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An Efficacy, Safety, and Tolerability Study of TMC435 in Treatment-naive, Genotype 1 Hepatitis C-infected Participants

A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy, Safety and Tolerability of TMC435 Versus Placebo as Part of a Treatment Regimen Including Peginterferon α-2a (Pegasys®) and Ribavirin (Copegus®) or Peginterferon α-2b (PegIntron®) and Ribavirin (Rebetol®) in Treatment-naïve, Genotype 1, Hepatitis C-infected Subjects

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01290679
Acronym
QUEST-2
Enrollment
393
Registered
2011-02-07
Start date
2011-03-31
Completion date
2013-02-28
Last updated
2014-06-13

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

Conditions

Hepatitis C

Keywords

Hepatitis C, TMC435, HCV, Hep C, genotype 1

Brief summary

The purpose of this study is to investigate the effectiveness and safety of TMC435 compared with placebo in participants who are infected with genotype 1 hepatitis C virus who have never received treatment before. Participants will also receive peginterferon alfa-2a or peginterferon alfa-2b and ribavirin as part of their treatment.

Detailed description

This is a randomized, double-blind (neither physician or participant knows the name of the assigned drug), placebo-controlled study of TMC435 in participants who are infected with genotype 1 hepatitis C virus who have never received treatment for this before. Participants in this study will also receive two other drugs for their infection (either peginterferon alfa-2a (Pegasys®) and ribavirin (Copegus®) or peginterferon alfa-2b (PegIntron®) and ribavirin (Rebetol®). The purpose of the study is to investigate if TMC435 is superior to placebo in reducing hepatitis C virus to an undetectable level 24 weeks after the end of treatment. For the first 12 weeks, participants will take TMC435 or placebo, plus peginterferon and ribavirin. For the next 12 weeks, participants will take peginterferon and ribavirin only. After that, some participants will continue to take peginterferon and ribavirin for up to 24 additional weeks. Other participants will stop taking peginterferon and ribavirin. The study doctor will inform each participant about how to take their study medication and when they should stop taking it. After a participant stops taking study medication, they will continue to come to the doctor's office for study visits until a total of 72 weeks after they enroll in the study. The total duration of the study is 78 weeks (including screening). Participants will be monitored for safety throughout the study. Study assessments at each study visit may include but are not limited to: blood and urine collection for testing, electrocardiogram (ECG) assessments (a measurement of the electrical activity of your heart), participant questionnaires, and physical examinations. TMC435 will be taken as an oral capsule of 150 mg once per day. Peginterferon (Pegasys ®) will be given as an injection of 180 µg once each week. Peginterferon (PegIntron®) will be given as an injection once each week and the dose will depend on your body weight. Ribavirin will be taken as a tablet (Copegus ®) or a capsule (Rebetol ®) twice each day and the dose will depend on your body weight.

Interventions

DRUGPlacebo

150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a or peginterferon alfa-2b and ribavirin for 48 weeks

DRUGTMC435

150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a or peginterferon alfa-2b and ribavirin for 24 or 48 weeks

DRUGPeginterferon alpha-2a or Peginterferon alpha-2b (PegIFNα-2a/b)

One subcutaneous (under the skin) injection of PegIFNα-2a (containing 0.5 mL solution with 180 mcg PegIFNα-2a) OR PegIFNα-2b (0.5 mL from a pre-filled pen) once weekly for up to 48 weeks.

DRUGRibavirin (RBV)

200-mg tablets of ribavirin (Copegus or Rebetol) (body-weight adjusted dose) taken orally (by mouth) twice daily for up to 48 weeks.

Sponsors

Janssen R&D Ireland
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

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

Inclusion criteria

* Genotype 1 hepatitis C infection (confirmed at screening) * Participant has not received any prior treatment for hepatitis C * Participant must have had a liver biopsy within 3 years before screening (or between the screening and baseline visit) showing chronic hepatitis C infection * Must agree to use 2 forms of effective contraception throughout study (both males and females)

Exclusion criteria

* Infection with HIV or non genotype 1 hepatitis C * Liver disease not related to hepatitic C infection * Hepatic decompensation * Significant laboratory abnormalities or other active diseases * Pregnant or planning to become pregnant

Design outcomes

Primary

MeasureTime frameDescription
The Percentage of Participants Achieving a Sustained Virologic Response 12 Weeks After the Planned End of Treatment (SVR12)Week 36 or Week 60The table below shows the percentage of participants in each treatment group who achieved a SVR12, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid 12 weeks after planned end of treatment.

Secondary

MeasureTime frameDescription
The Percentage of Participants Who Achieved a Sustained Virologic Response 24 Weeks After the Planned End of Treatment (SVR24)Week 48 or Week 72The table below shows the percentage of participants in each treatment group who achieved a SVR24, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels 24 weeks after planned end of treatment.
The Percentage of Participants Who Achieved a Sustained Virologic Response 4 Weeks After the Planned End of Treatment (SVR4)Week 28 or Week 52The table below shows the percentage of participants in each treatment group who achieved a SVR4, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels 4 weeks after planned end of treatment.
Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Day 3, Week 1, Week 4, Week 12, Week 24, and Week 48The table below shows changes from baseline in log10 HCV RNA.
Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Day 3, Week 1, Week 4, Week 12, Week 24, and Week 48The table below shows actual values of log10 HCV RNA levels.
Percentage of Participants With On-treatment Virologic Response at All Time PointsDay 3, Week 1, Week 2, Week 8, Week 16, Week 20, Week 28, Week 36, and Week 42The table below shows the percentage of participants with Hepatitis C Virus (HCV) ribonucleic acid (RNA) plasma levels below the limit of detection (ie, \<25 IU/mL undetectable), the percentage of participants with a HCV RNA plasma level below the limit of quantification (ie, less than \[\<\] 25 IU/mL detectable or undetectable), the percentage of participants with plasma levels of HCV RNA \<100 IU/mL, the percentage of HCV-Infected participants with virologic responses of a greater than or equal to 2 log10 change from baseline in plasma levels of HCV RNA.
The Percentage of Participants Achieving a Rapid Virologic Response (RVR)Week 4The table below shows the percentage of participants in each treatment group who achieved a RVR, defined as having undetectable plasma Hepatitis C virus ribonucleic acid levels after receiving 4 weeks of treatment.
The Percentage of Participants Achieving a Early Virologic Response (EVR)Week 12The table below shows the percentage of participants who achieved an EVR, defined as having a change from baseline in plasma Hepatitis C virus ribonucleic acid of 2 log10 at Week 12.
The Percentage of Participants Achieving a Complete Early Virologic Response (cEVR)Week 12The table below shows the percentage of participants in each treatment group who had a cEVR, defined as having undetectable plasma Hepatitis C Virus ribonucleic acid levels at Week 12.
The Percentage of Participants Achieving a Extended Rapid Virologic Response (eRVR)Weeks 4 and 12The table below shows the percentage of participants in each treatment group who had a eRVR, defined as having undetectable plasma Hepatitis C Virus ribonucleic acid levels at Week 4 and 12.
The Percentage of Participants With <1 log10 Decrease in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) From Baseline at Week 4Week 4The table below shows the percentage of participants in each treatment group with \<1 log10 HCV RNA decrease at Week 4.
Percentage of Participants With in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels >1000 IU/mL at Week 4Week 4The table below shows the percentage of participants in each treatment group with HCV RNA levels \>1000 IU/mL at Week 4.
Percentage of Participants With Null ResponseWeek 12The table below shows the percentage of participants with null response, defined as \<2 log10 reduction in Hepatitis C virus ribonucleic acid at Week 12 compared to baseline.
Percentage of Participants With Partial ResponseWeek 12The table below shows the percentage of participants with partial response, defined as =\>2 log10 reduction in Hepatitis C virus (HCV) ribonucleic acid (RNA) at Week 12 compared to baseline, but not achieving undetectable HCV RNA while on treatment.
Percentage of Participants With Viral BreakthroughUp to Week 48The table below shows the percentage of participants with viral breakthrough, 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 (ie, lowest value measured in between baseline and current value), or a confirmed plasma HCV RNA level of greater than 100 IU/mL in participants whose plasma HCV RNA had previously been below the limit of quantification (25 IU/mL detectable) or undetectable (\<25 IU/mL undetectable).
Percentage of Participants With Viral RelapseUp to Week 72The table below shows the percentage of participants with viral relapse, defined as having confirmed detectable plasma level of Hepatitis C virus (HCV) ribonucleic acid (RNA) during the follow-up period in participants with undetectable plasma HCV RNA (\<25 IU/mL undetectable) at the end of treatment.
Percentage of Participants Who Completed All Study Treatment at Week 24 Because of the Treatment Duration RuleWeek 24The table below shows the percentage of participants in the TMC435 treatment group who met the treatment duration rule (ie, having hepatitis C virus \[HCV\] ribonucleic acid \[RNA\] levels \<25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA levels at Week 12) and completed treatment with PegIFNα-2a and RBV for 24 weeks. Participants in the TMC435 treatment group not meeting RGT criteria and participants in the placebo group were treated with PegIFNα-2a and RBV treatment for 48 weeks.
The Percentage of Participants Achieving a Sustained Virologic Response at Week 72 (SVRW72)Week 72The table below shows the percentage of participants in each treatment group who achieved a SVRW72, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels at end of treatment (EOT) and at Week 72.
Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable or DetectableUp to Week 48The table below shows the median time in days to reach HCV RNA levels \<25 IU/mL undetectable or detectable.
Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL UndetectableUp to Week 48The table below shows the median time in days to reach HCV RNA levels \<25 IU/mL undetectable.
Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <100 IU/mLUp to Week 48The table below shows the median time in days to reach HCV RNA levels \<100 IU/mL.
Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <1000 IU/mLUp to Week 48The table below shows the median time in days to reach HCV RNA levels \<1000 IU/mL.
The Percentage of Participants With Viral Breakthrough at Different Time PointsUp to Week 48The table below shows the percentage of participants at different time points with viral breakthrough, defined as a confirmed increase of greater than 1 log10 IU/mL in plasma HCV ribonucleic acid (RNA) level from the lowest level reached (ie, lowest value measured in between baseline and current value), or a confirmed plasma HCV RNA level of greater than 100 IU/mL in participants whose plasma HCV RNA had previously been below the limit of quantification (25 IU/mL detectable) or undetectable (\<25 IU/mL undetectable).
Time From End-of-treatment to Viral RelapseUp to Week 72The table below shows the mean number of days to viral relapse, defined as participants having confirmed detectable plasma level of Hepatitis C Virus (HCV) ribonucleic acid (RNA) during the follow-up period in participants with undetectable plasma HCV RNA (\<25 IU/mL undetectable) at the end of treatment.
The Percentage of Participants With Normalization of Alanine Aminotransferase (ALT)Up to Week 48The percentage of participants analyzed were those with baseline ALT values out of the normal range (ie, 164 of 257 participants in the TMC435 treatment group and 79 of 134 participants in the Placebo group had ALT values at baseline that were out of the normal range.). Normalization of ALT values means that ALT values out of the normal range returned to within the normal range.
Median Time to Normalization of Alanine Aminotransferase (ALT) LevelsUp to Week 48The table below shows the median time in weeks to normalization of ALT levels.
Plasma Concentration of TMC435: Area Under the Plasma Concentration-time Curve From the Time of Administration to 24 Hours After Dosing (AUC24h)At protocol-specified time points from the time of administration up to 24 hours after dosing at Weeks 2, 4, 8, and 12The table below shows the mean (standard deviation) values of the area under the plasma concentration-time curve from time of administration to 24 hours after dosing for TMC435.
Plasma Concentration of TMC435: Predose Plasma Concentration (C0h)Blood samples tested were taken before administration of TMC435 and at 2 random time points after dosing (taken atleast 2 hours apart from each other) at Week 2, 4, 8, and 12The table below shows the mean (standard deviation) of C0h values of TMC435. NOTE: the timing of collection of blood samples post-dose for analysis at Week 2, 4, 8, and 12 was not specifed; only the interval was between blood samples was specified (ie, 2 samples collected 2 hours apart at Week 2, 4, 8, and 12).
Plasma Concentration of TMC435: Systemic Clearance (CL)At protocol-specified time points at Weeks 2, 4, 8, and 12The table below shows the mean (standard deviation) of CL values of TMC435. NOTE: the pre-dose CL values taken at Weeks, 2, 4, 8, and 12 were averaged and then the mean values from all participants were averaged to provide the final value reported below.
Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for the Fatigue Severity Scale (FSS) Total ScoresBaseline to Week 60 and Week 72Study participants completed FSS questionnaires during study visits before treatment and throughout follow-up to rate the severity and impact of fatigue experienced in the preceding 2 weeks. FSS total scores are the average of nine questions with a range from 1 \[no fatigue\] to 7 \[worst fatigue\]; the possible score range from baseline to Week 60 would be 60-420 and to Week 72 would be 72-504. The average FSS total score from baseline to Week 60 and to Week 72 was calculated for each participant and then the average of those values were calculated to show the average FSS total score for each treatment group. The null hypothesis was that there would be no difference between the treatment arms in the FSS total score. The Table below shows the lease squares (LS) mean estimates of the area under the curve (AUC) at Week 72 (as well as at Week 60) and the statistical comparison between treatment groups.
Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Overall Work Productivity Due to Hepatitis C Virus (HCV) Infection and Its TreatmentBaseline to Week 60 and Week 72Impairment in overall work productivity was measured using the Work Productivity and Activity Impairment (WPAI): Hepatitis C questionnaire completed by participants throughout the study. WPAI Overall Productivity Scores ranged from 0% to 100% (higher WPAI scores indicated greater impairment in productivity). The average WPAI score from baseline to Week 72 was calculated for each participant and then the average of those values were calculated to show the average WPAI score for each treatment group. The null hypothesis was there is no statistically significant difference between the treatment groups in the AUC for the change from baseline to Week 72 (AUC72) in WPAI Productivity Scores. The Table below shows WPAI Productivity Scores at Week 72 (as well as at Week 60) from the model used to calculate the AUC and the statistical comparison between treatment groups.
Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Daily Activities Due to Hepatitis C Virus (HCV) Infection and Its TreatmentBaseline to Week 60 and Week 72Impairment in daily activity was measured using the Work Productivity and Activity Impairment (WPAI): Hepatitis C questionnaire, Question 6. The possible impairment in WPAI daily activity score range from baseline to Week 60 was 0-6000 and to Week 72 was 0-7200, with the higher scores indicating more impairment in daily activities. The average WPAI impairment in daily activity score from baseline to Week 72 was calculated for each participant and then the average of those values were calculated to show the average WPAI impairment in daily activity score for each treatment group. The null hypothesis was there is no statistically significant difference between the treatment arms in the AUC for the change from baseline to Week 72 (AUC72) in WPAI impairment in daily activity scores. The Table below shows the WPAI Impairment in daily activity scores at Week 72 (as well as at Week 60) and the statistical analysis between treatment groups.
Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Time Missed From Work Due to Hepatitis C Virus (HCV) Infection and Its TreatmentBaseline to Week 60 and Week 72Hours missed from work because of HCV infection or its treatment was assessed by measuring the change from baseline in the Work Productivity and Activity Impairment (WPAI): Hepatitis C questionnaire Absenteeism score (time missed from work). The possible WPAI WPAI absenteeism score range from baseline to Week 60 was 0-6000 and to Week 72 was 0-7200, with the higher scores indicating more impairment in WPAI absenteeism. The average WPAI absenteeism score from baseline to Week 60/72 was calculated for each participant and then the average of those values calculated for each treatment group. The area under the curve (AUC60/AUC72) over time from baseline to Week 60/72 was derived from a piecewise-linear model allowing the slopes to change at Week 4, 12, 24, 36, 48 and 60. The null hypothesis was there is no statistically significant difference between the treatment arms in the area under the curve (AUC) from baseline to Week 72 (AUC72) in WPAI absenteeism score.
Percentage of Participants With On-treatment FailureWeek 48The table below shows percentage of participants with on-treatment failure defined as confirmed detectable Hepatitis C virus ribonucleic acid levels at actual end of treatment.

Countries

Argentina, Austria, Belgium, Brazil, Bulgaria, France, Germany, Netherlands, Poland, Portugal, Puerto Rico, Slovakia, Spain, Turkey (Türkiye), United States

Participant flow

Recruitment details

The study was conducted from 18 January 2011 to 5 February 2013. The study was conducted at 76 sites in 14 countries.

Pre-assignment details

393 participants were randomly allocated to the 2 treatment arms. 391 participants received at least 1 dose of study medication and were included in the intent-to-treat analysis set.

Participants by arm

ArmCount
TMC435 150mg 12Wks PR24/48
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a/b (PegIFN alpha-2a/b) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a/b (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
257
PBO 12Wks PR48
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a/b (PegIFN alpha-2a/b) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a/b (P) and RBV (R) until Week 48 (PR 48).
134
Total391

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event20
Overall StudyLost to Follow-up810
Overall StudyProtocol Violation01
Overall StudySubject Entered Another Trial05
Overall StudyWithdrawal by Subject65

Baseline characteristics

CharacteristicTMC435 150mg 12Wks PR24/48PBO 12Wks PR48Total
Age, Continuous46 years47 years47 years
Sex: Female, Male
Female
117 Participants57 Participants174 Participants
Sex: Female, Male
Male
140 Participants77 Participants217 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
243 / 257131 / 134
serious
Total, serious adverse events
16 / 25710 / 134

Outcome results

Primary

The Percentage of Participants Achieving a Sustained Virologic Response 12 Weeks After the Planned End of Treatment (SVR12)

The table below shows the percentage of participants in each treatment group who achieved a SVR12, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid 12 weeks after planned end of treatment.

Time frame: Week 36 or Week 60

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants Achieving a Sustained Virologic Response 12 Weeks After the Planned End of Treatment (SVR12)81.3 Percentage of participants
PBO 12Wks PR48The Percentage of Participants Achieving a Sustained Virologic Response 12 Weeks After the Planned End of Treatment (SVR12)50.0 Percentage of participants
Comparison: The null hypothesis is there is no difference in proportions of SVR12 between the treatment groups.p-value: <0.00195% CI: [23.3, 41.2]Cochran-Mantel-Haenszel
Secondary

Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)

The table below shows actual values of log10 HCV RNA levels.

Time frame: Day 3, Week 1, Week 4, Week 12, Week 24, and Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureGroupValue (MEAN)Dispersion
TMC435 150mg 12Wks PR24/48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 11.852 log10 IU/mLStandard Error 0.4
TMC435 150mg 12Wks PR24/48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 121.027 log10 IU/mLStandard Error 0.034
TMC435 150mg 12Wks PR24/48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Day 32.777 log10 IU/mLStandard Error 0.05
TMC435 150mg 12Wks PR24/48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 241.094 log10 IU/mLStandard Error 0.049
TMC435 150mg 12Wks PR24/48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 481.015 log10 IU/mLStandard Error 0.061
TMC435 150mg 12Wks PR24/48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 41.093 log10 IU/mLStandard Error 0.027
PBO 12Wks PR48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 480.960 log10 IU/mLStandard Error 0.005
PBO 12Wks PR48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Day 35.165 log10 IU/mLStandard Error 0.107
PBO 12Wks PR48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 15.171 log10 IU/mLStandard Error 0.129
PBO 12Wks PR48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 43.657 log10 IU/mLStandard Error 0.162
PBO 12Wks PR48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 122.157 log10 IU/mLStandard Error 0.141
PBO 12Wks PR48Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 241.388 log10 IU/mLStandard Error 0.106
Secondary

Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Daily Activities Due to Hepatitis C Virus (HCV) Infection and Its Treatment

Impairment in daily activity was measured using the Work Productivity and Activity Impairment (WPAI): Hepatitis C questionnaire, Question 6. The possible impairment in WPAI daily activity score range from baseline to Week 60 was 0-6000 and to Week 72 was 0-7200, with the higher scores indicating more impairment in daily activities. The average WPAI impairment in daily activity score from baseline to Week 72 was calculated for each participant and then the average of those values were calculated to show the average WPAI impairment in daily activity score for each treatment group. The null hypothesis was there is no statistically significant difference between the treatment arms in the AUC for the change from baseline to Week 72 (AUC72) in WPAI impairment in daily activity scores. The Table below shows the WPAI Impairment in daily activity scores at Week 72 (as well as at Week 60) and the statistical analysis between treatment groups.

Time frame: Baseline to Week 60 and Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
TMC435 150mg 12Wks PR24/48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Daily Activities Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 601580.635 Scores on a scale*weeks
TMC435 150mg 12Wks PR24/48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Daily Activities Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 721727.079 Scores on a scale*weeks
PBO 12Wks PR48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Daily Activities Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 601863.071 Scores on a scale*weeks
PBO 12Wks PR48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Daily Activities Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 722056.283 Scores on a scale*weeks
Comparison: Impairment in Daily Activities AUC60p-value: 0.00795% CI: [-488.415, -76.4566]Piecewise linear model
Comparison: Impairment in Daily Activities AUC72p-value: 0.00895% CI: [-571.3389, -87.0695]Piecewise Linear Model
Secondary

Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Overall Work Productivity Due to Hepatitis C Virus (HCV) Infection and Its Treatment

Impairment in overall work productivity was measured using the Work Productivity and Activity Impairment (WPAI): Hepatitis C questionnaire completed by participants throughout the study. WPAI Overall Productivity Scores ranged from 0% to 100% (higher WPAI scores indicated greater impairment in productivity). The average WPAI score from baseline to Week 72 was calculated for each participant and then the average of those values were calculated to show the average WPAI score for each treatment group. The null hypothesis was there is no statistically significant difference between the treatment groups in the AUC for the change from baseline to Week 72 (AUC72) in WPAI Productivity Scores. The Table below shows WPAI Productivity Scores at Week 72 (as well as at Week 60) from the model used to calculate the AUC and the statistical comparison between treatment groups.

Time frame: Baseline to Week 60 and Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
TMC435 150mg 12Wks PR24/48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Overall Work Productivity Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 601628.075 Scores on a scale*weeks
TMC435 150mg 12Wks PR24/48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Overall Work Productivity Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 721781.768 Scores on a scale*weeks
PBO 12Wks PR48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Overall Work Productivity Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 601910.235 Scores on a scale*weeks
PBO 12Wks PR48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Overall Work Productivity Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 722106.131 Scores on a scale*weeks
Comparison: Impairment in Work Productivity AUC60p-value: 0.00895% CI: [-489.1252, -75.1949]Piecewise Linear Model
Comparison: Impairment in Work Productivity AUC72p-value: 0.00995% CI: [-567.708, -81.0182]Piecewise Linear Model
Secondary

Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for the Fatigue Severity Scale (FSS) Total Scores

Study participants completed FSS questionnaires during study visits before treatment and throughout follow-up to rate the severity and impact of fatigue experienced in the preceding 2 weeks. FSS total scores are the average of nine questions with a range from 1 \[no fatigue\] to 7 \[worst fatigue\]; the possible score range from baseline to Week 60 would be 60-420 and to Week 72 would be 72-504. The average FSS total score from baseline to Week 60 and to Week 72 was calculated for each participant and then the average of those values were calculated to show the average FSS total score for each treatment group. The null hypothesis was that there would be no difference between the treatment arms in the FSS total score. The Table below shows the lease squares (LS) mean estimates of the area under the curve (AUC) at Week 72 (as well as at Week 60) and the statistical comparison between treatment groups.

Time frame: Baseline to Week 60 and Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
TMC435 150mg 12Wks PR24/48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for the Fatigue Severity Scale (FSS) Total ScoresWeek 60208.418 Scores on a scale*weeks
TMC435 150mg 12Wks PR24/48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for the Fatigue Severity Scale (FSS) Total ScoresWeek 72240.695 Scores on a scale*weeks
PBO 12Wks PR48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for the Fatigue Severity Scale (FSS) Total ScoresWeek 72259.532 Scores on a scale*weeks
PBO 12Wks PR48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for the Fatigue Severity Scale (FSS) Total ScoresWeek 60225.194 Scores on a scale*weeks
Comparison: Fatigue Severity Score AUC60p-value: 0.00895% CI: [-29.1502, -4.4025]Piecewise Linear Model
Comparison: Fatigue Severity Score AUC72p-value: 0.01295% CI: [-33.4933, -4.1801]Piecewise Linear Model
Secondary

Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Time Missed From Work Due to Hepatitis C Virus (HCV) Infection and Its Treatment

Hours missed from work because of HCV infection or its treatment was assessed by measuring the change from baseline in the Work Productivity and Activity Impairment (WPAI): Hepatitis C questionnaire Absenteeism score (time missed from work). The possible WPAI WPAI absenteeism score range from baseline to Week 60 was 0-6000 and to Week 72 was 0-7200, with the higher scores indicating more impairment in WPAI absenteeism. The average WPAI absenteeism score from baseline to Week 60/72 was calculated for each participant and then the average of those values calculated for each treatment group. The area under the curve (AUC60/AUC72) over time from baseline to Week 60/72 was derived from a piecewise-linear model allowing the slopes to change at Week 4, 12, 24, 36, 48 and 60. The null hypothesis was there is no statistically significant difference between the treatment arms in the area under the curve (AUC) from baseline to Week 72 (AUC72) in WPAI absenteeism score.

Time frame: Baseline to Week 60 and Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
TMC435 150mg 12Wks PR24/48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Time Missed From Work Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 60653.642 Scores on a scale*weeks
TMC435 150mg 12Wks PR24/48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Time Missed From Work Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 72698.223 Scores on a scale*weeks
PBO 12Wks PR48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Time Missed From Work Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 60840.495 Scores on a scale*weeks
PBO 12Wks PR48Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Time Missed From Work Due to Hepatitis C Virus (HCV) Infection and Its TreatmentWeek 72886.425 Scores on a scale*weeks
Comparison: Time Missed from Work AUC60p-value: 0.12595% CI: [-425.4109, 51.7059]Piecewise linear model
Comparison: Time Missed from Work AUC72p-value: 0.18395% CI: [-465.507, 89.104]Piecewise linear model
Secondary

Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)

The table below shows changes from baseline in log10 HCV RNA.

Time frame: Day 3, Week 1, Week 4, Week 12, Week 24, and Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureGroupValue (MEAN)Dispersion
TMC435 150mg 12Wks PR24/48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Day 3-3.60 log10 IU/mLStandard Error 0.045
TMC435 150mg 12Wks PR24/48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 1-4.52 log10 IU/mLStandard Error 0.043
TMC435 150mg 12Wks PR24/48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 4-5.28 log10 IU/mLStandard Error 0.046
TMC435 150mg 12Wks PR24/48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 12-5.34 log10 IU/mLStandard Error 0.053
TMC435 150mg 12Wks PR24/48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 24-5.27 log10 IU/mLStandard Error 0.062
TMC435 150mg 12Wks PR24/48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 48-5.83 log10 IU/mLStandard Error 0.074
PBO 12Wks PR48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 24-4.93 log10 IU/mLStandard Error 0.114
PBO 12Wks PR48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Day 3-1.22 log10 IU/mLStandard Error 0.075
PBO 12Wks PR48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 12-4.21 log10 IU/mLStandard Error 0.129
PBO 12Wks PR48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 1-1.21 log10 IU/mLStandard Error 0.094
PBO 12Wks PR48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 48-5.28 log10 IU/mLStandard Error 0.084
PBO 12Wks PR48Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)Week 4-2.72 log10 IU/mLStandard Error 0.138
Secondary

Median Time to Normalization of Alanine Aminotransferase (ALT) Levels

The table below shows the median time in weeks to normalization of ALT levels.

Time frame: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (MEDIAN)
TMC435 150mg 12Wks PR24/48Median Time to Normalization of Alanine Aminotransferase (ALT) Levels2.14 Weeks
PBO 12Wks PR48Median Time to Normalization of Alanine Aminotransferase (ALT) Levels4.14 Weeks
Secondary

Percentage of Participants Who Completed All Study Treatment at Week 24 Because of the Treatment Duration Rule

The table below shows the percentage of participants in the TMC435 treatment group who met the treatment duration rule (ie, having hepatitis C virus \[HCV\] ribonucleic acid \[RNA\] levels \<25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA levels at Week 12) and completed treatment with PegIFNα-2a and RBV for 24 weeks. Participants in the TMC435 treatment group not meeting RGT criteria and participants in the placebo group were treated with PegIFNα-2a and RBV treatment for 48 weeks.

Time frame: Week 24

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48Percentage of Participants Who Completed All Study Treatment at Week 24 Because of the Treatment Duration Rule89.5 Percentage of participants
PBO 12Wks PR48Percentage of Participants Who Completed All Study Treatment at Week 24 Because of the Treatment Duration RuleNA Percentage of participants
Secondary

Percentage of Participants With in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels >1000 IU/mL at Week 4

The table below shows the percentage of participants in each treatment group with HCV RNA levels \>1000 IU/mL at Week 4.

Time frame: Week 4

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48Percentage of Participants With in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels >1000 IU/mL at Week 41.2 Percentage of participants
PBO 12Wks PR48Percentage of Participants With in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels >1000 IU/mL at Week 461.2 Percentage of participants
Secondary

Percentage of Participants With Null Response

The table below shows the percentage of participants with null response, defined as \<2 log10 reduction in Hepatitis C virus ribonucleic acid at Week 12 compared to baseline.

Time frame: Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48Percentage of Participants With Null Response1.2 Percentage of participants
PBO 12Wks PR48Percentage of Participants With Null Response10.2 Percentage of participants
Secondary

Percentage of Participants With On-treatment Failure

The table below shows percentage of participants with on-treatment failure defined as confirmed detectable Hepatitis C virus ribonucleic acid levels at actual end of treatment.

Time frame: Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Failure7.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Failure32.1 Percentage of participants
Secondary

Percentage of Participants With On-treatment Virologic Response at All Time Points

The table below shows the percentage of participants with Hepatitis C Virus (HCV) ribonucleic acid (RNA) plasma levels below the limit of detection (ie, \<25 IU/mL undetectable), the percentage of participants with a HCV RNA plasma level below the limit of quantification (ie, less than \[\<\] 25 IU/mL detectable or undetectable), the percentage of participants with plasma levels of HCV RNA \<100 IU/mL, the percentage of HCV-Infected participants with virologic responses of a greater than or equal to 2 log10 change from baseline in plasma levels of HCV RNA.

Time frame: Day 3, Week 1, Week 2, Week 8, Week 16, Week 20, Week 28, Week 36, and Week 42

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureGroupValue (NUMBER)
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsDay 3:<100 IU/mL15.3 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 20:<25 IU/mL undetectable95.9 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 1:<100 IU/mL65.7 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 1:<25 IU/mL detectable or undetectable37.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 2:<100 IU/mL92.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 8:<25 IU/mL undetectable93.7 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 8:<100 IU/mL98.8 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 2:<25 IU/mL detectable or undetectable80.7 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 16:<100 IU/mL98.8 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 28:<25 IU/mL undetectable66.7 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 20:<100 IU/mL98.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 8:<25 IU/mL detectable or undetectable98.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 28:<100 IU/mL77.8 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 2:<25 IU/mL undetectable31.7 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 36:<100 IU/mL100.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 16:<25 IU/mL detectable or undetectable98.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 42:<100 IU/mL100.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 36:<25 IU/mL undetectable100.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsDay 3:> or = 2 log 10 change from baseline96.9 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 20:<25 IU/mL detectable or undetectable97.1 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 1:> or =2 log 10 change from baseline99.6 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 16:<25 IU/mL undetectable96.3 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 2:> or =2 log 10 change from baseline99.6 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 28:<25 IU/mL detectable or undetectable77.8 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 8:> or =2 log 10 change from baseline99.6 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 42:<25 IU/mL undetectable100.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 16:> or =2 log 10 change from baseline99.2 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 36:<25 IU/mL detectable or undetectable100.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 20:> or =2 log 10 change from baseline98.8 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 1:<25 IU/mL undetectable6.3 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 28:> or =2 log 10 change from baseline88.9 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 42:<25 IU/mL detectable or undetectable100.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 36:> or =2 log 10 change from baseline100.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsDay 3:<25 IU/mL detectable or undetectable4.7 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 42:> or =2 log 10 change from baseline100.0 Percentage of participants
TMC435 150mg 12Wks PR24/48Percentage of Participants With On-treatment Virologic Response at All Time PointsDay 3:<25 IU/mL undetectable0.4 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 42:> or =2 log 10 change from baseline100.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsDay 3:<25 IU/mL undetectable0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 1:<25 IU/mL undetectable1.5 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 2:<25 IU/mL undetectable3.8 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 8:<25 IU/mL undetectable31.3 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 16:<25 IU/mL undetectable65.5 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 20:<25 IU/mL undetectable68.2 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 28:<25 IU/mL undetectable88.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 36:<25 IU/mL undetectable95.3 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 42:<25 IU/mL undetectable95.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsDay 3:<25 IU/mL detectable or undetectable0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 1:<25 IU/mL detectable or undetectable2.3 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 2:<25 IU/mL detectable or undetectable12.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 8:<25 IU/mL detectable or undetectable45.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 16:<25 IU/mL detectable or undetectable73.5 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 20:<25 IU/mL detectable or undetectable79.1 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 28:<25 IU/mL detectable or undetectable97.8 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 36:<25 IU/mL detectable or undetectable98.8 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 42:<25 IU/mL detectable or undetectable100.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsDay 3:<100 IU/mL1.5 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 1:<100 IU/mL6.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 2:<100 IU/mL14.3 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 8:<100 IU/mL50.4 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 16:<100 IU/mL77.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 20:<100 IU/mL83.6 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 28:<100 IU/mL97.8 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 36:<100 IU/mL98.8 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 42:<100 IU/mL100.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsDay 3:> or = 2 log 10 change from baseline20.8 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 1:> or =2 log 10 change from baseline24.1 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 2:> or =2 log 10 change from baseline39.8 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 8:> or =2 log 10 change from baseline80.2 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 16:> or =2 log 10 change from baseline97.3 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 20:> or =2 log 10 change from baseline93.6 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 28:> or =2 log 10 change from baseline100.0 Percentage of participants
PBO 12Wks PR48Percentage of Participants With On-treatment Virologic Response at All Time PointsWeek 36:> or =2 log 10 change from baseline98.8 Percentage of participants
Secondary

Percentage of Participants With Partial Response

The table below shows the percentage of participants with partial response, defined as =\>2 log10 reduction in Hepatitis C virus (HCV) ribonucleic acid (RNA) at Week 12 compared to baseline, but not achieving undetectable HCV RNA while on treatment.

Time frame: Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48Percentage of Participants With Partial Response0.4 Percentage of participants
PBO 12Wks PR48Percentage of Participants With Partial Response17.3 Percentage of participants
Secondary

Percentage of Participants With Viral Breakthrough

The table below shows the percentage of participants with viral breakthrough, 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 (ie, lowest value measured in between baseline and current value), or a confirmed plasma HCV RNA level of greater than 100 IU/mL in participants whose plasma HCV RNA had previously been below the limit of quantification (25 IU/mL detectable) or undetectable (\<25 IU/mL undetectable).

Time frame: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48Percentage of Participants With Viral Breakthrough4.7 Percentage of participants
PBO 12Wks PR48Percentage of Participants With Viral Breakthrough10.4 Percentage of participants
Secondary

Percentage of Participants With Viral Relapse

The table below shows the percentage of participants with viral relapse, defined as having confirmed detectable plasma level of Hepatitis C virus (HCV) ribonucleic acid (RNA) during the follow-up period in participants with undetectable plasma HCV RNA (\<25 IU/mL undetectable) at the end of treatment.

Time frame: Up to Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48Percentage of Participants With Viral Relapse12.3 Percentage of participants
PBO 12Wks PR48Percentage of Participants With Viral Relapse23.9 Percentage of participants
Secondary

Plasma Concentration of TMC435: Area Under the Plasma Concentration-time Curve From the Time of Administration to 24 Hours After Dosing (AUC24h)

The table below shows the mean (standard deviation) values of the area under the plasma concentration-time curve from time of administration to 24 hours after dosing for TMC435.

Time frame: At protocol-specified time points from the time of administration up to 24 hours after dosing at Weeks 2, 4, 8, and 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (MEAN)Dispersion
TMC435 150mg 12Wks PR24/48Plasma Concentration of TMC435: Area Under the Plasma Concentration-time Curve From the Time of Administration to 24 Hours After Dosing (AUC24h)56611 ng*h/mLStandard Deviation 66935.4
Secondary

Plasma Concentration of TMC435: Predose Plasma Concentration (C0h)

The table below shows the mean (standard deviation) of C0h values of TMC435. NOTE: the timing of collection of blood samples post-dose for analysis at Week 2, 4, 8, and 12 was not specifed; only the interval was between blood samples was specified (ie, 2 samples collected 2 hours apart at Week 2, 4, 8, and 12).

Time frame: Blood samples tested were taken before administration of TMC435 and at 2 random time points after dosing (taken atleast 2 hours apart from each other) at Week 2, 4, 8, and 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (MEAN)Dispersion
TMC435 150mg 12Wks PR24/48Plasma Concentration of TMC435: Predose Plasma Concentration (C0h)1902 ng/mLStandard Deviation 2781.1
Secondary

Plasma Concentration of TMC435: Systemic Clearance (CL)

The table below shows the mean (standard deviation) of CL values of TMC435. NOTE: the pre-dose CL values taken at Weeks, 2, 4, 8, and 12 were averaged and then the mean values from all participants were averaged to provide the final value reported below.

Time frame: At protocol-specified time points at Weeks 2, 4, 8, and 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (MEAN)Dispersion
TMC435 150mg 12Wks PR24/48Plasma Concentration of TMC435: Systemic Clearance (CL)5.23 L/hStandard Deviation 3.767
Secondary

The Percentage of Participants Achieving a Complete Early Virologic Response (cEVR)

The table below shows the percentage of participants in each treatment group who had a cEVR, defined as having undetectable plasma Hepatitis C Virus ribonucleic acid levels at Week 12.

Time frame: Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants Achieving a Complete Early Virologic Response (cEVR)96.8 Percentage of participants
PBO 12Wks PR48The Percentage of Participants Achieving a Complete Early Virologic Response (cEVR)44.9 Percentage of participants
Secondary

The Percentage of Participants Achieving a Early Virologic Response (EVR)

The table below shows the percentage of participants who achieved an EVR, defined as having a change from baseline in plasma Hepatitis C virus ribonucleic acid of 2 log10 at Week 12.

Time frame: Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants Achieving a Early Virologic Response (EVR)98.8 Percentage of participants
PBO 12Wks PR48The Percentage of Participants Achieving a Early Virologic Response (EVR)89.8 Percentage of participants
Secondary

The Percentage of Participants Achieving a Extended Rapid Virologic Response (eRVR)

The table below shows the percentage of participants in each treatment group who had a eRVR, defined as having undetectable plasma Hepatitis C Virus ribonucleic acid levels at Week 4 and 12.

Time frame: Weeks 4 and 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants Achieving a Extended Rapid Virologic Response (eRVR)78.3 Percentage of participants
PBO 12Wks PR48The Percentage of Participants Achieving a Extended Rapid Virologic Response (eRVR)13.4 Percentage of participants
Secondary

The Percentage of Participants Achieving a Rapid Virologic Response (RVR)

The table below shows the percentage of participants in each treatment group who achieved a RVR, defined as having undetectable plasma Hepatitis C virus ribonucleic acid levels after receiving 4 weeks of treatment.

Time frame: Week 4

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants Achieving a Rapid Virologic Response (RVR)79.2 Percentage of participants
PBO 12Wks PR48The Percentage of Participants Achieving a Rapid Virologic Response (RVR)12.8 Percentage of participants
Secondary

The Percentage of Participants Achieving a Sustained Virologic Response at Week 72 (SVRW72)

The table below shows the percentage of participants in each treatment group who achieved a SVRW72, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels at end of treatment (EOT) and at Week 72.

Time frame: Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants Achieving a Sustained Virologic Response at Week 72 (SVRW72)78.6 Percentage of participants
PBO 12Wks PR48The Percentage of Participants Achieving a Sustained Virologic Response at Week 72 (SVRW72)50.0 Percentage of participants
Comparison: The null hypothesis is there is no difference in proportions of SVRW72 between the treatment groups.p-value: <0.00195% CI: [20.2, 38.5]Cochran-Mantel-Haenszel
Secondary

The Percentage of Participants Who Achieved a Sustained Virologic Response 24 Weeks After the Planned End of Treatment (SVR24)

The table below shows the percentage of participants in each treatment group who achieved a SVR24, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels 24 weeks after planned end of treatment.

Time frame: Week 48 or Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants Who Achieved a Sustained Virologic Response 24 Weeks After the Planned End of Treatment (SVR24)80.5 Percentage of participants
PBO 12Wks PR48The Percentage of Participants Who Achieved a Sustained Virologic Response 24 Weeks After the Planned End of Treatment (SVR24)50.0 Percentage of participants
Comparison: The null hypothesis is there is no difference in proportions of SVR24 between the treatment groups.p-value: <0.00195% CI: [22.5, 40.5]Cochran-Mantel-Haenszel
Secondary

The Percentage of Participants Who Achieved a Sustained Virologic Response 4 Weeks After the Planned End of Treatment (SVR4)

The table below shows the percentage of participants in each treatment group who achieved a SVR4, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels 4 weeks after planned end of treatment.

Time frame: Week 28 or Week 52

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants Who Achieved a Sustained Virologic Response 4 Weeks After the Planned End of Treatment (SVR4)84.8 Percentage of participants
PBO 12Wks PR48The Percentage of Participants Who Achieved a Sustained Virologic Response 4 Weeks After the Planned End of Treatment (SVR4)53.0 Percentage of participants
Comparison: The null hypothesis is there is no difference in proportions of SVR4 between the treatment groups.p-value: <0.00195% CI: [23.5, 41]Cochran-Mantel-Haenszel
Secondary

The Percentage of Participants With <1 log10 Decrease in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) From Baseline at Week 4

The table below shows the percentage of participants in each treatment group with \<1 log10 HCV RNA decrease at Week 4.

Time frame: Week 4

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants With <1 log10 Decrease in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) From Baseline at Week 40.4 Percentage of participants
PBO 12Wks PR48The Percentage of Participants With <1 log10 Decrease in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) From Baseline at Week 417.3 Percentage of participants
Secondary

The Percentage of Participants With Normalization of Alanine Aminotransferase (ALT)

The percentage of participants analyzed were those with baseline ALT values out of the normal range (ie, 164 of 257 participants in the TMC435 treatment group and 79 of 134 participants in the Placebo group had ALT values at baseline that were out of the normal range.). Normalization of ALT values means that ALT values out of the normal range returned to within the normal range.

Time frame: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants With Normalization of Alanine Aminotransferase (ALT)79.9 Percentage of participants
PBO 12Wks PR48The Percentage of Participants With Normalization of Alanine Aminotransferase (ALT)81.0 Percentage of participants
Secondary

The Percentage of Participants With Viral Breakthrough at Different Time Points

The table below shows the percentage of participants at different time points with viral breakthrough, defined as a confirmed increase of greater than 1 log10 IU/mL in plasma HCV ribonucleic acid (RNA) level from the lowest level reached (ie, lowest value measured in between baseline and current value), or a confirmed plasma HCV RNA level of greater than 100 IU/mL in participants whose plasma HCV RNA had previously been below the limit of quantification (25 IU/mL detectable) or undetectable (\<25 IU/mL undetectable).

Time frame: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureGroupValue (NUMBER)
TMC435 150mg 12Wks PR24/48The Percentage of Participants With Viral Breakthrough at Different Time Points< 12 Weeks1.2 Percentage of participants
TMC435 150mg 12Wks PR24/48The Percentage of Participants With Viral Breakthrough at Different Time PointsWeek 12 - Week 243.3 Percentage of participants
TMC435 150mg 12Wks PR24/48The Percentage of Participants With Viral Breakthrough at Different Time Points> Week 2412.5 Percentage of participants
PBO 12Wks PR48The Percentage of Participants With Viral Breakthrough at Different Time Points< 12 Weeks3.7 Percentage of participants
PBO 12Wks PR48The Percentage of Participants With Viral Breakthrough at Different Time PointsWeek 12 - Week 246.4 Percentage of participants
PBO 12Wks PR48The Percentage of Participants With Viral Breakthrough at Different Time Points> Week 242.1 Percentage of participants
Secondary

Time From End-of-treatment to Viral Relapse

The table below shows the mean number of days to viral relapse, defined as participants having confirmed detectable plasma level of Hepatitis C Virus (HCV) ribonucleic acid (RNA) during the follow-up period in participants with undetectable plasma HCV RNA (\<25 IU/mL undetectable) at the end of treatment.

Time frame: Up to Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (MEAN)Dispersion
TMC435 150mg 12Wks PR24/48Time From End-of-treatment to Viral Relapse229.77 DaysStandard Error 4.29
PBO 12Wks PR48Time From End-of-treatment to Viral Relapse77.74 DaysStandard Error 2.34
Secondary

Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <1000 IU/mL

The table below shows the median time in days to reach HCV RNA levels \<1000 IU/mL.

Time frame: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (MEDIAN)
TMC435 150mg 12Wks PR24/48Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <1000 IU/mL4 Days
PBO 12Wks PR48Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <1000 IU/mL57 Days
Secondary

Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <100 IU/mL

The table below shows the median time in days to reach HCV RNA levels \<100 IU/mL.

Time frame: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (MEDIAN)
TMC435 150mg 12Wks PR24/48Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <100 IU/mL8 Days
PBO 12Wks PR48Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <100 IU/mL71 Days
Secondary

Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable

The table below shows the median time in days to reach HCV RNA levels \<25 IU/mL undetectable.

Time frame: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (MEDIAN)
TMC435 150mg 12Wks PR24/48Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable29 Days
PBO 12Wks PR48Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable113 Days
Secondary

Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable or Detectable

The table below shows the median time in days to reach HCV RNA levels \<25 IU/mL undetectable or detectable.

Time frame: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

ArmMeasureValue (MEDIAN)
TMC435 150mg 12Wks PR24/48Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable or Detectable14 Days
PBO 12Wks PR48Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable or Detectable85 Days

Source: ClinicalTrials.gov · Data processed: Mar 20, 2026