Hepatitis C, Chronic
Conditions
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
100-mg capsule taken by mouth once daily for 12 or 24 weeks.
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.
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 60 | 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). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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 | 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 | 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. |
| 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 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). |
| 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 | Weeks 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 Study | Up 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 72 | 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). |
| 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 24 | 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. |
| Plasma Concentrations of TMC435 | Week 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 TMC435 | Week 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 Study | Up to 72 weeks | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 106 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Other | 1 | 0 |
| Overall Study | Withdrawal by Subject | 1 | 3 |
Baseline characteristics
| Characteristic | TMC435 100 mg 12 Wks + PR 24/48 | TMC435 100 mg 24 Wks + PR 24/48 | Total |
|---|---|---|---|
| Age, Continuous | 60 years | 60 years | 60 years |
| Sex: Female, Male Female | 26 Participants | 27 Participants | 53 Participants |
| Sex: Female, Male Male | 27 Participants | 26 Participants | 53 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 53 / 53 | 52 / 53 |
| serious Total, serious adverse events | 2 / 53 | 3 / 53 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | 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) | 52.8 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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) | 35.8 Percentage of participants |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435 | AUC24h (Week 12) (n=47; n=44) | 62993 ng.h/mL |
| TMC435 100 mg 12 Wks + PR24/48 | Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435 | AUC24h (Week 24) (n=0; n=40) | NA ng.h/mL |
| TMC435 100 mg 12 Wks + PR24/48 | Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435 | Overall (n=53; n=53) | 62313 ng.h/mL |
| TMC435 100 mg 24 Wks + PR24/48 | Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435 | AUC24h (Week 12) (n=47; n=44) | 39867 ng.h/mL |
| TMC435 100 mg 24 Wks + PR24/48 | Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435 | AUC24h (Week 24) (n=0; n=40) | 38931 ng.h/mL |
| TMC435 100 mg 24 Wks + PR24/48 | Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435 | Overall (n=53; n=53) | 40014 ng.h/mL |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | Plasma Concentrations of TMC435 | C0h (Week 12) (n=47; n=44) | 1844 ng/mL |
| TMC435 100 mg 12 Wks + PR24/48 | Plasma Concentrations of TMC435 | C0h (Week 24) (n=0; n=40) | NA ng/mL |
| TMC435 100 mg 12 Wks + PR24/48 | Plasma Concentrations of TMC435 | C0h (Overall) (n=53; n=53) | 1784 ng/mL |
| TMC435 100 mg 12 Wks + PR24/48 | Plasma Concentrations of TMC435 | Cmax (Week 12) (n=47; n=44) | 3408 ng/mL |
| TMC435 100 mg 12 Wks + PR24/48 | Plasma Concentrations of TMC435 | Cmax (Week 24) (n=0; n=40) | NA ng/mL |
| TMC435 100 mg 12 Wks + PR24/48 | Plasma Concentrations of TMC435 | Cmax (Overall) (n=53; n=53) | 3401 ng/mL |
| TMC435 100 mg 24 Wks + PR24/48 | Plasma Concentrations of TMC435 | Cmax (Week 24) (n=0; n=40) | 2443 ng/mL |
| TMC435 100 mg 24 Wks + PR24/48 | Plasma Concentrations of TMC435 | C0h (Week 12) (n=47; n=44) | 910 ng/mL |
| TMC435 100 mg 24 Wks + PR24/48 | Plasma Concentrations of TMC435 | Cmax (Week 12) (n=47; n=44) | 2476 ng/mL |
| TMC435 100 mg 24 Wks + PR24/48 | Plasma Concentrations of TMC435 | C0h (Week 24) (n=0; n=40) | 866 ng/mL |
| TMC435 100 mg 24 Wks + PR24/48 | Plasma Concentrations of TMC435 | Cmax (Overall) (n=53; n=53) | 2488 ng/mL |
| TMC435 100 mg 24 Wks + PR24/48 | Plasma Concentrations of TMC435 | C0h (Overall) (n=53; n=53) | 906 ng/mL |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | The Number of Participants Demonstrating Viral Relapse During the Study | 17 Participants |
| TMC435 100 mg 24 Wks + PR24/48 | The Number of Participants Demonstrating Viral Relapse During the Study | 23 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | The Number of Participants With Viral Breakthrough During the Study | 7 Participants |
| TMC435 100 mg 24 Wks + PR24/48 | The Number of Participants With Viral Breakthrough During the Study | 6 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | The 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 + PR24/48 | The Number Participants With Abnormal Alanine Aminotransferase (ALT) Levels at Baseline Who Achieved Normal ALT Levels at the End of Treatment (EOT) | 28 Participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 8 | 88.7 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 28 | 75.5 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 3 | 100 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | week 36 | 52.8 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 12 | 88.7 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 48 | 50.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 2 | 100 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 60 | 50.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 16 | 84.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 72 | 50.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 4 | 100 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | EOT | 88.7 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 20 | 84.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | FU Week 4 | 77.4 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Day 7 | 100 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | FU Week 12 | 52.8 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Week 24 | 84.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | FU Week 24 | 50.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 | Day 3 | 96.2 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | FU Week 24 | 35.8 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Day 3 | 96.2 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Day 7 | 100 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 2 | 96.2 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 3 | 94.3 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 4 | 90.6 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 8 | 90.6 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 12 | 86.8 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 16 | 83.0 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 20 | 79.2 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 24 | 75.5 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 28 | 69.8 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | week 36 | 41.5 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 48 | 37.7 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 60 | 35.8 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | Week 72 | 35.8 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | EOT | 90.6 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | FU Week 4 | 81.1 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | FU Week 12 | 39.6 Percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | 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 | 81.1 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 | 73.6 Percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | 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) | 50.9 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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) | 35.8 Percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | 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 12 | SVR24 (Weeks 48 or 72) (n=6; n=8) | 0.0 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 12 | Week 48 | NA Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 12 | Week 24 | NA Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 12 | EOT | NA Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | 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 12 | SVR12 (Weeks 36 or 60) (n=6; n=8) | 0.0 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 12 | EOT | NA Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 12 | SVR12 (Weeks 36 or 60) (n=6; n=8) | 0.0 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 12 | SVR24 (Weeks 48 or 72) (n=6; n=8) | 0.0 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 12 | Week 24 | NA Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | 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 12 | Week 48 | NA Percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| TMC435 100 mg 12 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 4 | 58.5 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 12 | 84.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 24 | 79.2 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 36 | 52.8 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 48 | 50.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 60 | 50.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 72 | 50.9 Percentage of participants |
| TMC435 100 mg 12 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | EOT | 83.0 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | EOT | 84.9 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 4 | 50.9 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 48 | 35.8 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 12 | 79.2 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 72 | 35.8 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 24 | 71.7 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 60 | 35.8 Percentage of participants |
| TMC435 100 mg 24 Wks + PR24/48 | The Percentage of Participants With Undetectable Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) During Treatment and at the End of Treatment (EOT) | Week 36 | 35.8 Percentage of participants |