Hepatitis C, Chronic
Conditions
Brief summary
This 7 arm study will determine the optimal treatment combination, based on efficacy and safety. Patients with chronic hepatitis C (CHC), genotype 1, will be randomized to one of 7 treatment groups. Groups 1, 2, 4, 5 and 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (at doses of 500, 1000 or 1500mg po bid) plus PEGASYS (90 or 180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Group 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks. Group 7 will receive standard of care (SOC) for 48 weeks. There will be a 24 week period of treatment-free follow-up for all treatment groups. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.
Interventions
1000/1200mg po daily for 24 weeks
180 micrograms sc weekly for 24 weeks
1000mg po bid for 24 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, 18-65 years of age; * chronic hepatitis C, genotype 1; * chronic liver disease consistent with CHC; * compensated liver disease.
Exclusion criteria
* infection with any HCV genotype other than genotype 1; * previous treatment for CHC; * medical condition associated with chronic liver disease other than CHC; * HIV, hepatitis A, hepatitis B infection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sustained virological response (SVR) | 24 weeks post treatment end (ie weeks 48 or 72) |
Secondary
| Measure | Time frame |
|---|---|
| Virological response over time | Throughout study |
| SVR | 12 weeks post treatment end (ie weeks 36 or 60) |
| Relapse rate | End of treatment (ie weeks 24 or 48) |
| Adverse events (AEs), laboratory parameters. | Throughout treatment |
Countries
Australia, Austria, Canada, France, Germany, Italy, Puerto Rico, Spain, United States