Hepatitis B, Chronic
Conditions
Brief summary
This 2 arm study will evaluate the efficacy and safety of intermittent treatment with PEGASYS in HBeAg negative patients with chronic hepatitis B who have demonstrated virological and biochemical response after treatment with interferon alfa. After 48 weeks therapy with interferon alfa, and 24 weeks treatment-free follow-up, eligible patients will be randomized into the PEGASYS or the observational group. Those in the PEGASYS group will receive 4 therapeutic cycles of long term intermittent treatment with PEGASYS (135 micrograms sc weekly for 12 weeks, followed by a treatment-free period of 12 weeks) and those in the observational arm will receive no specific antiviral treatment. The anticipated time on study treatment is 1-2 years, and the target sample size is 100 individuals.
Interventions
There were 4 treatment cycles of continuous intermittent treatment with Peginterferon alfa-2a. Each cycle consisted of 12 weeks injection treatment with Peginterferon alfa-2a 135 micrograms in 0.5 ml solution in prefilled syringes, applied once weekly subcutaneously and followed by 12 weeks period without treatment.
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, \>=18 years of age; * liver disease consistent with CHB; * evidence of chronic HBeAg-negative CHB prior to initial course of interferon alfa; * patients who have responded to previous 48 weeks treatment with interferon alfa.
Exclusion criteria
* coinfection with HCV, HDV or HIV; * decompensated liver disease, hepatocellular cancer, or evidence of a medical condition associated with chronic liver disease other than viral hepatitis; * any other systemic antiviral, antineoplastic or immunomodulatory treatment \<=6 months prior to first dose of randomized treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Stable Virological Response | Up to Week 108 | Stable virological response is serum Hepatitis B virus deoxyribonucleic acid (HBV DNA) \<20 000 copies/ml during the treatment (after each 12 weeks) and after the follow-up period (24 weeks after the last treatment period). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Loss of Hepatitis B Surface Antigen | Up to Week 108 | Loss of Hepatitis B Surface Antigen (HBsAg) was defined as change of detectable HBsAg from positive to negative. |
| Percentage of Participants With HBsAg Seroconversion | Up to Week 108 | The development of antibodies against HBsAg is known as HBsAg seroconversion. It signifies clearance of HBsAg and resolution of the chronic infection. НBsAg seroconversion is the final goal of anti-hepatitis B virus treatment and it is closest to the definition of cure but in practice it is very rare in HBeAg-negative chronic hepatitis B (CHB). |
| Percentage of Participants With HBV DNA Levels Under the Lower Limit (Serum HBV DNA Level < 300 Copies/ml) For a Significant Quantity | Up to Week 108 | HBV DNA level, or viral load, is an indicator of viral replication. Higher HBV DNA levels are usually associated with an increased risk of liver disease and hepatocellular carcinoma. HBV DNA level typically falls in response to effective antiviral treatment. |
| Fibrosis-4 and Aspartate Aminotransferase to Platelet Ratio Index Scores For Change in Liver Fibrosis | Up to Week 108 | Fibrosis-4 (FIB-4) and Aspartate Aminotransferase to Platelet Ratio Index (APRI) are non-invasive scoring systems, which are calculated on the basis of laboratory tests that indicates the level of liver fibrosis. The APRI scores are calculated based on Aspartate Aminotransferase (AST) levels and platelet counts whereas FIB-4 scores are calculated based on platelets, ALT, AST and age. For APRI, the scores are interpreted as ≤ 0.5 is 81% sensitive and 50% specific for a diagnosis of significant fibrosis in chronic hepatitis C (CHC), where as a cut-off \> 1.5 is 35% sensitive and 91% specific for the diagnosis of significant fibrosis. The majority of biomarker panels will produce inconclusive results for a proportion of participants falling within the indeterminate range (between 0.5 and 1.5) for a specific fibrosis end-point. For FIB-4, the scores are interpreted as FIB-4 score of \< 1.45: absence of cirrhosis, FIB-4 score of 1.45 to 3.25: inconclusive, FIB-4 score \> 3.25: cirrhosis. |
| Mean Change From Baseline in HBsAg Levels | Up to Week 108 | An early decrease in HBsAg from baseline to Weeks 12 or 24 has been identified as further on-treatment predictor for sustained HBsAg clearance and virological response in HBeAg negative participants. |
| Mean Change From Baseline in Hemoglobin | Up to Week 108 | The hemoglobin values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention). |
| Mean Change From Baseline in Hematology | Up to Week 108 | The hematology parameters included erythrocytes, leucocytes, basophils, eosinophils, lymphocytes, monocytes, thrombocytes. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention). |
| Percentage of Participants With Stable Virological and Biochemical Response | Up to Week 108 | All participants who achieved virological response (serum HBV DNA \< 20 000 copies/ml) and biochemical response (stable normalization of their alanine transaminase \[ALT\]) during the treatment cycle (after each 12 weeks) and after the follow-up period (24 weeks after the last treatment period). |
| Mean Change From Baseline in Protein and Indirect Albumin | Up to Week 108 | The clinical chemistry parameters included indirect protein and albumin. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and no intervention). |
| Mean Change From Baseline in Bilirubin Indirect and Bilirubin Direct | Up to Week 108 | The laboratory parameters included bilirubin indirect and bilirubin direct. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention). |
| Mean Change From Baseline in Blood Urea | Up to Week 108 | The blood urea was planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention). |
| Mean Change From Baseline in Creatinine and Uric Acid | Up to Week 108 | The creatinine and uric acid values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention). |
| Mean Change From Baseline in Blood Glucose | Up to Week 108 | The blood glucose was measured for change from baseline. All blood glucose values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention). |
| Mean Change From Baseline in Thyroid Stimulating Hormone (TSH) | Up to Week 108 | The TSH was planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention). |
| Mean Change From Baseline in Triiodothyronine and Thyroxine | Up to Week 108 | The Triiodothyronine (T3) and thyroxine (T4) values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention). |
| Mean Change From Baseline in Clinical Chemistry | Up to Week 108 | The clinical chemistry parameters included alanine aminotransferase (ALAT), aspartate aminotransferase (ASAT), gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP). All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention). |
Countries
Bulgaria
Participant flow
Recruitment details
All participants in this study were enrolled at one centre in Bulgaria from 03 July 2006 to 23 April 2012. Of the 21 participants enrolled, 17 participants were randomized to PEGASYS arm and 4 participants were randomized to no intervention arm.
Participants by arm
| Arm | Count |
|---|---|
| PEGASYS Participants received 4 treatment cycles of continuous intermittent treatment with Peginterferon alfa-2a. Each cycle consisted of 12 weeks injection treatment with Peginterferon alfa-2a 135 µg in 0.5 ml solution in prefilled syringes, applied once weekly SC and followed by 12 weeks period without treatment. | 17 |
| No Intervention Participants were on non- specific anti-viral treatment. | 4 |
| Total | 21 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 0 | 1 |
| Overall Study | Relapse | 8 | 1 |
| Overall Study | Withdrawal by Subject | 0 | 1 |
Baseline characteristics
| Characteristic | PEGASYS | No Intervention | Total |
|---|---|---|---|
| Age, Continuous | 44 years | 38.5 years | 42 years |
| Sex: Female, Male Female | 7 Participants | 0 Participants | 7 Participants |
| Sex: Female, Male Male | 10 Participants | 4 Participants | 14 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 17 | 0 / 4 |
| other Total, other adverse events | 11 / 17 | 1 / 4 |
| serious Total, serious adverse events | 0 / 17 | 0 / 4 |
Outcome results
Percentage of Participants With Stable Virological Response
Stable virological response is serum Hepatitis B virus deoxyribonucleic acid (HBV DNA) \<20 000 copies/ml during the treatment (after each 12 weeks) and after the follow-up period (24 weeks after the last treatment period).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PEGASYS | Percentage of Participants With Stable Virological Response | Week 36 | 52.9 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological Response | Week 72 | 41.2 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological Response | Week 24 | 52.9 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological Response | Week 84 | 41.2 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological Response | Week 48 | 47.1 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological Response | Week 96 | 29.4 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological Response | Week 12 | 100 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological Response | Week 108 | 29.4 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological Response | Week 60 | 47.1 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological Response | Week 108 | 33.3 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological Response | Week 36 | 100.0 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological Response | Week 12 | 100.0 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological Response | Week 48 | 66.7 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological Response | Week 60 | 33.3 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological Response | Week 72 | 33.3 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological Response | Week 84 | 33.3 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological Response | Week 96 | 33.3 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological Response | Week 24 | 66.7 Percentage of Participants |
Fibrosis-4 and Aspartate Aminotransferase to Platelet Ratio Index Scores For Change in Liver Fibrosis
Fibrosis-4 (FIB-4) and Aspartate Aminotransferase to Platelet Ratio Index (APRI) are non-invasive scoring systems, which are calculated on the basis of laboratory tests that indicates the level of liver fibrosis. The APRI scores are calculated based on Aspartate Aminotransferase (AST) levels and platelet counts whereas FIB-4 scores are calculated based on platelets, ALT, AST and age. For APRI, the scores are interpreted as ≤ 0.5 is 81% sensitive and 50% specific for a diagnosis of significant fibrosis in chronic hepatitis C (CHC), where as a cut-off \> 1.5 is 35% sensitive and 91% specific for the diagnosis of significant fibrosis. The majority of biomarker panels will produce inconclusive results for a proportion of participants falling within the indeterminate range (between 0.5 and 1.5) for a specific fibrosis end-point. For FIB-4, the scores are interpreted as FIB-4 score of \< 1.45: absence of cirrhosis, FIB-4 score of 1.45 to 3.25: inconclusive, FIB-4 score \> 3.25: cirrhosis.
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| PEGASYS | Fibrosis-4 and Aspartate Aminotransferase to Platelet Ratio Index Scores For Change in Liver Fibrosis | FIB-4 | 1.06 Units on a scale |
| PEGASYS | Fibrosis-4 and Aspartate Aminotransferase to Platelet Ratio Index Scores For Change in Liver Fibrosis | APRI | 0.25 Units on a scale |
Mean Change From Baseline in Bilirubin Indirect and Bilirubin Direct
The laboratory parameters included bilirubin indirect and bilirubin direct. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PEGASYS | Mean Change From Baseline in Bilirubin Indirect and Bilirubin Direct | Indirect bilirubin | -0.95 milligrams/deciliter | Standard Deviation 3.38 |
| PEGASYS | Mean Change From Baseline in Bilirubin Indirect and Bilirubin Direct | Direct bilirubin | -0.16 milligrams/deciliter | Standard Deviation 0.77 |
Mean Change From Baseline in Blood Glucose
The blood glucose was measured for change from baseline. All blood glucose values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PEGASYS | Mean Change From Baseline in Blood Glucose | -0.06 millimoles/ liter | Standard Deviation 0.4 |
Mean Change From Baseline in Blood Urea
The blood urea was planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PEGASYS | Mean Change From Baseline in Blood Urea | -0.34 millimoles/liter | Standard Deviation 1.23 |
Mean Change From Baseline in Clinical Chemistry
The clinical chemistry parameters included alanine aminotransferase (ALAT), aspartate aminotransferase (ASAT), gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP). All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PEGASYS | Mean Change From Baseline in Clinical Chemistry | ALAT | 5.56 Units/Litre | Standard Deviation 25.44 |
| PEGASYS | Mean Change From Baseline in Clinical Chemistry | ASAT | 9.00 Units/Litre | Standard Deviation 27.76 |
| PEGASYS | Mean Change From Baseline in Clinical Chemistry | GGT | 1.00 Units/Litre | Standard Deviation 3.7 |
| PEGASYS | Mean Change From Baseline in Clinical Chemistry | ALP | 50.92 Units/Litre | Standard Deviation 38 |
Mean Change From Baseline in Creatinine and Uric Acid
The creatinine and uric acid values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PEGASYS | Mean Change From Baseline in Creatinine and Uric Acid | Creatinine | -3.65 micromole/liter | Standard Deviation 13.23 |
| PEGASYS | Mean Change From Baseline in Creatinine and Uric Acid | Uric acid | -21.51 micromole/liter | Standard Deviation 130.42 |
Mean Change From Baseline in HBsAg Levels
An early decrease in HBsAg from baseline to Weeks 12 or 24 has been identified as further on-treatment predictor for sustained HBsAg clearance and virological response in HBeAg negative participants.
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation. Data of participants available at the time of the assessment were included in the analysis.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| PEGASYS | Mean Change From Baseline in HBsAg Levels | Week 84, n=9, 1 | 201.40 copies/mL |
| PEGASYS | Mean Change From Baseline in HBsAg Levels | Week 24, n=17,3 | -1293.72 copies/mL |
| PEGASYS | Mean Change From Baseline in HBsAg Levels | Week 36, n=14,3 | -3049.64 copies/mL |
| PEGASYS | Mean Change From Baseline in HBsAg Levels | Week 48, n=13, 3 | -1591.78 copies/mL |
| PEGASYS | Mean Change From Baseline in HBsAg Levels | Week 60, n=11,1 | -3096.56 copies/mL |
| PEGASYS | Mean Change From Baseline in HBsAg Levels | Week 96, n=14,1 | -3011.75 copies/mL |
| PEGASYS | Mean Change From Baseline in HBsAg Levels | Week 108, n=12,0 | -3368.13 copies/mL |
| PEGASYS | Mean Change From Baseline in HBsAg Levels | Week 72, n=10, 1 | -3485.90 copies/mL |
| PEGASYS | Mean Change From Baseline in HBsAg Levels | Week 12, n=17,3 | -1156.00 copies/mL |
| No Intervention | Mean Change From Baseline in HBsAg Levels | Week 12, n=17,3 | -240.50 copies/mL |
| No Intervention | Mean Change From Baseline in HBsAg Levels | Week 60, n=11,1 | -379.00 copies/mL |
| No Intervention | Mean Change From Baseline in HBsAg Levels | Week 24, n=17,3 | -146.00 copies/mL |
| No Intervention | Mean Change From Baseline in HBsAg Levels | Week 84, n=9, 1 | -54.72 copies/mL |
| No Intervention | Mean Change From Baseline in HBsAg Levels | Week 36, n=14,3 | -564.00 copies/mL |
| No Intervention | Mean Change From Baseline in HBsAg Levels | Week 72, n=10, 1 | -34.00 copies/mL |
| No Intervention | Mean Change From Baseline in HBsAg Levels | Week 48, n=13, 3 | -528.50 copies/mL |
| No Intervention | Mean Change From Baseline in HBsAg Levels | Week 96, n=14,1 | -49.51 copies/mL |
Mean Change From Baseline in Hematology
The hematology parameters included erythrocytes, leucocytes, basophils, eosinophils, lymphocytes, monocytes, thrombocytes. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PEGASYS | Mean Change From Baseline in Hematology | Lymphocytes | 5.56 10^9/L | Standard Deviation 6.31 |
| PEGASYS | Mean Change From Baseline in Hematology | Erythrocytes | 0.08 10^9/L | Standard Deviation 0.26 |
| PEGASYS | Mean Change From Baseline in Hematology | Leukocytes | -1.72 10^9/L | Standard Deviation 2 |
| PEGASYS | Mean Change From Baseline in Hematology | Basophils | -0.18 10^9/L | Standard Deviation 0.38 |
| PEGASYS | Mean Change From Baseline in Hematology | Monocytes | 1.87 10^9/L | Standard Deviation 3.1 |
| PEGASYS | Mean Change From Baseline in Hematology | Thrombocytes | -31.20 10^9/L | Standard Deviation 36.4 |
| PEGASYS | Mean Change From Baseline in Hematology | Eosinophils | 0.92 10^9/L | Standard Deviation 1.24 |
Mean Change From Baseline in Hemoglobin
The hemoglobin values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PEGASYS | Mean Change From Baseline in Hemoglobin | -1.73 Gram/deciliter | Standard Deviation 10.44 |
Mean Change From Baseline in Protein and Indirect Albumin
The clinical chemistry parameters included indirect protein and albumin. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and no intervention).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PEGASYS | Mean Change From Baseline in Protein and Indirect Albumin | Protein indirect | -31.62 Gram/deciliter | Standard Deviation 38.7 |
| PEGASYS | Mean Change From Baseline in Protein and Indirect Albumin | Albumin | -1.35 Gram/deciliter | Standard Deviation 1.71 |
Mean Change From Baseline in Thyroid Stimulating Hormone (TSH)
The TSH was planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PEGASYS | Mean Change From Baseline in Thyroid Stimulating Hormone (TSH) | 0.67 milli-international units/liter | Standard Deviation 1.5 |
Mean Change From Baseline in Triiodothyronine and Thyroxine
The Triiodothyronine (T3) and thyroxine (T4) values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PEGASYS | Mean Change From Baseline in Triiodothyronine and Thyroxine | T3, Week 108 | 0.19 picomole/liter | Standard Deviation 5.44 |
| PEGASYS | Mean Change From Baseline in Triiodothyronine and Thyroxine | T4, Week 108 | -0.85 picomole/liter | Standard Deviation 4.99 |
Percentage of Participants With HBsAg Seroconversion
The development of antibodies against HBsAg is known as HBsAg seroconversion. It signifies clearance of HBsAg and resolution of the chronic infection. НBsAg seroconversion is the final goal of anti-hepatitis B virus treatment and it is closest to the definition of cure but in practice it is very rare in HBeAg-negative chronic hepatitis B (CHB).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation. Data of participants available at the time of the assessment were included in the analysis. Only participants with HBsAg clearance were analyzed.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PEGASYS | Percentage of Participants With HBsAg Seroconversion | 0 Percentage of Participants |
Percentage of Participants With HBV DNA Levels Under the Lower Limit (Serum HBV DNA Level < 300 Copies/ml) For a Significant Quantity
HBV DNA level, or viral load, is an indicator of viral replication. Higher HBV DNA levels are usually associated with an increased risk of liver disease and hepatocellular carcinoma. HBV DNA level typically falls in response to effective antiviral treatment.
Time frame: Up to Week 108
Population: Safety population included all randomized participants who passed during at least one treatment period and had at least one efficacy and safety evaluation. HBV DNA levels below lower limit for significant quantity were not studied for no intervention arm participants.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PEGASYS | Percentage of Participants With HBV DNA Levels Under the Lower Limit (Serum HBV DNA Level < 300 Copies/ml) For a Significant Quantity | 29.4 Percentage of Participants |
Percentage of Participants With Loss of Hepatitis B Surface Antigen
Loss of Hepatitis B Surface Antigen (HBsAg) was defined as change of detectable HBsAg from positive to negative.
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PEGASYS | Percentage of Participants With Loss of Hepatitis B Surface Antigen | 5.9 Percentage of Participants |
| No Intervention | Percentage of Participants With Loss of Hepatitis B Surface Antigen | 0 Percentage of Participants |
Percentage of Participants With Stable Virological and Biochemical Response
All participants who achieved virological response (serum HBV DNA \< 20 000 copies/ml) and biochemical response (stable normalization of their alanine transaminase \[ALT\]) during the treatment cycle (after each 12 weeks) and after the follow-up period (24 weeks after the last treatment period).
Time frame: Up to Week 108
Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PEGASYS | Percentage of Participants With Stable Virological and Biochemical Response | Week 36 | 52.9 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological and Biochemical Response | Week 72 | 41.2 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological and Biochemical Response | Week 48 | 47.1 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological and Biochemical Response | Week 84 | 41.2 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological and Biochemical Response | Week 12 | 100.0 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological and Biochemical Response | Week 96 | 29.4 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological and Biochemical Response | Week 60 | 47.1 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological and Biochemical Response | Week 108 | 29.4 Percentage of Participants |
| PEGASYS | Percentage of Participants With Stable Virological and Biochemical Response | Week 24 | 52.9 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological and Biochemical Response | Week 108 | 33.3 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological and Biochemical Response | Week 24 | 66.7 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological and Biochemical Response | Week 36 | 100.0 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological and Biochemical Response | Week 12 | 100.0 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological and Biochemical Response | Week 48 | 66.7 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological and Biochemical Response | Week 60 | 33.3 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological and Biochemical Response | Week 72 | 33.3 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological and Biochemical Response | Week 84 | 33.3 Percentage of Participants |
| No Intervention | Percentage of Participants With Stable Virological and Biochemical Response | Week 96 | 33.3 Percentage of Participants |