Hepatitis C
Conditions
Brief summary
This study is being done to find out if participants with insulin resistance and hepatitis C virus genotype 1 (HCV GT1) infections who failed dual therapy with peginterferon alfa (PegIFN) + ribavirin (RBV) will benefit from the addition of boceprevir to PegIFN + RBV (triple therapy).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Quantifiable serum hepatitis C virus-ribonucleic acid (HCV-RNA) * Hepatitis C virus genotype 1 * Homeostasis Model of Assessment - Insulin Resistance (HOMA IR) \> 2.5 in two determinations made 4 weeks apart (the first HOMA evaluation is able to be made 3 weeks before screening visit) * Previous failure to achieve SVR with PegIFN plus ribavirin given for a minimum of 12 weeks without dose reduction below 80% of the adequate doses of the two drugs * No response, partial response, or relapse after previous therapy * Compensated liver disease with or without histologic or non-invasive evidence of liver cirrhosis * If heterosexually active, a female participant of childbearing potential and a non-vasectomized male participant who has a female partner of childbearing potential must agree to use 2 effective contraceptives until 6 months after therapy has ended (7 months for male subject)
Exclusion criteria
* Coinfection with HCV genotypes other than HCV-GT1 * Evidence of decompensated liver disease * History of ascites, hepatic encephalopathy or of bleeding varices or severe portal hypertension * History or signs or symptoms or evidence of hepatocellular carcinoma (HCC) * History of organ transplant * Coinfection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV) * Severe psychiatric disease * Inadequately controlled thyroid function * Other important comorbidities (cardiovascular diseases, Type 1 diabetes or inadequately controlled type 2 diabetes, malignancies , etc) * Substances abuse * Alcohol intake \>20 grams/day for females and \>30 grams/day for males * History of severe adverse events during previous treatment with PegIFN plus ribavirin including discontinuation of therapy for severe anemia or hematologic toxicity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants with sustained virologic response (SVR) at 24 weeks after the end of 48 weeks of study treatment | Week 72 |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in Homeostasis Model of Assessment - Insulin Resistance (HOMA-IR) | Baseline up to 8 weeks |