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
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.
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Exclusion Criteria:
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
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
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)
Boceprevir, 200 mg capsules, 800 mg TID PO
PEG2b 1.5 μg/kg/week subcutaneously (SC)
Also known as: PegIntron, PEG2b
Ribavirin WBD 600 mg/day to 1400 mg/day by mouth (PO) divided twice daily (BID).
Also known as: Rebetol, RBV
Boceprevir placebo, 200 mg capsules, 800 mg three times daily (TID) PO.
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
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
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
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
| Milestone | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks |
|---|---|---|---|
| Started | 80 | 162 | 162 |
| Treated with peg2b + rbv | 80 | 162 | 161 |
| Completed | 78 | 156 | 160 |
| Not completed | 2 | 6 | 2 |
| Withdrew: Adverse event | 1 | 3 | 1 |
| Withdrew: Subject withdrawal unrelated to tx | 1 | 0 | 0 |
| Withdrew: Subject withdrawal related to tx | 0 | 1 | 0 |
| Withdrew: Subject withdrew consent | 0 | 2 | 0 |
| Withdrew: Randomized but not treated | 0 | 0 | 1 |
| Milestone | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks |
|---|---|---|---|
| Started | 78 | 156 | 160 |
| Completed | 23 | 104 | 105 |
| Not completed | 55 | 52 | 55 |
| Withdrew: Adverse event | 1 | 10 | 19 |
| Withdrew: Treatment failure | 49 | 36 | 29 |
| Withdrew: Lost to follow-up | 0 | 1 | 0 |
| Withdrew: Subject withdrawal unrelated to tx | 3 | 1 | 4 |
| Withdrew: Subject withdrawal related to tx | 2 | 0 | 1 |
| Withdrew: Subject withdrew consent | 0 | 2 | 1 |
| Withdrew: Non-compliance with protocol | 0 | 1 | 1 |
| Withdrew: Administrative | 0 | 1 | 0 |
| Milestone | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks |
|---|---|---|---|
| Started | 77 | 151 | 158 |
| Completed | 37 | 136 | 143 |
| Not completed | 40 | 15 | 15 |
| Withdrew: Adverse event | 0 | 1 | 0 |
| Withdrew: Lost to follow-up | 1 | 6 | 4 |
| Withdrew: Subject withdrawal unrelated to tx | 3 | 4 | 5 |
| Withdrew: Subject withdrew consent | 31 | 4 | 5 |
| Withdrew: Non-compliance with protocol | 5 | 0 | 1 |
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.
| Percentage of Participants | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks |
|---|---|---|---|
| Sustained Virologic Response (SVR) Rate in the Full Analysis Set (FAS) Population. | 21.3 | 58.6 | 66.5 |
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.
| Percentage of Participants | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks |
|---|---|---|---|
| Sustained Virologic Response (SVR) Rate in the Modified Intent to Treat (mITT) Population. | 21.8 | 60.9 | 66.9 |
Having undetectable HCV-RNA at Week 2, 4, 8, or 12 was considered Early Virologic Response.
| participants | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks |
|---|---|---|---|
| Week 2 | 0 | 0 | 0 |
| Week 4 | 2 | 0 | 2 |
| Week 8 | 7 | 74 | 84 |
| Week 12 | 23 | 111 | 121 |
| participants | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks |
|---|---|---|---|
| Follow-Up Week 12 | 16 | 97 | 105 |
| 72 Weeks Post Randomization | 17 | 93 | 105 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 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%) |
| Event | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks |
|---|---|---|---|
| ANAEMIABlood and lymphatic system disorders | 0/80 | 0/162 | 5/161 |
| APPENDICITISInfections and infestations | 0/80 | 0/162 | 3/161 |
| DEPRESSIONPsychiatric disorders | 0/80 | 3/162 | 1/161 |
| SUICIDAL IDEATIONPsychiatric disorders | 0/80 | 3/162 | 2/161 |
| CHEST PAINGeneral disorders | 1/80 | 2/162 | 1/161 |
| CHOLELITHIASISHepatobiliary disorders | 1/80 | 0/162 | 0/161 |
| GASTROENTERITISInfections and infestations | 1/80 | 0/162 | 0/161 |
| PARKINSONISMNervous system disorders | 1/80 | 0/162 | 0/161 |
| ABDOMINAL PAINGastrointestinal disorders | 0/80 | 2/162 | 0/161 |
| INTERVERTEBRAL DISC PROTRUSIONMusculoskeletal and connective tissue disorders | 0/80 | 2/162 | 0/161 |
| Event | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks |
|---|---|---|---|
| FATIGUEGeneral disorders | 40/80 | 87/162 | 92/161 |
| HEADACHENervous system disorders | 39/80 | 69/162 | 64/161 |
| ANAEMIABlood and lymphatic system disorders | 16/80 | 70/162 | 75/161 |
| DYSGEUSIANervous system disorders | 9/80 | 70/162 | 72/161 |
| NAUSEAGastrointestinal disorders | 30/80 | 72/162 | 68/161 |
| CHILLSGeneral disorders | 24/80 | 56/162 | 50/161 |
| INSOMNIAPsychiatric disorders | 19/80 | 50/162 | 47/161 |
| PYREXIAGeneral disorders | 20/80 | 45/162 | 48/161 |
| DECREASED APPETITEMetabolism and nutrition disorders | 13/80 | 37/162 | 46/161 |
| MYALGIAMusculoskeletal and connective tissue disorders | 19/80 | 46/162 | 35/161 |
| Age, Continuous(years) | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks | Total |
|---|---|---|---|---|
| Mean | 52.9 ± 8.1 | 52.9 ± 7.4 | 52.3 ± 7.7 | 52.7 ± 7.7 |
| Sex: Female, Male(Participants) | Placebo+PEG2b+RBV, x 44 Weeks | Boceprevir+PEG2b+RBV, Response Guided Therapy | Boceprevir+PEG2b+RBV, x 44 Weeks | Total |
|---|---|---|---|---|
| Female | 22 | 64 | 49 | 135 |
| Male | 58 | 98 | 112 | 268 |
No study locations are listed for this record.
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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