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An Observational Study of Dual and Triple Therapies Based on Pegasys (Peginterferon Alfa-2a) in Patients With Chronic Hepatitis C

Multi-Center, Non-Interventional Study, on the Efficacy of Dual and Triple Therapies Based on Pegylated Interferon Alfa-2a for the Treatment of Chronic Hepatitis C Patients

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01604291
Enrollment
991
Registered
2012-05-23
Start date
2012-05-28
Completion date
2016-02-10
Last updated
2019-03-14

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

Conditions

Hepatitis C, Chronic

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

Clalit Health Services
CollaboratorOTHER
Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

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

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

MeasureTime frameDescription
Percentage of Participants With Sustained Viral Response (SVR) at Week 24Week 24The 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

MeasureTime frameDescription
Number of Participants With SVR at Week 24 According to the Demographic CharacteristicsWeek 24The 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 4Week 4RVR was defined as HCV-RNA \<50 IU/mL by Week 4
Percentage of Participants With Extended RVRWeek 4 and 12 for telaprevir group; Week 8 and 24 for boceprevir groupExtended 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 12Complete 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 24End-of-Treatment (EoT) response was defined as HCV-RNA \<50 IU/mL by the end of treatment.
Percentage of Participants With Virologic RelapseWeek 72Virologic 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 DurationWeek 48The average amount of time a treatment was prescribed to participants.
Comparison of SVR at Week 24Week 24SVR at Week 24 is compared by treatment group, type of infection, prior treatments and genotype.
Time to First Dose Modification of RibavirinWeek 48
Time to First Dose Modification of Telaprevir/BoceprevirWeek 48
Percentage of Participants With Adverse Events (AEs)Week 48Any 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 AnemiaWeek 48
Percentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaWeek 48
Percentage of Participants Who Had SVR at Week 24 With Dose ModificationsWeek 24Participants 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-2aWeek 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

ArmCount
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
Total991

Baseline characteristics

CharacteristicPeginterferon Alfa-2a + RibavirinPeginterferon Alfa-2a + Ribavirin + TelaprevirPeginterferon Alfa-2a + Ribavirin + BoceprevirNo Information on Treatment AllocationTotal
Age, Continuous44.1 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 Participants161 Participants74 Participants9 Participants345 Participants
Sex/Gender, Customized
Male
210 Participants282 Participants118 Participants18 Participants628 Participants
Sex/Gender, Customized
Unknown
0 Participants0 Participants1 Participants17 Participants18 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
208 / 311338 / 445161 / 192
serious
Total, serious adverse events
24 / 31178 / 44526 / 192

Outcome results

Primary

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.

ArmMeasureValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Sustained Viral Response (SVR) at Week 2487.2 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Sustained Viral Response (SVR) at Week 2494.8 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Sustained Viral Response (SVR) at Week 2485.2 Percentage of Participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinComparison of SVR at Week 24HCV Mono Infection86.6 Percentage of Participants
Peginterferon Alfa-2a + RibavirinComparison of SVR at Week 24HIV/HCV Co-Infection100 Percentage of Participants
Peginterferon Alfa-2a + RibavirinComparison of SVR at Week 24Genotype 183.8 Percentage of Participants
Peginterferon Alfa-2a + RibavirinComparison of SVR at Week 24Other Genotypes88.2 Percentage of Participants
Peginterferon Alfa-2a + RibavirinComparison of SVR at Week 24Treatment - Naive89.7 Percentage of Participants
Peginterferon Alfa-2a + RibavirinComparison of SVR at Week 24Treatment - Experienced66.7 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirComparison of SVR at Week 24Genotype 194.9 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirComparison of SVR at Week 24Treatment - Experienced94.5 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirComparison of SVR at Week 24HCV Mono Infection94.8 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirComparison of SVR at Week 24Treatment - Naive95.5 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirComparison of SVR at Week 24HIV/HCV Co-Infection100 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirComparison of SVR at Week 24Other Genotypes100 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirComparison of SVR at Week 24Genotype 184.4 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirComparison of SVR at Week 24Treatment - Experienced83.1 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirComparison of SVR at Week 24Treatment - Naive86.7 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirComparison of SVR at Week 24HCV Mono Infection84.5 Percentage of Participants
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Peginterferon Alfa-2a + RibavirinMean Value of Hemoglobin in Participants With Treatment-Induced Anemia9.3 Grams per Deciliter (g/dl)Standard Deviation 1.6
Peginterferon Alfa-2a + Ribavirin + TelaprevirMean Value of Hemoglobin in Participants With Treatment-Induced Anemia9.2 Grams per Deciliter (g/dl)Standard Deviation 1.3
Peginterferon Alfa-2a + Ribavirin + BoceprevirMean Value of Hemoglobin in Participants With Treatment-Induced Anemia9.5 Grams per Deciliter (g/dl)Standard Deviation 1.3
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsGender: Male - Achieved SVR 24316 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsGender: Male - Did not achieve SVR33 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsGender: Female - Achieved SVR 24198 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsGender: Female - Did not achieve SVR20 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsAge - Achieved SVR 24513 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsAge - Did not achieve SVR44 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsHeight - Achieved SVR 2444 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsHeight - Did not achieve SVR44 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsWeight - Achieved SVR 2444 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsWeight - Did not achieve SVR44 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsBody Mass Index - Achieved SVR 2444 Participants
Peginterferon Alfa-2a + RibavirinNumber of Participants With SVR at Week 24 According to the Demographic CharacteristicsBody Mass Index - Did not achieve SVR44 Participants
Comparison: Correlation between SVR 24 and Genderp-value: 0.9109Chi-squared
Comparison: Correlation between SVR 24 and Agep-value: 0.1163t-test, 1 sided
Comparison: Correlation between SVR 24 and Heightp-value: 0.9269t-test, 1 sided
Comparison: Correlation between SVR 24 and Weightp-value: 0.3376t-test, 1 sided
Comparison: Correlation between SVR 24 and Body mass index.p-value: 0.4618t-test, 1 sided
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants Who Had SVR at Week 24 With Dose ModificationsPeginterferon alfa-2a15.70 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants Who Had SVR at Week 24 With Dose ModificationsRibavirin55.56 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants Who Had SVR at Week 24 With Dose ModificationsTelaprevir/boceprevir0.78 percentage of participants
Comparison: Correlation with dose modification for Peginterferon alfa-2a.p-value: 0.0463Chi-squared
Comparison: Correlation with dose modification for Ribavirin.p-value: 0.2052Chi-squared
Comparison: Correlation with dose modification for Telaprevir/boceprevir.p-value: 0.0033Fisher Exact
Secondary

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.

ArmMeasureValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Adverse Events (AEs)68.8 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Adverse Events (AEs)79.3 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Adverse Events (AEs)85.9 Percentage of Participants
Secondary

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.

ArmMeasureValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Complete Early Virologic Response (cEVR)75.0 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Complete Early Virologic Response (cEVR)84.9 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Complete Early Virologic Response (cEVR)62.0 Percentage of Participants
Secondary

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.

ArmMeasureValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With End of Treatment Response (EoT)86.4 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With End of Treatment Response (EoT)81.9 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With End of Treatment Response (EoT)76.6 Percentage of Participants
Secondary

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.

ArmMeasureValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Extended RVR72.7 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Extended RVR70.7 Percentage of Participants
Secondary

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.

ArmMeasureValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Rapid Virologic Response (RVR) at Week 461.2 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Rapid Virologic Response (RVR) at Week 470.9 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Rapid Virologic Response (RVR) at Week 421.1 Percentage of Participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaRBV Temporary Interrupted2.5 Percentage of Participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaOther6.2 Percentage of Participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaUse of Erythropotin18.5 Percentage of Participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaRBV Permanently Interrupted0 Percentage of Participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaPeg-IFN a-2a Dose Reduction2.5 Percentage of Participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaDAA Permanently Discontinued0 Percentage of Participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaRVB Dose Reduction37 Percentage of Participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaNo Other Action Done32.1 Percentage of Participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaBlood Transfusion17.3 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaRBV Permanently Interrupted1.4 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaPeg-IFN a-2a Dose Reduction1.1 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaNo Other Action Done22.2 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaRVB Dose Reduction56.5 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaRBV Temporary Interrupted4.5 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaUse of Erythropotin27.3 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaBlood Transfusion18.8 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaDAA Permanently Discontinued1.4 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaOther4.8 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaRVB Dose Reduction53.6 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaPeg-IFN a-2a Dose Reduction5.5 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaBlood Transfusion12.7 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaNo Other Action Done25.5 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaOther2.7 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaRBV Permanently Interrupted0.9 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaRBV Temporary Interrupted2.3 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaDAA Permanently Discontinued0.5 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Treatment Regimen for HCV Treatment Induced AnemiaUse of Erythropotin29.1 Percentage of Participants
Secondary

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.

ArmMeasureValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Relapse0.3 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + TelaprevirPercentage of Participants With Virologic Relapse0 Percentage of Participants
Peginterferon Alfa-2a + Ribavirin + BoceprevirPercentage of Participants With Virologic Relapse0 Percentage of Participants
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Peginterferon Alfa-2a + RibavirinTime to First Dose Modification of Peginterferon Alfa-2a418.5 DaysStandard Deviation 9.7
Peginterferon Alfa-2a + Ribavirin + TelaprevirTime to First Dose Modification of Peginterferon Alfa-2a247.6 DaysStandard Deviation 4.1
Peginterferon Alfa-2a + Ribavirin + BoceprevirTime to First Dose Modification of Peginterferon Alfa-2a328.4 DaysStandard Deviation 13.7
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Peginterferon Alfa-2a + RibavirinTime to First Dose Modification of RibavirinNA Days
Peginterferon Alfa-2a + Ribavirin + TelaprevirTime to First Dose Modification of Ribavirin61.4 DaysStandard Deviation 3.6
Peginterferon Alfa-2a + Ribavirin + BoceprevirTime to First Dose Modification of Ribavirin89.4 DaysStandard Deviation 6.8
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Peginterferon Alfa-2a + RibavirinTime to First Dose Modification of Telaprevir/Boceprevir124.6 DaysStandard Deviation 0.7
Peginterferon Alfa-2a + Ribavirin + TelaprevirTime to First Dose Modification of Telaprevir/Boceprevir82.3 DaysStandard Deviation 0.8
Secondary

Treatment Duration

The average amount of time a treatment was prescribed to participants.

Time frame: Week 48

Population: All Enrolled Participants

ArmMeasureGroupValue (MEAN)Dispersion
Peginterferon Alfa-2a + RibavirinTreatment DurationRibavirin Treatment Duration26.2 WeeksStandard Deviation 11.6
Peginterferon Alfa-2a + RibavirinTreatment DurationPeginterferon Alfa-2a Treatment Duration26.2 WeeksStandard Deviation 11.5
Peginterferon Alfa-2a + RibavirinTreatment DurationTelaprevir/ Boceprevir Treatment DurationNA Weeks
Peginterferon Alfa-2a + Ribavirin + TelaprevirTreatment DurationRibavirin Treatment Duration34.8 WeeksStandard Deviation 15.2
Peginterferon Alfa-2a + Ribavirin + TelaprevirTreatment DurationPeginterferon Alfa-2a Treatment Duration34.8 WeeksStandard Deviation 15.2
Peginterferon Alfa-2a + Ribavirin + TelaprevirTreatment DurationTelaprevir/ Boceprevir Treatment Duration11.8 WeeksStandard Deviation 4.6
Peginterferon Alfa-2a + Ribavirin + BoceprevirTreatment DurationPeginterferon Alfa-2a Treatment Duration36.1 WeeksStandard Deviation 14.7
Peginterferon Alfa-2a + Ribavirin + BoceprevirTreatment DurationTelaprevir/ Boceprevir Treatment Duration30.6 WeeksStandard Deviation 14.9
Peginterferon Alfa-2a + Ribavirin + BoceprevirTreatment DurationRibavirin Treatment Duration36.1 WeeksStandard Deviation 14.7

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