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A Phase 3 Study of Telaprevir in Combination With Pegasys® and Copegus® in Treatment-Naive Subjects With Genotype 1 Hepatitis C Virus (HCV)

A Phase 3 Study of 2 Dose Regimens of Telaprevir in Combination With Peginterferon Alfa-2a (Pegasys®) and Ribavirin (Copegus®) in Treatment-Naive Subjects With Genotype 1 Chronic Hepatitis C

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00627926
Enrollment
1095
Registered
2008-03-04
Start date
2008-03-31
Completion date
2010-05-31
Last updated
2014-08-08

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

Conditions

Hepatitis C

Keywords

Genotype 1

Brief summary

A Phase 3 study to evaluate the efficacy and safety of two dosing regimens of telaprevir in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) and ribavirin (RBV).

Interventions

subcutaneous injection, 180 micrograms once per week

DRUGTelaprevir

375 mg tablets administered orally every 8 hours at a dose of 750 mg

DRUGRibavirin

200 mg tablets administered orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing ≥75 kg

OTHERPlacebo

Telaprevir matching placebo

Sponsors

Tibotec Pharmaceutical Limited
CollaboratorINDUSTRY
Vertex Pharmaceuticals Incorporated
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Has not received any previous treatment with any approved or investigational drug or drug regimen for the treatment of hepatitis C * Male and female subjects, 18 to 70 years of age, inclusive * Genotype 1, chronic hepatitis C with detectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) * Screening laboratory values, tests, and physical exam within acceptable ranges * Able and willing to follow contraception requirements * Able to read and understand, and willing to sign the informed consent form and abide by the study restrictions

Exclusion criteria

* Subject has any contraindications to Pegasys® or Copegus® therapy * Evidence of hepatic decompensation in cirrhotic subjects * History of organ transplant * History of, or any current medical condition which could impact the safety of the subject in participation in the study

Design outcomes

Primary

MeasureTime frameDescription
Number of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study Treatment24 weeks after last planned dose of study treatment (up to Week 72)The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 international units per milliliter (IU/mL) and the lower limit of detection was 10 IU/mL. Two results are reported: 1) Protocol defined SVR: undetectable HCV RNA at 24 weeks after the last planned dose of study treatment without any confirmed detectable HCV RNA between end of treatment visit (up to Week 48) and 24 weeks after last planned dose (up to Week 72); 2) SVR as per FDA guidance (snapshot analysis): undetectable HCV RNA at 24 weeks after the last planned dose of study treatment. Analysis was based only on the HCV RNA assessment in visit window (+/-2 weeks); if there were more than 1 assessment in the window, the last measurement was used.

Secondary

MeasureTime frameDescription
Number of Subjects Achieving Rapid Viral Response (RVR), Demonstrated by Achieving Undetectable HCV RNA 4 Weeks After Starting Study TreatmentWeek 4The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. RVR was defined as undetectable HCV RNA 4 weeks after the start of study treatment.
Number of Subjects Achieving Extended Rapid Viral Response (eRVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 12Week 4 and Week 12The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. eRVR was defined as undetectable HCV RNA at both Week 4 and Week 12.
Number of Subjects With Undetectable HCV RNA at Week 12Week 12The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.
Number of Subjects With Undetectable HCV RNA at End of Treatment (EOT)End of treatment (up to Week 48)The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.
Number of Subjects With Undetectable HCV RNA 12 Weeks After Last Planned Dose of Study Treatment12 weeks after last planned dose of study treatment (up to Week 60)The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.
Number of Subjects With Undetectable HCV RNA at Week 72Week 72 (24 weeks after last dose for subjects with a planned treatment duration of 48 weeks and 48 weeks after last dose for subjects with planned treatment duration of 24 weeks)The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.
Number of Subjects With Viral Relapse Planned and Viral Relapse ActualAfter last dose of study drug up to 24 week antiviral follow-up (up to Week 72)Viral relapse was defined as having detectable HCV RNA during antiviral follow-up. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. For viral relapse, 2 analyses were performed: planned and actual. The planned analyses was measured from the end of treatment (EOT) visit to 24 weeks after the last planned dose of study treatment. The actual analyses was measured from the EOT visit to 24 weeks after the last actual dose of study treatment.
Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsBaseline up to Week 48Criteria for grading severity (toxicity) of ALT and AST: Grade 0 (\<1.25\*upper limit of normal \[ULN\]); Grade 1 (mild=1.25 to 2.5\*ULN); Grade 2 (moderate=2.6 to 5.0\*ULN); Grade 3 (severe= greater than 5.0 to 20.0\*ULN); Grade 4 (life-threatening= greater than 20.0\*ULN). Number of subjects with Grade 3 shift (from Grade 0, Grade 1 or Grade 2 baseline) and Grade 4 shift (from Grade 0, Grade 1, Grade 2 or Grade 3 baseline) are reported. If a subject experienced more than 1 severity grade shifts during post baseline assessments, the maximum severity grade shift was considered.
Noninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest AnalysisBaseline through 24 weeks after last planned dose of study treatment (up to Week 72)FibroTest analysis was a biomarker analysis test used to generate a score that was correlated with the degree of liver damage. The FibroTest score was calculated from the results of a six-parameter blood test, combining six serum markers (alpha-2-macroglobulin, haptoglobin, apolipoprotein A1, gamma-glutamyl transpeptidase, total bilirubin, and alanine transaminase). The FibroTest score (F score) may range from 0.00 (Grade F0) to 1.00 (Grade F4), where F0= no fibrosis and F4=cirrhosis. Results were presented separately for subjects who achieved SVR at 24 weeks after the last planned dose of study treatment and those who did not achieve SVR at 24 weeks after the last planned dose of study treatment. Improvement was defined as decrease of at least 1 grade relative to baseline.
Fatigue Severity Scale (FSS) Total ScoreBaseline, Week 4, 12, 24, 36, 48, 72FSS was a 9-item questionnaire where each item was scored on a scale of 1 to 7 (higher scores indicated higher influence of fatigue). FSS total score was calculated as the average of individual items on the questionnaire and FSS total score ranged from 1 to 7, where higher score indicated higher influence of fatigue.
Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)Baseline up to Week 48AE: 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.
Number of Subjects With Undetectable HCV RNA 24 Weeks After Last Actual Dose of Study Treatment24 weeks after last actual dose of study treatment (up to Week 72)The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

Countries

Argentina, Australia, Austria, Canada, France, Germany, Israel, Italy, Poland, Puerto Rico, Spain, United Kingdom, United States

Participant flow

Pre-assignment details

A total of 1095 subjects were enrolled, of which 7 subjects discontinued the study prior to study drug administration. A total of 1088 subjects started treatment.

Participants by arm

ArmCount
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week
Placebo (PBO) matched to 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 48 weeks.
361
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week
Telaprevir 750 mg tablet thrice daily for 8 weeks, then PBO matched to Telaprevir 750 mg tablet thrice daily for 4 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 24 to 48 weeks depending on individual response to telaprevir treatment.
364
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 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 24 to 48 weeks depending on individual response to telaprevir treatment.
363
Total1,088

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event263736
Overall StudyDeath100
Overall StudyLack of Efficacy1184038
Overall StudyLost to Follow-up434
Overall StudyNoncompliance/unspecified82317
Overall StudyWithdrawal by Subject210

Baseline characteristics

CharacteristicPBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekTotal
Age, Categorical
<=18 years
1 Participants0 Participants0 Participants1 Participants
Age, Categorical
>=65 years
3 Participants5 Participants10 Participants18 Participants
Age, Categorical
Between 18 and 65 years
357 Participants359 Participants353 Participants1069 Participants
Age, Continuous46.8 years
STANDARD_DEVIATION 10
47.0 years
STANDARD_DEVIATION 10.9
46.5 years
STANDARD_DEVIATION 10.8
46.8 years
STANDARD_DEVIATION 10.6
Region of Enrollment
Argentina
8 participants6 participants3 participants17 participants
Region of Enrollment
Australia
14 participants14 participants18 participants46 participants
Region of Enrollment
Europe
106 participants100 participants104 participants310 participants
Region of Enrollment
Israel
19 participants17 participants24 participants60 participants
Region of Enrollment
North America
214 participants227 participants214 participants655 participants
Sex: Female, Male
Female
150 Participants153 Participants149 Participants452 Participants
Sex: Female, Male
Male
211 Participants211 Participants214 Participants636 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
354 / 361362 / 364361 / 363
serious
Total, serious adverse events
24 / 36131 / 36433 / 363

Outcome results

Primary

Number of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study Treatment

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 international units per milliliter (IU/mL) and the lower limit of detection was 10 IU/mL. Two results are reported: 1) Protocol defined SVR: undetectable HCV RNA at 24 weeks after the last planned dose of study treatment without any confirmed detectable HCV RNA between end of treatment visit (up to Week 48) and 24 weeks after last planned dose (up to Week 72); 2) SVR as per FDA guidance (snapshot analysis): undetectable HCV RNA at 24 weeks after the last planned dose of study treatment. Analysis was based only on the HCV RNA assessment in visit window (+/-2 weeks); if there were more than 1 assessment in the window, the last measurement was used.

Time frame: 24 weeks after last planned dose of study treatment (up to Week 72)

Population: The full analysis (FA) set included all randomized subjects who received at least 1 dose of any study drug.

ArmMeasureGroupValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study TreatmentSVR: Protocol Defined158 participants
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study TreatmentSVR: FDA Guidance166 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study TreatmentSVR: Protocol Defined250 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study TreatmentSVR: FDA Guidance261 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study TreatmentSVR: Protocol Defined271 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study TreatmentSVR: FDA Guidance285 participants
Comparison: SVR Protocol Defined: undetectable HCV RNA at 24 weeks after the last planned dose of study treatment without any confirmed detectable HCV RNA between end of treatment visit (up to Week 48) and 24 weeks after last planned dose (up to Week 72).95% CI: [17.9, 31.9]
Comparison: SVR Protocol Defined: undetectable HCV RNA at 24 weeks after the last planned dose of study treatment without any confirmed detectable HCV RNA between end of treatment visit (up to Week 48) and 24 weeks after last planned dose (up to Week 72).95% CI: [24.1, 37.7]
Comparison: SVR FDA Guidance: undetectable HCV RNA at 24 weeks after the last planned dose of study treatment. Analysis was based only on the HCV RNA assessment in visit window (+/-2 weeks); if there were more than 1 assessment in the window, the last measurement was used.95% CI: [18.8, 32.6]
Comparison: SVR FDA Guidance: undetectable HCV RNA at 24 weeks after the last planned dose of study treatment. Analysis was based only on the HCV RNA assessment in visit window (+/-2 weeks); if there were more than 1 assessment in the window, the last measurement was used.95% CI: [25.9, 39.2]
Secondary

Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels

Criteria for grading severity (toxicity) of ALT and AST: Grade 0 (\<1.25\*upper limit of normal \[ULN\]); Grade 1 (mild=1.25 to 2.5\*ULN); Grade 2 (moderate=2.6 to 5.0\*ULN); Grade 3 (severe= greater than 5.0 to 20.0\*ULN); Grade 4 (life-threatening= greater than 20.0\*ULN). Number of subjects with Grade 3 shift (from Grade 0, Grade 1 or Grade 2 baseline) and Grade 4 shift (from Grade 0, Grade 1, Grade 2 or Grade 3 baseline) are reported. If a subject experienced more than 1 severity grade shifts during post baseline assessments, the maximum severity grade shift was considered.

Time frame: Baseline up to Week 48

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug.

ArmMeasureGroupValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsALT Grade 3 toxicity grade shift12 participants
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsALT Grade 4 toxicity grade shift0 participants
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsAST Grade 3 toxicity grade shift19 participants
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsAST Grade 4 toxicity grade shift1 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsAST Grade 4 toxicity grade shift0 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsALT Grade 3 toxicity grade shift5 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsAST Grade 3 toxicity grade shift7 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsALT Grade 4 toxicity grade shift1 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsAST Grade 4 toxicity grade shift0 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsALT Grade 4 toxicity grade shift0 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsAST Grade 3 toxicity grade shift10 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekBiochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) LevelsALT Grade 3 toxicity grade shift6 participants
Secondary

Fatigue Severity Scale (FSS) Total Score

FSS was a 9-item questionnaire where each item was scored on a scale of 1 to 7 (higher scores indicated higher influence of fatigue). FSS total score was calculated as the average of individual items on the questionnaire and FSS total score ranged from 1 to 7, where higher score indicated higher influence of fatigue.

Time frame: Baseline, Week 4, 12, 24, 36, 48, 72

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug. Here n signifies those participants who were evaluable for this measure at given time points for each group, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 4 (n=334, 326, 329)4.1 units on a scaleStandard Deviation 1.74
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 36 (n=296, 282, 297)4.1 units on a scaleStandard Deviation 1.8
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 24 (n=317, 307, 304)4.3 units on a scaleStandard Deviation 1.73
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekFatigue Severity Scale (FSS) Total ScoreBaseline (n=343, 351, 346)3.0 units on a scaleStandard Deviation 1.66
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 72 (n=296, 270, 289)2.9 units on a scaleStandard Deviation 1.77
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 48 (n=286, 282, 294)4.0 units on a scaleStandard Deviation 1.82
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 12 (n=329, 310, 312)4.4 units on a scaleStandard Deviation 1.69
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 24 (n=317, 307, 304)4.3 units on a scaleStandard Deviation 1.71
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreBaseline (n=343, 351, 346)3.2 units on a scaleStandard Deviation 1.63
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 4 (n=334, 326, 329)4.4 units on a scaleStandard Deviation 1.74
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 12 (n=329, 310, 312)4.4 units on a scaleStandard Deviation 1.68
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 36 (n=296, 282, 297)3.4 units on a scaleStandard Deviation 1.84
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 48 (n=286, 282, 294)3.0 units on a scaleStandard Deviation 1.75
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 72 (n=296, 270, 289)2.6 units on a scaleStandard Deviation 1.56
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 36 (n=296, 282, 297)3.3 units on a scaleStandard Deviation 1.86
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 4 (n=334, 326, 329)4.5 units on a scaleStandard Deviation 1.75
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 72 (n=296, 270, 289)2.6 units on a scaleStandard Deviation 1.67
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 48 (n=286, 282, 294)3.1 units on a scaleStandard Deviation 1.85
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 24 (n=317, 307, 304)4.3 units on a scaleStandard Deviation 1.79
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreWeek 12 (n=329, 310, 312)4.8 units on a scaleStandard Deviation 1.68
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekFatigue Severity Scale (FSS) Total ScoreBaseline (n=343, 351, 346)3.0 units on a scaleStandard Deviation 1.72
Secondary

Noninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest Analysis

FibroTest analysis was a biomarker analysis test used to generate a score that was correlated with the degree of liver damage. The FibroTest score was calculated from the results of a six-parameter blood test, combining six serum markers (alpha-2-macroglobulin, haptoglobin, apolipoprotein A1, gamma-glutamyl transpeptidase, total bilirubin, and alanine transaminase). The FibroTest score (F score) may range from 0.00 (Grade F0) to 1.00 (Grade F4), where F0= no fibrosis and F4=cirrhosis. Results were presented separately for subjects who achieved SVR at 24 weeks after the last planned dose of study treatment and those who did not achieve SVR at 24 weeks after the last planned dose of study treatment. Improvement was defined as decrease of at least 1 grade relative to baseline.

Time frame: Baseline through 24 weeks after last planned dose of study treatment (up to Week 72)

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug. Here number of participants analyzed signifies those subjects who were evaluable for FibroTest Analysis and n signifies those subjects who were evaluable for FibroTest Analysis in specified category for each treatment arm, respectively.

ArmMeasureGroupValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNoninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest AnalysisSVR achieved (136, 180, 214)35 participants
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNoninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest AnalysisSVR not achieved (137, 53, 47)31 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNoninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest AnalysisSVR achieved (136, 180, 214)59 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNoninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest AnalysisSVR not achieved (137, 53, 47)12 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNoninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest AnalysisSVR achieved (136, 180, 214)84 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNoninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest AnalysisSVR not achieved (137, 53, 47)12 participants
Secondary

Number of Subjects Achieving Extended Rapid Viral Response (eRVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 12

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. eRVR was defined as undetectable HCV RNA at both Week 4 and Week 12.

Time frame: Week 4 and Week 12

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug.

ArmMeasureValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects Achieving Extended Rapid Viral Response (eRVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 1229 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects Achieving Extended Rapid Viral Response (eRVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 12207 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects Achieving Extended Rapid Viral Response (eRVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 12212 participants
95% CI: [43, 54.6]
95% CI: [44.6, 56.2]
Secondary

Number of Subjects Achieving Rapid Viral Response (RVR), Demonstrated by Achieving Undetectable HCV RNA 4 Weeks After Starting Study Treatment

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. RVR was defined as undetectable HCV RNA 4 weeks after the start of study treatment.

Time frame: Week 4

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug.

ArmMeasureValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects Achieving Rapid Viral Response (RVR), Demonstrated by Achieving Undetectable HCV RNA 4 Weeks After Starting Study Treatment34 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects Achieving Rapid Viral Response (RVR), Demonstrated by Achieving Undetectable HCV RNA 4 Weeks After Starting Study Treatment242 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects Achieving Rapid Viral Response (RVR), Demonstrated by Achieving Undetectable HCV RNA 4 Weeks After Starting Study Treatment246 participants
95% CI: [51.4, 62.8]
95% CI: [52.7, 64]
Secondary

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 up to Week 48

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug.

ArmMeasureGroupValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs354 participants
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs24 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs362 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs31 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs361 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs33 participants
Secondary

Number of Subjects With Undetectable HCV RNA 12 Weeks After Last Planned Dose of Study Treatment

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

Time frame: 12 weeks after last planned dose of study treatment (up to Week 60)

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug.

ArmMeasureValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects With Undetectable HCV RNA 12 Weeks After Last Planned Dose of Study Treatment161 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Undetectable HCV RNA 12 Weeks After Last Planned Dose of Study Treatment255 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Undetectable HCV RNA 12 Weeks After Last Planned Dose of Study Treatment275 participants
95% CI: [18.5, 32.4]
95% CI: [24.4, 37.9]
Secondary

Number of Subjects With Undetectable HCV RNA 24 Weeks After Last Actual Dose of Study Treatment

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

Time frame: 24 weeks after last actual dose of study treatment (up to Week 72)

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug.

ArmMeasureValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects With Undetectable HCV RNA 24 Weeks After Last Actual Dose of Study Treatment158 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Undetectable HCV RNA 24 Weeks After Last Actual Dose of Study Treatment251 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Undetectable HCV RNA 24 Weeks After Last Actual Dose of Study Treatment274 participants
95% CI: [18.2, 32.2]
95% CI: [24.9, 38.5]
Secondary

Number of Subjects With Undetectable HCV RNA at End of Treatment (EOT)

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

Time frame: End of treatment (up to Week 48)

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug.

ArmMeasureValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects With Undetectable HCV RNA at End of Treatment (EOT)229 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Undetectable HCV RNA at End of Treatment (EOT)295 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Undetectable HCV RNA at End of Treatment (EOT)314 participants
95% CI: [11.2, 24]
95% CI: [17, 29.2]
Secondary

Number of Subjects With Undetectable HCV RNA at Week 12

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

Time frame: Week 12

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug.

ArmMeasureValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects With Undetectable HCV RNA at Week 12146 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Undetectable HCV RNA at Week 12277 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Undetectable HCV RNA at Week 12283 participants
95% CI: [29, 42.4]
95% CI: [30.9, 44.1]
Secondary

Number of Subjects With Undetectable HCV RNA at Week 72

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

Time frame: Week 72 (24 weeks after last dose for subjects with a planned treatment duration of 48 weeks and 48 weeks after last dose for subjects with planned treatment duration of 24 weeks)

Population: The FA set included all randomized subjects who received at least 1 dose of any study drug.

ArmMeasureValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects With Undetectable HCV RNA at Week 72158 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Undetectable HCV RNA at Week 72243 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Undetectable HCV RNA at Week 72265 participants
95% CI: [15.9, 30]
95% CI: [22.4, 36.1]
Secondary

Number of Subjects With Viral Relapse Planned and Viral Relapse Actual

Viral relapse was defined as having detectable HCV RNA during antiviral follow-up. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. For viral relapse, 2 analyses were performed: planned and actual. The planned analyses was measured from the end of treatment (EOT) visit to 24 weeks after the last planned dose of study treatment. The actual analyses was measured from the EOT visit to 24 weeks after the last actual dose of study treatment.

Time frame: After last dose of study drug up to 24 week antiviral follow-up (up to Week 72)

Population: Analysis population included subjects who completed their assigned study drug treatment and had undetectable HCV RNA at the completion of treatment (up to Week 48).

ArmMeasureGroupValue (NUMBER)
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects With Viral Relapse Planned and Viral Relapse ActualViral Relapse Planned64 participants
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekNumber of Subjects With Viral Relapse Planned and Viral Relapse ActualViral Relapse Actual64 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Viral Relapse Planned and Viral Relapse ActualViral Relapse Planned28 participants
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Viral Relapse Planned and Viral Relapse ActualViral Relapse Actual28 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Viral Relapse Planned and Viral Relapse ActualViral Relapse Planned27 participants
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekNumber of Subjects With Viral Relapse Planned and Viral Relapse ActualViral Relapse Actual25 participants

Source: ClinicalTrials.gov · Data processed: Mar 29, 2026