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Hepatitis CPhase 2NCT01183169

Efficacy and Safety of Adding Alisporivir (DEB025) to Peginterferon (IFN) Alfa-2a (Peg-IFN Alfa-2a) and Ribavirin in Chronic HCV Genotype 1 Patients Who Relapsed or Did Not Respond to Previous Treatment

A Phase 2 study testing Alisporivir, Peginterferon alfa-2a and Ribavirin in people with Hepatitis C, run by Debiopharm International SA at 75 sites in 14 countries.

Completed

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

Official record
Search all trials

Trial summary

The study is to investigate whether participants with hepatitis C virus (HCV) genotype 1 who have a history of non-response/relapse to peginterferon alfa-2a (PEG) and ribavirin (RBV) may benefit from treatment with triple therapy alisporivir (ALV; DEB025) with PEG and RBV versus placebo with PEG and RBV. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Hepatitis C
What is being tested?
Alisporivir, Peginterferon alfa-2a and Ribavirin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
459 participants
Where
75 sitesin 14 countries
Study dates
Aug 2010to May 2013
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Chronic HCV genotype 1 viral infection
  • HCV RNA ≥ 1,000 IU/ml assessed by quantitative polymerase chain reaction (qPCR) or equivalent at screening
  • Previous non-responders/relapsers to PEG and RBV after treatment for at least 12 weeks

Who cannot join

  • Treatment with any anti-HCV drug (whether approved or investigational) within 3 months prior to screening
  • Women of child-bearing potential unless using highly effective
  • Any other cause of relevant liver disease other than HCV
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

75 sites in 14 countries.

75 sites in 14 countries

United States18 sites
  • Novartis Investigative Site

    Arlington, Texas, 76012

  • Novartis Investigative Site

    Bradenton, Florida, 34209

  • Novartis Investigative Site

    Brooklyn, New York, 11230

  • Novartis Investigative Site

    Dallas, Texas, 75246-2096

  • Novartis Investigative Site

    Egg Harbor Twp, New Jersey, 08234

  • Novartis Investigative Site

    Honolulu, Hawaii, 96814

  • Novartis Investigative Site

    Honolulu, Hawaii, 96817

  • Novartis Investigative Site

    Houston, Texas, 77030

  • Novartis Investigative Site

    New York, New York, 10021

  • Novartis Investigative Site

    Orlando, Florida, 32804

  • Novartis Investigative Site

    San Antonio, Texas, 78215

  • Novartis Investigative Site

    San Diego, California, 92101

  • Novartis Investigative Site

    San Diego, California, 92115

  • Novartis Investigative Site

    Springfield, Illinois, 62703

  • Novartis Investigative Site

    Springfield, Massachusetts, 01107

  • Novartis Investigative Site

    Tampa, Florida, 33607

  • Novartis Investigative Site

    Topeka, Kansas, 66606

  • Novartis Investigative Site

    Ventura, California, 93003

Other trials in United States

Taiwan7 sites
  • Novartis Investigative Site

    Douliu, 640

  • Novartis Investigative Site

    Kaohsiung City, 807

  • Novartis Investigative Site

    Keelung, 20401

  • Novartis Investigative Site

    Lin-Ko, 33305

  • Novartis Investigative Site

    Niaosong Township, Taiwan, 83301

  • Novartis Investigative Site

    Taipei, Taiwan, 10002

  • Novartis Investigative Site

    Taipei, Taiwan, ROC, 112

Other trials in Taiwan

Germany6 sites
  • Novartis Investigative Site

    Berlin, 10969

  • Novartis Investigative Site

    Cologne, 50937

  • Novartis Investigative Site

    Frankfurt, 60590

  • Novartis Investigative Site

    Freiburg im Breisgau, 79106

  • Novartis Investigative Site

    Hamburg, 20099

  • Novartis Investigative Site

    Leipzig, 04103

Other trials in Germany

Hungary6 sites
  • Novartis Investigative Site

    Békéscsaba, H-5600

  • Novartis Investigative Site

    Budapest, 1083

  • Novartis Investigative Site

    Budapest, 1126

  • Novartis Investigative Site

    Debrecen, 4032

  • Novartis Investigative Site

    Kaposvár, 7400

  • Novartis Investigative Site

    Székesfehérvár, 8000

Other trials in Hungary

Italy6 sites
  • Novartis Investigative Site

    Antella - Bagno A Ripoli, FI, 50012

  • Novartis Investigative Site

    Bologna, 40138

  • Novartis Investigative Site

    Padova, PD, 35128

  • Novartis Investigative Site

    Palermo, PA, 90127

  • Novartis Investigative Site

    Parma, PR, 43100

  • Novartis Investigative Site

    Roma, RM, 00161

Other trials in Italy

Spain6 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08003

  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

  • Novartis Investigative Site

    Barcelona, Catalonia, 08036

  • Novartis Investigative Site

    Madrid, Madrid, 28029

  • Novartis Investigative Site

    Majadahonda, Madrid, 28222

  • Novartis Investigative Site

    Seville, Andalusia, 41014

Other trials in Spain

Australia5 sites
  • Novartis Investigative Site

    Clayton, Victoria, 3168

  • Novartis Investigative Site

    Fitzroy, Victoria, 3065

  • Novartis Investigative Site

    Kingswood, New South Wales, 2747

  • Novartis Investigative Site

    Kogarah, New South Wales, 2217

  • Novartis Investigative Site

    Westmead, New South Wales, 2145

Other trials in Australia

Romania5 sites
  • Novartis Investigative Site

    Bucharest, District 1, 050526

  • Novartis Investigative Site

    Bucharest, District 3, 030317

  • Novartis Investigative Site

    Bucharest, Romania, 021105

  • Novartis Investigative Site

    Bucharest, 020125

  • Novartis Investigative Site

    Iași, Iaşi, 700506

Other trials in Romania

Turkey (Türkiye)4 sites
  • Novartis Investigative Site

    Ankara, Turkey, 06100

  • Novartis Investigative Site

    Ankara, Turkey, 06800

  • Novartis Investigative Site

    Fatih / Istanbul, 34098

  • Novartis Investigative Site

    Izmir, Turkey, 35040

Other trials in Turkey (Türkiye)

United Kingdom4 sites
  • Novartis Investigative Site

    London, E1 1BB

  • Novartis Investigative Site

    London, NW3 2PR

  • Novartis Investigative Site

    London, W2 1NY

  • Novartis Investigative Site

    Nottingham, NG7 2UH

Other trials in United Kingdom

Poland3 sites
  • Novartis Investigative Site

    Bialystok, 15-540

  • Novartis Investigative Site

    Lódz, 91-347

  • Novartis Investigative Site

    Warsaw, 01-201

Other trials in Poland

Belgium2 sites
  • Novartis Investigative Site

    Brussels, 1070

  • Novartis Investigative Site

    Leuven, 3000

Other trials in Belgium

France2 sites
  • Novartis Investigative Site

    Nice, 06202

  • Novartis Investigative Site

    Paris, 75006

Other trials in France

Puerto Rico1 site
  • Novartis Investigative Site

    San Juan, 00909

Other trials in Puerto Rico

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Phase II Study on Efficacy and Safety of DEB025 Combined With Peg-IFN Alfa-2a and Ribavirin in Chronic Hepatitis C Genotype 1 Relapsers and Non-responders to Previous Peg-IFN Alfa-2 Plus Ribavirin Treatment

The study is to investigate whether participants with hepatitis C virus (HCV) genotype 1 who have a history of non-response/relapse to peginterferon alfa-2a (PEG) and ribavirin (RBV) may benefit from treatment with triple therapy alisporivir (ALV; DEB025) with PEG and RBV versus placebo with PEG and RBV.

Conditions
Hepatitis C
Being tested
Alisporivir, Peginterferon alfa-2a, Ribavirin, Placebo
Keywords
Chronic hepatitis C, Cyclophilin inhibitor
Medical subject headings
Hepatitis C, Hepatitis C, Chronic

What participants receive

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

  • AlisporivirDrug

    Also called DEB025, ALV

    ALV 200 mg soft gel capsules administered orally

  • Peginterferon alfa-2aDrug

    Also called Pegasys®, PEG

    PEG 180 μg administered via subcutaneous (s.c.) injection once weekly

  • RibavirinDrug

    Also called Copegus®, RBV

    RBV 200 mg tablets (weight-based dose: < 75 mg = 1000 mg/day; ≥ 75 kg = 1200 mg/day) administered orally in a divided daily dose

  • PlaceboDrug

    Also called ALV Placebo

    ALV placebo soft gel capsules administered orally

Study groups in NCT01183169
Study groupRoleWhat they receive
Treatment A: ALV 600 mg QDExperimentalAlisporivir (ALV) 600 mg once daily (QD) with Peginterferon alfa-2a (PEG) and Ribavirin (RBV) for up to 48 weeks
Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin
Treatment B: ALV 800 mg QDExperimentalAlisporivir (ALV) 800 mg QD with PEG and RBV for up to 48 weeks
Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin
Treatment C1: ALV Placebo - 600 mg QDExperimentalALV Placebo with PEG and RBV for up to 48 weeks; participants not achieving complete early virologic response (cEVR) after 12 weeks of treatment may switch to active ALV 600 mg QD with PEG and RBV.
Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin; Drug: Placebo
Treatment C2: ALV Placebo - 400 mg BIDExperimentalALV Placebo with PEG and RBV for up to 48 weeks; participants not achieving cEVR after 12 weeks of treatment may switch to active ALV 400 mg twice daily (BID) with PEG and RBV.
Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin; Drug: Placebo
Treatment D: ALV 400 mg BIDExperimentalAlisporivir (ALV) 400 mg twice daily BID with PEG and RBV for up to 48 weeks
Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin

What is being measured

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

  1. Percentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)

    cEVR-LOQ was defined as serum HCV RNA below the limit of quantification (< LOQ; i.e., 25 IU/mL) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.

    Measured: after 12 weeks of treatment

Secondary outcomes (9)
  1. Percentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)

    cEVR-LOD was defined as serum HCV RNA below the limit of detection (< LOD; i.e., 10 IU/mL) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.

    Measured: after 12 weeks of treatment

  2. Percentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LOD

    SVR12-LOQ and SVR12-LOD were defined as serum HCV RNA < LOQ and serum HCV RNA < LOD 12 weeks after treatment, respectively.

    Measured: 12 weeks after treatment

  3. Percentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LOD

    SVR24-LOQ and SVR24-LOD were defined as serum HCV RNA < LOQ and serum HCV RNA < LOD 24 weeks after treatment, respectively.

    Measured: 24 weeks after treatment

  4. Percentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LOD

    RVR-LOQ and RVR-LOD were defined as serum HCV RNA < LOQ and serum HCV RNA < LOD after 4 weeks of treatment, respectively. Post-switch groups were assessed 4 weeks after the switch.

    Measured: after 4 weeks of treatment

  5. Percentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LOD

    pEVR-LOQ and pEVR-LOD were defined as a ≥ 2 log10 decrease in HCV RNA and still detectable (≥ LOQ and ≥ LOD, respectively) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.

    Measured: after 12 weeks of treatment

  6. Percentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LOD

    ETR-LOQ and ETR-LOD were defined as serum HCV RNA < LOQ and serum HCV RNA < LOD at treatment end (completed or prematurely discontinued), respectively.

    Measured: within 48 weeks

  7. Percentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study End

    Measured: Up to 48 weeks

  8. Percentage of Participants With On-treatment Viral Breakthrough

    On-treatment viral breakthrough was defined as either:

    • Confirmed increase of HCV RNA ≥1 log10 above nadir (nadir = lowest HCV RNA value during treatment), or
    • HCV RNA becoming ≥ 100 IU/mL after previously being undetectable (< LOQ) during treatment

    Measured: within 48 weeks

  9. Percentage of Participants With Viral Relapse

    Viral relapse was defined as reappearance of detectable HCV RNA after previously being undetectable (< LOQ) during treatment.

    Measured: within 24 weeks after treatment

Timeline

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

  1. First posted17 Aug 2010 (estimated)
  2. Study startAug 2010
  3. Primary completionMay 2013
  4. Study completionMay 2013

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
459 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01183169
Sponsor's protocol ID
CDEB025A2210
Other IDs
2010-020033-14
Status last verified
Jul 2016
First submitted
16 Aug 2010
Last updated
25 Aug 2016
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Alisporivir, Peginterferon alfa-2a and Ribavirin in people with Hepatitis C, run by Debiopharm International SA at 75 sites in 14 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 3 inclusion and 4 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 25 Aug 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 75 sites in United States, Taiwan, Germany, Hungary, Italy and 9 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. 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 25 Aug 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 Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ) (time frame: after 12 weeks of treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 25 Aug 2016.

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