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A Rollover Study for Subjects Participating in the Control Arm of Study VX06-950-106, VX05-950-104 and VX05-950-104EU Whose Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels Did Not Respond to Therapy

NCT00535847 — Phase 2, Completed, 117 participants, Vertex Pharmaceuticals Incorporated

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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

RegistryNCT00535847
StatusCompleted
PhasePhase 2
Study typeInterventional; non randomized, parallel, masking: none, treatment
Enrollment117 (Actual)
SponsorVertex Pharmaceuticals Incorporated (Industry); collaborators: Tibotec, Inc
ConditionsHepatitis C
InterventionsTelaprevir, Ribavirin, Pegylated interferon alfa 2a (Drug)
Datesstart 2007-10-01, primary completion 2010-02-01, completion 2010-02-01, first posted 2007-09-26, last updated 2014-08-05
Locations62 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

ArmTypeInterventionsDescription
Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 WeekExperimentalDrug: Telaprevir; Drug: Ribavirin; Drug: Pegylated interferon alfa 2aTelaprevir 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 WeekExperimentalDrug: Telaprevir; Drug: Ribavirin; Drug: Pegylated interferon alfa 2aTelaprevir 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.
OtherExperimentalDrug: Telaprevir; Drug: Ribavirin; Drug: Pegylated interferon alfa 2aSubjects 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

MilestoneTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekOther
Started81342
Completed59200
Not completed22142

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)

ArmDeathsSerious adverse eventsOther adverse events
Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week07/81 (8.6%)77/81 (95.1%)
Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week03/34 (8.8%)31/34 (91.2%)
Other01/2 (50.0%)2/2 (100.0%)

Serious adverse events by term

TermOrgan systemTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekOther
Rash generalisedSkin and subcutaneous tissue disorders1/810/341/2
Drug rash with eosinophilia and systemic symptomsSkin and subcutaneous tissue disorders1/810/340/2
Rash maculo-papularSkin and subcutaneous tissue disorders0/811/340/2
UrticariaSkin and subcutaneous tissue disorders1/810/340/2
AnaemiaBlood and lymphatic system disorders3/810/340/2
Angina pectorisCardiac disorders0/811/340/2
Abdominal pain lowerGastrointestinal disorders1/810/340/2
Non-cardiac chest painGeneral disorders0/811/340/2
Bursitis infectiveInfections and infestations1/810/340/2
CostochondritisMusculoskeletal and connective tissue disorders1/810/340/2
HeadacheNervous system disorders0/811/340/2
PleurisyRespiratory, thoracic and mediastinal disorders1/810/340/2
HypertensionVascular disorders0/811/340/2

Other adverse events by term

TermOrgan systemTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekOther
FatigueGeneral disorders30/8121/341/2
Influenza like illnessGeneral disorders17/8110/341/2
PyrexiaGeneral disorders16/816/340/2
ChillsGeneral disorders11/814/340/2
AstheniaGeneral disorders9/813/340/2
Injection site erythemaGeneral disorders9/812/340/2
IrritabilityGeneral disorders6/814/341/2
PainGeneral disorders5/814/340/2
Oedema peripheralGeneral disorders4/813/340/2
NauseaGastrointestinal disorders20/8111/341/2
DiarrhoeaGastrointestinal disorders19/816/340/2
HaemorrhoidsGastrointestinal disorders9/814/340/2
Anorectal discomfortGastrointestinal disorders7/813/340/2
ConstipationGastrointestinal disorders3/816/340/2
VomitingGastrointestinal disorders5/812/340/2
Abdominal painGastrointestinal disorders5/811/340/2
DyspepsiaGastrointestinal disorders4/812/340/2
StomatitisGastrointestinal disorders1/814/340/2
FlatulenceGastrointestinal disorders0/812/340/2
PruritusSkin and subcutaneous tissue disorders34/819/342/2
RashSkin and subcutaneous tissue disorders23/8113/341/2
Dry skinSkin and subcutaneous tissue disorders10/815/340/2
AlopeciaSkin and subcutaneous tissue disorders8/810/340/2
Pruritus generalisedSkin and subcutaneous tissue disorders3/813/340/2
Rash papularSkin and subcutaneous tissue disorders4/812/340/2
HyperhidrosisSkin and subcutaneous tissue disorders2/813/340/2
PsoriasisSkin and subcutaneous tissue disorders1/812/340/2
HeadacheNervous system disorders23/8114/340/2
DizzinessNervous system disorders6/815/340/2
Disturbance in attentionNervous system disorders2/812/340/2
InsomniaPsychiatric disorders14/817/341/2
DepressionPsychiatric disorders9/814/340/2
Depressed moodPsychiatric disorders1/812/340/2
MyalgiaMusculoskeletal and connective tissue disorders10/815/340/2
ArthralgiaMusculoskeletal and connective tissue disorders11/812/340/2
Back painMusculoskeletal and connective tissue disorders2/813/340/2
Muscle spasmsMusculoskeletal and connective tissue disorders3/812/340/2
Musculoskeletal chest painMusculoskeletal and connective tissue disorders0/812/340/2
SinusitisInfections and infestations4/814/340/2
NasopharyngitisInfections and infestations3/812/340/2
Urinary tract infectionInfections and infestations5/810/340/2
Fungal skin infectionInfections and infestations0/812/340/2
CoughRespiratory, thoracic and mediastinal disorders9/814/342/2
Dyspnoea exertionalRespiratory, thoracic and mediastinal disorders4/815/340/2
DyspnoeaRespiratory, thoracic and mediastinal disorders3/812/341/2
Pharyngolaryngeal painRespiratory, thoracic and mediastinal disorders5/811/340/2
AnaemiaBlood and lymphatic system disorders22/817/340/2
NeutropeniaBlood and lymphatic system disorders6/812/340/2
Vision blurredEye disorders3/812/340/2
AnorexiaMetabolism and nutrition disorders6/811/340/2
Decreased appetiteMetabolism and nutrition disorders4/813/340/2
Haemoglobin decreasedInvestigations2/812/340/2
Blood triglycerides increasedInvestigations1/812/340/2
HypertensionVascular disorders0/813/340/2
Dry mouthGastrointestinal disorders2/812/340/2

+Locations (62)

FacilityCityCountryStatus
Birmingham, AlabamaUnited States
Los Angeles, CaliforniaUnited States
Kaiser Permanente Internal MedicineSan Diego, CaliforniaUnited States
San Francisco, CaliforniaUnited States
University of Colorado Health Sciences CenterDenver, ColoradoUnited States
South Denver GastroenterologyEnglewood, ColoradoUnited States
University of FloridaGainesville, FloridaUnited States
Borland-Groover ClinicJacksonville, FloridaUnited States
Mayo Clinic JacksonvilleJacksonville, FloridaUnited States
University of Miami Center for Liver DiseasesMiami, FloridaUnited States
Sarasota, FloridaUnited States
Atlanta Gastroenterology AssociatesAtlanta, GeorgiaUnited States
University of ChicagoChicago, IllinoisUnited States
Indianapolis, IndianaUnited States
Digestive and Liver Disease ClinicBaton Rouge, LouisianaUnited States
Virology Treatment Center, Maine Medical CenterPortland, MaineUnited States
Johns Hopkins UniversityBaltimore, MarylandUnited States
Beth Israel Deaconess Medical CenterBoston, MassachusettsUnited States
University of Massachusetts Memorial Medical CenterWorcester, MassachusettsUnited States
Henry Ford HospitalDetroit, MichiganUnited States
St Louis UniversitySt Louis, MissouriUnited States
The Nebraska Medical CenterOmaha, NebraskaUnited States
University of New MexicoAlbuquerque, New MexicoUnited States
North Shore University HospitalManhasset, New YorkUnited States
New York, New YorkUnited States
Duke University Medical CenterDurham, North CarolinaUnited States
University of CincinnatiCincinnati, OhioUnited States
Cleveland, OhioUnited States
Penn State Hershey Medical CenterHershey, PennsylvaniaUnited States
University of Pittsburgh Medical CenterPittsburgh, PennsylvaniaUnited States
Columbia Gastroenterology Associates, PAColumbia, South CarolinaUnited States
Memphis Gastroenterology GroupGermantown, TennesseeUnited States
Liver Institute at Methodist DallasDallas, TexasUnited States
Houston, TexasUnited States
Alamo Medical ResearchSan Antonio, TexasUnited States
Annandale, VirginiaUnited States
University of Virginia Health SystemsCharlottesville, VirginiaUnited States
Metropolitan ResearchFairfax, VirginiaUnited States
McGuire DVAMCRichmond, VirginiaUnited States
ViennaAustria
University of Calgary Medical ClinicCalgary, AlbertaCanada
University of AlbertaEdmonton, AlbertaCanada
University of British Columbia Vancouver General HospitalVancouver, British ColumbiaCanada
Winnipeg, ManitobaCanada
Toronto, OntarioCanada
Hospital Henri MondorCréteilFrance
LyonFrance
NiceFrance
ParisFrance
PessacFrance
Vandœuvre-lès-NancyFrance
BerlinGermany
Universitatsklinikum BonnBonnGermany
University of CologneCologneGermany
Uniklinik DuesseldorfDüsseldorfGermany
FrankfurtGermany
HanoverGermany
Academic Medical CenterAmsterdamNetherlands
Leiden University Medical CenterLeidenNetherlands
Erasmus MC Medical CenterRotterdamNetherlands
Fundacion de Investigation de DiegoSanturcePuerto Rico
LondonUnited Kingdom

+Investigators

My Notes