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Hepatitis CPhase 2NCT01215643

Efficacy and Safety of Alisporivir Alone or Combined With RBV or PEG in Chronic Hepatitis C Genotype 2 and 3 Treatment-naïve Participants

A Phase 2 study testing Alisporivir, Peginterferon alfa-2a and Ribavirin in people with Hepatitis C and Chronic Pain, run by Debiopharm International SA at 73 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 alisporivir (ALV; DEB025) alone or in combination with either ribavirin (RBV) or peginterferon alfa-2a (PEG) is more efficient compared to standard of care (PEG+RBV) in treatment-naïve participants with hepatitis C virus (HCV) genotype 2 and 3. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Hepatitis C, Chronic Pain
What is being tested?
Alisporivir, Peginterferon alfa-2a and Ribavirin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
340 participants
Where
73 sitesin 14 countries
Study dates
Oct 2010to May 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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Chronic hepatitis C viral infection
  • Plasma HCV RNA level lower limit ≥ 10,000 IU/ml assessed by quantitative polymerase chain reaction (qPCR) or equivalent at screening (no upper limit)
  • HCV genotype 2 or 3
  • No previous treatment for hepatitis C infection

Who cannot join

  • Evidence of cirrhosis at the time of screening
  • Evidence of hepatocellular carcinoma at the time of screening
  • Any other cause of relevant liver disease other than HCV
  • Alanine aminotransferase (ALT) ≥ 10 times upper limit of normal (ULN)
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

73 sites in 14 countries.

73 sites in 14 countries

United States16 sites
  • The North Texas Research Institute

    Arlington, Texas, 76012

  • Hawai Medical Center East LLC

    Honolulu, Hawaii, 96817

  • Liver Associates of Texas

    Houston, Texas, 77030

  • Liver Specialist of Texas

    Houston, Texas, 77030

  • Scripps Clinic

    La Jolla, California, 92037

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, 03756-0001

  • Weill Cornell Medical Center

    New York, New York, 10021

  • Mount Sinai Medical Center

    New York, New York, 10029

  • Columbia University Medical Center

    New York, New York, 10032

  • Alamo Medical Research

    San Antonio, Texas, 78215

  • Sharp Rees-Stealy Medical Group, Inc.

    San Diego, California, 92101

  • Research and Education Inc.

    San Diego, California, 92105

  • The Office of Dr. Claudia Martorell

    Springfield, Massachusetts, 01107

  • Saint Louis University

    St Louis, Missouri, 63104

  • Cotton O'Neil Clinical Research

    Topeka, Kansas, 66606

  • Island View Gastroenterology Associates

    Ventura, California, 93003

Other trials in United States

India9 sites
  • Novartis Investigative Site

    Guwahati, 781006

  • Novartis Investigative Site

    Haryāna, 122001

  • Novartis Investigative Site

    Hyderabad - Andhra Pradesh, 500012

  • Novartis Investigative Site

    Lucknow, Uttar Pradesh, 226014

  • Novartis Investigative Site

    Ludhiana, Punjab, 141001

  • Novartis Investigative Site

    Mumbai, Maharashtra, 400036

  • Novartis Investigative Site

    Mumbai, 400020

  • Novartis Investigative Site

    New Delhi, 110070

  • Novartis Investigative Site

    Trivandrum, Kerala, 695607

Other trials in India

Australia6 sites
  • Novartis Investigative Site

    Clayton, Victoria, 3168

  • Novartis Investigative Site

    Fitzroy, Victoria, 3065

  • Novartis Investigative Center

    Greenslopes, Queensland, 4120

  • 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

Taiwan6 sites
  • Novartis Investigative Site

    Douliu

  • Novartis Investigative Site

    Kaohsiung City, 807

  • Novartis Investigative Site

    Niaosong Township, 83301

  • Novartis Investigative Site

    Taichung, 40447

  • Novartis Investigative Site

    Taipei, 10002

  • Novartis Investigative Site

    Taipei, ROC112

Other trials in Taiwan

United Kingdom6 sites
  • Novartis Investigative Site

    Glasgow - Scotland, G12 OYN

  • Novartis Investigative Site

    London, E1 1BB

  • Novartis Investigative Site

    London, SE5 9RS

  • Novartis Investigative Site

    London, SW17 0QT

  • Novartis Investigative Site

    London, W2 1NY

  • Novartis Investigative Site

    Plymouth, PL6 8DH

Other trials in United Kingdom

Germany5 sites
  • Novartis Investigative Site

    Berlin, 10969

  • Novartis Investigative Site

    Frankfurt, 60590

  • Novartis Investigative Site

    Freiburg im Breisgau, 79095

  • Novartis Investigative Site

    Hanover, 30625

  • Novartis Investigative Site

    Leipzig, 04103

Other trials in Germany

Italy5 sites
  • Novartis Investigative Site

    Bologna, 40138

  • Novartis Investigative Site

    Brescia, 25123

  • Novartis Investigative Site

    Pavia, 27100

  • Novartis Inestigative Site

    Roma, 00133

  • Novartis Investigative Site

    Torino, 10126

Other trials in Italy

France4 sites
  • Novartis Investigative Site

    Clichy, 92118

  • Novartis Investigative Site

    Créteil, 94000

  • Novartis Investigative Site

    Marseille, 13008

  • Novartis Investigative Site

    Paris, 75006

Other trials in France

South Korea4 sites
  • Novartis Inestigative Center

    Pusan, 602-739

  • Novartis Investigative Site

    Pusan, 614-735

  • Novartis Korea Ltd.

    Seoul, Seoul, 120-752

  • Novartis Investigative Site

    Seoul, 738-736

Other trials in South Korea

Belgium3 sites
  • Novartis Investigative Site

    Brussels, 1070

  • Novartis Investigative Site

    Ghent, 9000

  • Novartis Investigative Site

    Leuven, 3000

Other trials in Belgium

Poland3 sites
  • Novartis Investigative Site

    Bialystok, 15-540

  • Novartis Investigative Site

    Lódz, 91-347

  • Novartis Investigative Site

    Warsaw, 01 - 201

Other trials in Poland

Thailand3 sites
  • Novartis Investigative Site

    Bangkok, 10700

  • Novartis Investigative Site

    Chiang Mai, 50200

  • Novartis Investigative Site

    Songkhla, 90110

Other trials in Thailand

Canada2 sites
  • Novartis Investigative Site

    Toronto, Ontario, M4V 1P7

  • Novartis Investigative Site

    Vancouver, British Columbia, V5Z 1H2

Other trials in Canada

Puerto Rico1 site
  • Fundacion de Investigacion de Diego

    San Juan, 00927

Other trials in Puerto Rico

About this study

Official title: A Multicenter, Randomized, Open Label, Parallel-group Phase IIB Study on the Efficacy and Safety of Oral Regimens of DEB025 Alone or in Combination With Ribavirin Versus Standard of Care (Peg-IFNα2a Plus Ribavirin) in Treatment-naïve Hepatitis C Genotype 2 and 3 Patients

The study is to investigate whether alisporivir (ALV; DEB025) alone or in combination with either ribavirin (RBV) or peginterferon alfa-2a (PEG) is more efficient compared to standard of care (PEG+RBV) in treatment-naïve participants with hepatitis C virus (HCV) genotype 2 and 3. In addition, triple therapy with DEB025 plus standard of care will be applied to participants not achieving rapid viral response (RVR) in the different arms.

Being tested
Alisporivir, Peginterferon alfa-2a, Ribavirin
Keywords
Chronic hepatitis C genotype 2, Chronic hepatitis C genotype 3, Cyclophilin inhibitor
Medical subject headings
Hepatitis C, Chronic Pain

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 400 mg (2 x 200 mg tablets) administered orally twice daily (BID)

Study groups in NCT01215643
Study groupRoleWhat they receive
ALV 1000 mgExperimentalAlisporivir (ALV) 600 mg twice daily (BID) for 1 week, followed by ALV 1000 mg once daily (QD) during Weeks 2 to 24.
Receives: Drug: Alisporivir
ALV 600 mg+RBVExperimentalAlisporivir (ALV) 600 mg BID with RBV for 1 week, followed by ALV 600 mg QD with ribavirin (RBV) during Weeks 2 to 24.
Receives: Drug: Alisporivir; Drug: Ribavirin
ALV 800 mg+RBVExperimentalAlisporivir (ALV) 600 mg BID with RBV for 1 week, followed by ALV 800 mg QD with RBV during Weeks 2 to 24.
Receives: Drug: Alisporivir; Drug: Ribavirin
ALV 600 mg+PEGExperimentalAlisporivir (ALV) 600 mg BID with Peginterferon alfa-2a (PEG) for 1 week, followed by ALV 600 mg QD with PEG once weekly during Weeks 2 to 24.
Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a
PEG+RBVActive comparatorPeginterferon alfa-2a (PEG) and RBV during Weeks 1 to 24.
Receives: 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 Rapid Viral Response (RVR) After 4 Weeks of Treatment < the Limit of Quantification (RVR4LOQ)

    RVR4LOQ was defined as RVR [serum hepatitis C virus (HCV) ribonucleic acid (RNA) < the limit of quantification (LOQ), i.e., < 25 IU/mL], after 4 weeks of treatment.

    Measured: after 4 weeks of treatment

Secondary outcomes (17)
  1. Percentage of Participants With RVR After 4 Weeks of Treatment < the Limit of Detection (RVR4LOD)

    RVR4LOD was defined as Rapid Viral Response (RVR) [serum HCV RNA < the limit of detection (LOD), i.e., < 10 IU/mL], after 4 weeks of treatment.

    Measured: after 4 weeks of treatment

  2. Percentage of Participants With RVR4LOQ and RVR4LOD (Genotype 2)

    Measured: after 4 weeks of treatment

  3. Percentage of Participants With RVR4LOQ and RVR4LOD (Genotype 3)

    Measured: after 4 weeks of treatment

  4. Percentage of Participants With Complete Early Viral Response (cEVR) After 12 Weeks of Treatment (cEVR12LOQ and cEVR12LOD)

    cEVR12LOQ and cEVR12LOD were defined as cEVR [serum HCV RNA < LOQ and < LOD] after 12 weeks of treatment, respectively.

    Measured: after 12 weeks of treatment

  5. Percentage of Participants With cEVR12LOQ and cEVR12LOD (Genotype 2)

    Measured: after 12 weeks of treatment

  6. Percentage of Participants With cEVR12LOQ and cEVR12LOD (Genotype 3)

    Measured: after 12 weeks of treatment

  7. Percentage of Participants With End of Treatment Response (ETR) Within 24 Weeks (ETR24LOQ and ETR24LOD)

    ETR24LOQ and ETR24LOD were defined as ETR [serum HCV RNA < LOQ and < LOD] after 24 weeks of treatment or when prematurely discontinued.

    Measured: at end of treatment, within 24 weeks

  8. Percentage of Participants With ETR24LOQ and ETR24LOD (Genotype 2)

    Measured: at end of treatment, within 24 weeks

  9. Percentage of Participants With ETR24LOQ and ETR24LOD (Genotype 3)

    Measured: at end of treatment, within 24 weeks

  10. Percentage of Participants With RVR Who Achieved Sustained Viral Response (SVR) 12 Weeks After the End of Treatment (SVR12LOQ and SVR12LOD)

    SVR12LOQ and SVR12LOD were defined as Sustained Viral Response (SVR) [serum HCV RNA < LOQ and < LOD] 12 weeks after treatment, respectively.

    Measured: 12 weeks after the end of treatment

  11. Percentage of Participants With RVR Who Achieved SVR12LOQ and SVR12LOD (Genotype 2)

    Measured: 12 weeks after the end of treatment

  12. Percentage of Participants With RVR Who Achieved SVR12LOQ and SVR12LOD (Genotype 3)

    Measured: 12 weeks after the end of treatment

  13. Percentage of Participants With RVR Who Achieved SVR at 24 Weeks After the End of Treatment (SVR24LOQ and SVR24LOD)

    Measured: 24 weeks after the end of treatment

  14. Percentage of Participants With RVR Who Achieved SVR24LOQ and SVR24LOD (Genotype 2)

    Measured: 24 weeks after the end of treatment

  15. Percentage of Participants With RVR Who Achieved SVR24LOQ and SVR24LOD (Genotype 3)

    Measured: 24 weeks after the end of treatment

  16. Percentage of Participants With On-treatment Viral Breakthrough

    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 (< LOD) during treatment

    Measured: within 24 weeks of treatment

  17. Percentage of Participants With Viral Relapse

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

    Measured: within 24 weeks after the end of treatment

Timeline

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

  1. First posted6 Oct 2010 (estimated)
  2. Study startOct 2010
  3. Primary completionMay 2012
  4. Study completionMay 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
None (open label)
Enrolment
340 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01215643
Sponsor's protocol ID
CDEB025A2211
Other IDs
2010-020034-26
Status last verified
Jul 2016
First submitted
5 Oct 2010
Last updated
30 Aug 2016

Publications

  • Pawlotsky JM, Flisiak R, Sarin SK, Rasenack J, Piratvisuth T, Chuang WL, Peng CY, Foster GR, Shah S, Wedemeyer H, Hezode C, Zhang W, Wong KA, Li B, Avila C, Naoumov NV; VITAL-1 study team. Alisporivir plus ribavirin, interferon free or in combination with pegylated interferon, for hepatitis C virus genotype 2 or 3 infection. Hepatology. 2015 Oct;62(4):1013-23. doi: 10.1002/hep.27960. Epub 2015 Aug 10.

    PubMed 26118427

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 and Chronic Pain, run by Debiopharm International SA at 73 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 4 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 30 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 73 sites in United States, India, Australia, Taiwan, United Kingdom 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 30 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 Rapid Viral Response (RVR) After 4 Weeks of Treatment < the Limit of Quantification (RVR4LOQ) (time frame: after 4 weeks of treatment). 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 NCT01215643, 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 30 Aug 2016.

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