Chronic Hepatitis CPhase 3NCT01590225
Efficacy and Safety of Boceprevir in Combination With Peginterferon Alfa-2b Plus Ribavirin in Pediatric Subjects With Chronic Hepatitis C Genotype 1 (P08034)
A Phase 3 study testing Boceprevir, Peginterferon alpha-2b and Ribavirin in people with Chronic Hepatitis C, run by Merck Sharp & Dohme LLC.
Trial summary
This is a three-part (Part A, Part B, and Part C), open-label, multicenter study of boceprevir in pediatric participants with chronic hepatitis C (CHC) genotype 1 (GT1). In Part A and Part B, efficacy and safety will be evaluated in participants with CHC GT1 who are non-cirrhotic, treatment naïves (Part A) or who are… Read more about this study
- Who is it for?
- Ages 3 to 17 years
- Conditions the study is for
- Chronic Hepatitis C
- What is being tested?
- Boceprevir, Peginterferon alpha-2b and Ribavirin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- 28 Jan 2013to 18 Aug 2021
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 3 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- CHC GT1 infection for at least 6 months with with HCV-RNA ≥10,000 IU/mL.
- Treatment naive, non-cirrhotic participants will be eligible for inclusion in Study Part A
- Non-cirrhotic subjects who failed previous (peg)interferon/ribavirin treatment for CHC and cirrhotics, whether treatment naive or treatment failure, will be eligible for inclusion in Study Part B
- To participate in Study Part C, participants must have completed the required post-treatment follow-up in Study Part A or Part B
- Weight ≥ 10 kg to ≤ 125 kg
- Body surface area (BSA) ≥0.46 m^2 and ≤2.5 m^2
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- Previous liver biopsy with histology consistent with chronic hepatitis C and no other etiology within 2 years of the screening visit
- Participants with bridging fibrosis or cirrhosis must have an ultrasound within 6 months of the screening visit or between the screening visit and Day 1 with no findings suspicious for hepatocellular carcinoma
- Participant must be able to adhere to dose and visit schedules
Who cannot join
- Known co-infection with the the human immunodeficiency virus (HIV) or hepatitis B virus (HBsAg positive)
- For Study Part A, participant received any prior hepatitis C treatment, including herbal remedies, with known hepatotoxicity
- For Study Part B, participant received treatment with ribavirin within 90 days or any interferon alpha within 30 days prior to screening
- For Study Part B, participant received previous treatment with a hepatitis C virus protease inhibitor (excepting participants in study P07614, Pharmacokinetics of Boceprevir in Pediatric Subjects With Chronic Hepatitis C Genotype 1)
- For Study Part B, participant required discontinuation of previous (peg)interferon/ribavirin therapy for an adverse event considered by the investigator to be related to (peg)interferon and/or ribavirin
- For Study Part B, participant is currently taking any antiviral/immunomodulatory treatment for hepatitis C
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- Participant has taken any investigational drugs, except boceprevir
- Participant has received any of the following medication(s) within 2 weeks prior to the Day 1 visit: midazolam, pimozide, amiodarone, flecainide,
- propafenone, quinidine, and ergot derivatives (dihydroergotamine, ergonovine,
- ergotamine, methylergonovine)
- Participation in any other clinical trial within 30 days of enrollment or
- intent to participate in another clinical trial during participation in the current study
- Evidence of decompensated liver disease
- Child Pugh score >6 (class B and C)
- History of diabetes or hypertension or was born prior to 32 weeks
- of gestation and has clinically significant ocular examination findings
- Pre-existing clinically significant psychiatric condition(s)
- Clinical diagnosis of substance abuse
- Any pre-existing medical condition that could interfere with participation in and completion of the study
- Evidence of active or suspected malignancy
- Females who are pregnant, nursing, or intend to become pregnant during
- the study period
- Allergy or sensitivity to the investigational products or excipients
About this study
Official title: A Phase 3 Study to Assess the Efficacy and Safety of Boceprevir in Combination With Peginterferon Alfa-2b Plus Ribavirin in Pediatric Subjects With Chronic Hepatitis C Genotype 1
This is a three-part (Part A, Part B, and Part C), open-label, multicenter study of boceprevir in pediatric participants with chronic hepatitis C (CHC) genotype 1 (GT1). In Part A and Part B, efficacy and safety will be evaluated in participants with CHC GT1 who are non-cirrhotic, treatment naïves (Part A) or who are non-cirrhotic, treatment failures to (peg)interferon/ribavirin or who are cirrhotics (whether treatment naïve or treatment failure) (Part B). Part C is long-term follow up and no study treatment will be administered during this period, but participants who do not achieve viral clearance will be allowed to receive other treatments for CHC.
- Conditions
- Chronic Hepatitis C
- Being tested
- Boceprevir, Peginterferon alpha-2b, Ribavirin, Peginterferon alfa-2b
- 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.
BoceprevirDrug
Also called Victrelis®, SCH 503034
Boceprevir will be administered orally at a dose of 11.4 mg/kg three-times daily (TID) for 24 weeks. The boceprevir dose will be calculated based on 11.4 mg/kg and will then be rounded to the nearest 200-mg value for subjects in the oldest age group, or to the nearest 100-mg or 200-mg value for the subjects in the two youngest age groups.
Peginterferon alpha-2bDrug
Also called Pegintron®, Sylatron®
Peginterferon alpha-2b will be administered subcutaneously at a dose of 60 μg/m^2 once weekly (QW) for 24 weeks.
RibavirinDrug
Also called Copegus®, Rebetol®, RibaTab®, Ribasphere®
The dose of ribavirin will be approximately 15 mg/kg/day administered orally in two divided doses (twice daily [BID]) for 24 weeks.
BoceprevirDrug
Boceprevir will be administered orally at a dose of 11.4 mg/kg three-times daily (TID) for up to 48 weeks. The boceprevir dose will be calculated based on 11.4 mg/kg and will then be rounded to the nearest 200-mg value for subjects in the oldest age group, or to the nearest 100-mg or 200-mg value for the subjects in the two youngest age groups.
Peginterferon alfa-2bDrug
Also called Pegintron®, Sylatron®
Peginterferon alpha-2b will be administered subcutaneously at a dose of 60 μg/m^2 once weekly (QW) for 48 weeks.
RibavirinDrug
Also called Copegus®, Rebetol®, RibaTab®, Ribasphere®
Drug: Ribavirin
The dose of ribavirin will be approximately 15 mg/kg/day administered orally in two divided doses (twice daily [BID]) for 48 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Part A: boceprevir + peginterferon alpha-2b + ribavirin | Experimental | Not described Receives: Drug: Boceprevir; Drug: Peginterferon alpha-2b; Drug: Ribavirin |
| Part B: boceprevir + peginterferon alpha-2b + ribavirin | Experimental | Not described Receives: Drug: Boceprevir; Drug: Peginterferon alfa-2b; Drug: Ribavirin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Participants Achieving Sustained Viral Response (SVR) at Follow-Up Week 24 in Study Part A
Measured: Follow-Up Week 24
Participants Achieving SVR at Follow-Up Week 24 in Study Part B
Measured: Follow-Up Week 24
Time to Viral Relapse in Study Part C
Measured: Follow-Up Week 24 to 5 Years
Secondary outcomes (18)
Proportion of Participants With Alanine Aminotransferase (ALT) Normalization in Study Part A
Measured: Week 2, Week 4, Week 8, Week 12
Participants With Early Virologic Response in Study Part A
Measured: Week 2, Week 4, Week 8, Week 12
Proportion of Participants With Undetectable Hepatitis C Virus Ribonucleic Acid (HCV-RNA) in Study Part A
Measured: Week 12, End of Treatment, Follow-Up Week 24
Proportion of Participants With Undetectable HCV-RNA Who Also Achieved SVR in Study Part A
Measured: Follow-Up Week 12
Proportion of Participants With Alanine Aminotransferase (ALT) Normalization in Study Part B
Measured: Week 2, Week 4, Week 8, Week 12
Proportion of Participants With Undetectable HCV-RNA in Study Part B
Measured: Week 24, End of Treatment, Follow-Up Week 12
Proportion of Participants With Undetectable HCV-RNA Who Also Achieved SVR in Study Part B
Measured: Follow-Up Week 12
Number of Participants Experiencing Treatment-Emergent Adverse Events (AEs) in Study Part A
Measured: Week 1 to Follow-Up Visit 24
Number of Participants Experiencing Treatment-Emergent Treatment-Related AEs in Study Part A
Measured: Week 1 to Follow-Up Week 24
Number of Participants Experiencing Serious AEs (SAEs) in Study Part A
Measured: Week 1 to Follow-Up Week 24
Participants Discontinuing Treatment Due to AEs in Study Part A
Measured: Week 1 to Follow-Up Week 24
Change from Baseline in Participant Laboratory Values in Study Part A
Measured: Baseline to Follow-Up Week 24
Change From Baseline in Participant Vital Signs in Study Part A
Measured: Baseline to Follow-Up Week 24
Number of Participants Experiencing AEs in Study Part B
Measured: Week 1 to Follow-Up Week 24
Number of Participants Experiencing SAEs in Study Part B
Measured: Week 1 to Follow-Up Week 24
Change from Baseline in Participant Laboratory Values in Study Part B
Measured: Week 1 to Follow-Up Week 24
Change From Baseline in Participant Vital Signs in Study Part B
Measured: Week 1 to Follow-Up Week 24
Number of Participants Discontinuing From Study Treatment Due to AEs in Study Part B
Measured: Week 1 to Follow-Up Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 May 2012 (estimated)
- Study start28 Jan 2013
- Primary completion18 Aug 2021 (estimated)
- Study completion18 Aug 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Hepatitis CStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01590225
- Sponsor's protocol ID
- P08034
- Other IDs
- 2010-024260-17
- Status last verified
- Jan 2021
- First submitted
- 1 May 2012
- Last updated
- 29 Jan 2021
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 29 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Study to Assess the Efficacy and Safety of Boceprevir in Combination With Peginterferon Alfa-2b Plus Ribavirin in Pediatric Subjects With Chronic Hepatitis C Genotype 1
- ClinicalTrials.gov ID
- NCT01590225
- Acronym / sponsor ID
- P08034
- Conditions
- Chronic Hepatitis C
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Withdrawn
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 28 Jan 2013 (actual)
- Primary completion
- 18 Aug 2021 (estimated)
- Study completion
- 18 Aug 2021 (estimated)
- First posted
- 2 May 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a three-part (Part A, Part B, and Part C), open-label, multicenter study of boceprevir in pediatric participants with chronic hepatitis C (CHC) genotype 1 (GT1). In Part A and Part B, efficacy and safety will be evaluated in participants with CHC GT1 who are non-cirrhotic, treatment naïves (Part A) or who are non-cirrhotic, treatment failures to (peg)interferon/ribavirin or who are cirrhotics (whether treatment naïve or treatment failure) (Part B). Part C is long-term follow up and no study treatment will be administered during this period, but participants who do not achieve viral clearance will be allowed to receive other treatments for CHC.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Part A: boceprevir + peginterferon alpha-2b + ribavirin | Experimental | Drug: Boceprevir, Drug: Peginterferon alpha-2b, Drug: Ribavirin |
| Part B: boceprevir + peginterferon alpha-2b + ribavirin | Experimental | Drug: Boceprevir, Drug: Peginterferon alfa-2b, Drug: Ribavirin |
Who may qualify
- Ages
- 3 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (9 listed)
- CHC GT1 infection for at least 6 months with with HCV-RNA ≥10,000 IU/mL.
- Treatment naive, non-cirrhotic participants will be eligible for inclusion in Study Part A
- Non-cirrhotic subjects who failed previous (peg)interferon/ribavirin treatment for CHC and cirrhotics, whether treatment naive or treatment failure, will be eligible for inclusion in Study Part B
- To participate in Study Part C, participants must have completed the required post-treatment follow-up in Study Part A or Part B
- Weight ≥ 10 kg to ≤ 125 kg
Key exclusion criteria (23 listed)
- Known co-infection with the the human immunodeficiency virus (HIV) or hepatitis B virus (HBsAg positive)
- For Study Part A, participant received any prior hepatitis C treatment, including herbal remedies, with known hepatotoxicity
- For Study Part B, participant received treatment with ribavirin within 90 days or any interferon alpha within 30 days prior to screening
- For Study Part B, participant received previous treatment with a hepatitis C virus protease inhibitor (excepting participants in study P07614, Pharmacokinetics of Boceprevir in Pediatric Subjects With Chronic Hepatitis C Genotype 1)
- For Study Part B, participant required discontinuation of previous (peg)interferon/ribavirin therapy for an adverse event considered by the investigator to be related to (peg)interferon and/or ribavirin
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BoceprevirAlso: Victrelis®, SCH 503034Boceprevir will be administered orally at a dose of 11.4 mg/kg three-times daily (TID) for 24 weeks. The boceprevir dose will be calculated based on 11.4 mg/kg and will then be rounded to the nearest 200-mg value for subjects in the oldest age group, or to the nearest 100-mg or 200-mg value for the subjects in the two youngest age groups. | Drug | Part A: boceprevir + peginterferon alpha-2b + ribavirin |
| Peginterferon alpha-2bAlso: Pegintron®, Sylatron®Peginterferon alpha-2b will be administered subcutaneously at a dose of 60 μg/m^2 once weekly (QW) for 24 weeks. | Drug | Part A: boceprevir + peginterferon alpha-2b + ribavirin |
| RibavirinAlso: Copegus®, Rebetol®, RibaTab®, Ribasphere®The dose of ribavirin will be approximately 15 mg/kg/day administered orally in two divided doses (twice daily [BID]) for 24 weeks. | Drug | Part A: boceprevir + peginterferon alpha-2b + ribavirin |
| BoceprevirBoceprevir will be administered orally at a dose of 11.4 mg/kg three-times daily (TID) for up to 48 weeks. The boceprevir dose will be calculated based on 11.4 mg/kg and will then be rounded to the nearest 200-mg value for subjects in the oldest age group, or to the nearest 100-mg or 200-mg value for the subjects in the two youngest age groups. | Drug | Part B: boceprevir + peginterferon alpha-2b + ribavirin |
| Peginterferon alfa-2bAlso: Pegintron®, Sylatron®Peginterferon alpha-2b will be administered subcutaneously at a dose of 60 μg/m^2 once weekly (QW) for 48 weeks. | Drug | Part B: boceprevir + peginterferon alpha-2b + ribavirin |
| RibavirinAlso: Copegus®, Rebetol®, RibaTab®, Ribasphere®Drug: Ribavirin The dose of ribavirin will be approximately 15 mg/kg/day administered orally in two divided doses (twice daily [BID]) for 48 weeks. | Drug | Part B: boceprevir + peginterferon alpha-2b + ribavirin |
Primary outcome
Participants Achieving Sustained Viral Response (SVR) at Follow-Up Week 24 in Study Part A
Time frame: Follow-Up Week 24
Participants Achieving SVR at Follow-Up Week 24 in Study Part B
Time frame: Follow-Up Week 24
Time to Viral Relapse in Study Part C
Time frame: Follow-Up Week 24 to 5 Years
18 secondary outcomes
Proportion of Participants With Alanine Aminotransferase (ALT) Normalization in Study Part A
Time frame: Week 2, Week 4, Week 8, Week 12
Participants With Early Virologic Response in Study Part A
Time frame: Week 2, Week 4, Week 8, Week 12
Proportion of Participants With Undetectable Hepatitis C Virus Ribonucleic Acid (HCV-RNA) in Study Part A
Time frame: Week 12, End of Treatment, Follow-Up Week 24
Proportion of Participants With Undetectable HCV-RNA Who Also Achieved SVR in Study Part A
Time frame: Follow-Up Week 12
Proportion of Participants With Alanine Aminotransferase (ALT) Normalization in Study Part B
Time frame: Week 2, Week 4, Week 8, Week 12
Proportion of Participants With Undetectable HCV-RNA in Study Part B
Time frame: Week 24, End of Treatment, Follow-Up Week 12
Proportion of Participants With Undetectable HCV-RNA Who Also Achieved SVR in Study Part B
Time frame: Follow-Up Week 12
Number of Participants Experiencing Treatment-Emergent Adverse Events (AEs) in Study Part A
Time frame: Week 1 to Follow-Up Visit 24
Number of Participants Experiencing Treatment-Emergent Treatment-Related AEs in Study Part A
Time frame: Week 1 to Follow-Up Week 24
Number of Participants Experiencing Serious AEs (SAEs) in Study Part A
Time frame: Week 1 to Follow-Up Week 24
Participants Discontinuing Treatment Due to AEs in Study Part A
Time frame: Week 1 to Follow-Up Week 24
Change from Baseline in Participant Laboratory Values in Study Part A
Time frame: Baseline to Follow-Up Week 24
Change From Baseline in Participant Vital Signs in Study Part A
Time frame: Baseline to Follow-Up Week 24
Number of Participants Experiencing AEs in Study Part B
Time frame: Week 1 to Follow-Up Week 24
Number of Participants Experiencing SAEs in Study Part B
Time frame: Week 1 to Follow-Up Week 24
Change from Baseline in Participant Laboratory Values in Study Part B
Time frame: Week 1 to Follow-Up Week 24
Change From Baseline in Participant Vital Signs in Study Part B
Time frame: Week 1 to Follow-Up Week 24
Number of Participants Discontinuing From Study Treatment Due to AEs in Study Part B
Time frame: Week 1 to Follow-Up Week 24
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jan 2021.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Boceprevir, Peginterferon alpha-2b and Ribavirin in people with Chronic Hepatitis C, run by Merck Sharp & Dohme LLC.
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 9 inclusion and 23 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: withdrawn, as of the sponsor's last update on 29 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
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?
Participants Achieving Sustained Viral Response (SVR) at Follow-Up Week 24 in Study Part A (time frame: Follow-Up Week 24). The study lists 3 primary outcomes in all. 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 29 Jan 2021.