Hepatitis C, Chronic
Conditions
Brief summary
This multi-center, observational study will evaluate the efficacy and safety of dual and triple therapies based on Pegasys (peginterferon alfa-2a) in patients with chronic hepatitis C. Patients receiving treatment with either Pegasys plus ribavirin or Pegasys plus ribavirin plus telaprevir/boceprevir will be observed for the duration of their treatment and for up to 24 weeks of follow-up.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients, \>/= 18 years of age * Chronic hepatitis C (all genotypes, naïve or treatment experienced, HCV mono-infected or HCV-HIV co-infected) * Receiving either dual therapy (Pegasys plus ribavirin) or triple therapy (Pegasys plus ribavirin plus telaprevir/boceprevir) * No contra-indications to Pegasys and ribavirin therapy or to treatment regimen containing protease inhibitor (telaprevir or boceprevir) as detailed in local Prescribing Information * Quantitative serum HCV RNA by PCR test before initiation of treatment
Exclusion criteria
* Hepatitis A/B co-infection * Evidence of severe illness, active malignancy, or any other conditions which would make the patient, in the opinion of the investigator, unsuitable for the study * Pregnant or breast-feeding women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Sustained Viral Response (SVR) at Week 24 | Week 24 | The overall SVR-24 rate was defined as percentage of participants with Hepatitis C Virus Ribonucleic Acid (HCV-RNA) levels \< 50 International Units per MilliLiter (IU/mL) (as measured by Polymerase Chain Reaction (PCR)) at 24 weeks post treatment completion. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Week 24 | The overall SVR-24 rate was defined as percentage of participants with Hepatitis C Virus Ribonucleic Acid (HCV-RNA) levels \< 50 International Units per MilliLiter (IU/mL) (as measured by Polymerase Chain Reaction (PCR)) at 24 weeks post treatment completion. Number of participants analysed signifies participants who were evaluated for outcome measure. Data for this outcome measure was not summarized for each arm. Hence, data is reported for all participants. |
| Percentage of Participants With Rapid Virologic Response (RVR) at Week 4 | Week 4 | RVR was defined as HCV-RNA \<50 IU/mL by Week 4 |
| Percentage of Participants With Extended RVR | Week 4 and 12 for telaprevir group; Week 8 and 24 for boceprevir group | Extended RVR was defined as HCV-RNA \<50 IU/mL at weeks 4 and 12 for participants treated with telaprevir; or at weeks 8 & 24 for participants treated with boceprevir. The assessment was performed in participants who received triple therapy in treatment arms 'Peginterferon Alfa-2a + Ribavirin +Telaprevir' and 'Peginterferon Alfa-2a + Ribavirin + Boceprevir'. |
| Percentage of Participants With Complete Early Virologic Response (cEVR) | Week 12 | Complete early virologic response (cEVR) was defined as HCV-RNA \<50 IU/mL by Week 12 |
| Percentage of Participants With End of Treatment Response (EoT) | Week 24 | End-of-Treatment (EoT) response was defined as HCV-RNA \<50 IU/mL by the end of treatment. |
| Percentage of Participants With Virologic Relapse | Week 72 | Virologic relapse was defined as detectable HCV-RNA during the treatment-free follow-up period in participants with HCV-RNA \<50 IU/mL at EoT. |
| Treatment Duration | Week 48 | The average amount of time a treatment was prescribed to participants. |
| Comparison of SVR at Week 24 | Week 24 | SVR at Week 24 is compared by treatment group, type of infection, prior treatments and genotype. |
| Time to First Dose Modification of Ribavirin | Week 48 | — |
| Time to First Dose Modification of Telaprevir/Boceprevir | Week 48 | — |
| Percentage of Participants With Adverse Events (AEs) | Week 48 | Any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Safety analysis included 2 additional participants in arm 'Peginterferon Alfa-2a + Ribavirin + Telaprevir'. The safety parameters were analyzed by the treatment actually received by the participants. |
| Mean Value of Hemoglobin in Participants With Treatment-Induced Anemia | Week 48 | — |
| Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Week 48 | — |
| Percentage of Participants Who Had SVR at Week 24 With Dose Modifications | Week 24 | Participants with dose modifications who had achieved SVR at Week 24 were reported. Data was collected for all participants who had dose modification of Peginterferon alfa-2a, Ribavirin or Telaprevir/boceprevir in any of the treatment regimen during the study. |
| Time to First Dose Modification of Peginterferon Alfa-2a | Week 48 | — |
Countries
Israel
Participant flow
Recruitment details
The study was conducted at 21 investigational centers in Israel.
Pre-assignment details
The study was consisted of 3 arms of treatments: 1. Dual therapy: Peginterferon alfa-2a & Ribavirin; 2. Triple therapy :Peginterferon alfa 2a & Ribavirin & Telaprevir; 3. Triple therapy: Peginterferon alfa 2a & Ribavirin & Boceprevir
Participants by arm
| Arm | Count |
|---|---|
| Peginterferon Alfa-2a + Ribavirin Dual Therapy. Dosing and treatment duration of the dual therapy (Peginterferon Alfa-2a + Ribavirin) were at the discretion of the Investigator in accordance with the current local prescribing information. | 311 |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir Triple Therapy. Dosing and treatment duration of the triple therapy (Peginterferon Alfa-2a + Ribavirin + Teleprevir) were at the discretion of the Investigator in accordance with the current local prescribing information. | 443 |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir Triple Therapy. Dosing and treatment duration of the triple therapy (Peginterferon Alfa-2a + Ribavirin + Boceprevir) were at the discretion of the Investigator in accordance with the current local prescribing information. | 193 |
| No Information on Treatment Allocation Participants for which Treatment Allocation Data is Unavailable | 44 |
| Total | 991 |
Baseline characteristics
| Characteristic | Peginterferon Alfa-2a + Ribavirin | Peginterferon Alfa-2a + Ribavirin + Telaprevir | Peginterferon Alfa-2a + Ribavirin + Boceprevir | No Information on Treatment Allocation | Total |
|---|---|---|---|---|---|
| Age, Continuous | 44.1 Years STANDARD_DEVIATION 10.6 | 50.3 Years STANDARD_DEVIATION 11 | 51.1 Years STANDARD_DEVIATION 11.6 | 48.1 Years STANDARD_DEVIATION 12 | 48.4 Years STANDARD_DEVIATION 11.4 |
| Sex/Gender, Customized Female | 101 Participants | 161 Participants | 74 Participants | 9 Participants | 345 Participants |
| Sex/Gender, Customized Male | 210 Participants | 282 Participants | 118 Participants | 18 Participants | 628 Participants |
| Sex/Gender, Customized Unknown | 0 Participants | 0 Participants | 1 Participants | 17 Participants | 18 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 208 / 311 | 338 / 445 | 161 / 192 |
| serious Total, serious adverse events | 24 / 311 | 78 / 445 | 26 / 192 |
Outcome results
Percentage of Participants With Sustained Viral Response (SVR) at Week 24
The overall SVR-24 rate was defined as percentage of participants with Hepatitis C Virus Ribonucleic Acid (HCV-RNA) levels \< 50 International Units per MilliLiter (IU/mL) (as measured by Polymerase Chain Reaction (PCR)) at 24 weeks post treatment completion.
Time frame: Week 24
Population: Modified All Treated (mTRT) Population: includes all participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy; had received one of the study's combination therapies; the participants' treatment documentation was sufficient for assignment to treatment groups.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Sustained Viral Response (SVR) at Week 24 | 87.2 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Sustained Viral Response (SVR) at Week 24 | 94.8 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Sustained Viral Response (SVR) at Week 24 | 85.2 Percentage of Participants |
Comparison of SVR at Week 24
SVR at Week 24 is compared by treatment group, type of infection, prior treatments and genotype.
Time frame: Week 24
Population: Modified All Treated (mTRT) Population: includes all participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy; had received one of the study's combination therapies; the participants' treatment documentation was sufficient for assignment to treatment groups.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Comparison of SVR at Week 24 | HCV Mono Infection | 86.6 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Comparison of SVR at Week 24 | HIV/HCV Co-Infection | 100 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Comparison of SVR at Week 24 | Genotype 1 | 83.8 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Comparison of SVR at Week 24 | Other Genotypes | 88.2 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Comparison of SVR at Week 24 | Treatment - Naive | 89.7 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Comparison of SVR at Week 24 | Treatment - Experienced | 66.7 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Comparison of SVR at Week 24 | Genotype 1 | 94.9 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Comparison of SVR at Week 24 | Treatment - Experienced | 94.5 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Comparison of SVR at Week 24 | HCV Mono Infection | 94.8 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Comparison of SVR at Week 24 | Treatment - Naive | 95.5 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Comparison of SVR at Week 24 | HIV/HCV Co-Infection | 100 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Comparison of SVR at Week 24 | Other Genotypes | 100 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Comparison of SVR at Week 24 | Genotype 1 | 84.4 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Comparison of SVR at Week 24 | Treatment - Experienced | 83.1 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Comparison of SVR at Week 24 | Treatment - Naive | 86.7 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Comparison of SVR at Week 24 | HCV Mono Infection | 84.5 Percentage of Participants |
Mean Value of Hemoglobin in Participants With Treatment-Induced Anemia
Time frame: Week 48
Population: Safety Population. Included only participants who had received at least one dose of peginterferon alfa-2a plus ribavirin or peginterferon alfa-2a plus ribavirin plus telaprevir/boceprevir and had at least one post-baseline safety assessment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Mean Value of Hemoglobin in Participants With Treatment-Induced Anemia | 9.3 Grams per Deciliter (g/dl) | Standard Deviation 1.6 |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Mean Value of Hemoglobin in Participants With Treatment-Induced Anemia | 9.2 Grams per Deciliter (g/dl) | Standard Deviation 1.3 |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Mean Value of Hemoglobin in Participants With Treatment-Induced Anemia | 9.5 Grams per Deciliter (g/dl) | Standard Deviation 1.3 |
Number of Participants With SVR at Week 24 According to the Demographic Characteristics
The overall SVR-24 rate was defined as percentage of participants with Hepatitis C Virus Ribonucleic Acid (HCV-RNA) levels \< 50 International Units per MilliLiter (IU/mL) (as measured by Polymerase Chain Reaction (PCR)) at 24 weeks post treatment completion. Number of participants analysed signifies participants who were evaluated for outcome measure. Data for this outcome measure was not summarized for each arm. Hence, data is reported for all participants.
Time frame: Week 24
Population: Participants who treated for chronic hepatitis C(CHC)with either dual therapy (peginterferon alfa-2a and ribavirin)or triple therapy(peginterferon alfa-2a and ribavirin and telaprevir/boceprevir)for up to 24 weeks thereafter in line with local prescribing information at time of study and for whom demographic baseline characteristics were available.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Gender: Male - Achieved SVR 24 | 316 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Gender: Male - Did not achieve SVR | 33 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Gender: Female - Achieved SVR 24 | 198 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Gender: Female - Did not achieve SVR | 20 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Age - Achieved SVR 24 | 513 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Age - Did not achieve SVR | 44 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Height - Achieved SVR 24 | 44 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Height - Did not achieve SVR | 44 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Weight - Achieved SVR 24 | 44 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Weight - Did not achieve SVR | 44 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Body Mass Index - Achieved SVR 24 | 44 Participants |
| Peginterferon Alfa-2a + Ribavirin | Number of Participants With SVR at Week 24 According to the Demographic Characteristics | Body Mass Index - Did not achieve SVR | 44 Participants |
Percentage of Participants Who Had SVR at Week 24 With Dose Modifications
Participants with dose modifications who had achieved SVR at Week 24 were reported. Data was collected for all participants who had dose modification of Peginterferon alfa-2a, Ribavirin or Telaprevir/boceprevir in any of the treatment regimen during the study.
Time frame: Week 24
Population: mTRT population: includes all participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy; had received one of the study's combination therapies; the participants' treatment documentation was sufficient for assignment to treatment groups.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants Who Had SVR at Week 24 With Dose Modifications | Peginterferon alfa-2a | 15.70 percentage of participants |
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants Who Had SVR at Week 24 With Dose Modifications | Ribavirin | 55.56 percentage of participants |
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants Who Had SVR at Week 24 With Dose Modifications | Telaprevir/boceprevir | 0.78 percentage of participants |
Percentage of Participants With Adverse Events (AEs)
Any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Safety analysis included 2 additional participants in arm 'Peginterferon Alfa-2a + Ribavirin + Telaprevir'. The safety parameters were analyzed by the treatment actually received by the participants.
Time frame: Week 48
Population: Safety Population. Included only participants who had received at least one dose of peginterferon alfa-2a plus ribavirin or peginterferon alfa-2a plus ribavirin plus telaprevir/boceprevir and had at least one post-baseline safety assessment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Adverse Events (AEs) | 68.8 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Adverse Events (AEs) | 79.3 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Adverse Events (AEs) | 85.9 Percentage of Participants |
Percentage of Participants With Complete Early Virologic Response (cEVR)
Complete early virologic response (cEVR) was defined as HCV-RNA \<50 IU/mL by Week 12
Time frame: Week 12
Population: mTRT population: participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy; had received one of the study's combination therapies; participants' treatment documentation was sufficient for assignment to treatment groups. Number of participants analyzed: participants evaluated for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Complete Early Virologic Response (cEVR) | 75.0 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Complete Early Virologic Response (cEVR) | 84.9 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Complete Early Virologic Response (cEVR) | 62.0 Percentage of Participants |
Percentage of Participants With End of Treatment Response (EoT)
End-of-Treatment (EoT) response was defined as HCV-RNA \<50 IU/mL by the end of treatment.
Time frame: Week 24
Population: mTRT population: participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy; had received one of the study's combination therapies; participants' treatment documentation was sufficient for assignment to treatment groups. Number of participants analyzed: participants evaluated for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With End of Treatment Response (EoT) | 86.4 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With End of Treatment Response (EoT) | 81.9 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With End of Treatment Response (EoT) | 76.6 Percentage of Participants |
Percentage of Participants With Extended RVR
Extended RVR was defined as HCV-RNA \<50 IU/mL at weeks 4 and 12 for participants treated with telaprevir; or at weeks 8 & 24 for participants treated with boceprevir. The assessment was performed in participants who received triple therapy in treatment arms 'Peginterferon Alfa-2a + Ribavirin +Telaprevir' and 'Peginterferon Alfa-2a + Ribavirin + Boceprevir'.
Time frame: Week 4 and 12 for telaprevir group; Week 8 and 24 for boceprevir group
Population: mTRT population:participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy;had received one of study's triple combination therapies;participants' treatment documentation was sufficient for assignment to treatment groups.Number of participants analyzed:participants evaluated for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Extended RVR | 72.7 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Extended RVR | 70.7 Percentage of Participants |
Percentage of Participants With Rapid Virologic Response (RVR) at Week 4
RVR was defined as HCV-RNA \<50 IU/mL by Week 4
Time frame: Week 4
Population: mTRT population: participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy; had received one of the study's combination therapies; participants' treatment documentation was sufficient for assignment to treatment groups. Number of participants analyzed: participants evaluated for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Rapid Virologic Response (RVR) at Week 4 | 61.2 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Rapid Virologic Response (RVR) at Week 4 | 70.9 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Rapid Virologic Response (RVR) at Week 4 | 21.1 Percentage of Participants |
Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia
Time frame: Week 48
Population: Safety Population. Included only participants who had received at least one dose of peginterferon alfa-2a plus ribavirin or peginterferon alfa-2a plus ribavirin plus telaprevir/boceprevir and had at least one post-baseline safety assessment.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | RBV Temporary Interrupted | 2.5 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Other | 6.2 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Use of Erythropotin | 18.5 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | RBV Permanently Interrupted | 0 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Peg-IFN a-2a Dose Reduction | 2.5 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | DAA Permanently Discontinued | 0 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | RVB Dose Reduction | 37 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | No Other Action Done | 32.1 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Blood Transfusion | 17.3 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | RBV Permanently Interrupted | 1.4 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Peg-IFN a-2a Dose Reduction | 1.1 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | No Other Action Done | 22.2 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | RVB Dose Reduction | 56.5 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | RBV Temporary Interrupted | 4.5 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Use of Erythropotin | 27.3 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Blood Transfusion | 18.8 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | DAA Permanently Discontinued | 1.4 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Other | 4.8 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | RVB Dose Reduction | 53.6 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Peg-IFN a-2a Dose Reduction | 5.5 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Blood Transfusion | 12.7 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | No Other Action Done | 25.5 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Other | 2.7 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | RBV Permanently Interrupted | 0.9 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | RBV Temporary Interrupted | 2.3 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | DAA Permanently Discontinued | 0.5 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Treatment Regimen for HCV Treatment Induced Anemia | Use of Erythropotin | 29.1 Percentage of Participants |
Percentage of Participants With Virologic Relapse
Virologic relapse was defined as detectable HCV-RNA during the treatment-free follow-up period in participants with HCV-RNA \<50 IU/mL at EoT.
Time frame: Week 72
Population: mTRT population: participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy; had received one of the study's combination therapies; participants' treatment documentation was sufficient for assignment to treatment groups. Number of participants analyzed: participants evaluated for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Percentage of Participants With Virologic Relapse | 0.3 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Percentage of Participants With Virologic Relapse | 0 Percentage of Participants |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Percentage of Participants With Virologic Relapse | 0 Percentage of Participants |
Time to First Dose Modification of Peginterferon Alfa-2a
Time frame: Week 48
Population: mTRT population: participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy; had received one of the study's combination therapies; participants' treatment documentation was sufficient for assignment to treatment groups. Number of participants analyzed: participants evaluated for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Time to First Dose Modification of Peginterferon Alfa-2a | 418.5 Days | Standard Deviation 9.7 |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Time to First Dose Modification of Peginterferon Alfa-2a | 247.6 Days | Standard Deviation 4.1 |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Time to First Dose Modification of Peginterferon Alfa-2a | 328.4 Days | Standard Deviation 13.7 |
Time to First Dose Modification of Ribavirin
Time frame: Week 48
Population: mTRT population: participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy; had received one of the study's combination therapies; participants' treatment documentation was sufficient for assignment to treatment groups. Number of participants analyzed: participants evaluated for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Time to First Dose Modification of Ribavirin | NA Days | — |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Time to First Dose Modification of Ribavirin | 61.4 Days | Standard Deviation 3.6 |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Time to First Dose Modification of Ribavirin | 89.4 Days | Standard Deviation 6.8 |
Time to First Dose Modification of Telaprevir/Boceprevir
Time frame: Week 48
Population: mTRT population:participants who had an HCV-RNA result ≥50 IU/mL at their last measurement prior to commencing CHC therapy;had received 1 of study's triple combination therapies;participants' treatment documentation was sufficient for assignment to treatment groups.Number of participants analyzed:participants evaluated for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Time to First Dose Modification of Telaprevir/Boceprevir | 124.6 Days | Standard Deviation 0.7 |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Time to First Dose Modification of Telaprevir/Boceprevir | 82.3 Days | Standard Deviation 0.8 |
Treatment Duration
The average amount of time a treatment was prescribed to participants.
Time frame: Week 48
Population: All Enrolled Participants
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Peginterferon Alfa-2a + Ribavirin | Treatment Duration | Ribavirin Treatment Duration | 26.2 Weeks | Standard Deviation 11.6 |
| Peginterferon Alfa-2a + Ribavirin | Treatment Duration | Peginterferon Alfa-2a Treatment Duration | 26.2 Weeks | Standard Deviation 11.5 |
| Peginterferon Alfa-2a + Ribavirin | Treatment Duration | Telaprevir/ Boceprevir Treatment Duration | NA Weeks | — |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Treatment Duration | Ribavirin Treatment Duration | 34.8 Weeks | Standard Deviation 15.2 |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Treatment Duration | Peginterferon Alfa-2a Treatment Duration | 34.8 Weeks | Standard Deviation 15.2 |
| Peginterferon Alfa-2a + Ribavirin + Telaprevir | Treatment Duration | Telaprevir/ Boceprevir Treatment Duration | 11.8 Weeks | Standard Deviation 4.6 |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Treatment Duration | Peginterferon Alfa-2a Treatment Duration | 36.1 Weeks | Standard Deviation 14.7 |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Treatment Duration | Telaprevir/ Boceprevir Treatment Duration | 30.6 Weeks | Standard Deviation 14.9 |
| Peginterferon Alfa-2a + Ribavirin + Boceprevir | Treatment Duration | Ribavirin Treatment Duration | 36.1 Weeks | Standard Deviation 14.7 |