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An Observational Study to Assess the Effect of Cumulative Ribavirin Dose in Participants With Chronic Hepatitis C

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02557646
Enrollment
697
Registered
2015-09-23
Start date
2009-05-31
Completion date
2014-03-31
Last updated
2016-03-28

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

Conditions

Hepatitis C, Chronic

Brief summary

The purpose of this open-label, non-randomized, single-arm, multicentre observational study is to investigate the influence of the cumulative dose (total administered dose/ planned dose) of ribavirin on the sustained virologic response (SVR) in participants who have been receiving combination therapy with pegylated interferon alfa-2a (Pegasys) and ribavirin (Copegus).

Interventions

BIOLOGICALPeginterferon alfa-2a

Participants received pegylated interferon subcutaneous injection in accordance with current guidelines and SPCs.P

DRUGRibavirin

Participants received ribavirin 200 mg film-coated tablet in accordance with current guidelines and SPCs.

Sponsors

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

* Participants with serologically confirmed chronic hepatitis C * Participants using and accepting a double method of contraception

Exclusion criteria

* Participants not approved by the national treatment guideline or the Interferon Committee for combined pegylated interferon-ribavirin treatment * Contraindications in the summary of product characteristics of pegylated interferon alpha-2a and ribavirin * Participants previously treated with pegylated interferon and/or ribavirin * Hepatitis B and Human Immunodeficiency Virus co-infections

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving Sustained Virological Response (SVR) According to Cumulative Dose of Ribavirin24 weeks after EOT (maximum up to 96 Weeks)Determination of hepatitis C virus (HCV) titers was performed using COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C, at Weeks 4, 12 and 24 of the treatment period (and, optionally, at the end of treatment \[EOT\] visit), and at the end of the 24-week follow-up period. Negative HCV titers measured at Weeks 4, 12, 24, and at EOT were interpreted as virological response, and negative HCV titers measured at the end of the 24-week follow-up period were interpreted as SVR. Percentage of participants achieving SVR in each cumulative dose group is presented. Cumulative dose was calculated as: (administered dose divided by planned dose) multiplied by 100.

Secondary

MeasureTime frameDescription
Percentage of Participants With Virologic Response According to Starting Dose of RibavirinUp to EOT (maximum up to 72 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24 and at EOT were interpreted as virological response. Percentage of participants achieving virological response in each dose group is presented.
Percentage of Participants With SVR According to Starting Dose of Ribavirin24 weeks after EOT (maximum up to 96 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24, and at EOT were interpreted as virological response, and negative HCV titers measured at the end of the 24-week follow-up period were interpreted as SVR. Percentage of participants achieving SVR in each dose group is presented.
Percentage of Participants With Virologic Response According to Body Weight-normalized Dose of RibavirinUp to EOT (maximum up to 72 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24, and at EOT were interpreted as virological response. Percentage of participants achieving virological response in each body weight-normalized (measured in milligram per kilogram per day \[mg/kg/day\]) dose group is presented.
Percentage of Participants With SVR According to Body Weight-normalized Dose of Ribavirin24 weeks after EOT (maximum up to 96 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24, and at EOT were interpreted as virological response, and negative HCV titers measured at the end of the 24-week follow-up period were interpreted as SVR. Percentage of participants achieving SVR in each body weight-normalized dose group is presented.
Percentage of Participants With Virologic Response According to Dose Reduction of RibavirinUp to EOT (maximum up to 72 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24, and at EOT were interpreted as virological response. Percentage of participants achieving virological response in each dose-reduction group (none, dose reduction within 12 weeks, dose reduction after 12 weeks, dose reduction not specified) is presented.
Percentage of Participants With SVR According to Dose Reduction of Ribavirin24 weeks after EOT (maximum up to 96 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24 and at EOT were interpreted as virological response, and negative HCV titers measured at the end of the 24-week follow-up period were interpreted as SVR. Percentage of participants achieving SVR in each dose-reduction group (none, dose reduction within 12 weeks, dose reduction after 12 weeks, dose reduction not specified) is presented.
Percentage of Participants With Virologic ResponseWeek 4, 12, 24 and at EOT (maximum up to 72 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24 and at EOT were interpreted as virological response.
Percentage of Participants With SVR According to IL-28B Polymorphism24 weeks after EOT (maximum up to 96 Weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24 and at EOT were interpreted as virological response, and negative HCV titers measured at the end of the 24-week follow-up period were interpreted as SVR. Percentage of participants achieving SVR for each IL-28B allele (CC allele, CT allele, TT allele) is presented.
Percentage of Participants With Viral Relapse or BreakthroughUp to 24 weeks after EOT (maximum up to 96 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. In participants with virological response, positive HCV titers measured during 24-week follow-up was interpreted as viral relapse, and positive HCV titers measured during the treatment period was interpreted as viral breakthrough. Percentage of participants with no relapse/breakthrough (none), with relapse, and with breakthrough is reported.
Percentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinUp to 24 weeks after EOT (maximum up to 96 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. In participants with virological response, positive HCV titers measured during 24-week follow-up was interpreted as viral relapse, and positive HCV titers measured during the treatment period was interpreted as viral breakthrough. Percentage of participants with viral relapse or breakthrough in each cumulative dose group is presented. Cumulative dose was calculated as: (administered dose divided by planned dose) multiplied by 100. Percentage of participants with no relapse/breakthrough (none), with relapse, and with breakthrough in each cumulative dose group (\<60%, 60-69%, 70-79%, 80-89%, and \>90%) is reported.
Percentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinWeek 4, 12, 24, at EOT Visit, 24 weeks after EOT (maximum up to 96 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. In participants with virological response, positive HCV titers measured during 24-week follow-up was interpreted as viral relapse, and positive HCV titers measured during the treatment period was interpreted as viral breakthrough. Percentage of participants with no relapse/breakthrough (none), with relapse, and with breakthrough in each dose group (600 mg, 800 mg, 1000 mg, 1200 mg, and 1400 mg) is presented.
Percentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinUp to 24 weeks after EOT (maximum up to 96 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. In participants with virological response, positive HCV titers measured during 24-week follow-up was interpreted as viral relapse, and positive HCV titers measured during the treatment period was interpreted as viral breakthrough. Percentage of participants with no relapse/breakthrough (none), with relapse, and with breakthrough in each body weight-normalized dose group (\<5mg/kg/day, 5-10 mg/kg/day, 10-15 mg/kg/day, 15-20 mg/kg/day, and \>20 mg/kg/day) is presented.
Percentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinUp to 24 weeks after EOT (maximum up to 96 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. In participants with virological response, positive HCV titers measured during 24-week follow-up was interpreted as viral relapse, and positive HCV titers measured during the treatment period was interpreted as viral breakthrough. Percentage of participants with no relapse/breakthrough (none), with relapse, and with breakthrough in each dose-reduction group (none, dose reduction within 12 weeks, dose reduction after 12 weeks, dose reduction not specified) is presented.
Percentage of Participants With Virologic Response According to Interleukin-28B (IL-28B) PolymorphismUp to EOT (maximum up to 72 weeks)Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24 and at EOT were interpreted as virological response. Percentage of participants achieving virological response for each IL-28B allele (CC allele, CT allele, TT allele) is presented.

Countries

Hungary

Participant flow

Recruitment details

Out of 697 participants enrolled in the study, only 693 participants provided evaluable data. One participant did not receive peginterferon alfa-2a/ribavirin combination therapy, while 3 participants received combination therapy only for a very short time.

Participants by arm

ArmCount
Peginterferon Alfa-2a + Ribavirin
Treatment naive participants with confirmed chronic hepatitis C who started combination therapy with peginterferon alfa 2a and ribavirin in accordance with current guidelines and summary of product characteristics, upon decision of the treating physician, considering each participant's individual response, received combination therapy for 24, 48 or 72 weeks, followed by a 24-week follow-up period.
693
Total693

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event40
Overall StudyDeath1
Overall StudyLack of Efficacy186
Overall StudyLost to Follow-up17
Overall StudyOther14
Overall StudyWithdrawal by Subject18

Baseline characteristics

CharacteristicPeginterferon Alfa-2a + Ribavirin
Age, Continuous50.35 years
STANDARD_DEVIATION 10.76
Sex: Female, Male
Female
382 Participants
Sex: Female, Male
Male
311 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
โ€” / โ€”
other
Total, other adverse events
353 / 697
serious
Total, serious adverse events
52 / 697

Outcome results

Primary

Percentage of Participants Achieving Sustained Virological Response (SVR) According to Cumulative Dose of Ribavirin

Determination of hepatitis C virus (HCV) titers was performed using COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C, at Weeks 4, 12 and 24 of the treatment period (and, optionally, at the end of treatment \[EOT\] visit), and at the end of the 24-week follow-up period. Negative HCV titers measured at Weeks 4, 12, 24, and at EOT were interpreted as virological response, and negative HCV titers measured at the end of the 24-week follow-up period were interpreted as SVR. Percentage of participants achieving SVR in each cumulative dose group is presented. Cumulative dose was calculated as: (administered dose divided by planned dose) multiplied by 100.

Time frame: 24 weeks after EOT (maximum up to 96 Weeks)

Population: ITT Population. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure and 'n' signifies the number of participants analyzed for specified category.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants Achieving Sustained Virological Response (SVR) According to Cumulative Dose of RibavirinCumulative dose of ribavirin <60% (n=35)54.29 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants Achieving Sustained Virological Response (SVR) According to Cumulative Dose of RibavirinCumulative dose of ribavirin = 60-69% (n=23)60.87 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants Achieving Sustained Virological Response (SVR) According to Cumulative Dose of RibavirinCumulative dose of ribavirin = 70-79% (n=32)53.13 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants Achieving Sustained Virological Response (SVR) According to Cumulative Dose of RibavirinCumulative dose of ribavirin = 80-89% (n=52)50.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants Achieving Sustained Virological Response (SVR) According to Cumulative Dose of RibavirinCumulative dose of ribavirin >90% (n=264)68.56 percentage of participants
Comparison: Cumulative dose of ribavirin \>90%: the relationship between cumulative dose and SVR response in participants in whom the cumulative dose of ribavirin exceeded 90% was analyzed using Chi-square test.p-value: 0.0437Chi-squared
Secondary

Percentage of Participants With SVR According to Body Weight-normalized Dose of Ribavirin

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24, and at EOT were interpreted as virological response, and negative HCV titers measured at the end of the 24-week follow-up period were interpreted as SVR. Percentage of participants achieving SVR in each body weight-normalized dose group is presented.

Time frame: 24 weeks after EOT (maximum up to 96 weeks)

Population: ITT Population. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure and 'n' signifies the number of participants analyzed for specified category.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Body Weight-normalized Dose of RibavirinRibavirin dose <5mg/kg/day (n=5)0.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Body Weight-normalized Dose of RibavirinRibavirin dose = 5-10 mg/kg/day (n=31)54.84 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Body Weight-normalized Dose of RibavirinRibavirin dose = 10-15 mg/kg/day (n=368)41.03 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Body Weight-normalized Dose of RibavirinRibavirin dose = 15-20 mg/kg/day (n=239)48.54 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Body Weight-normalized Dose of RibavirinRibavirin dose >20mg/kg/day (n=18)55.56 percentage of participants
Comparison: The relationship between the body weight-normalized dose of ribavirin and sustained virological (SVR) response was analyzed using Chi-square test.p-value: 0.0475Chi-squared
Secondary

Percentage of Participants With SVR According to Dose Reduction of Ribavirin

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24 and at EOT were interpreted as virological response, and negative HCV titers measured at the end of the 24-week follow-up period were interpreted as SVR. Percentage of participants achieving SVR in each dose-reduction group (none, dose reduction within 12 weeks, dose reduction after 12 weeks, dose reduction not specified) is presented.

Time frame: 24 weeks after EOT (maximum up to 96 weeks)

Population: ITT Population. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure and 'n' signifies the number of participants analyzed for specified category.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Dose Reduction of RibavirinNone (n=280)70.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Dose Reduction of RibavirinNot Specified (n =19)68.42 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Dose Reduction of RibavirinWithin 12 weeks (n = 87)57.47 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Dose Reduction of RibavirinAfter 12 weeks (n = 57)63.16 percentage of participants
Secondary

Percentage of Participants With SVR According to IL-28B Polymorphism

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24 and at EOT were interpreted as virological response, and negative HCV titers measured at the end of the 24-week follow-up period were interpreted as SVR. Percentage of participants achieving SVR for each IL-28B allele (CC allele, CT allele, TT allele) is presented.

Time frame: 24 weeks after EOT (maximum up to 96 Weeks)

Population: ITT Population. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure and 'n' signifies the number of participants analyzed for specified category.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to IL-28B PolymorphismCC Allele (n = 25)64.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to IL-28B PolymorphismCT Allele (n = 51)39.22 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to IL-28B PolymorphismTT Allele (n = 18)33.33 percentage of participants
Secondary

Percentage of Participants With SVR According to Starting Dose of Ribavirin

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24, and at EOT were interpreted as virological response, and negative HCV titers measured at the end of the 24-week follow-up period were interpreted as SVR. Percentage of participants achieving SVR in each dose group is presented.

Time frame: 24 weeks after EOT (maximum up to 96 weeks)

Population: ITT Population. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure and 'n' signifies the number of participants analyzed for specified category.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Starting Dose of RibavirinStarting dose of ribavirin = 200mg (n=1)0.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Starting Dose of RibavirinStarting dose of ribavirin = 400mg (n=1)0.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Starting Dose of RibavirinStarting dose of ribavirin = 600mg (n=3)66.67 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Starting Dose of RibavirinStarting dose of ribavirin = 800mg (n=33)60.61 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Starting Dose of RibavirinStarting dose of ribavirin = 1000mg (n=262)43.13 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Starting Dose of RibavirinStarting dose of ribavirin = 1200mg (n=321)44.86 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With SVR According to Starting Dose of RibavirinStarting dose of ribavirin = 1400mg (n=39)38.46 percentage of participants
Comparison: The relationship between the starting dose ribavirin and sustained virological response (SVR) was analyzed using Chi-square test.p-value: 0.374Chi-squared
Secondary

Percentage of Participants With Viral Relapse or Breakthrough

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. In participants with virological response, positive HCV titers measured during 24-week follow-up was interpreted as viral relapse, and positive HCV titers measured during the treatment period was interpreted as viral breakthrough. Percentage of participants with no relapse/breakthrough (none), with relapse, and with breakthrough is reported.

Time frame: Up to 24 weeks after EOT (maximum up to 96 weeks)

Population: ITT Population showing virological response. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or BreakthroughNone66.5 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or BreakthroughRelapse27.3 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or BreakthroughBreakthrough6.0 percentage of participants
Secondary

Percentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of Ribavirin

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. In participants with virological response, positive HCV titers measured during 24-week follow-up was interpreted as viral relapse, and positive HCV titers measured during the treatment period was interpreted as viral breakthrough. Percentage of participants with no relapse/breakthrough (none), with relapse, and with breakthrough in each body weight-normalized dose group (\<5mg/kg/day, 5-10 mg/kg/day, 10-15 mg/kg/day, 15-20 mg/kg/day, and \>20 mg/kg/day) is presented.

Time frame: Up to 24 weeks after EOT (maximum up to 96 weeks)

Population: ITT Population showing virological response. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose <5mg/kg/day: None (n=2)0.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose <5mg/kg/day: Relapse (n=2)100.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose <5mg/kg/day: Breakthrough (n=2)0.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose = 5-10 mg/kg/day: None (n=28)60.71 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose = 5-10 mg/kg/day: Relapse (n=28)35.71 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose = 5-10mg/kg/day: Breakthrough(n=28)3.57 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose = 10-15 mg/kg/day: None (n=249)60.64 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose =10-15mg/kg/day:Breakthrough(n=249)8.84 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose = 15-20 mg/kg/day: None (n=151)76.82 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose = 15-20 mg/kg/day: Relapse (n=151)20.53 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose=15-20mg/kg/day: Breakthrough(n=151)2.65 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose >20 mg/kg/day: None (n=12)83.33 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose >20 mg/kg/day: Breakthrough (n=12)0.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose = 10-15 mg/kg/day: Relapse (n=249)30.52 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Body Weight-normalized Dose of RibavirinRibavirin dose >20 mg/kg/day: Relapse (n=12)16.67 percentage of participants
Comparison: The relationship between the body weight-normalized dose of ribavirin and relapse rate was analyzed using Chi-square test.p-value: 0.0062Chi-squared
Secondary

Percentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of Ribavirin

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. In participants with virological response, positive HCV titers measured during 24-week follow-up was interpreted as viral relapse, and positive HCV titers measured during the treatment period was interpreted as viral breakthrough. Percentage of participants with viral relapse or breakthrough in each cumulative dose group is presented. Cumulative dose was calculated as: (administered dose divided by planned dose) multiplied by 100. Percentage of participants with no relapse/breakthrough (none), with relapse, and with breakthrough in each cumulative dose group (\<60%, 60-69%, 70-79%, 80-89%, and \>90%) is reported.

Time frame: Up to 24 weeks after EOT (maximum up to 96 weeks)

Population: ITT Population showing virological response. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose <60%: None (n=33)57.58 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose <60%: Relapse (n=33)39.39 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose = 60-69%: None (n=21)66.67 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose = 60-69%: Relapse (n=21)33.33 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose = 60-69%: Breakthrough (n=21)0.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose = 70-79%: None (n=32)53.13 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose = 70-79%: Relapse (n=32)40.63 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose = 70-79%: Breakthrough (n=32)6.25 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose = 80-89%: None (n=50)52.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose = 80-89%: Relapse (n=50)38.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose = 80-89%: Breakthrough (n=50)10.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose >90%: None (n=257)70.98 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose >90%: Relapse (n=257)23.92 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose >90%: Breakthrough (n=257)5.10 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Cumulative Dose of RibavirinCumulative dose <60%: Breakthrough (n=33)3.03 percentage of participants
Comparison: The relationship between the cumulative dose of ribavirin and relapse rate was analyzed using Chi-square test.p-value: 0.1499Chi-squared
Secondary

Percentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of Ribavirin

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. In participants with virological response, positive HCV titers measured during 24-week follow-up was interpreted as viral relapse, and positive HCV titers measured during the treatment period was interpreted as viral breakthrough. Percentage of participants with no relapse/breakthrough (none), with relapse, and with breakthrough in each dose-reduction group (none, dose reduction within 12 weeks, dose reduction after 12 weeks, dose reduction not specified) is presented.

Time frame: Up to 24 weeks after EOT (maximum up to 96 weeks)

Population: ITT Population showing virological response. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinNo Dose Reduction: None (n=278)70.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinNo Dose Reduction: Relapse (n=278)23.57 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinNo Dose Reduction: Breakthrough (n=278)6.43 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinWithin 12 weeks: None (n=87)57.47 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinWithin 12 weeks: Relapse (n=87)35.63 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinWithin 12 weeks: Breakthrough (n=87)6.90 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinAfter 12 weeks: None (n=57)63.16 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinAfter 12 weeks: Relapse (n=57)33.33 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinNot specified: None (n=19)68.42 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinNot specified: Relapse (n=19)26.32 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinNot specified: Breakthrough (n=19)5.26 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Dose Reduction of RibavirinAfter 12 weeks: Breakthrough (n=57)3.51 percentage of participants
Secondary

Percentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of Ribavirin

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. In participants with virological response, positive HCV titers measured during 24-week follow-up was interpreted as viral relapse, and positive HCV titers measured during the treatment period was interpreted as viral breakthrough. Percentage of participants with no relapse/breakthrough (none), with relapse, and with breakthrough in each dose group (600 mg, 800 mg, 1000 mg, 1200 mg, and 1400 mg) is presented.

Time frame: Week 4, 12, 24, at EOT Visit, 24 weeks after EOT (maximum up to 96 weeks)

Population: ITT Population showing virological response. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 600mg: None (n=2)100.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 600mg: Relapse (n=2)0.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 600mg: Breakthrough (n=2)0.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 800mg: None (n=25)80.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 800mg: Relapse (n=25)8.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 800mg: Breakthrough (n=25)12.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 1000mg: Relapse (n=171)29.82 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 1000mg: Breakthrough (n=171)4.09 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 1200mg: Relapse (n=217)27.19 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 1200mg: Breakthrough (n=217)6.45 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 1400mg: None (n=26)57.69 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 1400mg: Relapse (n=26)30.77 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 1400mg: Breakthrough (n=26)11.54 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 1000mg: None (n=171)66.08 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Viral Relapse or Breakthrough According to Starting Dose of RibavirinStarting dose = 1200mg: None (n=217)66.36 percentage of participants
Comparison: The relationship between the starting dose of ribavirin and relapse rate was analyzed using Chi-square test.p-value: 0.5885Chi-squared
Secondary

Percentage of Participants With Virologic Response

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24 and at EOT were interpreted as virological response.

Time frame: Week 4, 12, 24 and at EOT (maximum up to 72 weeks)

Population: ITT Population.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic ResponseWeek 418.7 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic ResponseWeek 1232.7 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic ResponseWeek 2414.8 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic ResponseEOT1.8 percentage of participants
Secondary

Percentage of Participants With Virologic Response According to Body Weight-normalized Dose of Ribavirin

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24, and at EOT were interpreted as virological response. Percentage of participants achieving virological response in each body weight-normalized (measured in milligram per kilogram per day \[mg/kg/day\]) dose group is presented.

Time frame: Up to EOT (maximum up to 72 weeks)

Population: ITT Population. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure and 'n' signifies the number of participants analyzed for specified category.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Body Weight-normalized Dose of RibavirinRibavirin dose <5mg/kg/day (n=5)40.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Body Weight-normalized Dose of RibavirinRibavirin dose = 5-10 mg/kg/day (n=33)90.91 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Body Weight-normalized Dose of RibavirinRibavirin dose = 10-15 mg/kg/day (n=383)68.93 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Body Weight-normalized Dose of RibavirinRibavirin dose = 15-20 mg/kg/day (n=251)64.94 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Body Weight-normalized Dose of RibavirinRibavirin dose >20mg/kg/day (n=19)68.42 percentage of participants
Comparison: The relationship between the body weight-normalized dose of ribavirin and virological response was analyzed using Chi-square test.p-value: 0.0263Chi-squared, Corrected
Secondary

Percentage of Participants With Virologic Response According to Dose Reduction of Ribavirin

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24, and at EOT were interpreted as virological response. Percentage of participants achieving virological response in each dose-reduction group (none, dose reduction within 12 weeks, dose reduction after 12 weeks, dose reduction not specified) is presented.

Time frame: Up to EOT (maximum up to 72 weeks)

Population: ITT Population.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Dose Reduction of RibavirinNone (n=443)67.49 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Dose Reduction of RibavirinWithin 12 weeks (n = 140)65.71 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Dose Reduction of RibavirinAfter 12 weeks (n = 78)79.49 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Dose Reduction of RibavirinNot Specified (n =32)62.50 percentage of participants
Secondary

Percentage of Participants With Virologic Response According to Interleukin-28B (IL-28B) Polymorphism

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24 and at EOT were interpreted as virological response. Percentage of participants achieving virological response for each IL-28B allele (CC allele, CT allele, TT allele) is presented.

Time frame: Up to EOT (maximum up to 72 weeks)

Population: ITT Population. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure and 'n' signifies the number of participants analyzed for specified category.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Interleukin-28B (IL-28B) PolymorphismCC Allele (n = 26)84.62 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Interleukin-28B (IL-28B) PolymorphismCT Allele (n = 52)65.38 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Interleukin-28B (IL-28B) PolymorphismTT Allele (n = 19)73.68 percentage of participants
Secondary

Percentage of Participants With Virologic Response According to Starting Dose of Ribavirin

Determination of HCV titers was performed by using the COBAS AmpliPrep/COBAS TaqMan HCV technique, upon decision of the treating physician and respecting the therapeutic protocol for the treatment of hepatitis C. Negative HCV titers measured at Weeks 4, 12, 24 and at EOT were interpreted as virological response. Percentage of participants achieving virological response in each dose group is presented.

Time frame: Up to EOT (maximum up to 72 weeks)

Population: ITT Population. Here, 'N' (number of participants analyzed) signifies the number of participants analyzed for this outcome measure and 'n' signifies the number of participants analyzed for specified category.

ArmMeasureGroupValue (NUMBER)
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Starting Dose of RibavirinStarting dose of ribavirin = 400mg (n=2)50.00 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Starting Dose of RibavirinStarting dose of ribavirin = 600mg (n=3)66.67 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Starting Dose of RibavirinStarting dose of ribavirin = 800mg (n=35)77.14 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Starting Dose of RibavirinStarting dose of ribavirin = 1000mg (n=277)67.15 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Starting Dose of RibavirinStarting dose of ribavirin = 1200mg (n=332)68.67 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Starting Dose of RibavirinStarting dose of ribavirin = 1400mg (n=40)67.50 percentage of participants
Peginterferon Alfa-2a + RibavirinPercentage of Participants With Virologic Response According to Starting Dose of RibavirinStarting dose of ribavirin = 200mg (n=1)0.00 percentage of participants
Comparison: The relationship between the starting dose ribavirin and virological response was analyzed using Chi-square test.p-value: 0.6859Chi-squared

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