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HepatitisPhase 2FITNESSNCT00987337

Filibuvir In Treatment Naive Hepatitis C Virus (HCV) Genotype 1 Subjects

A Phase 2 study testing Filibuvir in people with Hepatitis and Hepatitis C, run by Pfizer at 77 sites in 9 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

The primary objective for this study is to determine if the addition of filibuvir to a standard regimen of peginterferon/ribavirin (pegIFN/RBV) significantly increases the proportion of subjects who achieve a sustained viral response (SVR) compared to peginterferon/ribavirin (pegIFN/RBV) therapy alone. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatitis, Hepatitis C
What is being tested?
Filibuvir
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
288 participants
Where
77 sitesin 9 countries
Study dates
Nov 2009to Jan 2012
Phase
Phase 2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female subjects at least 18 years of age.
  • HCV seropositive.
  • HCV RNA >10,000 IU/mL at screening.
  • HCV Genotype 1. Subjects infected with a non-genotype 1 strain or mixed genotypes are not eligible.
  • Treatment naïve (no prior treatment with IFN alfa +/ RBV regimens or investigational anti-HCV agents).
  • Liver biopsy within two years (24 months) of Screening with non-cirrhotic fibrosis classification. For those subjects with liver biopsy outside of the time window or for those subjects with no history of liver biopsy, a biopsy must be performed prior to randomization.
  • Ultrasound within 6 months of Screening for 1) those subjects with bridging fibrosis or 2) those subjects with AFP >50 and <100 ng/mL with no evidence of hepatocellular carcinoma. For those subjects with an ultrasound conducted outside the 6-month time window, an ultrasound must be performed prior to randomization.

Who cannot join

  • Co-infection with either HIV or HBV.
  • Evidence of severe or decompensated liver disease.
  • Subjects with liver disease unrelated to HCV infection.
  • Pre-existing medical condition that makes the subject unsuitable for treatment with pegIFN/RBV therapy per product labeling.
  • Laboratory abnormality at Screening that makes the subject unsuitable for treatment with pegIFN/RBV therapy per product labeling.
  • Abnormal ECG suggestive of clinically significant cardiac disease or QTc>450msec.
Show all 11Show fewer
  • History of organ transplant.
  • Contraindicated medications being taken by the subject at the time of randomization that must be continued during the study period, including potent CYP3A4 inhibitors, sensitive CYP3A4 substrates, CYP3A4 substrates with narrow therapeutic range and CYP3A4 inducers.
  • Active alcohol or substance abuse sufficient, in the Investigator's judgment, to prevent adherence to study medication and/or follow up.
  • Pregnant or nursing females.
  • Males whose female partner is pregnant.

Trial locations and contacts

77 sites in 9 countries.

77 sites in 9 countries

United States30 sites
  • Pfizer Investigational Site

    Anaheim, California, 92801

  • Pfizer Investigational Site

    Anaheim, California, 92802

  • Pfizer Investigational Site

    Aurora, Colorado, 80045

  • Pfizer Investigational Site

    Boston, Massachusetts, 02114-2622

  • Pfizer Investigational Site

    Chicago, Illinois, 60611

  • Pfizer Investigational Site

    Coronado, California, 92118

  • Pfizer Investigational Site

    DeLand, Florida, 32720

  • Pfizer Investigational Site

    Durham, North Carolina, 22713

  • Pfizer Investigational Site

    Durham, North Carolina, 27710

  • Pfizer Investigational Site

    Englewood, Colorado, 80113

  • Pfizer Investigational Site

    Houston, Texas, 77030

  • Pfizer Investigational Site

    Indianapolis, Indiana, 46202

  • Pfizer Investigational Site

    Jacksonville, Florida, 32207

  • Pfizer Investigational Site

    Jacksonville, Florida, 32209

  • Pfizer Investigational Site

    La Jolla, California, 92037

  • Pfizer Investigational Site

    Mather, California, 95655

  • Pfizer Investigational Site

    Nashville, Tennessee, 37205

  • Pfizer Investigational Site

    New Orleans, Louisiana, 70112

  • Pfizer Investigational Site

    New York, New York, 10021

  • Pfizer Investigational Site

    Orlando, Florida, 32803

  • Pfizer Investigational Site

    Orlando, Florida, 32809

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19141

  • Pfizer Investigational Site

    Richmond, Virginia, 23249

  • Pfizer Investigational Site

    Sacramento, California, 95814

  • Pfizer Investigational Site

    Sacramento, California, 95817

  • Pfizer Investigational Site

    Salt Lake City, Utah, 84132

  • Pfizer Investigational Site

    San Antonio, Texas, 78234

  • Pfizer Investigational Site

    San Diego, California, 92123

  • Pfizer Investigational Site

    South Miami, Florida, 33143

  • Pfizer Investigational Site

    Winter Park, Florida, 32789

Other trials in United States

Canada10 sites
  • Pfizer Investigational Site

    Edmonton, Alberta, T5H 3V9

  • Pfizer Investigational Site

    Edmonton, Alberta, T5H 4B9

  • Pfizer Investigational Site

    Edmonton, Alberta, T6G 2B7

  • Pfizer Investigational Site

    Halifax, Nova Scotia, B3H 1V7

  • Pfizer Investigational Site

    Halifax, Nova Scotia, B3H 2Y9

  • Pfizer Investigational Site

    Montreal, Quebec, H2L 4P9

  • Pfizer Investigational Site

    Montreal, Quebec, H2X 2P4

  • Pfizer Investigational Site

    Montreal, Quebec, H3A 1A1

  • Pfizer Investigational Site

    Vancouver, British Columbia, V5Z 1M9

  • Pfizer Investigational Site

    Vancouver, British Columbia, V6Z2C7

Other trials in Canada

Spain8 sites
  • Pfizer Investigational Site

    Barcelona, Barcelona, 08003

  • Pfizer Investigational Site

    Barcelona, Barcelona, 08035

  • Pfizer Investigational Site

    Córdoba, Cordoba, 14004

  • Pfizer Investigational Site

    Madrid, Madrid, 28006

  • Pfizer Investigational Site

    Madrid, Madrid, 28029

  • Pfizer Investigational Site

    Madrid, Madrid, 28034

  • Pfizer Investigational Site

    Majadahonda, Madrid, 28220

  • Pfizer Investigational Site

    Seville, Sevilla, 41014

Other trials in Spain

France7 sites
  • Pfizer Investigational Site

    Clichy, 92110

  • Pfizer Investigational Site

    Créteil, 94010

  • Pfizer Investigational Site

    Marseille, 13285

  • Pfizer Investigational Site

    Paris, 75571

  • Pfizer Investigational Site

    Pessac, 33604

  • Pfizer Investigational Site

    Rennes, 35033

  • Pfizer Investigational Site

    Vandœuvre-lès-Nancy, 54511

Other trials in France

Germany7 sites
  • Pfizer Investigational Site

    Berlin, 12157

  • Pfizer Investigational Site

    Bonn, 53105

  • Pfizer Investigational Site

    Cologne, 50937

  • Pfizer Investigational Site

    Düsseldorf, 40237

  • Pfizer Investigational Site

    Hamburg, 20099

  • Pfizer Investigational Site

    Hamburg, 20246

  • Pfizer Investigational Site

    Kiel, 24146

Other trials in Germany

Belgium6 sites
  • Pfizer Investigational Site

    Brussels, 1020

  • Pfizer Investigational Site

    Brussels, 1200

  • Pfizer Investigational Site

    Edegem, 2650

  • Pfizer Investigational Site

    Ghent, 9000

  • Pfizer Investigational Site

    Haine-Saint-Paul, 7100

  • Pfizer Investigational Site

    Leuven, 3000

Other trials in Belgium

Hungary5 sites
  • Pfizer Investigational Site

    Békéscsaba, 5600

  • Pfizer Investigational Site

    Budapest, 1126

  • Pfizer Investigational Site

    Debrecen, 4032

  • Pfizer Investigational Site

    Gyula, 5700

  • Pfizer Investigational Site

    Kaposvár, 7400

Other trials in Hungary

South Korea3 sites
  • Pfizer Investigational Site

    Seoul, 110-744

  • Pfizer Investigational Site

    Seoul, 120-752

  • Pfizer Investigational Site

    Seoul, 135-710

Other trials in South Korea

Puerto Rico1 site
  • Pfizer Investigational Site

    Rio Piedras, 00927

Other trials in Puerto Rico

About this study

Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study To Evaluate The Safety And Efficacy Of Filibuvir Plus Pegylated Interferon Alfa-2a And Ribavirin In Treatment-Naive, HCV Genotype 1 Infected Subjects

The primary objective for this study is to determine if the addition of filibuvir to a standard regimen of peginterferon/ribavirin (pegIFN/RBV) significantly increases the proportion of subjects who achieve a sustained viral response (SVR) compared to peginterferon/ribavirin (pegIFN/RBV) therapy alone.

Being tested
Filibuvir, Placebo
Keywords
Hepatitis C Polymerase Inhibitor PF-00868554 Filibuvir
Medical subject headings
Hepatitis, Hepatitis C

What participants receive

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

  • FilibuvirDrug

    300 mg BID

  • FilibuvirDrug

    600 mg BID

  • PlaceboDrug

    BID

Study groups in NCT00987337
Study groupRoleWhat they receive
Arm AExperimentalFilibuvir 300 mg BID + pegIFN/RBV x 24 weeks (subjects with undetectable HCV RNA at week 4) - or - Filibuvir 300 mg BID + pegIFN/RBV x 24 weeks followed by pegIFN/RBV x 24 weeks (subjects with detectable HCV RNA at week 4)
Receives: Drug: Filibuvir
Arm BExperimentalFilibuvir 600 mg BID + pegIFN/RBV x 24 weeks (subjects with undetectable HCV RNA at week 4) - or - Filibuvir 600 mg BID + pegIFN/RBV x 24 weeks followed by pegIFN/RBV x 24 weeks (subjects with detectable HCV RNA at week 4)
Receives: Drug: Filibuvir
Arm CPlacebo comparatorPlacebo + pegIFN/RBV x 24 weeks followed by pegIFN/RBV x 24 weeks
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Participants With Sustained Viral Response (SVR) at Week 72

    For participants who received filibuvir, had undetectable HCV RNA from Week 4 through 24 and discontinued therapy at Week 24, SVR was defined as undetectable plasma HCV RNA levels (<15 IU/mL) at both Week 24 (End of Treatment [EOT]) and Week 72, regardless of the HCV RNA levels between Week 24 and 72. For participants who received filibuvir, had detectable HCV RNA at Week 4 or later and discontinued therapy at Week 48 or who received placebo, SVR was defined as undetectable plasma HCV RNA levels (<15 IU/mL) at both Week 48 (EOT) and Week 72, regardless of the HCV RNA levels between Week 48 and 72.

    Measured: Week 72

Secondary outcomes (12)
  1. Percentage of Participants With Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 4, 12, 24 and 48

    Percentage of participants with undetectable HCV RNA at Week 4 (rapid viral response [RVR]), Week 12 (early viral response [EVR]), Week 24 and Week 48 were summarized. Undetectable HCV RNA was defined as plasma HCV RNA levels <15 IU/mL.

    Measured: Week 4, 12, 24, 48

  2. Percentage of Participants With Sustained Viral Response at 12 Weeks Following Completion of Therapy (SVR12)

    A participant was considered to have achieved SVR12 if the plasma HCV RNA levels were <15 IU/mL at both the end of treatment (Week 24 or 48, depending on the time of therapy discontinuation based on HCV RNA levels during therapy) and 12 weeks following the completion of therapy (Week 36 for participants who ended therapy at Week 24; Week 60 for participants who ended therapy at Week 48). Overall percentage of participants with SVR12 was summarized.

    Measured: 12 weeks after completion of therapy (Week 36 or 60)

  3. Percentage of Participants With Sustained Viral Response at 24 Weeks Following Completion of Therapy (SVR24)

    SVR24 was summarized only for those participants who received filibuvir, had undetectable HCV RNA from Week 4 through 24 and discontinued therapy at Week 24 and all participants who received placebo for 48 weeks. A participant was considered to have achieved SVR24 if the plasma HCV RNA levels were <15 IU/mL at both the end of treatment (Week 24 for filibuvir participants who ended therapy at Week 24 and Week 48 for participants who received placebo) and 24 weeks following the completion of therapy (Week 48 for filibuvir participants who ended therapy at Week 24; Week 72 for placebo participants who ended therapy at Week 48).

    Measured: 24 weeks after completion of therapy (Week 48 or 72)

  4. Percentage of Participants With Breakthrough Viremia

    A participant was considered to have breakthrough viremia if there was a >2 log10 increase from nadir in HCV RNA concentration while on treatment or HCV RNA that became undetectable with treatment but then became persistently detectable (2 or more consecutive viral RNA measurements >1000 IU/mL) again during treatment. Overall percentage of participants with breakthrough viremia was summarized.

    Measured: Baseline up to Week 48

  5. Percentage of Participants With Relapsed Response

    A participant was considered to have relapsed response if the plasma HCV RNA levels were undetectable at end of treatment (Week 24 or 48, depending on the time of therapy discontinuation based on HCV RNA levels during therapy) but detectable (>=15 IU/mL) during the off-treatment follow-up period up to Week 72. Overall percentage of participants with relapsed response was summarized.

    Measured: Week 24 or Week 48 up to Week 72

  6. Change From Baseline in Plasma Log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 4, 12 and 24

    Plasma HCV RNA levels were measured using the Roche COBAS TaqMan assay (limit of detection: 15 IU/mL). Baseline value calculated as the average of the screening and Day 1 pre-dose measurements.

    Measured: Baseline, Week 4, 12, 24

  7. Number of Adverse Events (AEs) by Severity (All Causality)

    An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. A serious AE (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Adverse events were graded as mild (did not interfere with participant's usual function), moderate (interfered to some extent with participant's usual function) or severe (interfered significantly with participant's usual function). The most severe grade was used in case of multiple occurrences of the same event.

    Measured: Baseline up to Week 72

  8. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) by Relationship to Study Drug (Any Therapy)

    An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to Week 72 that were absent before treatment or that worsened relative to pretreatment state. All causality AEs included SAEs as well as non-serious AEs, without regard to relationship to the study drug, which occurred during the trial. Treatment-related were events considered related to study drug by the investigator. Number of participants with treatment related TEAEs and all causality TEAEs were summarized.

    Measured: Baseline up to Week 72

  9. Number of Participants Who Discontinued Study Due to Adverse Events (AEs)

    An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    Measured: Baseline up to Week 72

  10. Number of Participants With Dose Reduction or Temporary Discontinuation Due to Adverse Events (AEs)

    An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    Measured: Baseline up to Week 72

  11. Number of Participants With Laboratory Test Abnormalities by Severity

    Number of participants with laboratory abnormalities by Division of Auto Immune Disease Syndrome (DAIDS) grade of 4; 3 or 4; 2, 3 or 4 was summarized. Abnormal laboratory values refers to a DAIDS grade greater than 0, where grade 1= mild, grade 2= moderate, grade 3= severe and grade 4 = potentially life-threatening.

    Measured: Baseline up to Week 72

  12. Plasma Concentration of Filibuvir, Pegylated Interferon and Ribavirin

    Measured: Week 0 (pre-dose), Week 2, 4, 8, 12, 16, 20, 24, 48 (only for those participants who received treatment till Week 48) post-dose

Timeline

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

  1. First posted30 Sep 2009 (estimated)
  2. Study startNov 2009
  3. Primary completionJan 2012
  4. Study completionJan 2012

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
288 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00987337
Sponsor's protocol ID
A8121014
Acronym
FITNESS
Status last verified
Dec 2013
First submitted
29 Sep 2009
Last updated
27 Jan 2014
Data monitoring committee
Yes

Publications

  • Rodriguez-Torres M, Yoshida EM, Marcellin P, Srinivasan S, Purohit VS, Wang C, Hammond JL. A phase 2 study of filibuvir in combination with pegylated IFN alfa and ribavirin for chronic HCV. Ann Hepatol. 2014 Jul-Aug;13(4):364-75.

    PubMed 24927607

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Filibuvir in people with Hepatitis and Hepatitis C, run by Pfizer at 77 sites in 9 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 7 inclusion and 11 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 27 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 77 sites in United States, Canada, Spain, France, Germany and 4 more countries. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 27 Jan 2014). 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 Viral Response (SVR) at Week 72 (time frame: 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 NCT00987337, 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 27 Jan 2014; AzTrials last refreshed its copy on 8 Nov 2026.

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