A Phase 2 Rollover Protocol of Telaprevir (VX-950) in Combination With Peginterferon Alfa-2a (Pegasys®) and Ribavirin (Copegus®) in Subjects Enrolled in the Control Group (Group A) of Study VX06-950-106, VX05-950-104 and VX05-950-104EU Who Did Not Achieve or Maintain an Undetectable HCV RNA Level Through Sustained Viral Response
| Registry | NCT00535847 |
| Status | Completed |
| Phase | Phase 2 |
| Study type | Interventional; non randomized, parallel, masking: none, treatment |
| Enrollment | 117 (Actual) |
| Sponsor | Vertex Pharmaceuticals Incorporated (Industry); collaborators: Tibotec, Inc |
| Conditions | Hepatitis C |
| Interventions | Telaprevir, Ribavirin, Pegylated interferon alfa 2a (Drug) |
| Dates | start 2007-10-01, primary completion 2010-02-01, completion 2010-02-01, first posted 2007-09-26, last updated 2014-08-05 |
| Locations | 62 sites in United States, Austria, Canada, France, Germany, Netherlands, Puerto Rico, United Kingdom |
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-Summary
To provide access to a telaprevir-based treatment to subjects of the Control Group of Study VX06-950-106 (NCT00420784), VX05-950-104 (NCT00336479), and VX05-950-104EU (NCT00372385) who stopped treatment due to inadequate response to treatment. Safety, tolerability, and Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) levels will be collected.
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+Arms and interventions
| Arm | Type | Interventions | Description |
|---|
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Experimental | Drug: Telaprevir; Drug: Ribavirin; Drug: Pegylated interferon alfa 2a | Telaprevir 750 mg tablet thrice daily for 12 weeks in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) 180 microgram per week (mcg/week) subcutaneous injection and ribavirin (RBV) tablet orally twice daily at a dose of 1000 milligram per day (mg/day) for subjects weighing less than (<) 75 kilogram (kg) and 1200 mg/day for subjects weighing greater than or equal to (>=) 75 kg, for 24 weeks. |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Experimental | Drug: Telaprevir; Drug: Ribavirin; Drug: Pegylated interferon alfa 2a | Telaprevir 750 mg tablet thrice daily for 12 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing <75 kg and 1200 mg/day for subjects weighing >=75 kg, for 48 weeks. |
| Other | Experimental | Drug: Telaprevir; Drug: Ribavirin; Drug: Pegylated interferon alfa 2a | Subjects received telaprevir 750 mg tablet thrice daily in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects <75 kg and 1200 mg/day for subjects weighing >=75 kg, discontinued treatment before Week 12 in this study (VX06-950-107 \[NCT00535847\]) and had a partial response, viral breakthrough, or relapse in the parent study (VX05-950-104 \[NCT00336479\], VX05-950-104EU \[NCT00372385\] or VX06-950-106 \[NCT00420784\]) were included in "Other" reporting group. |
- Telaprevir (Drug), also known as VX-950: Tablet
- Ribavirin (Drug): Tablet
- Pegylated interferon alfa 2a (Drug): Solution for Injection
+Outcome measures
Primary outcomes
- Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Treatment [24 weeks after the completion of treatment (up to Week 72)]: The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).
- Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Baseline through Week 48]: AE: any adverse change from the subject's baseline (pre-treatment) condition, including any adverse experience, abnormal recording or clinical laboratory assessment value which occurs during the course of the study, whether it is considered related to the study drug or not. An adverse event includes any newly occurring event or previous condition that has increased in severity or frequency since the administration of study drug. SAE: medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. "Study drug" includes all investigational agents (including placebo, if applicable) administered during the course of the study.
Secondary outcomes
- Percentage of Prior Relapsers With Undetectable HCV RNA [24 weeks after the completion of treatment (up to Week 72)]: Prior relapsers: subjects who had undetectable HCV RNA at the end of treatment in parent study but reverted to detectable levels of HCV RNA after stopping treatment in parent study were categorized as prior relapsers. Percentage of prior relapsers with undetectable HCV RNA 24 weeks after the completion of treatment in this study were presented. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).
- Percentage of Subjects With End of Treatment Response [End of treatment (up to Week 48)]: Subjects were considered to have an end of treatment response if they completed the assigned treatment regimen and had undetectable HCV RNA at end of treatment or prematurely discontinued the assigned treatment regimen and had undetectable HCV RNA at the time of discontinuation. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).
- Percentage of Subjects With Undetectable HCV RNA at Week 48 After Completion of Treatment Among Subjects Who Completed Assigned Treatment [48 weeks after completion of treatment (up to Week 96)]: The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).
- Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response [Baseline up to Week 72]: Cross tabulation of number of subjects with eRVR/SVR status in present study was presented with respect to prior response status of subjects in parent studies. eRVR=undetectable HCV RNA at Week 4 and Week 12, SVR=undetectable HCV RNA at end of treatment (EOT) and at 24 weeks after last dose of study treatment without any confirmed detectable HCV RNA in between. Prior response=subjects were categorized into following categories based on their viral response in the parent study: Null Response (less than \[<\] 1-log10 decrease in HCV RNA at Week 4 or <2-log10 decrease in HCV RNA at Week 12), Partial Response (greater than \[>\] 2-log10 decrease in HCV RNA at Week 12, but detectable HCV RNA at Week 24), Viral Breakthrough (detectable HCV RNA during treatment after achieving undetectable HCV RNA), Relapse (undetectable HCV RNA at EOT but detectable HCV RNA during viral follow-up). Plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay; lower limit of detection=10 IU/mL.
+Eligibility
Sex: All, ages: 18 Years to 70 Years
Inclusion Criteria:
* Enrolled in the control arm of Study VX06-950-106 (NCT00420784), VX05-950-104 (NCT00336479) or VX05-950-104EU (NCT00372385)
+Posted results
Participant flow
| Milestone | Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Other |
|---|
| Started | 81 | 34 | 2 |
| Completed | 59 | 20 | 0 |
| Not completed | 22 | 14 | 2 |
Outcome results
- Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Treatment (Primary), Number, percentage of participants: Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week 60.5 (49.0 to 71.2); Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week 52.9 (35.1 to 70.2); Other 100.0 (15.8 to 100.0)
- Percentage of Prior Relapsers With Undetectable HCV RNA (Secondary), Number, percentage of participants: Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week 96.0 (79.6 to 99.9); Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week 100.0 (29.2 to 100.0); Other 100.0 (2.5 to 100.0)
- Percentage of Subjects With End of Treatment Response (Secondary), Number, percentage of participants: Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week 72.8 (61.8 to 82.1); Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week 64.7 (46.5 to 80.3); Other 100.0 (15.8 to 100.0)
- Percentage of Subjects With Undetectable HCV RNA at Week 48 After Completion of Treatment Among Subjects Who Completed Assigned Treatment (Secondary), Number, percentage of participants: Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week 83.1 (71.0 to 91.6); Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week 70.0 (45.7 to 88.1); Other
- Cross Tabulation of Extended Rapid Viral Response (eRVR) and Sustained Viral Response (SVR) in With Prior Response (Secondary), Number, participants: Achieved eRVR/Achieved SVR 12; Achieved eRVR/Did Not Achieve SVR 5; Did Not Achieve eRVR/Achieved SVR 7; Did Not Achieve eRVR/Did Not Achieve SVR 27
- Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) (Primary), Number, participants: Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week 77; Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week 31; Other 2
Adverse events
Time frame: Adverse Events during Overall Treatment Phase (Baseline through Week 48)
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | 0 | 7/81 (8.6%) | 77/81 (95.1%) |
| Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | 0 | 3/34 (8.8%) | 31/34 (91.2%) |
| Other | 0 | 1/2 (50.0%) | 2/2 (100.0%) |
Serious adverse events by term
| Term | Organ system | Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Other |
|---|
| Rash generalised | Skin and subcutaneous tissue disorders | 1/81 | 0/34 | 1/2 |
| Drug rash with eosinophilia and systemic symptoms | Skin and subcutaneous tissue disorders | 1/81 | 0/34 | 0/2 |
| Rash maculo-papular | Skin and subcutaneous tissue disorders | 0/81 | 1/34 | 0/2 |
| Urticaria | Skin and subcutaneous tissue disorders | 1/81 | 0/34 | 0/2 |
| Anaemia | Blood and lymphatic system disorders | 3/81 | 0/34 | 0/2 |
| Angina pectoris | Cardiac disorders | 0/81 | 1/34 | 0/2 |
| Abdominal pain lower | Gastrointestinal disorders | 1/81 | 0/34 | 0/2 |
| Non-cardiac chest pain | General disorders | 0/81 | 1/34 | 0/2 |
| Bursitis infective | Infections and infestations | 1/81 | 0/34 | 0/2 |
| Costochondritis | Musculoskeletal and connective tissue disorders | 1/81 | 0/34 | 0/2 |
| Headache | Nervous system disorders | 0/81 | 1/34 | 0/2 |
| Pleurisy | Respiratory, thoracic and mediastinal disorders | 1/81 | 0/34 | 0/2 |
| Hypertension | Vascular disorders | 0/81 | 1/34 | 0/2 |
Other adverse events by term
| Term | Organ system | Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week | Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week | Other |
|---|
| Fatigue | General disorders | 30/81 | 21/34 | 1/2 |
| Influenza like illness | General disorders | 17/81 | 10/34 | 1/2 |
| Pyrexia | General disorders | 16/81 | 6/34 | 0/2 |
| Chills | General disorders | 11/81 | 4/34 | 0/2 |
| Asthenia | General disorders | 9/81 | 3/34 | 0/2 |
| Injection site erythema | General disorders | 9/81 | 2/34 | 0/2 |
| Irritability | General disorders | 6/81 | 4/34 | 1/2 |
| Pain | General disorders | 5/81 | 4/34 | 0/2 |
| Oedema peripheral | General disorders | 4/81 | 3/34 | 0/2 |
| Nausea | Gastrointestinal disorders | 20/81 | 11/34 | 1/2 |
| Diarrhoea | Gastrointestinal disorders | 19/81 | 6/34 | 0/2 |
| Haemorrhoids | Gastrointestinal disorders | 9/81 | 4/34 | 0/2 |
| Anorectal discomfort | Gastrointestinal disorders | 7/81 | 3/34 | 0/2 |
| Constipation | Gastrointestinal disorders | 3/81 | 6/34 | 0/2 |
| Vomiting | Gastrointestinal disorders | 5/81 | 2/34 | 0/2 |
| Abdominal pain | Gastrointestinal disorders | 5/81 | 1/34 | 0/2 |
| Dyspepsia | Gastrointestinal disorders | 4/81 | 2/34 | 0/2 |
| Stomatitis | Gastrointestinal disorders | 1/81 | 4/34 | 0/2 |
| Flatulence | Gastrointestinal disorders | 0/81 | 2/34 | 0/2 |
| Pruritus | Skin and subcutaneous tissue disorders | 34/81 | 9/34 | 2/2 |
| Rash | Skin and subcutaneous tissue disorders | 23/81 | 13/34 | 1/2 |
| Dry skin | Skin and subcutaneous tissue disorders | 10/81 | 5/34 | 0/2 |
| Alopecia | Skin and subcutaneous tissue disorders | 8/81 | 0/34 | 0/2 |
| Pruritus generalised | Skin and subcutaneous tissue disorders | 3/81 | 3/34 | 0/2 |
| Rash papular | Skin and subcutaneous tissue disorders | 4/81 | 2/34 | 0/2 |
| Hyperhidrosis | Skin and subcutaneous tissue disorders | 2/81 | 3/34 | 0/2 |
| Psoriasis | Skin and subcutaneous tissue disorders | 1/81 | 2/34 | 0/2 |
| Headache | Nervous system disorders | 23/81 | 14/34 | 0/2 |
| Dizziness | Nervous system disorders | 6/81 | 5/34 | 0/2 |
| Disturbance in attention | Nervous system disorders | 2/81 | 2/34 | 0/2 |
| Insomnia | Psychiatric disorders | 14/81 | 7/34 | 1/2 |
| Depression | Psychiatric disorders | 9/81 | 4/34 | 0/2 |
| Depressed mood | Psychiatric disorders | 1/81 | 2/34 | 0/2 |
| Myalgia | Musculoskeletal and connective tissue disorders | 10/81 | 5/34 | 0/2 |
| Arthralgia | Musculoskeletal and connective tissue disorders | 11/81 | 2/34 | 0/2 |
| Back pain | Musculoskeletal and connective tissue disorders | 2/81 | 3/34 | 0/2 |
| Muscle spasms | Musculoskeletal and connective tissue disorders | 3/81 | 2/34 | 0/2 |
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | 0/81 | 2/34 | 0/2 |
| Sinusitis | Infections and infestations | 4/81 | 4/34 | 0/2 |
| Nasopharyngitis | Infections and infestations | 3/81 | 2/34 | 0/2 |
| Urinary tract infection | Infections and infestations | 5/81 | 0/34 | 0/2 |
| Fungal skin infection | Infections and infestations | 0/81 | 2/34 | 0/2 |
| Cough | Respiratory, thoracic and mediastinal disorders | 9/81 | 4/34 | 2/2 |
| Dyspnoea exertional | Respiratory, thoracic and mediastinal disorders | 4/81 | 5/34 | 0/2 |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | 3/81 | 2/34 | 1/2 |
| Pharyngolaryngeal pain | Respiratory, thoracic and mediastinal disorders | 5/81 | 1/34 | 0/2 |
| Anaemia | Blood and lymphatic system disorders | 22/81 | 7/34 | 0/2 |
| Neutropenia | Blood and lymphatic system disorders | 6/81 | 2/34 | 0/2 |
| Vision blurred | Eye disorders | 3/81 | 2/34 | 0/2 |
| Anorexia | Metabolism and nutrition disorders | 6/81 | 1/34 | 0/2 |
| Decreased appetite | Metabolism and nutrition disorders | 4/81 | 3/34 | 0/2 |
| Haemoglobin decreased | Investigations | 2/81 | 2/34 | 0/2 |
| Blood triglycerides increased | Investigations | 1/81 | 2/34 | 0/2 |
| Hypertension | Vascular disorders | 0/81 | 3/34 | 0/2 |
| Dry mouth | Gastrointestinal disorders | 2/81 | 2/34 | 0/2 |
+Locations (62)
| Facility | City | Country | Status |
|---|
| Birmingham, Alabama | United States | |
| Los Angeles, California | United States | |
| Kaiser Permanente Internal Medicine | San Diego, California | United States | |
| San Francisco, California | United States | |
| University of Colorado Health Sciences Center | Denver, Colorado | United States | |
| South Denver Gastroenterology | Englewood, Colorado | United States | |
| University of Florida | Gainesville, Florida | United States | |
| Borland-Groover Clinic | Jacksonville, Florida | United States | |
| Mayo Clinic Jacksonville | Jacksonville, Florida | United States | |
| University of Miami Center for Liver Diseases | Miami, Florida | United States | |
| Sarasota, Florida | United States | |
| Atlanta Gastroenterology Associates | Atlanta, Georgia | United States | |
| University of Chicago | Chicago, Illinois | United States | |
| Indianapolis, Indiana | United States | |
| Digestive and Liver Disease Clinic | Baton Rouge, Louisiana | United States | |
| Virology Treatment Center, Maine Medical Center | Portland, Maine | United States | |
| Johns Hopkins University | Baltimore, Maryland | United States | |
| Beth Israel Deaconess Medical Center | Boston, Massachusetts | United States | |
| University of Massachusetts Memorial Medical Center | Worcester, Massachusetts | United States | |
| Henry Ford Hospital | Detroit, Michigan | United States | |
| St Louis University | St Louis, Missouri | United States | |
| The Nebraska Medical Center | Omaha, Nebraska | United States | |
| University of New Mexico | Albuquerque, New Mexico | United States | |
| North Shore University Hospital | Manhasset, New York | United States | |
| New York, New York | United States | |
| Duke University Medical Center | Durham, North Carolina | United States | |
| University of Cincinnati | Cincinnati, Ohio | United States | |
| Cleveland, Ohio | United States | |
| Penn State Hershey Medical Center | Hershey, Pennsylvania | United States | |
| University of Pittsburgh Medical Center | Pittsburgh, Pennsylvania | United States | |
| Columbia Gastroenterology Associates, PA | Columbia, South Carolina | United States | |
| Memphis Gastroenterology Group | Germantown, Tennessee | United States | |
| Liver Institute at Methodist Dallas | Dallas, Texas | United States | |
| Houston, Texas | United States | |
| Alamo Medical Research | San Antonio, Texas | United States | |
| Annandale, Virginia | United States | |
| University of Virginia Health Systems | Charlottesville, Virginia | United States | |
| Metropolitan Research | Fairfax, Virginia | United States | |
| McGuire DVAMC | Richmond, Virginia | United States | |
| Vienna | Austria | |
| University of Calgary Medical Clinic | Calgary, Alberta | Canada | |
| University of Alberta | Edmonton, Alberta | Canada | |
| University of British Columbia Vancouver General Hospital | Vancouver, British Columbia | Canada | |
| Winnipeg, Manitoba | Canada | |
| Toronto, Ontario | Canada | |
| Hospital Henri Mondor | Créteil | France | |
| Lyon | France | |
| Nice | France | |
| Paris | France | |
| Pessac | France | |
| Vandœuvre-lès-Nancy | France | |
| Berlin | Germany | |
| Universitatsklinikum Bonn | Bonn | Germany | |
| University of Cologne | Cologne | Germany | |
| Uniklinik Duesseldorf | Düsseldorf | Germany | |
| Frankfurt | Germany | |
| Hanover | Germany | |
| Academic Medical Center | Amsterdam | Netherlands | |
| Leiden University Medical Center | Leiden | Netherlands | |
| Erasmus MC Medical Center | Rotterdam | Netherlands | |
| Fundacion de Investigation de Diego | Santurce | Puerto Rico | |
| London | United Kingdom | |
+Investigators