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A Phase III Study of TMC435 in Genotype 1, Hepatitis C-infected Participants Who Failed to Respond to Previous IFN-based Therapy

A Phase III, Randomized, Open-label, Two-arm Trial in Japan to Investigate the Efficacy and Safety of TMC435 as Part of a Treatment Regimen Including Peginterferon Alfa-2a and Ribavirin in Hepatitis C, Genotype 1-Infected Subjects Who Failed to Respond to Previous IFN-based Therapy

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01288209
Enrollment
106
Registered
2011-02-02
Start date
2011-02-28
Completion date
2012-09-30
Last updated
2014-01-24

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

Conditions

Hepatitis C, Chronic

Keywords

Hepatitis C, Chronic, Hepatitis C, Hepatitis C virus, Interferon Alfa-2a, Ribavirin, Viral RNA

Brief summary

The purpose of this study is to evaluate the efficacy and safety of TMC435 in combination with peginterferon alfa-2a (PegIFNα-2a) and ribavirin in genotype 1 hepatitis C virus (HCV)-infected participants who failed to respond to previous interferon (IFN)-based therapy in Japan.

Detailed description

This is a randomized (study drug assigned by chance), 2-arm, open-label study to evaluate the efficacy and safety of TMC435 (also referred to as jnj-38733214-aaa) in combination with the standard of care (SoC) therapy consisting of peginterferon alfa-2a (PegIFNα-2a ) and ribavirin (RBV) administered according to the manufacturer's prescribing information in adult, genotype 1 hepatitis C virus (HCV)-infected participants who failed to respond to previous interferon (IFN)-based therapy in Japan. The study objective is to evaluate the efficacy of TMC435 by the proportion of participants with undetectable HCV ribonucleic acid (RNA). Participants will receive 12 weeks of treatment with TMC435 (100 mg) once daily plus PegIFNα-2a (P) and RBV P) followed by 12 or 36 weeks of treatment with PR OR participants will receive 24 weeks of treatment with TMC435 (100 mg) once daily plus PR followed by 24 weeks of treatment with PR. TMC435 is a 100-mg capsule and will be taken orally (via the mouth). Treatment with PR will last 24 or 48 weeks: Pegylated interferon is supplied as a vial containing 1.0 mL solution with 180 mcg PegIFNα-2a and will be injected by a syringe under the skin once weekly. Ribavirin is given as 200-mg tablets (daily dose: 600-1000 mg based on body weight), and taken orally by mouth two times a day after meals. Participants will receive oral capsules of TMC435 (100 mg) once daily up to Week 12 or 24.

Interventions

DRUGTMC435

100-mg capsule taken by mouth once daily for 12 or 24 weeks.

DRUGPeginterferon alfa-2a (PegIFNα-2a )

PegIFNα-2a (PEGASYS) will be administered according to the manufacturer's prescribing information as 180 mcg once weekly injected subcutaneous (under the skin) for up to 24-48 weeks.

DRUGRibavirin (RBV)

RBV (COPEGUS) will be administered according to the manufacturer's prescribing information. If body weight is \> 80 kg the total daily dose of RBV will be 1000 mg, taken by mouth as 400 mg (2 tablets of 200 mg) after breakfast and 600 mg (3 tablets of 200 mg) after supper. If body weight is \> 60 kg to \<=80 kg the total daily dose will be 800 mg, taken by mouth as 400 mg (2 tablets of 200 mg per intake) after breakfast and supper. If body weight is \<=60 kg the total daily dose of RBV will be 600 mg, taken by mouth as 200 mg (1 tablet of 200 mg) after breakfast and 400 mg (2 tablets of 200 mg) after supper. Total duration of RBV will be 24-48 weeks.

Sponsors

Janssen Pharmaceutical K.K.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Participant must have chronic genotype 1 HCV infection with HCV RNA level \>= 5.0 log10 IU/mL * Participant failed to respond to previous IFN-based therapy * Participant must be willing to use contraceptive measures from the time of informed consent to 6 months after last dose of study medication.

Exclusion criteria

* Co-infection with any other HCV genotype or co-infection with the human immunodeficiency virus (HIV) * Diagnosed with hepatic cirrhosis or hepatic failure * A medical condition which is a contraindication to PegIFNα-2a or ribavirin therapy * History of, or any current medical condition which could impact the safety of the patient in the study

Design outcomes

Primary

MeasureTime frameDescription
The Percentage of Participants With a Sustained Virologic Response at the End of Treatment (EOT) and 12 Weeks After the Last Dose of Treatment (SVR12)EOT (Week 24 or 48) and Week 36 or 60The table below shows the observed percentage of participants in each treatment group with a SVR12 defined as undetectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels at the EOT (Week 24 or 48) and at 12 weeks after the last dose of treatment (Week 36 or 60).

Secondary

MeasureTime frameDescription
The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upDay 3, Day 7, and Weeks 2, 3, 4, 8, 12, 16, 20, 24, 28, 36, 48, 60, 72, EOT, and Follow-up (FU) Weeks 4, 12, and 24The table below shows the percentage of participants in each treatment group with a greater than (\>) or equal to (=) 2 log10 IU/mL drop from baseline in HCV RNA at each time point during treatment and post-treatment follow-up.
The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Weeks 4, 12, 24, 36, 48, 60, 72, and at EOTThe table below shows the percentage of participants with undetectable HCV RNA (\<1.2 log10 IU/mL) during treatment at Weeks 4, 12, 24, 36, 48, 60, 72, and at EOT (Week 24 or 48).
The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12Weeks 24, 48, EOT (Weeks 24 or 48), SVR12 (Weeks 36 or 60), and SVR24 (Weeks 48 or 72)The table below shows the percentage of participants with undetectable HCV RNA at Weeks 24, 48, end of treatment (EOT), at the time of assessment for a sustained virologic response (SVR) 12 weeks after the last planned dose (SVR12) (Week 36 or 60), and SVR24 (Week 48 or 72) who did not achieve undetectable HCV RNA levels at Week 12. The number of participants analyzed is listed at each time point in order of the treatment groups from left to right in the table (ie, Week x, n=x, x) if different from the Number of Participants Analyzed. Results are not available for Weeks 24, 48, and EOT because there were no participants who met the criteria for a SVR at those time points.
The Number of Participants With Viral Breakthrough During the StudyUp to EOT (Week 24 or 48)The table below shows the number of all participants in each treatment group who experienced viral breakthrough during the treatment period in the study (Baseline to end of treatment \[EOT\], ie, Week 24 or 48). Viral breakthrough is defined as a confirmed increase of greater than (\>) 1 log10 IU/mL in plasma hepatitis C virus (HCV) ribonucleic acid (RNA) level from the lowest level reached or a confirmed value of plasma HCV RNA of \> 2.0 log10 IU/mL in all participants whose plasma HCV RNA level had previously been below 1.2 log10 IU/mL detectable or undetectable.
The Percentage of Participants With a Sustained Virologic Response 24 Weeks After the End of Treatment (EOT) and 24 Weeks After the Last Dose of Treatment (SVR24)EOT (Week 24 or 48) and Week 48 or 72The table below shows the observed percentage of participants in each treatment group with a SVR24 defined as undetectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels at the EOT (Week 24 or 48) and at 24 weeks after the last dose of treatment (Week 48 or 72).
The Number Participants With Abnormal Alanine Aminotransferase (ALT) Levels at Baseline Who Achieved Normal ALT Levels at the End of Treatment (EOT)EOT (Week 24 or 48)The table below shows the number of participants in each treatment group with abnormal ALT levels at baseline (Day 1) who achieved normalization of ALT levels defined as having an ALT value less than or equal to the Upper Limit of Normality (ie, 40 IU/mL) at the EOT. At Baseline, 34/53 participants in the TMC435 100 mg 12 Wks PR 24/48 treatment group and 35/53 participants in the TMC435 100 mg 24 Wks PR 24/48 treatment group had abnormal ALT levels.
The Percentage of Participants Who Met Response Guided Treatment (RGT) Criteria and Completed Treatment With Peginterferon Alpha-2a (PegIFNα-2a) and Ribavirin (RBV) at Week 24Week 24The table below shows the percentage of participants in each treatment group who met RGT criteria (ie, who had plasma levels of hepatitis C virus ribonucleic acid \[HCV RNA\] \<1.2 log10 IU/mL detectable/undetectable at Week 4 and \<1.2 log 10 IU/mL undetectable at Week 12) and completed treatment with PegIFNα-2a and RBV at Week 24. Participants in the TMC435 treatment groups not meeting RGT criteria continued treatment with PegIFNα-2a and RBV to Week 48.
Plasma Concentrations of TMC435Week 12, Week 24, and Overall (Weeks 4, 12, and 24)The table below shows median (range) TMC435 predose plasma concentration (C0h) values and TMC435 maximum plasma concentration (Cmax) values for participants in each treatment group at Week 12, Week 24, and Overall (Weeks 4, 12, and 24). The time frame of Overall representes the median exposure estimate using all available data collected at Weeks 4, 12, and 24 for each participant in the study. The number of participants analyzed is listed at each time point in order of the treatment groups from left to right in the table (ie, Week x, n=x, x) if different from the Number of Participants Analyzed.
Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435Week 12, Week 24, and Overall (Weeks 4, 12, and 24)The table below shows the median (range) AUC24h values for participants in each treatment group at Week 12, Week 24, and Overall (Weeks 4, 12, and 24). The time frame of Overall represents the median exposure estimate using all available data collected at Weeks 4, 12, and 24 for each participant in the study. The number of participants analyzed is listed at each time point in order of the treatment groups from left to right in the table (ie, Week x, n=x, x) if different from the Number of Participants Analyzed.
The Number of Participants Demonstrating Viral Relapse During the StudyUp to 72 weeksThe table below shows the number of participants in each treatment group who demonstrated viral relapse during the study. Viral relapse is defined as undetectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels at EOT and detectable HCV RNA during follow-up or detectable HCV RNA at the time points for a sustained viral response (SVR) assessment. The incidence of viral relapse was only calculated for participants with undetectable HCV RNA levels at EOT and with at least one follow-up HCV RNA measurement.

Countries

Japan

Participant flow

Recruitment details

The study was conducted between 05-Jan-2011 to 05-Sep-2012 and recruited participants with chronic Hepatitis C Virus (HCV) infection from 23 study centers in Japan. A total of 108 participants were randomized, 106 started treatment, and 101 completed the study.

Pre-assignment details

Participants with genotype 1 HCV-infection who failed a previous course of interferon (IFN) based therapy received TMC435 100 mg once daily with PegIFNα-2a and ribavirin (PR) until Week 12 (OR Week 24), followed by PR until Week 24/48 based on response-guided treatment (RGT).

Participants by arm

ArmCount
TMC435 100 mg 12 Wks + PR 24/48
Participants received TMC435 100 mg once daily with PegIFNa-2a and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was stopped at Week 24 if participants achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels \<1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable HCV RNA at Week 12. All other participants continued PR until Week 48.
53
TMC435 100 mg 24 Wks + PR 24/48
Participants received TMC435 100 mg once daily with PegIFNa-2a and ribavirin ( PR) for 24 weeks (Wks). Treatment was stopped at Week 24 if participants achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels \<1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable HCV RNA at Week 12. All other participants continued PR until Week 48.
53
Total106

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyOther10
Overall StudyWithdrawal by Subject13

Baseline characteristics

CharacteristicTMC435 100 mg 12 Wks + PR 24/48TMC435 100 mg 24 Wks + PR 24/48Total
Age, Continuous60 years60 years60 years
Sex: Female, Male
Female
26 Participants27 Participants53 Participants
Sex: Female, Male
Male
27 Participants26 Participants53 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
53 / 5352 / 53
serious
Total, serious adverse events
2 / 533 / 53

Outcome results

Primary

The Percentage of Participants With a Sustained Virologic Response at the End of Treatment (EOT) and 12 Weeks After the Last Dose of Treatment (SVR12)

The table below shows the observed percentage of participants in each treatment group with a SVR12 defined as undetectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels at the EOT (Week 24 or 48) and at 12 weeks after the last dose of treatment (Week 36 or 60).

Time frame: EOT (Week 24 or 48) and Week 36 or 60

Population: The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.

ArmMeasureValue (NUMBER)
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With a Sustained Virologic Response at the End of Treatment (EOT) and 12 Weeks After the Last Dose of Treatment (SVR12)52.8 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With a Sustained Virologic Response at the End of Treatment (EOT) and 12 Weeks After the Last Dose of Treatment (SVR12)35.8 Percentage of participants
Secondary

Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435

The table below shows the median (range) AUC24h values for participants in each treatment group at Week 12, Week 24, and Overall (Weeks 4, 12, and 24). The time frame of Overall represents the median exposure estimate using all available data collected at Weeks 4, 12, and 24 for each participant in the study. The number of participants analyzed is listed at each time point in order of the treatment groups from left to right in the table (ie, Week x, n=x, x) if different from the Number of Participants Analyzed.

Time frame: Week 12, Week 24, and Overall (Weeks 4, 12, and 24)

Population: Pharmacokinetic analysis was performed in the pharmacokinetic (PK) population, defined as all participants from whom sparse blood samples were drawn and who received at least 1 dose of study medication.

ArmMeasureGroupValue (MEDIAN)
TMC435 100 mg 12 Wks + PR24/48Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435AUC24h (Week 12) (n=47; n=44)62993 ng.h/mL
TMC435 100 mg 12 Wks + PR24/48Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435AUC24h (Week 24) (n=0; n=40)NA ng.h/mL
TMC435 100 mg 12 Wks + PR24/48Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435Overall (n=53; n=53)62313 ng.h/mL
TMC435 100 mg 24 Wks + PR24/48Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435AUC24h (Week 12) (n=47; n=44)39867 ng.h/mL
TMC435 100 mg 24 Wks + PR24/48Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435AUC24h (Week 24) (n=0; n=40)38931 ng.h/mL
TMC435 100 mg 24 Wks + PR24/48Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435Overall (n=53; n=53)40014 ng.h/mL
Secondary

Plasma Concentrations of TMC435

The table below shows median (range) TMC435 predose plasma concentration (C0h) values and TMC435 maximum plasma concentration (Cmax) values for participants in each treatment group at Week 12, Week 24, and Overall (Weeks 4, 12, and 24). The time frame of Overall representes the median exposure estimate using all available data collected at Weeks 4, 12, and 24 for each participant in the study. The number of participants analyzed is listed at each time point in order of the treatment groups from left to right in the table (ie, Week x, n=x, x) if different from the Number of Participants Analyzed.

Time frame: Week 12, Week 24, and Overall (Weeks 4, 12, and 24)

Population: Pharmacokinetic analysis was performed in the pharmacokinetic (PK) population, defined as all participants from whom sparse blood samples were drawn and who received at least 1 dose of study medication.

ArmMeasureGroupValue (MEDIAN)
TMC435 100 mg 12 Wks + PR24/48Plasma Concentrations of TMC435C0h (Week 12) (n=47; n=44)1844 ng/mL
TMC435 100 mg 12 Wks + PR24/48Plasma Concentrations of TMC435C0h (Week 24) (n=0; n=40)NA ng/mL
TMC435 100 mg 12 Wks + PR24/48Plasma Concentrations of TMC435C0h (Overall) (n=53; n=53)1784 ng/mL
TMC435 100 mg 12 Wks + PR24/48Plasma Concentrations of TMC435Cmax (Week 12) (n=47; n=44)3408 ng/mL
TMC435 100 mg 12 Wks + PR24/48Plasma Concentrations of TMC435Cmax (Week 24) (n=0; n=40)NA ng/mL
TMC435 100 mg 12 Wks + PR24/48Plasma Concentrations of TMC435Cmax (Overall) (n=53; n=53)3401 ng/mL
TMC435 100 mg 24 Wks + PR24/48Plasma Concentrations of TMC435Cmax (Week 24) (n=0; n=40)2443 ng/mL
TMC435 100 mg 24 Wks + PR24/48Plasma Concentrations of TMC435C0h (Week 12) (n=47; n=44)910 ng/mL
TMC435 100 mg 24 Wks + PR24/48Plasma Concentrations of TMC435Cmax (Week 12) (n=47; n=44)2476 ng/mL
TMC435 100 mg 24 Wks + PR24/48Plasma Concentrations of TMC435C0h (Week 24) (n=0; n=40)866 ng/mL
TMC435 100 mg 24 Wks + PR24/48Plasma Concentrations of TMC435Cmax (Overall) (n=53; n=53)2488 ng/mL
TMC435 100 mg 24 Wks + PR24/48Plasma Concentrations of TMC435C0h (Overall) (n=53; n=53)906 ng/mL
Secondary

The Number of Participants Demonstrating Viral Relapse During the Study

The table below shows the number of participants in each treatment group who demonstrated viral relapse during the study. Viral relapse is defined as undetectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels at EOT and detectable HCV RNA during follow-up or detectable HCV RNA at the time points for a sustained viral response (SVR) assessment. The incidence of viral relapse was only calculated for participants with undetectable HCV RNA levels at EOT and with at least one follow-up HCV RNA measurement.

Time frame: Up to 72 weeks

Population: The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.

ArmMeasureValue (NUMBER)
TMC435 100 mg 12 Wks + PR24/48The Number of Participants Demonstrating Viral Relapse During the Study17 Participants
TMC435 100 mg 24 Wks + PR24/48The Number of Participants Demonstrating Viral Relapse During the Study23 Participants
Secondary

The Number of Participants With Viral Breakthrough During the Study

The table below shows the number of all participants in each treatment group who experienced viral breakthrough during the treatment period in the study (Baseline to end of treatment \[EOT\], ie, Week 24 or 48). Viral breakthrough is defined as a confirmed increase of greater than (\>) 1 log10 IU/mL in plasma hepatitis C virus (HCV) ribonucleic acid (RNA) level from the lowest level reached or a confirmed value of plasma HCV RNA of \> 2.0 log10 IU/mL in all participants whose plasma HCV RNA level had previously been below 1.2 log10 IU/mL detectable or undetectable.

Time frame: Up to EOT (Week 24 or 48)

Population: The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.

ArmMeasureValue (NUMBER)
TMC435 100 mg 12 Wks + PR24/48The Number of Participants With Viral Breakthrough During the Study7 Participants
TMC435 100 mg 24 Wks + PR24/48The Number of Participants With Viral Breakthrough During the Study6 Participants
Secondary

The Number Participants With Abnormal Alanine Aminotransferase (ALT) Levels at Baseline Who Achieved Normal ALT Levels at the End of Treatment (EOT)

The table below shows the number of participants in each treatment group with abnormal ALT levels at baseline (Day 1) who achieved normalization of ALT levels defined as having an ALT value less than or equal to the Upper Limit of Normality (ie, 40 IU/mL) at the EOT. At Baseline, 34/53 participants in the TMC435 100 mg 12 Wks PR 24/48 treatment group and 35/53 participants in the TMC435 100 mg 24 Wks PR 24/48 treatment group had abnormal ALT levels.

Time frame: EOT (Week 24 or 48)

Population: The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.

ArmMeasureValue (NUMBER)
TMC435 100 mg 12 Wks + PR24/48The Number Participants With Abnormal Alanine Aminotransferase (ALT) Levels at Baseline Who Achieved Normal ALT Levels at the End of Treatment (EOT)20 Participants
TMC435 100 mg 24 Wks + PR24/48The Number Participants With Abnormal Alanine Aminotransferase (ALT) Levels at Baseline Who Achieved Normal ALT Levels at the End of Treatment (EOT)28 Participants
Secondary

The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-up

The table below shows the percentage of participants in each treatment group with a greater than (\>) or equal to (=) 2 log10 IU/mL drop from baseline in HCV RNA at each time point during treatment and post-treatment follow-up.

Time frame: Day 3, Day 7, and Weeks 2, 3, 4, 8, 12, 16, 20, 24, 28, 36, 48, 60, 72, EOT, and Follow-up (FU) Weeks 4, 12, and 24

Population: The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.

ArmMeasureGroupValue (NUMBER)
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 888.7 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 2875.5 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 3100 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upweek 3652.8 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 1288.7 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 4850.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 2100 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 6050.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 1684.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 7250.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 4100 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upEOT88.7 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 2084.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upFU Week 477.4 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upDay 7100 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upFU Week 1252.8 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 2484.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upFU Week 2450.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upDay 396.2 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upFU Week 2435.8 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upDay 396.2 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upDay 7100 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 296.2 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 394.3 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 490.6 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 890.6 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 1286.8 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 1683.0 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 2079.2 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 2475.5 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 2869.8 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upweek 3641.5 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 4837.7 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 6035.8 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upWeek 7235.8 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upEOT90.6 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upFU Week 481.1 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-upFU Week 1239.6 Percentage of participants
Secondary

The Percentage of Participants Who Met Response Guided Treatment (RGT) Criteria and Completed Treatment With Peginterferon Alpha-2a (PegIFNα-2a) and Ribavirin (RBV) at Week 24

The table below shows the percentage of participants in each treatment group who met RGT criteria (ie, who had plasma levels of hepatitis C virus ribonucleic acid \[HCV RNA\] \<1.2 log10 IU/mL detectable/undetectable at Week 4 and \<1.2 log 10 IU/mL undetectable at Week 12) and completed treatment with PegIFNα-2a and RBV at Week 24. Participants in the TMC435 treatment groups not meeting RGT criteria continued treatment with PegIFNα-2a and RBV to Week 48.

Time frame: Week 24

Population: The Full Analysis Set (FAS) consisted of all randomized participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.

ArmMeasureValue (NUMBER)
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants Who Met Response Guided Treatment (RGT) Criteria and Completed Treatment With Peginterferon Alpha-2a (PegIFNα-2a) and Ribavirin (RBV) at Week 2481.1 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants Who Met Response Guided Treatment (RGT) Criteria and Completed Treatment With Peginterferon Alpha-2a (PegIFNα-2a) and Ribavirin (RBV) at Week 2473.6 Percentage of participants
Secondary

The Percentage of Participants With a Sustained Virologic Response 24 Weeks After the End of Treatment (EOT) and 24 Weeks After the Last Dose of Treatment (SVR24)

The table below shows the observed percentage of participants in each treatment group with a SVR24 defined as undetectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels at the EOT (Week 24 or 48) and at 24 weeks after the last dose of treatment (Week 48 or 72).

Time frame: EOT (Week 24 or 48) and Week 48 or 72

Population: The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.

ArmMeasureValue (NUMBER)
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With a Sustained Virologic Response 24 Weeks After the End of Treatment (EOT) and 24 Weeks After the Last Dose of Treatment (SVR24)50.9 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With a Sustained Virologic Response 24 Weeks After the End of Treatment (EOT) and 24 Weeks After the Last Dose of Treatment (SVR24)35.8 Percentage of participants
Secondary

The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12

The table below shows the percentage of participants with undetectable HCV RNA at Weeks 24, 48, end of treatment (EOT), at the time of assessment for a sustained virologic response (SVR) 12 weeks after the last planned dose (SVR12) (Week 36 or 60), and SVR24 (Week 48 or 72) who did not achieve undetectable HCV RNA levels at Week 12. The number of participants analyzed is listed at each time point in order of the treatment groups from left to right in the table (ie, Week x, n=x, x) if different from the Number of Participants Analyzed. Results are not available for Weeks 24, 48, and EOT because there were no participants who met the criteria for a SVR at those time points.

Time frame: Weeks 24, 48, EOT (Weeks 24 or 48), SVR12 (Weeks 36 or 60), and SVR24 (Weeks 48 or 72)

Population: The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.

ArmMeasureGroupValue (NUMBER)
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12SVR24 (Weeks 48 or 72) (n=6; n=8)0.0 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12Week 48NA Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12Week 24NA Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12EOTNA Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12SVR12 (Weeks 36 or 60) (n=6; n=8)0.0 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12EOTNA Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12SVR12 (Weeks 36 or 60) (n=6; n=8)0.0 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12SVR24 (Weeks 48 or 72) (n=6; n=8)0.0 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12Week 24NA Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels During Treatment for Participants Who Did Not Achieve Undetectable Plasma HCV RNA Levels at Week 12Week 48NA Percentage of participants
Secondary

The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)

The table below shows the percentage of participants with undetectable HCV RNA (\<1.2 log10 IU/mL) during treatment at Weeks 4, 12, 24, 36, 48, 60, 72, and at EOT (Week 24 or 48).

Time frame: Weeks 4, 12, 24, 36, 48, 60, 72, and at EOT

Population: The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.

ArmMeasureGroupValue (NUMBER)
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 458.5 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 1284.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 2479.2 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 3652.8 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 4850.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 6050.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 7250.9 Percentage of participants
TMC435 100 mg 12 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)EOT83.0 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)EOT84.9 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 450.9 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 4835.8 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 1279.2 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 7235.8 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 2471.7 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 6035.8 Percentage of participants
TMC435 100 mg 24 Wks + PR24/48The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT)Week 3635.8 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026