Hepatitis C
Conditions
Keywords
Genotype 1
Brief summary
To provide access to a telaprevir-based treatment to subjects of the Control Group of Study VX06-950-106 (NCT00420784), VX05-950-104 (NCT00336479), and VX05-950-104EU (NCT00372385) who stopped treatment due to inadequate response to treatment. Safety, tolerability, and Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) levels will be collected.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Enrolled in the control arm of Study VX06-950-106 (NCT00420784), VX05-950-104 (NCT00336479) or VX05-950-104EU (NCT00372385)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Treatment | 24 weeks after the completion of treatment (up to Week 72) | The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL). |
| Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | Baseline through Week 48 | AE: any adverse change from the subject's baseline (pre-treatment) condition, including any adverse experience, abnormal recording or clinical laboratory assessment value which occurs during the course of the study, whether it is considered related to the study drug or not. An adverse event includes any newly occurring event or previous condition that has increased in severity or frequency since the administration of study drug. SAE: medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. Study drug includes all investigational agents (including placebo, if applicable) administered during the course of the study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Prior Relapsers With Undetectable HCV RNA | 24 weeks after the completion of treatment (up to Week 72) | Prior relapsers: subjects who had undetectable HCV RNA at the end of treatment in parent study but reverted to detectable levels of HCV RNA after stopping treatment in parent study were categorized as prior relapsers. Percentage of prior relapsers with undetectable HCV RNA 24 weeks after the completion of treatment in this study were presented. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL). |
| Percentage of Subjects With End of Treatment Response | End of treatment (up to Week 48) | Subjects were considered to have an end of treatment response if they completed the assigned treatment regimen and had undetectable HCV RNA at end of treatment or prematurely discontinued the assigned treatment regimen and had undetectable HCV RNA at the time of discontinuation. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL). |
| Percentage of Subjects With Undetectable HCV RNA at Week 48 After Completion of Treatment Among Subjects Who Completed Assigned Treatment | 48 weeks after completion of treatment (up to Week 96) | The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL). |
| Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Baseline up to Week 72 | Cross tabulation of number of subjects with eRVR/SVR status in present study was presented with respect to prior response status of subjects in parent studies. eRVR=undetectable HCV RNA at Week 4 and Week 12, SVR=undetectable HCV RNA at end of treatment (EOT) and at 24 weeks after last dose of study treatment without any confirmed detectable HCV RNA in between. Prior response=subjects were categorized into following categories based on their viral response in the parent study: Null Response (less than \[\<\] 1-log10 decrease in HCV RNA at Week 4 or \<2-log10 decrease in HCV RNA at Week 12), Partial Response (greater than \[\>\] 2-log10 decrease in HCV RNA at Week 12, but detectable HCV RNA at Week 24), Viral Breakthrough (detectable HCV RNA during treatment after achieving undetectable HCV RNA), Relapse (undetectable HCV RNA at EOT but detectable HCV RNA during viral follow-up). Plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay; lower limit of detection=10 IU/mL. |
Countries
Austria, Canada, France, Germany, Netherlands, Puerto Rico, United Kingdom, United States
Participant flow
Recruitment details
Subjects randomized to placebo control group in parent studies VX05-950-104 (NCT00336479), VX05-950-104EU (NCT00372385) and VX06-950-106 (NCT00420784) who had discontinued treatment in the parent study due to an inadequate response to treatment or relapsed after treatment were eligible to participate in this study VX06-950-107 (NCT00535847).
Participants by arm
| Arm | Count |
|---|---|
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week Telaprevir 750 mg tablet thrice daily for 12 weeks in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) 180 microgram per week (mcg/week) subcutaneous injection and ribavirin (RBV) tablet orally twice daily at a dose of 1000 milligram per day (mg/day) for subjects weighing less than (\<) 75 kilogram (kg) and 1200 mg/day for subjects weighing greater than or equal to (\>=) 75 kg, for 24 weeks. | 81 |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week Telaprevir 750 mg tablet thrice daily for 12 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 48 weeks. | 34 |
| Other Subjects received telaprevir 750 mg tablet thrice daily in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, discontinued treatment before Week 12 in this study (VX06-950-107 \[NCT00535847\]) and had a partial response, viral breakthrough, or relapse in the parent study (VX05-950-104 \[NCT00336479\], VX05-950-104EU \[NCT00372385\] or VX06-950-106 \[NCT00420784\]) were included in Other reporting group. | 2 |
| Total | 117 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Adverse Event | 5 | 3 | 2 |
| Overall Study | Non compliance | 1 | 1 | 0 |
| Overall Study | Protocol-defined Virologic Stopping Rule | 16 | 10 | 0 |
Baseline characteristics
| Characteristic | Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Other | Total |
|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 81 Participants | 34 Participants | 2 Participants | 117 Participants |
| Age, Continuous | 50.0 years STANDARD_DEVIATION 7.7 | 51.2 years STANDARD_DEVIATION 5.9 | 49.0 years STANDARD_DEVIATION 0 | 50.3 years STANDARD_DEVIATION 7.2 |
| Region of Enrollment Europe | 17 participants | 8 participants | 0 participants | 25 participants |
| Region of Enrollment North America | 64 participants | 26 participants | 2 participants | 92 participants |
| Sex: Female, Male Female | 28 Participants | 8 Participants | 0 Participants | 36 Participants |
| Sex: Female, Male Male | 53 Participants | 26 Participants | 2 Participants | 81 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 77 / 81 | 31 / 34 | 2 / 2 |
| serious Total, serious adverse events | 7 / 81 | 3 / 34 | 1 / 2 |
Outcome results
Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)
AE: any adverse change from the subject's baseline (pre-treatment) condition, including any adverse experience, abnormal recording or clinical laboratory assessment value which occurs during the course of the study, whether it is considered related to the study drug or not. An adverse event includes any newly occurring event or previous condition that has increased in severity or frequency since the administration of study drug. SAE: medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. Study drug includes all investigational agents (including placebo, if applicable) administered during the course of the study.
Time frame: Baseline through Week 48
Population: The FA set included all enrolled subjects who received at least 1 dose of study drug in this study (VX06-950-107 \[NCT00535847\]).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 77 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 7 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 31 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 3 participants |
| Other | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 2 participants |
| Other | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 1 participants |
Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Treatment
The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).
Time frame: 24 weeks after the completion of treatment (up to Week 72)
Population: The FA set included all enrolled subjects who received at least 1 dose of study drug in this study (VX06-950-107 \[NCT00535847\]).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Treatment | 60.5 percentage of participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Treatment | 52.9 percentage of participants |
| Other | Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Treatment | 100.0 percentage of participants |
Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response
Cross tabulation of number of subjects with eRVR/SVR status in present study was presented with respect to prior response status of subjects in parent studies. eRVR=undetectable HCV RNA at Week 4 and Week 12, SVR=undetectable HCV RNA at end of treatment (EOT) and at 24 weeks after last dose of study treatment without any confirmed detectable HCV RNA in between. Prior response=subjects were categorized into following categories based on their viral response in the parent study: Null Response (less than \[\<\] 1-log10 decrease in HCV RNA at Week 4 or \<2-log10 decrease in HCV RNA at Week 12), Partial Response (greater than \[\>\] 2-log10 decrease in HCV RNA at Week 12, but detectable HCV RNA at Week 24), Viral Breakthrough (detectable HCV RNA during treatment after achieving undetectable HCV RNA), Relapse (undetectable HCV RNA at EOT but detectable HCV RNA during viral follow-up). Plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay; lower limit of detection=10 IU/mL.
Time frame: Baseline up to Week 72
Population: The FA set included subjects who received at least 1 dose of study drug in this study (VX06-950-107 \[NCT00535847\]). Data was presented for overall subjects based on eRVR and SVR status as per planned analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Null Response | 12 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Partial Response | 15 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Viral Breakthrough | 6 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Relapse | 24 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Partial Response | 7 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Viral Breakthrough | 0 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Relapse | 0 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Null Response | 5 participants |
| Other | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Viral Breakthrough | 0 participants |
| Other | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Partial Response | 1 participants |
| Other | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Relapse | 4 participants |
| Other | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Null Response | 7 participants |
| Did Not Achieve eRVR/Did Not Achieve SVR | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Relapse | 1 participants |
| Did Not Achieve eRVR/Did Not Achieve SVR | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Partial Response | 6 participants |
| Did Not Achieve eRVR/Did Not Achieve SVR | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Null Response | 27 participants |
| Did Not Achieve eRVR/Did Not Achieve SVR | Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response | Prior Viral Breakthrough | 2 participants |
Percentage of Prior Relapsers With Undetectable HCV RNA
Prior relapsers: subjects who had undetectable HCV RNA at the end of treatment in parent study but reverted to detectable levels of HCV RNA after stopping treatment in parent study were categorized as prior relapsers. Percentage of prior relapsers with undetectable HCV RNA 24 weeks after the completion of treatment in this study were presented. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).
Time frame: 24 weeks after the completion of treatment (up to Week 72)
Population: Analysis population included all enrolled subjects who were prior relapsers in parent study (VX05-950-104 \[NCT00336479\], VX05-950-104EU \[NCT00372385\] or VX06-950-106 \[NCT00420784\]) and received at least 1 dose of study drug in this study (VX06-950-107 \[NCT00535847\]).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Percentage of Prior Relapsers With Undetectable HCV RNA | 96.0 percentage of participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Percentage of Prior Relapsers With Undetectable HCV RNA | 100.0 percentage of participants |
| Other | Percentage of Prior Relapsers With Undetectable HCV RNA | 100.0 percentage of participants |
Percentage of Subjects With End of Treatment Response
Subjects were considered to have an end of treatment response if they completed the assigned treatment regimen and had undetectable HCV RNA at end of treatment or prematurely discontinued the assigned treatment regimen and had undetectable HCV RNA at the time of discontinuation. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).
Time frame: End of treatment (up to Week 48)
Population: The FA set included all enrolled subjects who received at least 1 dose of study drug in this study (VX06-950-107 \[NCT00535847\]).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Percentage of Subjects With End of Treatment Response | 72.8 percentage of participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Percentage of Subjects With End of Treatment Response | 64.7 percentage of participants |
| Other | Percentage of Subjects With End of Treatment Response | 100.0 percentage of participants |
Percentage of Subjects With Undetectable HCV RNA at Week 48 After Completion of Treatment Among Subjects Who Completed Assigned Treatment
The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).
Time frame: 48 weeks after completion of treatment (up to Week 96)
Population: Analysis population included subjects who completed assigned treatment in this study (VX06-950-107 \[NCT00535847\]).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Percentage of Subjects With Undetectable HCV RNA at Week 48 After Completion of Treatment Among Subjects Who Completed Assigned Treatment | 83.1 percentage of participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Percentage of Subjects With Undetectable HCV RNA at Week 48 After Completion of Treatment Among Subjects Who Completed Assigned Treatment | 70.0 percentage of participants |