CClinicalTrials.gg
CompletedNCT00336479Updated Jul 23, 2014Results posted

Phase 2 Study of VX-950, Pegasys®, and Copegus® in Hepatitis C

A Phase 2 interventional study of Telaprevir and Ribavirin in Chronic Hepatitis C, sponsored by Vertex Pharmaceuticals Incorporated. Completed at 37 sites in 2 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2014-07-23.

Sponsored by Vertex Pharmaceuticals Incorporated · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
263
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Study the effectiveness of telaprevir (VX-950) in combination with Pegylated Interferon Alfa 2a (Peg-IFN-alfa-2a) and Ribavirin (RBV) in reducing plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels

02

Conditions studied

03

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 263 is above the median of 100 across 1,886 interventional studies indexed under Hepatitis A.

Browse Hepatitis A studies →

Lead sponsor

Vertex Pharmaceuticals Incorporated is the lead sponsor of 243 studies on the registry; 19 are open to participants now.

Of its 102 completed or terminated interventional studies of FDA-regulated products, 49 (48%) 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

  • Hepatitis C virus Genotype 1 with detectable plasma hepatitis C virus RNA
  • Have been infected with hepatitis C virus for greater than (>) 6 months
  • Seronegative for hepatitis B surface antigen and Human Immunodeficiency Virus 1 and 2
  • Must agree to use 2 methods of contraception, including 1 barrier method, during and for 24 weeks after the completion of the study (unless the subject is a female of documented non-child-bearing potential)
  • Female subjects must have a negative pregnancy test at all visits before the first dose

Exclusion criteria

Exclusion Criteria:

  • Received any approved or investigational drug or drug regimen for the treatment of hepatitis C
  • Any medical contraindications to Pegylated Interferon Alfa 2a or Ribavirin therapy
  • Any other cause of significant liver disease in addition to hepatitis C; this may include but is not limited to, hepatitis B, drug or alcohol-related cirrhosis, autoimmune hepatitis, hemochromatosis, Wilson's disease, Nonalcoholic Steatohepatitis or primary biliary cirrhosis
  • Diagnosed or suspected hepatocellular carcinoma
  • Histologic evidence of hepatic cirrhosis (including compensated cirrhosis) based on a liver biopsy taken within 2 years before study start
  • Alcohol abuse or excessive use in the last 12 months
  • Participation in any investigational drug study within 90 days before drug administration or participation in more than 2 drug studies in the last 12 months (exclusive of the current study)
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
263 participants (actual)

Study arms

  • Placebo comparator
    PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week

    Placebo (PBO) matched to telaprevir tablet orally thrice daily for 12 weeks in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) 180 microgram per week (mcg/week) subcutaneous injection and ribavirin (RBV) tablet orally twice daily at a dose of 1000 milligram per day (mg/day) for subjects weighing less than (\<) 75 kilogram (kg) and 1200 mg/day for subjects weighing greater than or equal to (\>=) 75 kg, for 48 weeks.

    Drug: Ribavirin · Drug: Pegylated Interferon Alfa 2a · Other: Placebo

  • Experimental
    Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week

    Single loading dose of telaprevir 1250 mg tablet orally on Day 1 followed by 750 mg telaprevir tablet thrice daily for 12 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 48 weeks.

    Drug: Telaprevir · Drug: Ribavirin · Drug: Pegylated Interferon Alfa 2a

  • Experimental
    Telaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 Week

    Single loading dose of telaprevir 1250 mg tablet orally on Day 1 followed by 750 mg telaprevir tablet thrice daily for 12 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 24 weeks.

    Drug: Telaprevir · Drug: Ribavirin · Drug: Pegylated Interferon Alfa 2a

  • Experimental
    Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 Week

    Single loading dose of telaprevir 1250 mg tablet orally on Day 1 followed by 750 mg telaprevir tablet thrice daily in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 12 weeks.

    Drug: Telaprevir · Drug: Ribavirin · Drug: Pegylated Interferon Alfa 2a

Interventions

  • DrugTelaprevir

    tablet

    Also known as: VX-950

  • DrugRibavirin

    tablet

    Also known as: RBV

  • DrugPegylated Interferon Alfa 2a

    Solution for injection

    Also known as: Peg-IFN-alfa-2a

  • OtherPlacebo

    matching placebo tablet

06

What researchers measure

Primary outcomes

  1. Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Study Drug Dosing

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

    Time frame: 24 weeks after the completion of study drug dosing (up to Week 72)

Secondary outcomes

  1. Percentage of Subjects With Undetectable Plasma HCV RNA at Week 12 After the Completion of Study Drug Dosing

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

    Time frame: 12 weeks after the completion of study drug dosing (up to Week 60)

  2. Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    AE: any adverse change from the subject's baseline (pre-treatment) condition, including any adverse experience, abnormal recording or clinical laboratory assessment value which occurs during the course of the study, whether it is considered related to the study drug or not. An adverse event includes any newly occurring event or previous condition that has increased in severity or frequency since the administration of study drug. SAE: medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. "Study drug" includes all investigational agents (including placebo, if applicable) administered during the course of the study.

    Time frame: Baseline up to Week 48

  3. Number of Subjects With Viral Relapse

    Viral relapse was defined as having detectable HCV RNA during antiviral follow-up. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

    Time frame: After last dose of study drug up to antiviral follow-up (up to Week 72)

  4. Maximum (Cmax), Minimum (Cmin) and Average (Cavg) Plasma Concentration of Telaprevir

    Only subjects who received telaprevir were to be analyzed for this outcome. Maximum, minimum and average plasma concentrations observed during assessment period were reported.

    Time frame: Day 1, 4, 8, 15, 22, 29, 43, 57, 71, 85

07

Results

Posted Jul 21, 2011

Participant flow

Participant flow — Overall Study
MilestonePBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 Week
Started75797917
Completed38545313
Not completed3725264
Withdrew: Adverse event811184
Withdrew: Noncompliant1730
Withdrew: Physician decision2310
Withdrew: Lost to follow-up3200
Withdrew: Withdrawal by subject3230
Withdrew: Other0010
Withdrew: Virologic stopping rule20000

Outcome measures

PrimaryPercentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Study Drug Dosing

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

Time frame:
24 weeks after the completion of study drug dosing (up to Week 72)
Reported as:
Number · percentage of participants
Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Study Drug Dosing
percentage of participantsPBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 Week
Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Study Drug Dosing41.3 (30 to 53)67.1 (56 to 77)60.8 (49 to 72)35.3 (14 to 62)
Statistical analysis
  • PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week vs Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week · Regression, Logistic · p = 0.0014 · Odds ratio (or): 2.985 · 95% CI 1.525 to 5.842Treatment, weight, race and baseline HCV RNA as factors
  • PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week vs Telaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 Week · Regression, Logistic · p = 0.0204 · Odds ratio (or): 2.170 · 95% CI 1.127 to 4.178
SecondaryPercentage of Subjects With Undetectable Plasma HCV RNA at Week 12 After the Completion of Study Drug Dosing

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

Time frame:
12 weeks after the completion of study drug dosing (up to Week 60)
Reported as:
Number · percentage of participants
Percentage of Subjects With Undetectable Plasma HCV RNA at Week 12 After the Completion of Study Drug Dosing
percentage of participantsPBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 Week
Percentage of Subjects With Undetectable Plasma HCV RNA at Week 12 After the Completion of Study Drug Dosing36.0 (25 to 48)58.2 (47 to 69)53.2 (42 to 64)35.3 (14 to 62)
Statistical analysis
  • PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week vs Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week · Regression, Logistic · p = 0.0051 · Odds ratio (or): 2.586 · 95% CI 1.331 to 5.025
  • PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week vs Telaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 Week · Regression, Logistic · p = 0.0418 · Odds ratio (or): 1.976 · 95% CI 1.026 to 3.807
SecondaryNumber of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)

AE: any adverse change from the subject's baseline (pre-treatment) condition, including any adverse experience, abnormal recording or clinical laboratory assessment value which occurs during the course of the study, whether it is considered related to the study drug or not. An adverse event includes any newly occurring event or previous condition that has increased in severity or frequency since the administration of study drug. SAE: medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. "Study drug" includes all investigational agents (including placebo, if applicable) administered during the course of the study.

Time frame:
Baseline up to Week 48
Reported as:
Number · participants
Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)
participantsPBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 Week
AEs75797917
SAEs45103
SecondaryNumber of Subjects With Viral Relapse

Viral relapse was defined as having detectable HCV RNA during antiviral follow-up. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

Time frame:
After last dose of study drug up to antiviral follow-up (up to Week 72)
Reported as:
Number · participants
Number of Subjects With Viral Relapse
participantsPBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 Week
Number of Subjects With Viral Relapse8313
SecondaryMaximum (Cmax), Minimum (Cmin) and Average (Cavg) Plasma Concentration of Telaprevir

Only subjects who received telaprevir were to be analyzed for this outcome. Maximum, minimum and average plasma concentrations observed during assessment period were reported.

Time frame:
Day 1, 4, 8, 15, 22, 29, 43, 57, 71, 85
Reported as:
Mean · nanogram per milliliter (ng/mL)
Maximum (Cmax), Minimum (Cmin) and Average (Cavg) Plasma Concentration of Telaprevir
nanogram per milliliter (ng/mL)Telaprevir
Cmax3032.48 ± 756.93
Cmin2235.51 ± 618.37
Cavg2738.46 ± 699.06

Adverse events

Collected over AEs and SAEs During Dosing From Baseline to Week 48. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 Week—4/75 (5.3%)75/75 (100%)
Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 Week—5/79 (6.3%)79/79 (100%)
Telaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 Week—10/79 (12.7%)79/79 (100%)
Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 Week—3/17 (17.6%)17/17 (100%)
Most frequent serious events
Showing 10 of 24
Most frequent serious events
EventPBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 Week
GASTROENTERITISInfections and infestations0/750/790/791/17
ANAEMIABlood and lymphatic system disorders0/750/791/791/17
SCOTOMAEye disorders0/751/790/791/17
RETINAL EXUDATESEye disorders0/750/790/791/17
DEHYDRATIONMetabolism and nutrition disorders0/750/790/791/17
LOBAR PNEUMONIAInfections and infestations1/750/790/790/17
LYMPHADENITISBlood and lymphatic system disorders1/750/790/790/17
PANCYTOPENIABlood and lymphatic system disorders1/750/790/790/17
ANXIETYPsychiatric disorders1/750/790/790/17
DEAFNESS NEUROSENSORYEar and labyrinth disorders1/750/790/790/17
Most frequent other events
Showing 10 of 125
Most frequent other events
EventPBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 Week
FATIGUEGeneral disorders57/7558/7955/7914/17
NAUSEAGastrointestinal disorders22/7538/7944/7911/17
HEADACHENervous system disorders45/7534/7937/799/17
INFLUENZA LIKE ILLNESSGeneral disorders32/7530/7939/796/17
PRURITUSSkin and subcutaneous tissue disorders17/7532/7938/794/17
INSOMNIAPsychiatric disorders29/7527/7935/796/17
DIARRHOEAGastrointestinal disorders21/7527/7933/794/17
RASHSkin and subcutaneous tissue disorders20/7532/7924/796/17
ANAEMIABlood and lymphatic system disorders20/7523/7929/796/17
INJECTION SITE ERYTHEMAGeneral disorders18/7525/7922/796/17

Baseline characteristics

The Full Analysis set included all randomized subjects who received at least 1 dose of study drug.

Age, Categorical
Age, Categorical(Participants)PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 WeekTotal
<=18 years00000
Between 18 and 65 years75797917250
>=65 years00000
Age, Continuous
Age, Continuous(years)PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 WeekTotal
Mean46.8 ± 8.748.7 ± 7.448.4 ± 7.649.1 ± 8.048.1 ± 7.9
Sex: Female, Male
Sex: Female, Male(Participants)PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 WeekTotal
Female323125593
Male43485412157
Region of Enrollment
Region of Enrollment(participants)PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekTelaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekTelaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 WeekTotal
North America75797917250
08

Study locations

37 sites
  • Call For Information
    Phoenix, Arizona, United States
  • Cedars-Sinai Medical Center
    Los Angeles, California, United States
  • Stanford University Liver Research
    Palo Alto, California, United States
  • Call For Information
    San Francisco, California, United States
  • University of Colorado Hospital
    Denver, Colorado, United States
  • South Denver Gastroenterology
    Englewood, Colorado, United States
  • Shands Hospital University of Florida
    Gainesville, Florida 32610, United States
  • Call for Information
    Miami, Florida, United States
  • University of Chicago Medical Center
    Chicago, Illinois, United States
  • Clarian Hospital
    Indianapolis, Indiana 46202, United States
  • Gulf Coast Research Associates
    Baton Rouge, Louisiana, United States
  • Call For Information
    Baltimore, Maryland, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts, United States
  • Call for Information
    Boston, Massachusetts, United States
  • Call For Information
    Worcester, Massachusetts, United States
  • Henry Ford Health System
    Detroit, Michigan, United States
  • Call For Information
    Rochester, Minnesota, United States
  • Saint Louis University
    St. Louis, Missouri, United States
  • University of New Mexico
    Albuquerque, New Mexico, United States
  • Call For Information
    Manhasset, New York, United States
  • Call for Information
    New York, New York, United States
  • Columbia University Medical Center
    New York, New York, United States
  • Call For Information
    Chapel Hill, North Carolina, United States
  • Call For Information
    Durham, North Carolina, United States
  • University of Cincinnati College of Medicine
    Cincinnati, Ohio, United States
  • Fox Chase/ Temple Cancer Center
    Philadelphia, Pennsylvania 19140, United States
  • University of Pennsylvania Hospital
    Philadelphia, Pennsylvania, United States
  • Baylor University Medical Center
    Dallas, Texas, United States
  • Methodist Hospital of Dallas
    Dallas, Texas, United States
  • University of Texas Southwestern Medical Center at Dallas
    Dallas, Texas, United States
  • Alamo Medical Research
    San Antonio, Texas 78215, United States
  • Inova Fairfax Hospital
    Annandale, Virginia 22003, United States
  • University of Virginia Health System
    Charlotteville, Virginia, United States
  • Metropolitan Research
    Fairfax, Virginia 22031, United States
  • McGuire VA Medical Center
    Richmond, Virginia 23249, United States
  • Froedtert Memorial Lutheran Hospital
    Milwaukee, Wisconsin, United States
  • Fundacion de Investigacion de Diego
    Santurce, 00909, Puerto Rico
09

References and documents

Publications

  • McHutchison JG, Everson GT, Gordon SC, Jacobson IM, Sulkowski M, Kauffman R, McNair L, Alam J, Muir AJ; PROVE1 Study Team. Telaprevir with peginterferon and ribavirin for chronic HCV genotype 1 infection. N Engl J Med. 2009 Apr 30;360(18):1827-38. doi: 10.1056/NEJMoa0806104. Erratum In: N Engl J Med. 2009 Oct 8;361(15):1516. PubMed 19403902 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00336479
Lead sponsor
Vertex Pharmaceuticals Incorporated
Responsible party
Sponsor
First posted
Jun 13, 2006
Start date
Jun 2006
Primary completion
Feb 2008
Completion
Feb 2008
Results posted
Jul 21, 2011
Last update
Jul 23, 2014

Study contacts

Medical Monitor
study director · Vertex Pharmaceuticals Incorporated

Oversight

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

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