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Hepatitis C, ChronicPhase 4NCT00107653

Latino Study - A Study of PEGASYS (Peginterferon Alfa-2a (40KD)) and COPEGUS (Ribavirin) in Treatment-Naive Patients With Chronic Hepatitis C-Genotype 1.

A Phase 4 study testing Ribavirin and Peginterferon alfa-2a in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 60 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This single arm study will evaluate the efficacy and safety of PEGASYS (180 micrograms sc weekly) plus ribavirin (1000-1200mg po daily) in treatment-naive Latino patients versus non-Latino Caucasian patients with chronic hepatitis C- genotype 1. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Hepatitis C, Chronic
What is being tested?
Ribavirin and Peginterferon alfa-2a
Could I receive a placebo?
No, everyone receives an active treatment
How many people
569 participants
Where
60 sitesin 2 countries
Study dates
Oct 2004to Sep 2007
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • adult patients 18-65 years of age
  • chronic hepatitis C , genotype 1
  • serologic evidence of CHC infection by an antibody test
  • chronic liver disease, consistent with CHC infection on a liver biopsy obtained within the past 18 months
  • compensated liver disease
  • use of 2 forms of contraception during the study in both men and women

Who cannot join

  • previous interferon or ribavirin therapy
  • systemic antiviral therapy less than 24 weeks before first dose of study drug or expected need for this treatment any time during the study
  • medical condition associated with chronic liver disease (eg, hemochromatosis, autoimmune hepatitis, alcoholic liver disease, toxin exposure)
  • decompensated liver disease
  • women who are pregnant or breastfeeding

Trial locations and contacts

60 sites in 2 countries.

60 sites in 2 countries

United States58 sites
  • Study site

    Anaheim, California, 92801

  • Study site

    Austell, Georgia, 30106

  • Study site

    Baltimore, Maryland, 21205

  • Study site

    Baton Rouge, Louisiana, 70890

  • Study site

    Bayside, New York, 11358

  • Study site

    Boca Raton, Florida, 33428

  • Study site

    Bradenton, Florida, 34209

  • Study site

    Chapel Hill, North Carolina, 27599-7584

  • Study site

    Chicago, Illinois, 60612

  • Study site

    Chicago, Illinois, 60637

  • Study site

    Dallas, Texas, 75203

  • Study site

    Fairfax, Virginia, 22031

  • Study site

    Fayetteville, North Carolina, 28304

  • Study site

    Fort Sam Houston, Texas, 78234-3879

  • Study site

    Fort Worth, Texas, 76107

  • Study site

    Fountain Valley, California, 92708

  • Study site

    Framingham, Massachusetts, 01702

  • Study site

    Fresno, California, 93721

  • Study site

    Galveston, Texas, 77555

  • Study site

    Gurnee, Illinois, 60031

  • Study site

    Houston, Texas, 77030

  • Study site

    Houston, Texas, 77090

  • Study site

    Indianapolis, Indiana, 46202

  • Study site

    Lancaster, California, 93534

  • Study site

    Los Angeles, California, 90022

  • Study site

    Los Angeles, California, 90033

  • Study site

    Los Angeles, California, 90095

  • Study site

    Miami, Florida, 33125

  • Study site

    Nashville, Tennessee, 37211

  • Study site

    New Orleans, Louisiana, 70115

  • Study site

    New York, New York, 10029

  • Study site

    North Miami Beach, Florida, 33162

  • Study site

    Palo Alto, California, 94304-1509

  • Study site

    Philadelphia, Pennsylvania, 19107

  • Study site

    Philadelphia, Pennsylvania, 19141

  • Study site

    Plantation, Florida, 33324

  • Study site

    Pueblo, Colorado, 81008

  • Study site

    Redlands, California, 92373

  • Study site

    Rochester, New York, 14618

  • Study site

    Sacramento, California, 95817

  • Study site

    Salt Lake City, Utah, 84121

  • Study site

    San Antonio, Texas, 78215

  • Study site

    San Antonio, Texas, 78258

  • Study site

    San Bernardino, California, 92404

  • Study site

    San Diego, California, 92103-8465

  • Study site

    San Diego, California, 92123

  • Study site

    San Diego, California, 92154

  • Study site

    San Diego, California, 92161

  • Study site

    San Francisco, California, 94110

  • Study site

    San Luis Obispo, California, 93401

  • Study site

    Scottsdale, Arizona, 85259

  • Study site

    Seattle, Washington, 98133

  • Study site

    St Louis, Missouri, 63110

  • Study site

    Tacoma, Washington, 98405

  • Study site

    Tucson, Arizona, 85712

  • Study site

    Ventura, California, 93003

  • Study site

    Vineland, New Jersey, 08360

  • Study site

    Worcester, Massachusetts, 01655

Other trials in United States

Puerto Rico2 sites
  • Study site

    Ponce, 00716

  • Study site

    Santurce, 00909

Other trials in Puerto Rico

About this study

Official title: A Prospective, Multicenter, Open-label, Comparative, Efficacy Study of Pegasys® Plus Copegus® in Treatment-naïve Latino Patients With Chronic Hepatitis C-genotype 1, as Compared to Treatment-naïve Non- Latino Caucasian Patients With Chronic Hepatitis C-genotype 1

This single arm study will evaluate the efficacy and safety of PEGASYS (180 micrograms sc weekly) plus ribavirin (1000-1200mg po daily) in treatment-naive Latino patients versus non-Latino Caucasian patients with chronic hepatitis C- genotype 1. The anticipated time on study treatment is 3-12 months and the target sample size is 500+ patients.

Being tested
Ribavirin, Peginterferon alfa-2a
Medical subject headings
Hepatitis C, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RibavirinDrug

    1000-1200mg po daily for 48 weeks

  • Peginterferon alfa-2aDrug

    180 micrograms sc/week for 48 weeks

  • RibavirinDrug

    1000-1200mg po daily for 48 weeks

  • Peginterferon alfa-2aDrug

    180 micrograms sc/week for 48 weeks

Study groups in NCT00107653
Study groupRoleWhat they receive
LatinoExperimentalParticipants received peginterferon alfa-2a 180 microgram (mcg)/0.5 mL by subcutaneous injection once a week in combination with ribavirin 1000 or 1200 mg per day, which was taken orally in split doses for 48 weeks. Participants with <75 kg (165 lbs) of body weight received 1000 mg/day (400 mg in the morning and 600 mg in the evening). Participants with >=75 kg (165 lbs) of body weight received 1200 mg/day (600 mg in the morning and 600 mg in the evening).
Receives: Drug: Ribavirin; Drug: Peginterferon alfa-2a
Non-Latino WhiteExperimentalParticipants received peginterferon alfa-2a 180 mcg/0.5 mL by subcutaneous injection once a week in combination with ribavirin 1000 or 1200 mg per day which was taken orally in split doses. Participants with <75 kg (165 lbs) of body weight received 1000 mg/day. Participants with >=75 kg (165 lbs) of body weight received 1200 mg/day for 48 weeks.
Receives: Drug: Ribavirin; Drug: Peginterferon alfa-2a

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Sustained Virologic Response at Week 72

    Sustained Virologic Response (SVR) is defined as percentage of participants with an undetectable hepatitis C virus-RNA (HCV-RNA) measurement (<28 International Unit (IU)/millilitre (mL)) assessed 24 weeks post-treatment (week 72) which was assessed by Roche High Pure System/COBAS TaqMan HCV Test.

    Measured: At Week 72

Secondary outcomes (20)
  1. Percentage of Participants Achieving Virologic Response

    Percentage of participants achieving a virologic response defined as an undetectable HCV-RNA measurement (HCV-RNA <28 IU/mL by Roche High Pure System/COBAS TaqMan HCV Test)

    Measured: At Weeks 4, 12, 24, 48, 60, and 72

  2. Percentage of Participants With Early Virologic Response at Week 4

    Percentage of participants with an early virologic response defined as an HCVRNA >=1 log10 drop from baseline or undetectable HCV-RNA measurement at Week 4 (lower limit of detection 28 IU/mL).

    Measured: At Week 4

  3. Percentage of Participants With Early Virologic Response at Week 12

    Percentage of participants with an early virologic response defined as an HCV-RNA >=2 log10 drop from baseline or undetectable HCV-RNA measurement at Week 12 (lower limit of detection 28 IU/mL).

    Measured: At Week 12

  4. Change From Baseline in HCV-RNA Log10 Titers Over the Period Of Time

    The table below shows HCV-RNA log10 titers change from baseline values by study week and by study group. Analysis was performed for participants with a baseline and at least 1 post-baseline HCV-RNA assessment. HCV-RNA quantitation was performed using Roche High Pure System/COBAS® TaqMan® HCV Monitor Test. HCV-RNA measurement lower limit of detection was 28 IU/mL.

    Measured: From Baseline (Week 0) to Weeks 4, 12, 24, 48, 60 and 72

  5. Percentage of Participants With Biochemical Response

    Biochemical response was defined as normal serum alanine transaminase (ALT) measurement. For ALT measurement the normal range is 5-37 IU/L.

    Measured: At Weeks 4, 12, 24, 48, 60 and 72

  6. Percentage of Participants With ISHAK Histological Activity Index Response

    ISHAK Histological Activity Index (HAI) activity response is defined as a decrease from baseline of at least 2 points (≥2 points drop from baseline) in the ISHAK modified HAI (necroinflammatory) score at week 72. ISHAK modified HAI activity (necroinflammatory) score is a total score of periportal ± bridging (P/B) necrosis + confluent necrosis + focal necrosis + portal inflammation (maximum score for each participant = 18). Where P/B necrosis grading as 0 = absent; 1 = mild; 2 = mild/moderate; 3 = moderate; 4 = severe; Confluent necrosis grading as 0 = absent; 1 = focal; 2 = zone 3 some areas; 3 = zone 3 most areas; 4 = zone 3 occasional portal; 5 = zone 3 multiple; 6 = panacinar necrosis and Focal necrosis grading as 0: absent; 1: < = 1 focus; 2: 2 to 4 foci; 3: 5 to 10 foci; 4: > 10 foci; Portal Inflammation grading: 0 = none; 1 = mild; 2 = moderate; 3 = moderate/marked; 4 = marked/all portal.

    Measured: At Week 72

  7. Mean Change From Baseline in ISHAK HAI Activity (Necroinflammatory) at Week 72

    ISHAK modified HAI activity (necroinflammatory) score is a total score of P/B necrosis + confluent necrosis + focal necrosis + portal inflammation (maximum score for each Participant = 18). Where P/B necrosis grading as 0 = absent; 1 = mild; 2 = mild/moderate; 3 = moderate; 4 = severe; Confluent necrosis as 0 = absent; 1 = focal; 2 = zone 3 some areas; 3 = zone 3 most areas; 4 = zone 3 occasional portal; 5= zone 3 multiple; 6= panacinar necrosis and Focal necrosis as 0: absent; 1: <= 1 focus; 2: 2 to 4 foci; 3: 5 to 10 foci; 4: > 10 foci; Portal Inflammation: 0 = none; 1 = mild; 2 = moderate; 3 = moderate/marked; 4 = marked/all portal. The difference between study groups in change from baseline in ISHAK modified HAI activity score at week 72 was tested using an analysis of covariance (ANCOVA) model with ethnicity and baseline ISHAK HAI score as the fixed effects.

    Measured: From Baseline (Week 0) to Week 72

  8. Mean Change From Baseline in Fibrosis Score Based on ISHAK at Week 72

    ISHAK Histological Activity Index (HAI) activity response is defined as a decrease from baseline of at least 2 points (≥2 points drop from baseline) score at week 72. Baseline prognostic factors in the original model include ethnicity, sex, age, baseline ALT quotient, baseline HCV-RNA level, and ISHAK fibrosis and activity scores at baseline. ISHAK modified HAI fibrosis scale by fibrosis grading category as F0= no fibrosis; F1= some portal areas; F2= most portal areas; F3= bridging fibrosis; F4= bridging and portal to central; F5 = marked bridging; F6 = Cirrhosis; where '0' being the best and '6' being the worst. Decrease in score from baseline indicates improvement. The difference between study groups in change from baseline in ISHAK modified HAI activity score at week 72 was analysed.

    Measured: From Baseline (Week 0) to Week 72

  9. Percentage of Participants With Improved, Stable and Worsened ISHAK Fibrosis Score

    Overall ISHAK Fibrosis Score is defined as Improved: >= 1 category decrease in fibrosis scale; Stable: no change in fibrosis scale; Worsened: >1 category increase in fibrosis scale.

    Measured: At Week 72

  10. Mean Change From Baseline in Activity and Fibrosis Scores Based on METAVIR Activity at Week 72

    METAVIR activity scores are categorised as histological activity (A) 0 = none; A1 = mild; A2 = moderate; A3 = severe where '0' being 'No activity' and '3' being 'the sever activity'. Changes in liver inflammation defined as Improved: Participants whose METAVIR activity score at up to Month-72 decreases by 1 or more units compared to baseline; stable: Participants whose METAVIR activity score at up to Month-72 is the same as the baseline score; worsened: Participants whose METAVIR activity score at up to Month-72 increases by 1 or more units compared to baseline. METAVIR fibrosis scores are categorised as fibrosis (F) 0 = no fibrosis; F1 = without septa; F 2 = with septa; F3 = many septa; F4 = cirrhosis where; '0' being the best and '4' being the worst. Decrease in score from baseline indicates improvement. The difference between study groups in change from baseline in activity and fibrosis scores based on METAVIR at week 72 was analysed.

    Measured: From Baseline (Week 0) to Week 72

  11. Percentage of Participants With Improved, Stable, and Worsened METAVIR Activity Score

    METAVIR activity scale included activity defines as, Improved: >= 1 category decrease in activity score; stable: no change in activity score; worsened: > = 1 category increase in activity score.

    Measured: At Week 72

  12. Percentage of Participants With Improved, Stable, and Worsened METAVIR Fibrosis Score

    METAVIR fibrosis score is categorized as, Improved: >= 1 category decrease in activity score; stable: no change in activity score; worsened: >= 1 category increase in activity score.

    Measured: At Week 72

  13. Mean Change From Baseline in Fat Score at Week 72

    Grading categories for the fat scale were as follows: 1 = <5% hepatocytes; 2 = 6 - 33% hepatocytes; 3 = 34 - 66% hepatocytes; 4 = 67 - 100% hepatocytes.

    Measured: From Baseline (Week 0) to Week 72

  14. Percentage of Participants With Improved, Stable and Worsened Fat Score From Baseline to Week 72

    Fat scores are categorised as Improved: > 1 category decrease in fat scale; stable: no change in fat scale; worsened: >= 1 category increase in fat scale.

    Measured: From Baseline (Week 0) to Week 72

  15. Percentage of Participants With Non-zero Nonalcoholic Steatohepatitis Score

    The Nonalcoholic Steatohepatitis (NASH) included an assessment of sinusoidal fibrosis, Mallory bodies, and hepatocyte ballooning (HB). Grading categories for the NASH scales were as: Sinusoidal fibrosis: 0 = absent; 1 = involvement of some lobules; 2 = involvement of most lobules, without diffuse interstitial sinusoidal collagen deposition; 3 = Involvement of most or all lobules;, with diffuse interstitial fibrosis involving some or most of the lobules Mallory bodies: 0 = absent; 1 = involvement of some lobules; 2 = involvement of most lobules; 3= involvement of most or all lobules; and Hepatocyte ballooning: 0 = absent; 1 = involvement of some lobules; 2 = involvement of most lobules; 3= involvement of most or all lobules.

    Measured: At Week 72

  16. Mean Change in Fatigue Severity Scale Score and Fatigue Severity Scale Score Item 10 Visual Analog Scale Score From Baseline at Week 48 and Week 72

    The Fatigue Severity Scale (FSS) is a 10-item self-report questionnaire designed to assess tiredness, lack of energy, or total body give-out. Participants were to react to nine statements regarding fatigue over the previous 2 weeks, each on a scale (1 = completely agree, 7 = completely disagree). The FSS is the average of the scores on the 9 questions; ranging from 1-7, with lower scores indicating less fatigue. In addition, participants were to react to how much fatigue they had in the past 2 weeks by marking on a visual analogue scale (VAS) labelled at one end with "no fatigue" ('0' being the best) and at the other end with "greater fatigue" ('100' being the worst). Longer distance on the scale from "no fatigue" indicated "greater fatigue". FSS values are presented based on questionnaire and visual analog scale. FSS values at week 48 and 72 are presented based on questionnaire and visual analog scale.

    Measured: Baseline (Week 0), Week 48 and Week 72

  17. Mean Change in 36-item Short Form Health Survey Total and Domain Scores From Baseline at Week 48 and 72

    The 36-item Short Form Health Survey (SF-36) is a 36-item self-report questionnaire that includes 8 domain scales The 8 domains are incorporated into 2 components: mental and physical. The mental component (MC) includes social functioning, role limitations-emotional, mental health, and vitality. The physical component (PC) includes physical functioning, role limitations-physical, bodily pain, and general health perception. Raw domain scores are transformed to a 0 to 100 scale, [0=worst score (or quality of life) and 100=best score]. Two summary scale scores were computed based on weighted combinations of the 8 domain scores (Physical and the Mental Component) where no minimum or maximum score; higher score indicate better health status. The difference between study groups in change from baseline in SF-36 score at week 48 and 72 was analysed.

    Measured: Baseline (Week 0), Week 48 and Week 72

  18. Number of Participants With Any Adverse Events and Serious Adverse Events

    An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An adverse event could therefore be any unfavorable or unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Pre-existing conditions that worsened during the study were reported as adverse events. A serious adverse event (SAE) was any untoward medical occurrence that at any dose results in death, is life threatening, requires hospitalization or prolongation of hospitalization, or results in disability/incapacity, or congenital anomaly/birth defect.

    Measured: Up to Week 72

  19. Number of Participants With Marked Abnormal Laboratory Parameters

    The below table includes participants with marked abnormal lab parameters. Standard reference ranges include: Hematocrit: (fraction) 0.37 - 0.49, Hemoglobin 130 - 180 g/L, Platelets 150 - 350 10^9/L, White Blood Cell (WBC) 4.5 - 11.0 10^9/L, Lymphocytes 1.00 - 4.80 10^9/L, Neutrophils 1.80 - 7.70 10^9/L, Aspartate aminotransferase (AST) 0-40 U/L, ALT 0 - 55 U/L, Total bilirubin 0 - 17 μmol/L, Thyroxine T4 58 - 140 nmol/L, Thyroid Stimulating Hormone (TSH) 0.0 - 5.0 million units (mU)/L, Albumin 35.0 - 55.0 g/L, Chloride 100 - 108 mmol/L, Calcium 2.10 - 2.60 mmol/L, Phosphate 0.84 - 1.45 mmol/L, Uric acid 214 - 506 μmol/L.

    Measured: Up to Week 72

  20. Number of Participants With Premature Withdrawals Due to Adverse Events or Laboratory Abnormalities

    The table below includes participants with premature withdrawals due to adverse events or laboratory abnormalities.

    Measured: Up to Week 72

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Apr 2005 (estimated)
  2. Study startOct 2004
  3. Primary completionSep 2007
  4. Study completionSep 2007

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
569 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00107653
Sponsor's protocol ID
ML18179
Status last verified
May 2016
First submitted
6 Apr 2005
Last updated
21 Jun 2016

Publications

  • Rodriguez-Torres M, Jeffers LJ, Sheikh MY, Rossaro L, Ankoma-Sey V, Hamzeh FM, Martin P; Latino Study Group. Peginterferon alfa-2a and ribavirin in Latino and non-Latino whites with hepatitis C. N Engl J Med. 2009 Jan 15;360(3):257-67. doi: 10.1056/NEJMoa0805062.

    PubMed 19144941

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Ribavirin and Peginterferon alfa-2a in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 60 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Jun 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Sustained Virologic Response at Week 72 (time frame: At Week 72). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00107653, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jun 2016.

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