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A Study of PEGASYS (Peginterferon Alfa-2a (40KD)) Plus COPEGUS (Ribavirin) in Patients With Chronic Hepatitis C (CHC) Genotype 1 and Human Immunodeficiency Virus-1 (HIV-1) Co-infection

A Randomized, Multicenter, Double Blinded Study Comparing the Safety and Efficacy of Pegasys® 180 ug Plus Copegus® 1000 or 1200 mg to the Currently Approved Combination of Pegasys® 180 ug Plus Copegus® 800 mg in Interferon-naïve Patients With Chronic Hepatitis C Genotype 1 Virus Infection and HIV-1

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00353418
Enrollment
415
Registered
2006-07-18
Start date
2006-06-30
Completion date
2009-04-30
Last updated
2010-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatitis C, Chronic

Brief summary

This 2-arm study will compare the efficacy and safety of treatment with Pegasys (180 µg weekly) plus Copegus (800 mg daily) and Pegasys (180 µg weekly) plus Copegus (1000-1200 mg daily) in interferon-naive patients with CHC genotype 1 co-infected with HIV-1. Treatment will be administered for 48 weeks, and this will be followed by 24 treatment-free weeks. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.

Interventions

DRUGPeginterferon alfa-2a

180 µg subcutaneously weekly for 48 weeks

DRUGRibavirin

800 mg orally daily for 48 weeks

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Adult patients, ≥18 years of age * CHC genotype 1 * Stable HIV-1 infection

Exclusion criteria

* Previous treatment with an alpha interferon, ribavirin, viramidine, levovirin, amantadine or investigational HCV protease or polymerase inhibitors * Medical condition associated with liver disease other than CHC infection

Design outcomes

Primary

MeasureTime frameDescription
Sustained Virological Response (SVR)Week 72SVR was defined by the percentage of patients with undetectable Hepatitis C virus (HCV) ribonucleic acid (RNA) at 24 weeks after completion of the 48-week treatment period (i.e., a single last HCV RNA \< 20 IU/mL measured ≥ Day 477 \[≥ Week 68\]). Patients without an HCV measurement at the end of the 24-week untreated follow-up period were considered nonresponders.
Incidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaUp to Week 72Adverse events of anemia included hemolytic anemia, aplasia pure red cell, and pancytopenia.

Secondary

MeasureTime frameDescription
Relapse of Virological ResponseWeeks 48 and 72Relapse of virological response was calculated by dividing the number of patients who achieved a virological response at the end of treatment but had detectable HCV RNA at the last assessment posttreatment by the number of patients with a virological response at the end of treatment who had at least one HCV RNA assessment posttreatment.
Virological Response at End of Treatment PeriodWeek 48Virological response at the end of the treatment period was defined as a single last HCV RNA measurement \<20 IU/mL at the completion of the treatment period (Days 324 to 351). Patients without an HCV measurement at Week 48 were considered nonresponders.
Early Virological Response (EVR), Partial EVR and Complete EVR by Week 12Week 12EVR: Undetectable HCV RNA \<20 IU/mL or ≥2 log10 drop from pretreatment level, by Week 12 (a single last HCV RNA \<20 IU/mL or ≥2 log10 drop from pretreatment level in the time window of Days 2 to 99). Partial EVR: Detectable HCV RNA but ≥2 log10 drop from pretreatment, by Week 12 (a single last HCV RNA detectable but ≥2 log10 drop from pretreatment in the time window of Days 2 to 99). Complete EVR: Undetectable HCV RNA \<20 IU/mL, by Week 12 (a single last HCV RNA \<20 IU/mL in the time window of Days 2 to 99). Patients without an HCV measurement by Week 12 were considered nonresponders.
Rapid Virological Response (RVR) by Week 4Week 4RVR was defined as an undetectable HCV RNA \< 20 IU/mL (a single last HCV RNA \< 20 IU/mL falling in the time window of Days 2 to 43). Patients without an HCV measurement by Week 4 were considered nonresponders.
Virological Response at Weeks 4, 12 and 24Weeks 4, 12 and 24Virological response at Weeks 4, 12 and 24 was also defined as a single last undetectable HCV RNA (\< 20 IU/mL) falling within the visit windows of Days 16 to 43, 72 to 99, and 156 to 183, respectively. Patients without an HCV measurement at a study week were considered nonresponders at that study week.

Participant flow

Participants by arm

ArmCount
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mg138
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mg277
Total415

Baseline characteristics

CharacteristicTotalPEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgPEG-IFN Alfa-2a 180 μg + Ribavirin 800 mg
Age Continuous45.4 Years
STANDARD_DEVIATION 8.24
45.5 Years
STANDARD_DEVIATION 8.16
45.2 Years
STANDARD_DEVIATION 8.39
Age, Customized
< 65 years
407 Participants273 Participants134 Participants
Age, Customized
>=65 years
3 Participants2 Participants1 Participants
Gender
Female
80 Participants51 Participants29 Participants
Gender
Male
330 Participants224 Participants106 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
132 / 135264 / 274
serious
Total, serious adverse events
21 / 13546 / 274

Outcome results

Primary

Incidence of Adverse Events, Dose Reductions and Withdrawals Due to Anemia

Adverse events of anemia included hemolytic anemia, aplasia pure red cell, and pancytopenia.

Time frame: Up to Week 72

Population: The Safety population included all patients randomized who received at least one dose of the study medication and had at least one postbaseline safety assessment: PEG-IFN alfa 2-a 180 μg + ribavirin 800 mg = 135 patients; PEG-IFN alfa 2-a 180 μg + ribavirin 1000 or 1200 mg = 274 patients.

ArmMeasureGroupValue (NUMBER)
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaPremature ribavirin withdrawal due to anemia2 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaSerious adverse anemic event4 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaPEG-INF alfa-2a dose modification due to anemia2 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaRibavirin dose modification due to anemia10 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaPremature PEG-INF alfa-2a withdrawal due to anemia1 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaAdverse anemic event24 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaPremature PEG-INF alfa-2a withdrawal due to anemia3 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaAdverse anemic event32 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaRibavirin dose modification due to anemia18 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaSerious adverse anemic event4 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaPremature ribavirin withdrawal due to anemia3 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgIncidence of Adverse Events, Dose Reductions and Withdrawals Due to AnemiaPEG-INF alfa-2a dose modification due to anemia3 Percentage of participants
Primary

Sustained Virological Response (SVR)

SVR was defined by the percentage of patients with undetectable Hepatitis C virus (HCV) ribonucleic acid (RNA) at 24 weeks after completion of the 48-week treatment period (i.e., a single last HCV RNA \< 20 IU/mL measured ≥ Day 477 \[≥ Week 68\]). Patients without an HCV measurement at the end of the 24-week untreated follow-up period were considered nonresponders.

Time frame: Week 72

Population: The All Patients Treated population included all patients randomized who had received at least one dose of study medication: PEG-IFN alfa 2-a 180 μg + ribavirin 800 mg = 135 patients; PEG-IFN alfa 2-a 180 μg + ribavirin 1000 or 1200 mg = 275 patients.

ArmMeasureValue (NUMBER)
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgSustained Virological Response (SVR)19 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgSustained Virological Response (SVR)22 Percentage of participants
Comparison: Sample sizes of 133 and 267 patients for RBV 800 mg daily and RBV 1000 or 1200 mg daily, respectively, provided the following probabilities of detecting the specified differences in SVR with a 0.05 level two-sided chi-square test of significance:~RBV 800 mg SVR - 0.30; RBV 1000 or 1200 mg SVR - 0.40; Probability - 0.49~RBV 800 mg SVR - 0.30; RBV 1000 or 1200 mg SVR - 0.45; Probability - 0.83p-value: 0.611995% CI: [0.68, 1.93]Cochran-Mantel-Haenszel
Secondary

Early Virological Response (EVR), Partial EVR and Complete EVR by Week 12

EVR: Undetectable HCV RNA \<20 IU/mL or ≥2 log10 drop from pretreatment level, by Week 12 (a single last HCV RNA \<20 IU/mL or ≥2 log10 drop from pretreatment level in the time window of Days 2 to 99). Partial EVR: Detectable HCV RNA but ≥2 log10 drop from pretreatment, by Week 12 (a single last HCV RNA detectable but ≥2 log10 drop from pretreatment in the time window of Days 2 to 99). Complete EVR: Undetectable HCV RNA \<20 IU/mL, by Week 12 (a single last HCV RNA \<20 IU/mL in the time window of Days 2 to 99). Patients without an HCV measurement by Week 12 were considered nonresponders.

Time frame: Week 12

Population: The All Patients Treated population included all patients randomized who had received at least one dose of study medication: PEG-IFN alfa 2-a 180 μg + ribavirin 800 mg = 135 patients; PEG-IFN alfa 2-a 180 μg + ribavirin 1000 or 1200 mg = 275 patients.

ArmMeasureGroupValue (NUMBER)
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgEarly Virological Response (EVR), Partial EVR and Complete EVR by Week 12Early Virological Response51 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgEarly Virological Response (EVR), Partial EVR and Complete EVR by Week 12Partial Early Virological Response25 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgEarly Virological Response (EVR), Partial EVR and Complete EVR by Week 12Complete Early Virological Response26 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgEarly Virological Response (EVR), Partial EVR and Complete EVR by Week 12Early Virological Response61 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgEarly Virological Response (EVR), Partial EVR and Complete EVR by Week 12Partial Early Virological Response35 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgEarly Virological Response (EVR), Partial EVR and Complete EVR by Week 12Complete Early Virological Response26 Percentage of participants
Secondary

Rapid Virological Response (RVR) by Week 4

RVR was defined as an undetectable HCV RNA \< 20 IU/mL (a single last HCV RNA \< 20 IU/mL falling in the time window of Days 2 to 43). Patients without an HCV measurement by Week 4 were considered nonresponders.

Time frame: Week 4

Population: The All Patients Treated population included all patients randomized who had received at least one dose of study medication: PEG-IFN alfa 2-a 180 μg + ribavirin 800 mg = 135 patients; PEG-IFN alfa 2-a 180 μg + ribavirin 1000 or 1200 mg = 275 patients.

ArmMeasureValue (NUMBER)
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgRapid Virological Response (RVR) by Week 48 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgRapid Virological Response (RVR) by Week 47 Percentage of participants
Secondary

Relapse of Virological Response

Relapse of virological response was calculated by dividing the number of patients who achieved a virological response at the end of treatment but had detectable HCV RNA at the last assessment posttreatment by the number of patients with a virological response at the end of treatment who had at least one HCV RNA assessment posttreatment.

Time frame: Weeks 48 and 72

Population: Within the All Patients Treated population, patients with a response at end of treatment: PEG-IFN alfa 2-a 180 μg + ribavirin 800 mg = 37 patients; PEG-IFN alfa 2-a 180 μg + ribavirin 1000 or 1200 mg = 83 patients.

ArmMeasureValue (NUMBER)
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgRelapse of Virological Response32 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgRelapse of Virological Response36 Percentage of participants
Secondary

Virological Response at End of Treatment Period

Virological response at the end of the treatment period was defined as a single last HCV RNA measurement \<20 IU/mL at the completion of the treatment period (Days 324 to 351). Patients without an HCV measurement at Week 48 were considered nonresponders.

Time frame: Week 48

Population: The All Patients Treated population included all patients randomized who had received at least one dose of study medication: PEG-IFN alfa 2-a 180 μg + ribavirin 800 mg = 135 patients; PEG-IFN alfa 2-a 180 μg + ribavirin 1000 or 1200 mg = 275 patients.

ArmMeasureValue (NUMBER)
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgVirological Response at End of Treatment Period30 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgVirological Response at End of Treatment Period35 Percentage of participants
Secondary

Virological Response at Weeks 4, 12 and 24

Virological response at Weeks 4, 12 and 24 was also defined as a single last undetectable HCV RNA (\< 20 IU/mL) falling within the visit windows of Days 16 to 43, 72 to 99, and 156 to 183, respectively. Patients without an HCV measurement at a study week were considered nonresponders at that study week.

Time frame: Weeks 4, 12 and 24

Population: The All Patients Treated population included all patients randomized who had received at least one dose of study medication: PEG-IFN alfa 2-a 180 μg + ribavirin 800 mg = 135 patients; PEG-IFN alfa 2-a 180 μg + ribavirin 1000 or 1200 mg = 275 patients.

ArmMeasureGroupValue (NUMBER)
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgVirological Response at Weeks 4, 12 and 24Week 48 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgVirological Response at Weeks 4, 12 and 24Week 1225 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 800 mgVirological Response at Weeks 4, 12 and 24Week 2433 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgVirological Response at Weeks 4, 12 and 24Week 1225 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgVirological Response at Weeks 4, 12 and 24Week 2440 Percentage of participants
PEG-IFN Alfa-2a 180 μg + Ribavirin 1000 or 1200 mgVirological Response at Weeks 4, 12 and 24Week 47 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026