CClinicalTrials.gg
CompletedNCT00039871Updated Apr 4, 2017Results posted

PEG-Intron Plus Rebetol Treatment of Chronic Hepatitis C Subjects Who Failed Response to Alpha-Interferon Plus Ribavirin (Study P02370)

A Phase 3 interventional study of PegIntron (peginterferon alfa-2b; SCH 54031) and REBETOL (ribavirin; SCH 18908) in Hepatitis, Hepatitis C, Chronic and Fibrosis, sponsored by Merck Sharp & Dohme LLC. Completed. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2017-04-04.

Sponsored by Merck Sharp & Dohme LLC (part of Merck & Co., Inc) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
2,333
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

The objective of this study is to determine the effectiveness of PEG-Intron 1.5 ug/kg/wk plus REBETOL (ribavirin) 800-1400 mg/day in adults with chronic hepatitis C with moderate to severe liver fibrosis or cirrhosis who failed to respond to previous treatment with an alpha interferon in combination with ribavirin. Patients who do not respond to PEG-Intron plus REBETOL (ribavirin) will be enrolled in a long-term maintenance study to evaluate the effectiveness of PEG-Intron monotherapy versus no treatment for the prevention of disease progression (Protocols P02569 and P02570).

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Conditions studied

  • Hepatitis
  • Hepatitis C, Chronic
  • Fibrosis
  • Liver Cirrhosis
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In context

Hepatitis A

2,709 studies on the registry are indexed under Hepatitis A; 142 are open to participants now.

This study's enrollment of 2,333 is above the median of 100 across 1,886 interventional studies indexed under Hepatitis A.

Browse Hepatitis A studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 132 are open to participants now.

Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age at entry 18-65
  • Positive for Hepatitis C
  • Nonresponder to previous treatment (minimum of 3 months) with an alpha Interferon plus ribavirin
  • Liver biopsy demonstrating moderate to severe fibrosis or cirrhosis

Exclusion criteria

Exclusion Criteria:

  • Any cause for the liver disease other than chronic hepatitis C
  • History or presence of complications of cirrhosis
  • Alcohol or illicit drug use or methadone treatment within the past 2 years
  • Treatment for chronic hepatitis C within the previous 6 months
  • Diseases or conditions that could interfere with the subject's participation in and completion of the study
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
2,333 participants (actual)

Study arms

  • Experimental
    Overall study population

    Biological: PegIntron (peginterferon alfa-2b; SCH 54031) · Drug: REBETOL (ribavirin; SCH 18908)

Interventions

  • BiologicalPegIntron (peginterferon alfa-2b; SCH 54031)

    PegIntron (peginterferon alfa-2b) administered at a dose of 1.5 mcg/kg subcutaneously (SC) once a week (QW) for up to 48 weeks

    Also known as: SCH 54031

  • DrugREBETOL (ribavirin; SCH 18908)

    REBETOL (ribavirin) administered on a weight basis: 800-1400 mg/day orally (PO) for up to 48 weeks

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What researchers measure

Primary outcomes

  1. Sustained Virologic Response (SVR) Rate

    Number of participants with undetectable hepatitis C virus RNA (HCV-RNA)

    Time frame: Assessed at end of 24 weeks posttreatment follow-up

Secondary outcomes

  1. Sustained Virologic Response (SVR) for Participants With Undetectable HCV-RNA at Treatment Week 12

    Number of participants with undetectable HCV-RNA at Treatment Week 12 who had subsequent undetectable HCV-RNA after 24 weeks of posttreatment follow-up

    Time frame: 24 weeks posttreatment

  2. Sustained Virologic Response (SVR) for Participants With Detectable But ≥2 Log Drop in HCV-RNA at Treatment Week 12

    Number of participants with detectable HCV-RNA but ≥2 log drop from baseline in HCV-RNA at Treatment Week 12 who had subsequent undetectable HCV-RNA after 24 weeks of posttreatment follow-up

    Time frame: 24 weeks posttreatment

07

Results

Posted Dec 11, 2008

Participant flow

Participant flow — Overall Study
MilestonePegIntron Plus Rebetol
Started2312
Completed928
Not completed1384
Withdrew: Adverse event165
Withdrew: Lost to follow-up18
Withdrew: Protocol violation24
Withdrew: Withdrawal by subject97
Withdrew: Did not meet eligibility criteria11
Withdrew: Administrative1
Withdrew: Discontinued at week 12 per protocol1061
Withdrew: Never entered follow-up7

Outcome measures

PrimarySustained Virologic Response (SVR) Rate

Number of participants with undetectable hepatitis C virus RNA (HCV-RNA)

Time frame:
Assessed at end of 24 weeks posttreatment follow-up
Reported as:
Number · Participants
Sustained Virologic Response (SVR) Rate
ParticipantsPegIntron Plus Rebetol
Sustained Virologic Response (SVR) Rate497
Statistical analysis
  • PegIntron Plus Rebetol · Binomial approximation: 0.217 · 99% CI 0.195 to 0.239
SecondarySustained Virologic Response (SVR) for Participants With Undetectable HCV-RNA at Treatment Week 12

Number of participants with undetectable HCV-RNA at Treatment Week 12 who had subsequent undetectable HCV-RNA after 24 weeks of posttreatment follow-up

Time frame:
24 weeks posttreatment
Reported as:
Number · Participants
Sustained Virologic Response (SVR) for Participants With Undetectable HCV-RNA at Treatment Week 12
ParticipantsPegIntron Plus Rebetol
Sustained Virologic Response (SVR) for Participants With Undetectable HCV-RNA at Treatment Week 12463
Statistical analysis
  • PegIntron Plus Rebetol · Binomial approximation: 0.563 · 95% CI 0.529 to 0.596
SecondarySustained Virologic Response (SVR) for Participants With Detectable But ≥2 Log Drop in HCV-RNA at Treatment Week 12

Number of participants with detectable HCV-RNA but ≥2 log drop from baseline in HCV-RNA at Treatment Week 12 who had subsequent undetectable HCV-RNA after 24 weeks of posttreatment follow-up

Time frame:
24 weeks posttreatment
Reported as:
Number · Participants
Sustained Virologic Response (SVR) for Participants With Detectable But ≥2 Log Drop in HCV-RNA at Treatment Week 12
ParticipantsPegIntron Plus Rebetol
Sustained Virologic Response (SVR) for Participants With Detectable But ≥2 Log Drop in HCV-RNA at Treatment Week 1223
Statistical analysis
  • PegIntron Plus Rebetol · Binomial approximation: 0.122 · 95% CI 0.076 to 0.169

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
PegIntron Plus Rebetol—200/2,312 (8.7%)2,201/2,312 (95.2%)
Most frequent serious events
Showing 10 of 238
Most frequent serious events
EventPegIntron Plus Rebetol
PNEUMONIAInfections and infestations10/2312
DEPRESSIONPsychiatric disorders10/2312
CHEST PAINGeneral disorders8/2312
SUICIDAL IDEATIONPsychiatric disorders8/2312
NEUTROPENIABlood and lymphatic system disorders7/2312
CELLULITISInfections and infestations7/2312
APPENDICITISInfections and infestations6/2312
ROAD TRAFFIC ACCIDENTInjury, poisoning and procedural complications6/2312
HEPATIC NEOPLASM MALIGNANTNeoplasms benign, malignant and unspecified (incl cysts and polyps)6/2312
ANAEMIABlood and lymphatic system disorders4/2312
Most frequent other events
Showing 10 of 35
Most frequent other events
EventPegIntron Plus Rebetol
HEADACHENervous system disorders938/2312
PYREXIAGeneral disorders900/2312
FATIGUEGeneral disorders759/2312
MYALGIAMusculoskeletal and connective tissue disorders714/2312
NAUSEAGastrointestinal disorders587/2312
INSOMNIAPsychiatric disorders519/2312
CHILLSGeneral disorders510/2312
ASTHENIAGeneral disorders496/2312
INFLUENZA LIKE ILLNESSGeneral disorders493/2312
NEUTROPENIABlood and lymphatic system disorders455/2312

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)PegIntron Plus Rebetol
<=18 years0
Between 18 and 65 years2267
>=65 years45
Age, Continuous
Age, Continuous(years)PegIntron Plus Rebetol
Mean49.2 ± 8.1
Sex: Female, Male
Sex: Female, Male(Participants)PegIntron Plus Rebetol
Female662
Male1650
Hepatitis C Virus (HCV) Genotype
Hepatitis C Virus (HCV) Genotype(number of participants)PegIntron Plus Rebetol
Genotype 11859
Genotype 275
Genotype 3293
Genotype 468
Nontypable8
Missing9
METAVIR Fibrosis score
METAVIR Fibrosis score(number of participants)PegIntron Plus Rebetol
F12
F2658
F3676
F4974
Missing2
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Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Poynard T, Munteanu M, Colombo M, Bruix J, Schiff E, Terg R, Flamm S, Moreno-Otero R, Carrilho F, Schmidt W, Berg T, McGarrity T, Heathcote EJ, Goncales F, Diago M, Craxi A, Silva M, Boparai N, Griffel L, Burroughs M, Brass C, Albrecht J. FibroTest is an independent predictor of virologic response in chronic hepatitis C patients retreated with pegylated interferon alfa-2b and ribavirin in the EPIC(3) program. J Hepatol. 2011 Feb;54(2):227-35. doi: 10.1016/j.jhep.2010.06.038. Epub 2010 Sep 15. Erratum In: J Hepatol. 2013 Oct;59(4):914. PubMed 21056496 ↗

Individual participant data

Plan to share: Yes — http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf http://engagezone.msd.com/ds_documentation.php

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 4, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00039871
Responsible party
Sponsor
First posted
Jun 14, 2002
Start date
May 2002
Primary completion
Sep 2007
Completion
Sep 2007
Results posted
Dec 11, 2008
Last update
Apr 4, 2017

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.

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