Hepatitis C
Conditions
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
375 mg tablets administered orally every 8 hours at a dose of 750 mg
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
Telaprevir matching placebo
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 | 24 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
| Measure | Time frame | Description |
|---|---|---|
| Number of Subjects Achieving Rapid Viral Response (RVR), Demonstrated by Achieving Undetectable HCV RNA 4 Weeks After Starting Study Treatment | Week 4 | 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. |
| Number of Subjects Achieving Extended Rapid Viral Response (eRVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 12 | Week 4 and 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. |
| Number of Subjects With Undetectable HCV RNA at Week 12 | 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. |
| 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 Treatment | 12 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 72 | 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) | 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 Actual | After 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) Levels | Baseline up to Week 48 | 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. |
| Noninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest Analysis | Baseline 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 Score | Baseline, Week 4, 12, 24, 36, 48, 72 | 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. |
| Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | Baseline up to 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. |
| Number of Subjects With Undetectable HCV RNA 24 Weeks After Last Actual Dose of Study Treatment | 24 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
| Arm | Count |
|---|---|
| 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 |
| Total | 1,088 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Adverse Event | 26 | 37 | 36 |
| Overall Study | Death | 1 | 0 | 0 |
| Overall Study | Lack of Efficacy | 118 | 40 | 38 |
| Overall Study | Lost to Follow-up | 4 | 3 | 4 |
| Overall Study | Noncompliance/unspecified | 8 | 23 | 17 |
| Overall Study | Withdrawal by Subject | 2 | 1 | 0 |
Baseline characteristics
| Characteristic | PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Total |
|---|---|---|---|---|
| Age, Categorical <=18 years | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Age, Categorical >=65 years | 3 Participants | 5 Participants | 10 Participants | 18 Participants |
| Age, Categorical Between 18 and 65 years | 357 Participants | 359 Participants | 353 Participants | 1069 Participants |
| Age, Continuous | 46.8 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 participants | 6 participants | 3 participants | 17 participants |
| Region of Enrollment Australia | 14 participants | 14 participants | 18 participants | 46 participants |
| Region of Enrollment Europe | 106 participants | 100 participants | 104 participants | 310 participants |
| Region of Enrollment Israel | 19 participants | 17 participants | 24 participants | 60 participants |
| Region of Enrollment North America | 214 participants | 227 participants | 214 participants | 655 participants |
| Sex: Female, Male Female | 150 Participants | 153 Participants | 149 Participants | 452 Participants |
| Sex: Female, Male Male | 211 Participants | 211 Participants | 214 Participants | 636 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 | 354 / 361 | 362 / 364 | 361 / 363 |
| serious Total, serious adverse events | 24 / 361 | 31 / 364 | 33 / 363 |
Outcome results
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | 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 | SVR: Protocol Defined | 158 participants |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | 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 | SVR: FDA Guidance | 166 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | 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 | SVR: Protocol Defined | 250 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | 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 | SVR: FDA Guidance | 261 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | 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 | SVR: Protocol Defined | 271 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | 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 | SVR: FDA Guidance | 285 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | ALT Grade 3 toxicity grade shift | 12 participants |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | ALT Grade 4 toxicity grade shift | 0 participants |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | AST Grade 3 toxicity grade shift | 19 participants |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | AST Grade 4 toxicity grade shift | 1 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | AST Grade 4 toxicity grade shift | 0 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | ALT Grade 3 toxicity grade shift | 5 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | AST Grade 3 toxicity grade shift | 7 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | ALT Grade 4 toxicity grade shift | 1 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | AST Grade 4 toxicity grade shift | 0 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | ALT Grade 4 toxicity grade shift | 0 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | AST Grade 3 toxicity grade shift | 10 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels | ALT Grade 3 toxicity grade shift | 6 participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Fatigue Severity Scale (FSS) Total Score | Week 4 (n=334, 326, 329) | 4.1 units on a scale | Standard Deviation 1.74 |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Fatigue Severity Scale (FSS) Total Score | Week 36 (n=296, 282, 297) | 4.1 units on a scale | Standard Deviation 1.8 |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Fatigue Severity Scale (FSS) Total Score | Week 24 (n=317, 307, 304) | 4.3 units on a scale | Standard Deviation 1.73 |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Fatigue Severity Scale (FSS) Total Score | Baseline (n=343, 351, 346) | 3.0 units on a scale | Standard Deviation 1.66 |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Fatigue Severity Scale (FSS) Total Score | Week 72 (n=296, 270, 289) | 2.9 units on a scale | Standard Deviation 1.77 |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Fatigue Severity Scale (FSS) Total Score | Week 48 (n=286, 282, 294) | 4.0 units on a scale | Standard Deviation 1.82 |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Fatigue Severity Scale (FSS) Total Score | Week 12 (n=329, 310, 312) | 4.4 units on a scale | Standard Deviation 1.69 |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 24 (n=317, 307, 304) | 4.3 units on a scale | Standard Deviation 1.71 |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Baseline (n=343, 351, 346) | 3.2 units on a scale | Standard Deviation 1.63 |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 4 (n=334, 326, 329) | 4.4 units on a scale | Standard Deviation 1.74 |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 12 (n=329, 310, 312) | 4.4 units on a scale | Standard Deviation 1.68 |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 36 (n=296, 282, 297) | 3.4 units on a scale | Standard Deviation 1.84 |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 48 (n=286, 282, 294) | 3.0 units on a scale | Standard Deviation 1.75 |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 72 (n=296, 270, 289) | 2.6 units on a scale | Standard Deviation 1.56 |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 36 (n=296, 282, 297) | 3.3 units on a scale | Standard Deviation 1.86 |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 4 (n=334, 326, 329) | 4.5 units on a scale | Standard Deviation 1.75 |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 72 (n=296, 270, 289) | 2.6 units on a scale | Standard Deviation 1.67 |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 48 (n=286, 282, 294) | 3.1 units on a scale | Standard Deviation 1.85 |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 24 (n=317, 307, 304) | 4.3 units on a scale | Standard Deviation 1.79 |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Week 12 (n=329, 310, 312) | 4.8 units on a scale | Standard Deviation 1.68 |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Fatigue Severity Scale (FSS) Total Score | Baseline (n=343, 351, 346) | 3.0 units on a scale | Standard Deviation 1.72 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Noninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest Analysis | SVR achieved (136, 180, 214) | 35 participants |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Noninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest Analysis | SVR not achieved (137, 53, 47) | 31 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Noninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest Analysis | SVR achieved (136, 180, 214) | 59 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Noninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest Analysis | SVR not achieved (137, 53, 47) | 12 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Noninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest Analysis | SVR achieved (136, 180, 214) | 84 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Noninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest Analysis | SVR not achieved (137, 53, 47) | 12 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number of Subjects Achieving Extended Rapid Viral Response (eRVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 12 | 29 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects Achieving Extended Rapid Viral Response (eRVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 12 | 207 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects Achieving Extended Rapid Viral Response (eRVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 12 | 212 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number of Subjects Achieving Rapid Viral Response (RVR), Demonstrated by Achieving Undetectable HCV RNA 4 Weeks After Starting Study Treatment | 34 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects Achieving Rapid Viral Response (RVR), Demonstrated by Achieving Undetectable HCV RNA 4 Weeks After Starting Study Treatment | 242 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects Achieving Rapid Viral Response (RVR), Demonstrated by Achieving Undetectable HCV RNA 4 Weeks After Starting Study Treatment | 246 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 354 participants |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 24 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 362 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 31 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 361 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 33 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number of Subjects With Undetectable HCV RNA 12 Weeks After Last Planned Dose of Study Treatment | 161 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Undetectable HCV RNA 12 Weeks After Last Planned Dose of Study Treatment | 255 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Undetectable HCV RNA 12 Weeks After Last Planned Dose of Study Treatment | 275 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number of Subjects With Undetectable HCV RNA 24 Weeks After Last Actual Dose of Study Treatment | 158 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Undetectable HCV RNA 24 Weeks After Last Actual Dose of Study Treatment | 251 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Undetectable HCV RNA 24 Weeks After Last Actual Dose of Study Treatment | 274 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number 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 Week | Number of Subjects With Undetectable HCV RNA at End of Treatment (EOT) | 295 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Undetectable HCV RNA at End of Treatment (EOT) | 314 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number of Subjects With Undetectable HCV RNA at Week 12 | 146 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Undetectable HCV RNA at Week 12 | 277 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Undetectable HCV RNA at Week 12 | 283 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number of Subjects With Undetectable HCV RNA at Week 72 | 158 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Undetectable HCV RNA at Week 72 | 243 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Undetectable HCV RNA at Week 72 | 265 participants |
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).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number of Subjects With Viral Relapse Planned and Viral Relapse Actual | Viral Relapse Planned | 64 participants |
| PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week | Number of Subjects With Viral Relapse Planned and Viral Relapse Actual | Viral Relapse Actual | 64 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Viral Relapse Planned and Viral Relapse Actual | Viral Relapse Planned | 28 participants |
| Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Viral Relapse Planned and Viral Relapse Actual | Viral Relapse Actual | 28 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Viral Relapse Planned and Viral Relapse Actual | Viral Relapse Planned | 27 participants |
| Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 Week | Number of Subjects With Viral Relapse Planned and Viral Relapse Actual | Viral Relapse Actual | 25 participants |