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Chronic Hepatitis C InfectionPhase 2SWITCH-1NCT02583685

Switching Regimen in Treating Cirrhotic HCV GT1b Subjects

A Phase 2 study testing PR4 + LDV/SOF + ASV 4 wk, PR4 + LDV/SOF + SMV 4 wk and PR4 + LDV/SOF + ASV 6 wk in people with Chronic Hepatitis C Infection, run by Humanity and Health Research Centre at 2 sites in China.

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 is a prospective, randomized study to evaluate the efficacy and safety of switching treatment from Peg-interferon and Ribavirin to direct-acting antiviral agents in Chinese with CHC genotype 1b infection, who are interferon/ribavirin-intolerant. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Chronic Hepatitis C Infection
What is being tested?
PR4 + LDV/SOF + ASV 4 wk, PR4 + LDV/SOF + SMV 4 wk and PR4 + LDV/SOF + ASV 6 wk
Could I receive a placebo?
No, everyone receives an active treatment
How many people
138 participants
Where
2 sitesChina
Study dates
15 May 2015to 31 Oct 2024
Phase
Phase 2
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 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Individuals with chronic HCV GT1b infection;
  • HCV RNA ≥ 10000 IU/mL at screening;
  • Received 4 weeks pegylated interferon plus ribavirin (PR4) therapy and are intolerant to PR4;
  • Cirrhosis determination; a liver biopsy may be required;
  • Use of highly effective contraception methods if female of childbearing potential or sexually active male;

Who cannot join

  • Pregnant or nursing female or male with pregnant female partner;
  • HIV or HBV co-infection;
  • Hematologic or biochemical parameters at Screening outside the protocol- specified requirements;
  • Active or recent history (≤ 1 year) of drug or alcohol abuse;
  • History or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the subject's participation for the full duration of the study, such that it is not in the best interest of the subject to participate.

Trial locations and contacts

2 sites in 1 country.

China2 sites
  • Liver Fibrosis Diagnosis and Treatment Centre, 302 Hospital

    Beijing, Beijing Municipality, 100039

  • Humanity and Health GI and Liver Centre

    Hong Kong, Hong Kong, 00852

Other trials in China

About this study

Official title: Efficacy and Safety of Switching From Pegylated Interferon/Ribavirin (PR) to Direct-acting Antiviral Agents (DAAs) for Chinese With CHC Genotype 1b Infection (SWITCH-1)

This is a prospective, randomized study to evaluate the efficacy and safety of switching treatment from Peg-interferon and Ribavirin to direct-acting antiviral agents in Chinese with CHC genotype 1b infection, who are interferon/ribavirin-intolerant.

Being tested
PR4 + LDV/SOF + ASV 4 wk, PR4 + LDV/SOF + SMV 4 wk, PR4 + LDV/SOF + ASV 6 wk, PR4 + LDV/SOF + SMV 6 wk, PR4 + LDV/SOF + ASV 8 wk

What participants receive

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

  • PR4 + LDV/SOF + ASV 4 wkDrug

    Also called Pegasys®, Copegus®, Harvoni®, Sunvepra®

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Asunaprevir (ASV) 200mg administered orally twice daily.

  • PR4 + LDV/SOF + SMV 4 wkDrug

    Also called Pegasys®, Copegus®, Harvoni®, OLYSIO®

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Simeprevir (SMV) 150 mg tablet orally once daily.

  • PR4 + LDV/SOF + ASV 6 wkDrug

    Also called Pegasys®, Copegus®, Harvoni®, Sunvepra®

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Asunaprevir (ASV) 200mg administered orally twice daily.

  • PR4 + LDV/SOF + SMV 6 wkDrug

    Also called Pegasys®, Copegus®, Harvoni®, OLYSIO®

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Simeprevir (SMV) 150 mg tablet orally once daily.

  • PR4 + LDV/SOF + ASV 8 wkDrug

    Also called Pegasys®, Copegus®, Harvoni®, Sunvepra®

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Asunaprevir (ASV) 200mg administered orally twice daily.

  • PR4 + LDV/SOF + SMV 8 wkDrug

    Also called Pegasys®, Copegus®, Harvoni®, OLYSIO®

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Simeprevir (SMV) 150 mg tablet orally once daily.

  • PR4 + LDV/SOF + ASV 12 wkDrug

    Also called Pegasys®, Copegus®, Harvoni®, Sunvepra®

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Asunaprevir (ASV) 200mg administered orally twice daily.

  • PR4 + LDV/SOF + SMV 12 wkDrug

    Also called Pegasys®, Copegus®, Harvoni®, OLYSIO®

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Simeprevir (SMV) 150 mg tablet orally once daily.

Study groups in NCT02583685
Study groupRoleWhat they receive
PR4 + LDV/SOF + ASV 4 wkExperimentalParticipants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA <25 IU/ml by week 2 will receive LDV/SOF + ASV for 4 weeks.
Receives: Drug: PR4 + LDV/SOF + ASV 4 wk
PR4 + LDV/SOF + SMV 4 wkExperimentalParticipants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA <25 IU/ml by week 2 will receive LDV/SOF + SMV for 4 weeks.
Receives: Drug: PR4 + LDV/SOF + SMV 4 wk
PR4 + LDV/SOF + ASV 6 wkExperimentalParticipants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA <25 IU/ml by week 4 will receive LDV/SOF + ASV for 6 weeks.
Receives: Drug: PR4 + LDV/SOF + ASV 6 wk
PR4 + LDV/SOF + SMV 6 wkExperimentalParticipants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA <25 IU/ml by week 4 will receive LDV/SOF + SMV for 6 weeks.
Receives: Drug: PR4 + LDV/SOF + SMV 6 wk
PR4 + LDV/SOF + ASV 8 wkExperimentalParticipants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA > 2 log drop but ≥25 IU/ml by week 4 will receive LDV/SOF + ASV for 8 weeks.
Receives: Drug: PR4 + LDV/SOF + ASV 8 wk
PR4 + LDV/SOF + SMV 8 wkExperimentalParticipants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA > 2 log drop but ≥25 IU/ml by week 4 will receive LDV/SOF + SMV for 8 weeks.
Receives: Drug: PR4 + LDV/SOF + SMV 8 wk
PR4 + LDV/SOF + ASV 12 wkExperimentalParticipants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA <2 log drop by week 4 will receive LDV/SOF + ASV for 12 weeks.
Receives: Drug: PR4 + LDV/SOF + ASV 12 wk
PR4 + LDV/SOF + SMV 12 wkExperimentalParticipants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA <2 log drop by week 4 will receive LDV/SOF + SMV for 12 weeks.
Receives: Drug: PR4 + LDV/SOF + SMV 12 wk

What is being measured

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

  1. Proportion of participants with sustained virologic response 12 weeks (SVR12) after discontinuation of therapy

    SVR12 is defined as HCV RNA < lower limit of quantification (LLOQ) 12 weeks after last dose of study drug.

    Measured: Post treatment Week 12

  2. Proportion of participants with adverse events leading to permanent discontinuation of study drug(s)

    Measured: Baseline up to Week 24

Secondary outcomes (5)
  1. Proportion of participants with unquantifiable HCV viral load at specified time points during and after treatment

    Measured: Baseline up to Week 24

  2. Treatment adherence

    To evaluate the proportion of patients adherent to therapy (both on-treatment adherence and treatment discontinuation)

    Measured: Baseline to Week 12

  3. Change in health related quality of life evaluated with questionnaires

    To evaluate the change in health-related quality of life during and after treatment with questionnaires

    Measured: Up to Posttreatment Week 24

  4. Change in mental health evaluated with questionnaires

    To evaluate the change in mental health during and after treatment with questionnaires

    Measured: Up to Posttreatment Week 24

  5. Liver disease progression

    Liver disease progression is a composite endpoint measured by laboratory parameters (alanine aminotransferase (ALT), aspartate aminotransferase (AST), bilirubin, albumin, platelets, prothrombin time (PT) and α-fetoprotein) and observed or reported clinical signs and symptoms.

    Measured: Up to 10 years

Timeline

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

  1. First posted22 Oct 2015 (estimated)
  2. Study start15 May 2015
  3. Primary completion31 Oct 2024
  4. Study completion31 Oct 2024

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
138 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02583685
Sponsor's protocol ID
H&H_SWITCH-1
Acronym
SWITCH-1
Status last verified
Mar 2025
First submitted
12 Oct 2015
Last updated
26 Mar 2025
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PR4 + LDV/SOF + ASV 4 wk, PR4 + LDV/SOF + SMV 4 wk and PR4 + LDV/SOF + ASV 6 wk in people with Chronic Hepatitis C Infection, run by Humanity and Health Research Centre at 2 sites in China.

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 5 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 26 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in China. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Proportion of participants with sustained virologic response 12 weeks (SVR12) after discontinuation of therapy (time frame: Post treatment Week 12). The study lists 2 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 26 Mar 2025.

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