyroid Stimulating Hormone (TSH) 0.0 - 5.0 million units (mU)/L, Albumin 35.0 - 55.0 g/L, Chloride 100 - 108 mmol/L, Calcium 2.10 - 2.60 mmol/L, Phosphate 0.84 - 1.45 mmol/L, Uric acid 214 - 506 μmol/L. |
| Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Up to Week 72 | The table below includes participants with premature withdrawals due to adverse events or laboratory abnormalities. |
| Percentage of Participants With Improved, Stable, and Worsened METAVIR Activity Score | At Week 72 | METAVIR activity scale included activity defines as, Improved: \>= 1 category decrease in activity score; stable: no change in activity score; worsened: \> = 1 category increase in activity score. |
Countries
Puerto Rico, United States
Participant flow
Recruitment details
A total of 569 participants were recruited at 52 centers in the United States in the study conducted from 26 October 2004 and 07 September 2007.
Pre-assignment details
Out of 1038 screened participants, 569 were enrolled and 469 were screen failures because of eligibility criteria was not met. Of the 569 enrolled participants, 269 participants were assigned to Latino and 300 participants were assigned to non-Latino White group.
Participants by arm
| Arm | Count |
|---|---|
| Latino Eligible participants received peginterferon alfa-2a 180 microgram (mcg)/0.5 mL by subcutaneous injection once a week in combination with ribavirin 1000 or 1200 mg per day, which was taken orally in split doses for 48 weeks. Participants with \<75 kg (165 lbs) of body weight received 1000 mg/day (400 mg in the morning and 600 mg in the evening). Participants with \>=75 kg (165 lbs) of body weight received 1200 mg/day (600 mg in the morning and 600 mg in the evening). | 269 |
| Non-Latino White Eligible participants received peginterferon alfa-2a 180 mcg/0.5 mL by subcutaneous injection once a week in combination with ribavirin 1000 or 1200 mg per day which was taken orally in split doses. Participants with \<75 kg (165 lbs) of body weight received 1000 mg/day. Participants with \>=75 kg (165 lbs) of body weight received 1200 mg/day for 48 weeks. | 300 |
| Total | 569 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Administrative Reasons | 3 | 3 |
| Overall Study | Adverse Event | 24 | 43 |
| Overall Study | Insufficient Therapeutic Response | 25 | 11 |
| Overall Study | Lost to Follow-up | 13 | 5 |
| Overall Study | Protocol Violation | 1 | 0 |
| Overall Study | Violation of Selection Criteria at Entry | 1 | 1 |
| Overall Study | Withdrawal by Subject | 12 | 13 |
Baseline characteristics
| Characteristic | Latino | Non-Latino White | Total |
|---|---|---|---|
| Age, Continuous | 45.6 Years STANDARD_DEVIATION 8.79 | 48.1 Years STANDARD_DEVIATION 8.34 | 46.9 Years STANDARD_DEVIATION 8.64 |
| Sex: Female, Male Female | 86 Participants | 108 Participants | 194 Participants |
| Sex: Female, Male Male | 183 Participants | 192 Participants | 375 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 256 / 269 | 290 / 299 |
| serious Total, serious adverse events | 42 / 269 | 48 / 299 |
Outcome results
Percentage of Participants With Sustained Virologic Response at Week 72
Sustained Virologic Response (SVR) is defined as percentage of participants with an undetectable hepatitis C virus-RNA (HCV-RNA) measurement (\<28 International Unit (IU)/millilitre (mL)) assessed 24 weeks post-treatment (week 72) which was assessed by Roche High Pure System/COBAS TaqMan HCV Test.
Time frame: At Week 72
Population: Intent-to-Treat (ITT) Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Latino | Percentage of Participants With Sustained Virologic Response at Week 72 | 33.5 Percentage of participants |
| Non-Latino White | Percentage of Participants With Sustained Virologic Response at Week 72 | 49.3 Percentage of participants |
Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time
The table below shows HCV-RNA log10 titers change from baseline values by study week and by study group. Analysis was performed for participants with a baseline and at least 1 post-baseline HCV-RNA assessment. HCV-RNA quantitation was performed using Roche High Pure System/COBAS® TaqMan® HCV Monitor Test. HCV-RNA measurement lower limit of detection was 28 IU/mL.
Time frame: From Baseline (Week 0) to Weeks 4, 12, 24, 48, 60 and 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). 'n'=number of evaluable participants available at specified time point.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| Latino | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 4 (n=262, 280) | -2.3 Log10 IU/mL | Standard Error 0.1 |
| Latino | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 12 (n=251,279) | -3.9 Log10 IU/mL | Standard Error 0.1 |
| Latino | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 24 (n=235, 264) | -4.2 Log10 IU/mL | Standard Error 0.11 |
| Latino | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 48 (n=207, 246) | -4.1 Log10 IU/mL | Standard Error 0.11 |
| Latino | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 60 (n=181, 217) | -2.7 Log10 IU/mL | Standard Error 0.17 |
| Latino | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 72 (n=174, 212) | -2.7 Log10 IU/mL | Standard Error 0.17 |
| Non-Latino White | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 60 (n=181, 217) | -3.7 Log10 IU/mL | Standard Error 0.15 |
| Non-Latino White | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 4 (n=262, 280) | -2.9 Log10 IU/mL | Standard Error 0.09 |
| Non-Latino White | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 48 (n=207, 246) | -4.8 Log10 IU/mL | Standard Error 0.1 |
| Non-Latino White | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 12 (n=251,279) | -4.5 Log10 IU/mL | Standard Error 0.09 |
| Non-Latino White | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 72 (n=174, 212) | -3.6 Log10 IU/mL | Standard Error 0.16 |
| Non-Latino White | Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time | At Week 24 (n=235, 264) | -4.8 Log10 IU/mL | Standard Error 0.1 |
Mean Change From Baseline in Activity and Fibrosis Scores Based on METAVIR Activity at Week 72
METAVIR activity scores are categorised as histological activity (A) 0 = none; A1 = mild; A2 = moderate; A3 = severe where '0' being 'No activity' and '3' being 'the sever activity'. Changes in liver inflammation defined as Improved: Participants whose METAVIR activity score at up to Month-72 decreases by 1 or more units compared to baseline; stable: Participants whose METAVIR activity score at up to Month-72 is the same as the baseline score; worsened: Participants whose METAVIR activity score at up to Month-72 increases by 1 or more units compared to baseline. METAVIR fibrosis scores are categorised as fibrosis (F) 0 = no fibrosis; F1 = without septa; F 2 = with septa; F3 = many septa; F4 = cirrhosis where; '0' being the best and '4' being the worst. Decrease in score from baseline indicates improvement. The difference between study groups in change from baseline in activity and fibrosis scores based on METAVIR at week 72 was analysed.
Time frame: From Baseline (Week 0) to Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Latino | Mean Change From Baseline in Activity and Fibrosis Scores Based on METAVIR Activity at Week 72 | Activity scores based on METAVIR | -0.34 Score on a scale | Standard Error 0.05 |
| Latino | Mean Change From Baseline in Activity and Fibrosis Scores Based on METAVIR Activity at Week 72 | Fibrosis scores based on METAVIR | 0.04 Score on a scale | Standard Error 0.07 |
| Non-Latino White | Mean Change From Baseline in Activity and Fibrosis Scores Based on METAVIR Activity at Week 72 | Activity scores based on METAVIR | -0.51 Score on a scale | Standard Error 0.05 |
| Non-Latino White | Mean Change From Baseline in Activity and Fibrosis Scores Based on METAVIR Activity at Week 72 | Fibrosis scores based on METAVIR | -0.12 Score on a scale | Standard Error 0.05 |
Mean Change From Baseline in Fat Score at Week 72
Grading categories for the fat scale were as follows: 1 = \<5% hepatocytes; 2 = 6 - 33% hepatocytes; 3 = 34 - 66% hepatocytes; 4 = 67 - 100% hepatocytes.
Time frame: From Baseline (Week 0) to Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Latino | Mean Change From Baseline in Fat Score at Week 72 | -0.15 Score on a scale | Standard Error 0.07 |
| Non-Latino White | Mean Change From Baseline in Fat Score at Week 72 | -0.25 Score on a scale | Standard Error 0.06 |
Mean Change From Baseline in Fibrosis Score Based on ISHAK at Week 72
ISHAK Histological Activity Index (HAI) activity response is defined as a decrease from baseline of at least 2 points (≥2 points drop from baseline) score at week 72. Baseline prognostic factors in the original model include ethnicity, sex, age, baseline ALT quotient, baseline HCV-RNA level, and ISHAK fibrosis and activity scores at baseline. ISHAK modified HAI fibrosis scale by fibrosis grading category as F0= no fibrosis; F1= some portal areas; F2= most portal areas; F3= bridging fibrosis; F4= bridging and portal to central; F5 = marked bridging; F6 = Cirrhosis; where '0' being the best and '6' being the worst. Decrease in score from baseline indicates improvement. The difference between study groups in change from baseline in ISHAK modified HAI activity score at week 72 was analysed.
Time frame: From Baseline (Week 0) to Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy. 'n'=number of evaluable participants available at specified time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Latino | Mean Change From Baseline in Fibrosis Score Based on ISHAK at Week 72 | F5-F6 (n=21,11) | -1.05 Score on a scale | Standard Error 0.42 |
| Latino | Mean Change From Baseline in Fibrosis Score Based on ISHAK at Week 72 | F0-F4 (n=136,190) | -1.49 Score on a scale | Standard Error 0.19 |
| Non-Latino White | Mean Change From Baseline in Fibrosis Score Based on ISHAK at Week 72 | F5-F6 (n=21,11) | -2.64 Score on a scale | Standard Error 0.82 |
| Non-Latino White | Mean Change From Baseline in Fibrosis Score Based on ISHAK at Week 72 | F0-F4 (n=136,190) | -2.04 Score on a scale | Standard Error 0.18 |
Mean Change From Baseline in ISHAK HAI Activity (Necroinflammatory) at Week 72
ISHAK modified HAI activity (necroinflammatory) score is a total score of P/B necrosis + confluent necrosis + focal necrosis + portal inflammation (maximum score for each Participant = 18). Where P/B necrosis grading as 0 = absent; 1 = mild; 2 = mild/moderate; 3 = moderate; 4 = severe; Confluent necrosis as 0 = absent; 1 = focal; 2 = zone 3 some areas; 3 = zone 3 most areas; 4 = zone 3 occasional portal; 5= zone 3 multiple; 6= panacinar necrosis and Focal necrosis as 0: absent; 1: \<= 1 focus; 2: 2 to 4 foci; 3: 5 to 10 foci; 4: \> 10 foci; Portal Inflammation: 0 = none; 1 = mild; 2 = moderate; 3 = moderate/marked; 4 = marked/all portal. The difference between study groups in change from baseline in ISHAK modified HAI activity score at week 72 was tested using an analysis of covariance (ANCOVA) model with ethnicity and baseline ISHAK HAI score as the fixed effects.
Time frame: From Baseline (Week 0) to Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Latino | Mean Change From Baseline in ISHAK HAI Activity (Necroinflammatory) at Week 72 | -1.4 Score on a scale | Standard Error 0.17 |
| Non-Latino White | Mean Change From Baseline in ISHAK HAI Activity (Necroinflammatory) at Week 72 | -2.1 Score on a scale | Standard Error 0.17 |
Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72
The 36-item Short Form Health Survey (SF-36) is a 36-item self-report questionnaire that includes 8 domain scales The 8 domains are incorporated into 2 components: mental and physical. The mental component (MC) includes social functioning, role limitations-emotional, mental health, and vitality. The physical component (PC) includes physical functioning, role limitations-physical, bodily pain, and general health perception. Raw domain scores are transformed to a 0 to 100 scale, \[0=worst score (or quality of life) and 100=best score\]. Two summary scale scores were computed based on weighted combinations of the 8 domain scores (Physical and the Mental Component) where no minimum or maximum score; higher score indicate better health status. The difference between study groups in change from baseline in SF-36 score at week 48 and 72 was analysed.
Time frame: Baseline (Week 0), Week 48 and Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy. 'n'=number of evaluable participants available at specified time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Latino | Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72 | Standardized PC, At Week 48 (n=178,224) | -4.3 Score on a scale | Standard Error 0.75 |
| Latino | Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72 | Standardized PC, At Week 72 (n=172,213) | -1.4 Score on a scale | Standard Error 0.71 |
| Latino | Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72 | Standardized MC, At Week 48 (n=178,224) | -6.1 Score on a scale | Standard Error 0.77 |
| Latino | Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72 | Standardized MC, At Week 72 (n=172,213) | -1.6 Score on a scale | Standard Error 0.73 |
| Non-Latino White | Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72 | Standardized MC, At Week 72 (n=172,213) | -0.7 Score on a scale | Standard Error 0.66 |
| Non-Latino White | Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72 | Standardized PC, At Week 48 (n=178,224) | -8.4 Score on a scale | Standard Error 0.6 |
| Non-Latino White | Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72 | Standardized MC, At Week 48 (n=178,224) | -6.3 Score on a scale | Standard Error 0.68 |
| Non-Latino White | Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72 | Standardized PC, At Week 72 (n=172,213) | -1.8 Score on a scale | Standard Error 0.53 |
Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72
The Fatigue Severity Scale (FSS) is a 10-item self-report questionnaire designed to assess tiredness, lack of energy, or total body give-out. Participants were to react to nine statements regarding fatigue over the previous 2 weeks, each on a scale (1 = completely agree, 7 = completely disagree). The FSS is the average of the scores on the 9 questions; ranging from 1-7, with lower scores indicating less fatigue. In addition, participants were to react to how much fatigue they had in the past 2 weeks by marking on a visual analogue scale (VAS) labelled at one end with no fatigue ('0' being the best) and at the other end with greater fatigue ('100' being the worst). Longer distance on the scale from no fatigue indicated greater fatigue. FSS values are presented based on questionnaire and visual analog scale. FSS values at week 48 and 72 are presented based on questionnaire and visual analog scale.
Time frame: Baseline (Week 0), Week 48 and Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). 'n'=number of evaluable participants available at specified time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Latino | Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72 | FSS Score,From Baseline At Week 48 (n=180,224) | 0.9 Score on a scale | Standard Error 0.15 |
| Latino | Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72 | FSS Score,From Baseline At Week 72 (n=174,214) | -0.1 Score on a scale | Standard Error 0.15 |
| Latino | Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72 | FSS VAS Score,From Baseline At Week 48 (n=177,221) | 14.8 Score on a scale | Standard Error 2.84 |
| Latino | Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72 | FSS VAS Score,From Baseline At Week72 (n=173,212) | 1.9 Score on a scale | Standard Error 2.75 |
| Non-Latino White | Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72 | FSS VAS Score,From Baseline At Week72 (n=173,212) | -2.7 Score on a scale | Standard Error 1.57 |
| Non-Latino White | Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72 | FSS Score,From Baseline At Week 48 (n=180,224) | 1.5 Score on a scale | Standard Error 0.13 |
| Non-Latino White | Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72 | FSS VAS Score,From Baseline At Week 48 (n=177,221) | 25.4 Score on a scale | Standard Error 2.09 |
| Non-Latino White | Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72 | FSS Score,From Baseline At Week 72 (n=174,214) | 0.1 Score on a scale | Standard Error 0.11 |
Number of Participants With Any Adverse Events and Serious Adverse Events
An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An adverse event could therefore be any unfavorable or unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Pre-existing conditions that worsened during the study were reported as adverse events. A serious adverse event (SAE) was any untoward medical occurrence that at any dose results in death, is life threatening, requires hospitalization or prolongation of hospitalization, or results in disability/incapacity, or congenital anomaly/birth defect.
Time frame: Up to Week 72
Population: The Safety Population included participants who received at least 1 dose of any study drug and had at least 1 post baseline safety assessment.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Latino | Number of Participants With Any Adverse Events and Serious Adverse Events | Any AEs | 264 Participants |
| Latino | Number of Participants With Any Adverse Events and Serious Adverse Events | Any SAEs | 42 Participants |
| Non-Latino White | Number of Participants With Any Adverse Events and Serious Adverse Events | Any AEs | 292 Participants |
| Non-Latino White | Number of Participants With Any Adverse Events and Serious Adverse Events | Any SAEs | 48 Participants |
Number of Participants With Marked Abnormal Laboratory Parameters
The below table includes participants with marked abnormal lab parameters. Standard reference ranges include: Hematocrit: (fraction) 0.37 - 0.49, Hemoglobin 130 - 180 g/L, Platelets 150 - 350 10\^9/L, White Blood Cell (WBC) 4.5 - 11.0 10\^9/L, Lymphocytes 1.00 - 4.80 10\^9/L, Neutrophils 1.80 - 7.70 10\^9/L, Aspartate aminotransferase (AST) 0-40 U/L, ALT 0 - 55 U/L, Total bilirubin 0 - 17 μmol/L, Thyroxine T4 58 - 140 nmol/L, Thyroid Stimulating Hormone (TSH) 0.0 - 5.0 million units (mU)/L, Albumin 35.0 - 55.0 g/L, Chloride 100 - 108 mmol/L, Calcium 2.10 - 2.60 mmol/L, Phosphate 0.84 - 1.45 mmol/L, Uric acid 214 - 506 μmol/L.
Time frame: Up to Week 72
Population: The Safety Population included participants who received at least 1 dose of any study drug and had at least 1 post baseline safety assessment. 'n'=number of evaluable participants available at specified time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Hematocrit low (n=269,298) | 49 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Hemoglobin low (n=269,298) | 99 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Platelets, low (n=269,298) | 78 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | WBC, high (n=269,298) | 2 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | WBC low (n=269,298) | 192 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Lymphocytes low (n=269,298) | 80 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Neutrophils, high (n=269,298) | 7 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Neutrophils, low (n=269,298) | 208 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | AST, high (n=269,296) | 51 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | ALT, high (n=269,296) | 46 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Total bilirubin, high (n=269,296) | 4 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | T4, high (n=17,16) | 2 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | T4, low (n=17,16) | 8 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | TSH, high (n=64,65) | 6 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Albumin, low (n=269,296) | 2 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Chloride, low (n=269,296) | 0 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Calcium, low (n=269,296) | 4 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Phosphate, high (n=269,296) | 16 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Phosphate, low (n=269,296) | 51 Participants |
| Latino | Number of Participants With Marked Abnormal Laboratory Parameters | Uric acid, high (n=269,296) | 12 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Phosphate, high (n=269,296) | 18 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Hematocrit low (n=269,298) | 67 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Total bilirubin, high (n=269,296) | 6 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Hemoglobin low (n=269,298) | 126 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Chloride, low (n=269,296) | 6 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Platelets, low (n=269,298) | 103 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | T4, high (n=17,16) | 2 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | WBC, high (n=269,298) | 7 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Uric acid, high (n=269,296) | 9 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | WBC low (n=269,298) | 253 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | T4, low (n=17,16) | 4 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Lymphocytes low (n=269,298) | 159 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Calcium, low (n=269,296) | 16 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Neutrophils, high (n=269,298) | 15 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | TSH, high (n=64,65) | 11 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Neutrophils, low (n=269,298) | 261 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Phosphate, low (n=269,296) | 50 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | AST, high (n=269,296) | 47 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | Albumin, low (n=269,296) | 5 Participants |
| Non-Latino White | Number of Participants With Marked Abnormal Laboratory Parameters | ALT, high (n=269,296) | 47 Participants |
Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities
The table below includes participants with premature withdrawals due to adverse events or laboratory abnormalities.
Time frame: Up to Week 72
Population: The Safety Population included participants who received at least 1 dose of any study drug and had at least 1 post baseline safety assessment.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Psychiatric disorders | 8 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Musculoskeletal and connective tissue disorders | 1 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Nervous system disorders | 3 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Investigations | 3 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Infections and infestations | 1 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Blood and lymphatic system disorders | 3 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Injury, poisoning and procedural complications | 0 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Respiratory, thoracic and mediastinal disorders | 2 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Social circumstances | 0 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | General disorders | 4 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Cardiac disorders | 1 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Skin and subcutaneous tissue disorders | 1 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Endocrine disorders | 1 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Gastrointestinal disorders | 2 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Vascular disorders | 0 Participants |
| Latino | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Eye disorders | 0 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Vascular disorders | 1 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Psychiatric disorders | 12 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | General disorders | 5 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Blood and lymphatic system disorders | 6 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Gastrointestinal disorders | 4 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Nervous system disorders | 3 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Respiratory, thoracic and mediastinal disorders | 3 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Skin and subcutaneous tissue disorders | 3 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Eye disorders | 4 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Musculoskeletal and connective tissue disorders | 2 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Infections and infestations | 1 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Injury, poisoning and procedural complications | 2 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Social circumstances | 2 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Cardiac disorders | 0 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Endocrine disorders | 0 Participants |
| Non-Latino White | Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities | Investigations | 0 Participants |
Percentage of Participants Achieving Virologic Response
Percentage of participants achieving a virologic response defined as an undetectable HCV-RNA measurement (HCV-RNA \<28 IU/mL by Roche High Pure System/COBAS TaqMan HCV Test)
Time frame: At Weeks 4, 12, 24, 48, 60, and 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Latino | Percentage of Participants Achieving Virologic Response | At Week 4 | 13.8 Percentage of participants |
| Latino | Percentage of Participants Achieving Virologic Response | At Week 12 | 48.0 Percentage of participants |
| Latino | Percentage of Participants Achieving Virologic Response | At Week 24 | 59.5 Percentage of participants |
| Latino | Percentage of Participants Achieving Virologic Response | At Week 48 | 56.1 Percentage of participants |
| Latino | Percentage of Participants Achieving Virologic Response | At Week 60 | 33.1 Percentage of participants |
| Latino | Percentage of Participants Achieving Virologic Response | At Week 72 | 33.5 Percentage of participants |
| Non-Latino White | Percentage of Participants Achieving Virologic Response | At Week 60 | 50.0 Percentage of participants |
| Non-Latino White | Percentage of Participants Achieving Virologic Response | At Week 4 | 20.0 Percentage of participants |
| Non-Latino White | Percentage of Participants Achieving Virologic Response | At Week 48 | 72.7 Percentage of participants |
| Non-Latino White | Percentage of Participants Achieving Virologic Response | At Week 12 | 63.0 Percentage of participants |
| Non-Latino White | Percentage of Participants Achieving Virologic Response | At Week 72 | 49.3 Percentage of participants |
| Non-Latino White | Percentage of Participants Achieving Virologic Response | At Week 24 | 73.3 Percentage of participants |
Percentage of Participants With Biochemical Response
Biochemical response was defined as normal serum alanine transaminase (ALT) measurement. For ALT measurement the normal range is 5-37 IU/L.
Time frame: At Weeks 4, 12, 24, 48, 60 and 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Latino | Percentage of Participants With Biochemical Response | At Week 4 | 42.8 Percentage of participants |
| Latino | Percentage of Participants With Biochemical Response | At Week 12 | 56.1 Percentage of participants |
| Latino | Percentage of Participants With Biochemical Response | At Week 24 | 53.2 Percentage of participants |
| Latino | Percentage of Participants With Biochemical Response | At Week 60 | 35.3 Percentage of participants |
| Latino | Percentage of Participants With Biochemical Response | At Week 72 | 37.5 Percentage of participants |
| Latino | Percentage of Participants With Biochemical Response | At Week 48 | 45.7 Percentage of participants |
| Non-Latino White | Percentage of Participants With Biochemical Response | At Week 72 | 56.7 Percentage of participants |
| Non-Latino White | Percentage of Participants With Biochemical Response | At Week 4 | 57.0 Percentage of participants |
| Non-Latino White | Percentage of Participants With Biochemical Response | At Week 60 | 53.7 Percentage of participants |
| Non-Latino White | Percentage of Participants With Biochemical Response | At Week 12 | 72.0 Percentage of participants |
| Non-Latino White | Percentage of Participants With Biochemical Response | At Week 48 | 59.7 Percentage of participants |
| Non-Latino White | Percentage of Participants With Biochemical Response | At Week 24 | 68.0 Percentage of participants |
Percentage of Participants With Early Virologic Response at Week 12
Percentage of participants with an early virologic response defined as an HCV-RNA \>=2 log10 drop from baseline or undetectable HCV-RNA measurement at Week 12 (lower limit of detection 28 IU/mL).
Time frame: At Week 12
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Latino | Percentage of Participants With Early Virologic Response at Week 12 | 75.5 Percentage of participants |
| Non-Latino White | Percentage of Participants With Early Virologic Response at Week 12 | 86.0 Percentage of participants |
Percentage of Participants With Early Virologic Response at Week 4
Percentage of participants with an early virologic response defined as an HCVRNA \>=1 log10 drop from baseline or undetectable HCV-RNA measurement at Week 4 (lower limit of detection 28 IU/mL).
Time frame: At Week 4
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Latino | Percentage of Participants With Early Virologic Response at Week 4 | 71.0 Percentage of participants |
| Non-Latino White | Percentage of Participants With Early Virologic Response at Week 4 | 78.7 Percentage of participants |
Percentage of Participants With Improved, Stable and Worsened Fat Score From Baseline to Week 72
Fat scores are categorised as Improved: \> 1 category decrease in fat scale; stable: no change in fat scale; worsened: \>= 1 category increase in fat scale.
Time frame: From Baseline (Week 0) to Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Latino | Percentage of Participants With Improved, Stable and Worsened Fat Score From Baseline to Week 72 | Stable Fat Score | 47.8 Percentage of participants |
| Latino | Percentage of Participants With Improved, Stable and Worsened Fat Score From Baseline to Week 72 | Worsened Fat Score | 20.4 Percentage of participants |
| Latino | Percentage of Participants With Improved, Stable and Worsened Fat Score From Baseline to Week 72 | Improved Fat Score | 31.8 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable and Worsened Fat Score From Baseline to Week 72 | Stable Fat Score | 51.2 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable and Worsened Fat Score From Baseline to Week 72 | Worsened Fat Score | 16.4 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable and Worsened Fat Score From Baseline to Week 72 | Improved Fat Score | 32.3 Percentage of participants |
Percentage of Participants With Improved, Stable and Worsened ISHAK Fibrosis Score
Overall ISHAK Fibrosis Score is defined as Improved: \>= 1 category decrease in fibrosis scale; Stable: no change in fibrosis scale; Worsened: \>1 category increase in fibrosis scale.
Time frame: At Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Latino | Percentage of Participants With Improved, Stable and Worsened ISHAK Fibrosis Score | Improved Fibrosis Score | 24.8 Percentage of participants |
| Latino | Percentage of Participants With Improved, Stable and Worsened ISHAK Fibrosis Score | Stable Fibrosis Score | 52.9 Percentage of participants |
| Latino | Percentage of Participants With Improved, Stable and Worsened ISHAK Fibrosis Score | Worsened Fibrosis Score | 22.3 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable and Worsened ISHAK Fibrosis Score | Improved Fibrosis Score | 42.3 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable and Worsened ISHAK Fibrosis Score | Stable Fibrosis Score | 39.8 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable and Worsened ISHAK Fibrosis Score | Worsened Fibrosis Score | 17.9 Percentage of participants |
Percentage of Participants With Improved, Stable, and Worsened METAVIR Activity Score
METAVIR activity scale included activity defines as, Improved: \>= 1 category decrease in activity score; stable: no change in activity score; worsened: \> = 1 category increase in activity score.
Time frame: At Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Latino | Percentage of Participants With Improved, Stable, and Worsened METAVIR Activity Score | Stable Activity Score | 54.1 Percentage of participants |
| Latino | Percentage of Participants With Improved, Stable, and Worsened METAVIR Activity Score | Worsened Activity Score | 7.0 Percentage of participants |
| Latino | Percentage of Participants With Improved, Stable, and Worsened METAVIR Activity Score | Improved Activity Score | 38.9 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable, and Worsened METAVIR Activity Score | Stable Activity Score | 48.8 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable, and Worsened METAVIR Activity Score | Worsened Activity Score | 3.0 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable, and Worsened METAVIR Activity Score | Improved Activity Score | 48.3 Percentage of participants |
Percentage of Participants With Improved, Stable, and Worsened METAVIR Fibrosis Score
METAVIR fibrosis score is categorized as, Improved: \>= 1 category decrease in activity score; stable: no change in activity score; worsened: \>= 1 category increase in activity score.
Time frame: At Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Latino | Percentage of Participants With Improved, Stable, and Worsened METAVIR Fibrosis Score | Stable Fibrosis Score | 71.3 Percentage of participants |
| Latino | Percentage of Participants With Improved, Stable, and Worsened METAVIR Fibrosis Score | Worsened Fibrosis Score | 15.3 Percentage of participants |
| Latino | Percentage of Participants With Improved, Stable, and Worsened METAVIR Fibrosis Score | Improved Fibrosis Score | 13.4 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable, and Worsened METAVIR Fibrosis Score | Stable Fibrosis Score | 66.2 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable, and Worsened METAVIR Fibrosis Score | Worsened Fibrosis Score | 11.4 Percentage of participants |
| Non-Latino White | Percentage of Participants With Improved, Stable, and Worsened METAVIR Fibrosis Score | Improved Fibrosis Score | 22.4 Percentage of participants |
Percentage of Participants With ISHAK Histological Activity Index Response
ISHAK Histological Activity Index (HAI) activity response is defined as a decrease from baseline of at least 2 points (≥2 points drop from baseline) in the ISHAK modified HAI (necroinflammatory) score at week 72. ISHAK modified HAI activity (necroinflammatory) score is a total score of periportal ± bridging (P/B) necrosis + confluent necrosis + focal necrosis + portal inflammation (maximum score for each participant = 18). Where P/B necrosis grading as 0 = absent; 1 = mild; 2 = mild/moderate; 3 = moderate; 4 = severe; Confluent necrosis grading as 0 = absent; 1 = focal; 2 = zone 3 some areas; 3 = zone 3 most areas; 4 = zone 3 occasional portal; 5 = zone 3 multiple; 6 = panacinar necrosis and Focal necrosis grading as 0: absent; 1: \< = 1 focus; 2: 2 to 4 foci; 3: 5 to 10 foci; 4: \> 10 foci; Portal Inflammation grading: 0 = none; 1 = mild; 2 = moderate; 3 = moderate/marked; 4 = marked/all portal.
Time frame: At Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Latino | Percentage of Participants With ISHAK Histological Activity Index Response | 47.1 Percentage of participants |
| Non-Latino White | Percentage of Participants With ISHAK Histological Activity Index Response | 58.7 Percentage of participants |
Percentage of Participants With Non-zero Nonalcoholic Steatohepatitis Score
The Nonalcoholic Steatohepatitis (NASH) included an assessment of sinusoidal fibrosis, Mallory bodies, and hepatocyte ballooning (HB). Grading categories for the NASH scales were as: Sinusoidal fibrosis: 0 = absent; 1 = involvement of some lobules; 2 = involvement of most lobules, without diffuse interstitial sinusoidal collagen deposition; 3 = Involvement of most or all lobules;, with diffuse interstitial fibrosis involving some or most of the lobules Mallory bodies: 0 = absent; 1 = involvement of some lobules; 2 = involvement of most lobules; 3= involvement of most or all lobules; and Hepatocyte ballooning: 0 = absent; 1 = involvement of some lobules; 2 = involvement of most lobules; 3= involvement of most or all lobules.
Time frame: At Week 72
Population: ITT Population included all participants who were enrolled and took at least 1 dose of study drug (Pegasys or Copegus). Analysis was performed for ITT participants with paired biopsy.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Latino | Percentage of Participants With Non-zero Nonalcoholic Steatohepatitis Score | Sinusoidal Fibrosis Non-zero NASH Score at Week 72 | 19.1 Percentage of participants |
| Latino | Percentage of Participants With Non-zero Nonalcoholic Steatohepatitis Score | Mallory Bodies Non-zero NASH Score at Week 72 | 3.2 Percentage of participants |
| Latino | Percentage of Participants With Non-zero Nonalcoholic Steatohepatitis Score | HB Non-zero NASH Score at Week 72 | 19.7 Percentage of participants |
| Non-Latino White | Percentage of Participants With Non-zero Nonalcoholic Steatohepatitis Score | Sinusoidal Fibrosis Non-zero NASH Score at Week 72 | 18.4 Percentage of participants |
| Non-Latino White | Percentage of Participants With Non-zero Nonalcoholic Steatohepatitis Score | Mallory Bodies Non-zero NASH Score at Week 72 | 2.0 Percentage of participants |
| Non-Latino White | Percentage of Participants With Non-zero Nonalcoholic Steatohepatitis Score | HB Non-zero NASH Score at Week 72 | 9.5 Percentage of participants |