CClinicalTrials.gg
CompletedNCT00708500Updated Apr 7, 2017Results posted

Boceprevir in Subjects With Chronic Hepatitis C Genotype 1 Who Failed Prior Treatment With Peginterferon/Ribavirin (Study P05101AM3)(COMPLETED)

A Phase 3 interventional study of Boceprevir (SCH 503034) and Pegylated interferon alfa-2b (SCH 54031) in Hepatitis C, Chronic, sponsored by Merck Sharp & Dohme LLC. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-04-07.

Sponsored by Merck Sharp & Dohme LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
404
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study involves treatment with boceprevir or placebo in combination with pegylated interferon alfa-2b (PegIntron, PEG2b) + Ribavirin (RBV) (weight-based dosing [WBD]) in adult subjects with chronic hepatitis C (CHC) genotype 1 who demonstrated interferon responsiveness (a decrease in hepatitis C virus RNA [HCV-RNA] viral load >=2 log10 by Week 12 or undetectable HCV-RNA at end of treatment) but who failed to achieve sustained virologic response (SVR) on prior treatment with any combination therapy of peginterferon alpha and RBV. This trial includes three arms, one control arm (PEG2b + RBV for 48 weeks) and two experimental arms (PEG2b + RBV + boceprevir). One of the experimental arms, Arm 3, consists of treatment with all three drugs for 44 weeks after the lead-in. The other experimental arm, Arm 2, consists of all three drugs for 32 weeks after the lead-in. Participants in Arm 2 who were undetectable for HCV-RNA at Treatment Week 8 will complete treatment at that point. Those who were not undetectable for HCV-RNA at Treatment Week 8 will receive an additional 12 weeks of PEG2b + RBV + boceprevir placebo. It is hypothesized that the addition of a third active anti-HCV drug may lead to more rapid viral response than therapy with two drugs, and therefore, the addition of boceprevir to PEG2b plus RBV therapy after a 4-week lead-in period may allow for both increased rates of SVR and shorter treatment durations (in some populations) than treatment with peginterferon plus RBV alone.

02

Conditions studied

  • Hepatitis C, Chronic

Keywords

  • Treatment failure
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 404 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; 133 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 and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Qualifying regimen defined as pegylated interferon alfa-2a plus ribavirin or pegylated interferon alfa-2b plus ribavirin for a minimum of 12 weeks.
  • During qualifying regimen, participants must have either a documented undetectable HCV-RNA within 30 days of end of treatment (EOT) and a subsequent detectable HCV-RNA during follow-up or a documented decline in HCV-RNA by >=2 log10 by Treatment Week 12
  • Previously documented CHC genotype 1 infection.
  • Liver biopsy with histology consistent with CHC and no other etiology.
  • Participants with bridging fibrosis or cirrhosis must have an ultrasound within 6 months of the Screening Visit (or between Screening and Day 1) with no findings suspicious for hepatocellular carcinoma (HCC).
  • Participants participating in Schering-Plough Research Institute (SPRI) maintenance protocols P02570 (NCT00049842) or P02569 (NCT00048724) must have completed the study to be eligible for this protocol.
  • Participants must be >=18 years of age.
  • Participants must weigh between 40 kg and 125 kg.
  • Participants and participant's partner(s) must each agree to use acceptable methods of contraception for at least 2 weeks prior to Day 1 and continue until at least 6 months after last dose of study drug, or longer if dictated by local regulations.
  • Participants must be willing to give written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Coinfection with the human immunodeficiency virus (HIV) or hepatitis B virus (Hepatitis B Surface Antigen [HBsAg] positive).
  • Discontinuation of previous interferon or ribavirin regimen for an adverse event (AE) considered by the investigator to be possibly or probably related to ribavirin and/or interferon.
  • Treatment with ribavirin within 90 days and any interferon-alpha within 1 month of Screening.
  • Treatment for hepatitis C with any investigational medication. Prior treatment with herbal remedies with known hepatotoxicity.
  • Treatment with any investigational drug within 30 days of the randomization visit.
  • Participation in any other clinical trial within 30 days of randomization or intention to participate in another clinical trial.
  • Evidence of decompensated liver disease including, but not limited to, a history or presence of clinical ascites, bleeding varices, or hepatic encephalopathy.
  • Diabetic and/or hypertensive participants with clinically significant ocular examination findings.
  • Pre-existing psychiatric conditions.
  • Clinical diagnosis of substance abuse of the specified drugs within the specified timeframes
  • Any known pre-existing medical condition that could interfere with the participant's participation in and completion of the study.
  • Evidence of active or suspected malignancy, or a history of malignancy, within the last 5 years (except adequately treated carcinoma in situ and basal cell carcinoma of the skin). Participants under evaluation for malignancy are not eligible.
  • Participants who are pregnant or nursing. Participants who intend to become pregnant during the study period. Male participants with partners who are, or intend to become, pregnant during the study period.
  • Any other condition which, in the opinion of a physician, would make the participant unsuitable for enrollment or could interfere with the participant participating in and completing the study.
  • Participants who are part of the site personnel directly involved with this study.
  • Participants who are family members of the investigational study staff.
  • Participants who had life-threatening serious adverse event (SAE) during screening period.
  • Protocol-specified hematologic, biochemical, and serologic criteria: Hemoglobin \<12 g/dL for females and \<13 g/dL for males; Neutrophils \<1500/mm\^3 (Blacks: \<1200/mm\^3); Platelets \<100,000/mm\^3; Direct bilirubin >1.5 x upper limit of normal (ULN).
  • Serum albumin \<lower limit of normal (LLN)
  • Thyroid-stimulating hormone (TSH) >1.2 x ULN or \<0.8 x LLN of laboratory reference range, with certain exceptions.
  • Serum creatinine >ULN of the laboratory reference.
  • Protocol-specified serum glucose concentrations.
  • Protocol-specified alpha fetoprotein range.
  • Prothrombin Time/Partial Thromboplastin Time (PT/PTT) values >10% above laboratory reference range.
  • Anti-nuclear antibodies (ANA) >1:320.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
404 participants (actual)

Study arms

  • Placebo comparator
    Placebo+PEG2b+RBV, x 44 weeks

    Participants in Arm 1 (control) received pegylated interferon alfa 2b (PegIntron, PEG2b) + Ribavirin (RBV) (weight-based dosing \[WBD\]) for 4 weeks followed by boceprevir placebo + PEG2b + RBV (WBD) for 44 weeks with 24 weeks post-treatment follow-up.

    Biological: Pegylated interferon alfa-2b (SCH 54031) · Drug: Ribavirin (SCH 18908) · Drug: Boceprevir placebo

  • Experimental
    Boceprevir+PEG2b+RBV, Response Guided Therapy

    Participants in Arm 2 (experimental) were assigned either a 36-week or 48-week course of therapy based on their HCV-RNA status at Treatment Week 8. PEG2b + RBV (WBD) for 4 weeks followed by boceprevir + PEG2b + RBV (WBD) for 32 weeks, then: * 36-week regimen: Participants who have undetectable HCV-RNA at Treatment Week 8 discontinue treatment and enter 36 weeks of post treatment follow-up. * 48-week regimen: Participants who have detectable HCV-RNA at Treatment Week 8 are assigned an additional 12 weeks of therapy, followed by 24 weeks of post treatment follow-up. Placebo replaces boceprevir for the remaining 12 weeks of therapy, and this switch will occur in a blinded fashion.

    Drug: Boceprevir (SCH 503034) · Biological: Pegylated interferon alfa-2b (SCH 54031) · Drug: Ribavirin (SCH 18908) · Drug: Boceprevir placebo

  • Experimental
    Boceprevir+PEG2b+RBV, x 44 weeks

    Participants in Arm 3 (experimental) received PEG2b + RBV (WBD) for 4 weeks followed by boceprevir + PEG2b + RBV (WBD) for 44 weeks with 24 weeks post-treatment follow-up.

    Drug: Boceprevir (SCH 503034) · Biological: Pegylated interferon alfa-2b (SCH 54031) · Drug: Ribavirin (SCH 18908)

Interventions

  • DrugBoceprevir (SCH 503034)

    Boceprevir, 200 mg capsules, 800 mg TID PO

  • BiologicalPegylated interferon alfa-2b (SCH 54031)

    PEG2b 1.5 μg/kg/week subcutaneously (SC)

    Also known as: PegIntron, PEG2b

  • DrugRibavirin (SCH 18908)

    Ribavirin WBD 600 mg/day to 1400 mg/day by mouth (PO) divided twice daily (BID).

    Also known as: Rebetol, RBV

  • DrugBoceprevir placebo

    Boceprevir placebo, 200 mg capsules, 800 mg three times daily (TID) PO.

06

What researchers measure

Primary outcomes

  1. Sustained Virologic Response (SVR) Rate in the Full Analysis Set (FAS) Population.

    SVR is defined as undetectable plasma hepatitis C virus RNA (HCV-RNA) at Follow-up Week 24. This outcome measure evaluates SVR after treatment with boceprevir and PEG2b plus RBV versus PEG2b plus RBV alone in participants with chronic hepatitis C (CHC) genotype 1 who failed prior treatment.

    Time frame: At Follow-up Week 24

Secondary outcomes

  1. Sustained Virologic Response (SVR) Rate in the Modified Intent to Treat (mITT) Population.

    SVR is defined as undetectable plasma HCV-RNA at Follow-up Week 24. This outcome measure evaluates SVR after treatment with boceprevir and PEG2b plus RBV versus PEG2b plus RBV alone in participants with CHC genotype 1 who failed prior treatment. This key secondary efficacy endpoint was added as per the second protocol amendment on 02 DEC 2009.

    Time frame: At Follow-up Week 24

  2. Number of Participants With Early Virologic Response.

    Having undetectable HCV-RNA at Week 2, 4, 8, or 12 was considered Early Virologic Response.

    Time frame: At Week 2, 4, 8, or 12

  3. Number of Participants With Undetectable HCV-RNA at Follow-up Week 12 and at 72 Weeks After Randomization.

    Time frame: At Follow-up Week 12 and at 72 weeks after randomization

07

Results

Posted Jun 15, 2011

Participant flow

Treatment (Tx): 4 WEEK LEAD-IN PERIOD
Participant flow — Treatment (Tx): 4 WEEK LEAD-IN PERIOD
MilestonePlacebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 Weeks
Started80162162
Treated with peg2b + rbv80162161
Completed78156160
Not completed262
Withdrew: Adverse event131
Withdrew: Subject withdrawal unrelated to tx100
Withdrew: Subject withdrawal related to tx010
Withdrew: Subject withdrew consent020
Withdrew: Randomized but not treated001
Tx: RECEIVING BOCEPREVIR/PLACEBO
Participant flow — Tx: RECEIVING BOCEPREVIR/PLACEBO
MilestonePlacebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 Weeks
Started78156160
Completed23104105
Not completed555255
Withdrew: Adverse event11019
Withdrew: Treatment failure493629
Withdrew: Lost to follow-up010
Withdrew: Subject withdrawal unrelated to tx314
Withdrew: Subject withdrawal related to tx201
Withdrew: Subject withdrew consent021
Withdrew: Non-compliance with protocol011
Withdrew: Administrative010
FOLLOWUP
Participant flow — FOLLOWUP
MilestonePlacebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 Weeks
Started77151158
Completed37136143
Not completed401515
Withdrew: Adverse event010
Withdrew: Lost to follow-up164
Withdrew: Subject withdrawal unrelated to tx345
Withdrew: Subject withdrew consent3145
Withdrew: Non-compliance with protocol501

Outcome measures

PrimarySustained Virologic Response (SVR) Rate in the Full Analysis Set (FAS) Population.

SVR is defined as undetectable plasma hepatitis C virus RNA (HCV-RNA) at Follow-up Week 24. This outcome measure evaluates SVR after treatment with boceprevir and PEG2b plus RBV versus PEG2b plus RBV alone in participants with chronic hepatitis C (CHC) genotype 1 who failed prior treatment.

Time frame:
At Follow-up Week 24
Reported as:
Number · Percentage of Participants
Sustained Virologic Response (SVR) Rate in the Full Analysis Set (FAS) Population.
Percentage of ParticipantsPlacebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 Weeks
Sustained Virologic Response (SVR) Rate in the Full Analysis Set (FAS) Population.21.358.666.5
Statistical analysis
  • Placebo+PEG2b+RBV, x 44 Weeks vs Boceprevir+PEG2b+RBV, Response Guided Therapy · Cochran-Mantel-Haenszel · p = <0.0001 · Treatment difference: 37.4 · 95% CI 25.7 to 49.1Difference in percentage of participants who achieved SVR: experimental minus control.
  • Placebo+PEG2b+RBV, x 44 Weeks vs Boceprevir+PEG2b+RBV, x 44 Weeks · Cochran-Mantel-Haenszel · p = <0.0001 · Treatment difference: 45.2 · 95% CI 33.7 to 56.8Difference in percentage of participants who achieved SVR: experimental minus control.
SecondarySustained Virologic Response (SVR) Rate in the Modified Intent to Treat (mITT) Population.

SVR is defined as undetectable plasma HCV-RNA at Follow-up Week 24. This outcome measure evaluates SVR after treatment with boceprevir and PEG2b plus RBV versus PEG2b plus RBV alone in participants with CHC genotype 1 who failed prior treatment. This key secondary efficacy endpoint was added as per the second protocol amendment on 02 DEC 2009.

Time frame:
At Follow-up Week 24
Reported as:
Number · Percentage of Participants
Sustained Virologic Response (SVR) Rate in the Modified Intent to Treat (mITT) Population.
Percentage of ParticipantsPlacebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 Weeks
Sustained Virologic Response (SVR) Rate in the Modified Intent to Treat (mITT) Population.21.860.966.9
Statistical analysis
  • Placebo+PEG2b+RBV, x 44 Weeks vs Boceprevir+PEG2b+RBV, Response Guided Therapy · Cochran-Mantel-Haenszel · p = <0.0001 · Treatment difference: 39.1 · 95% CI 27.2 to 51.0Difference in percentage of participants who achieved SVR: experimental minus control.
  • Placebo+PEG2b+RBV, x 44 Weeks vs Boceprevir+PEG2b+RBV, x 44 Weeks · Cochran-Mantel-Haenszel · p = <0.0001 · Treatment difference: 45.1 · 95% CI 33.4 to 56.8Difference in percentage of participants who achieved SVR: experimental minus control.
SecondaryNumber of Participants With Early Virologic Response.

Having undetectable HCV-RNA at Week 2, 4, 8, or 12 was considered Early Virologic Response.

Time frame:
At Week 2, 4, 8, or 12
Reported as:
Number · participants
Number of Participants With Early Virologic Response.
participantsPlacebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 Weeks
Week 2000
Week 4202
Week 877484
Week 1223111121
SecondaryNumber of Participants With Undetectable HCV-RNA at Follow-up Week 12 and at 72 Weeks After Randomization.
Time frame:
At Follow-up Week 12 and at 72 weeks after randomization
Reported as:
Number · participants
Number of Participants With Undetectable HCV-RNA at Follow-up Week 12 and at 72 Weeks After Randomization.
participantsPlacebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 Weeks
Follow-Up Week 121697105
72 Weeks Post Randomization1793105

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Placebo+PEG2b+RBV, x 44 Weeks—4/80 (5%)77/80 (96.3%)
Boceprevir+PEG2b+RBV, Response Guided Therapy—16/162 (9.9%)159/162 (98.1%)
Boceprevir+PEG2b+RBV, x 44 Weeks—23/161 (14.3%)160/161 (99.4%)
Most frequent serious events
Showing 10 of 51
Most frequent serious events
EventPlacebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 Weeks
ANAEMIABlood and lymphatic system disorders0/800/1625/161
APPENDICITISInfections and infestations0/800/1623/161
DEPRESSIONPsychiatric disorders0/803/1621/161
SUICIDAL IDEATIONPsychiatric disorders0/803/1622/161
CHEST PAINGeneral disorders1/802/1621/161
CHOLELITHIASISHepatobiliary disorders1/800/1620/161
GASTROENTERITISInfections and infestations1/800/1620/161
PARKINSONISMNervous system disorders1/800/1620/161
ABDOMINAL PAINGastrointestinal disorders0/802/1620/161
INTERVERTEBRAL DISC PROTRUSIONMusculoskeletal and connective tissue disorders0/802/1620/161
Most frequent other events
Showing 10 of 50
Most frequent other events
EventPlacebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 Weeks
FATIGUEGeneral disorders40/8087/16292/161
HEADACHENervous system disorders39/8069/16264/161
ANAEMIABlood and lymphatic system disorders16/8070/16275/161
DYSGEUSIANervous system disorders9/8070/16272/161
NAUSEAGastrointestinal disorders30/8072/16268/161
CHILLSGeneral disorders24/8056/16250/161
INSOMNIAPsychiatric disorders19/8050/16247/161
PYREXIAGeneral disorders20/8045/16248/161
DECREASED APPETITEMetabolism and nutrition disorders13/8037/16246/161
MYALGIAMusculoskeletal and connective tissue disorders19/8046/16235/161

Baseline characteristics

Age, Continuous
Age, Continuous(years)Placebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 WeeksTotal
Mean52.9 ± 8.152.9 ± 7.452.3 ± 7.752.7 ± 7.7
Sex: Female, Male
Sex: Female, Male(Participants)Placebo+PEG2b+RBV, x 44 WeeksBoceprevir+PEG2b+RBV, Response Guided TherapyBoceprevir+PEG2b+RBV, x 44 WeeksTotal
Female226449135
Male5898112268
08

Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Poordad F, Bronowicki JP, Gordon SC, Zeuzem S, Jacobson IM, Sulkowski MS, Poynard T, Morgan TR, Molony C, Pedicone LD, Sings HL, Burroughs MH, Sniukiene V, Boparai N, Goteti VS, Brass CA, Albrecht JK, Bacon BR; SPRINT-2 and RESPOND-2 Investigators. Factors that predict response of patients with hepatitis C virus infection to boceprevir. Gastroenterology. 2012 Sep;143(3):608-618.e5. doi: 10.1053/j.gastro.2012.05.011. Epub 2012 May 21. PubMed 22626609 ↗
  • Bacon BR, Gordon SC, Lawitz E, Marcellin P, Vierling JM, Zeuzem S, Poordad F, Goodman ZD, Sings HL, Boparai N, Burroughs M, Brass CA, Albrecht JK, Esteban R; HCV RESPOND-2 Investigators. Boceprevir for previously treated chronic HCV genotype 1 infection. N Engl J Med. 2011 Mar 31;364(13):1207-17. doi: 10.1056/NEJMoa1009482. PubMed 21449784 ↗

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

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00708500
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Jul 2, 2008
Start date
Aug 2008
Primary completion
Apr 2010
Completion
Apr 2010
Results posted
Jun 15, 2011
Last update
Apr 7, 2017

Oversight

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

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