An observational study in Hepatitis C, Chronic, sponsored by Merck Sharp & Dohme LLC. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-11-26.
Sponsored by Merck Sharp & Dohme LLC · Observational
To study retreatment in patients who failed prior treatment with interferon alpha (pegylated or non-pegylated) with or without ribavirin in a real-life setting in an observational/noninterventional study.
This is an observational/non interventional study to collect data on the patient characteristics of those seeking retreatment as well as safety and efficacy information during the first 12 weeks of retreatment.
2,709 studies on the registry are indexed under Hepatitis A; 142 are open to participants now.
This study's enrollment of 963 is above the median of 250 across 687 observational studies indexed under Hepatitis A.
Browse Hepatitis A studies →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.
Patients who failed prior treatment with interferon alpha (pegylated or non-pegylated) with or without ribavirin
Exclusion Criteria:
Peginterferon alpha and ribavirin will be administered at the discretion of the treating physician, in accordance per label according to local guidelines for all participating countries.
Biological: Peginterferon alpha · Drug: Ribavirin
Peginterferon alpha given in combination with ribavirin according to local labeling guidelines
Also known as: PegIntron, SCH 054031, MK-4031
Ribavirin given in combination with peginterferon alpha according to local labeling guidelines
Also known as: Rebetol, SCH 018908, MK-8908
Incidence of Serious Adverse Events (SAEs) and/or Clinically Significant Adverse Events (AEs)
An AE was any untoward medical occurrence in a participant administered a medicinal product which did not necessarily have a causal relationship to the treatment. All AEs reported in the study were judged by the investigator to be clinically significant. An SAE was any adverse drug experience that resulted in death, was life-threatening, caused or prolonged hospitalization, caused persistent or significant disability or incapacity, caused a congenital anomaly or birth defect, or may have required medical or surgical intervention to prevent one of these outcomes.
Time frame: Up to 12 Weeks
Incidence of Thrombocytopenia
Thrombocytopenia is a low blood platelet count
Time frame: Up to 12 Weeks
Incidence of Treatment Discontinuations Due to Adverse Events
All treatment discontinuations due to an AE were reported. See Outcome Measure 1 for definition of AEs.
Time frame: Up to 12 Weeks
Incidence of Particular Adverse Events Resulting in Treatment Discontinuation
All treatment discontinuations due to particular AEs were reported. These discontinuations included treatment stopped (TS) and dose reduced followed by treatment stopped (DR/TS). The particular AE evaluated were anemia (low red blood cells), leucopenia (low white blood cells), neutropenia (low blood neutrophils), thrombocytopenia (low blood platelets), esophageal varices (dilated veins in lower esophagus), splenomegaly (enlarged spleen), portal hypertensive gastropathy (changes in stomach mucosa), and hepatomegaly (enlarged liver)
Time frame: Up to 12 Weeks
Incidence of Dose Modifications Due to Adverse Events
All dose modifications due to an AE were reported. See Outcome Measure 1 for definition of AEs.
Time frame: Up to 12 Weeks
Proportion of Participants Who Achieve Undetectable Hepatitis C Virus Ribonucleic Acid (HCV-RNA)
Participant's blood was tested for HCV-RNA by quantitative polymerase chain reaction. The limit of detection for the assay was 50 IU/mL.
Time frame: Week 12
First participant enrolled: 9 February 2009; last participant completed: 17 October 2011. The study was conducted in 117 centers in 12 countries.
| Milestone | Peginterferon Alpha and Ribavirin |
|---|---|
| Started | 963 |
| Completed | 881 |
| Not completed | 82 |
| Withdrew: Adverse event | 17 |
| Withdrew: Lost to follow-up | 18 |
| Withdrew: Status unknown | 16 |
| Withdrew: No reason reported | 31 |
An AE was any untoward medical occurrence in a participant administered a medicinal product which did not necessarily have a causal relationship to the treatment. All AEs reported in the study were judged by the investigator to be clinically significant. An SAE was any adverse drug experience that resulted in death, was life-threatening, caused or prolonged hospitalization, caused persistent or significant disability or incapacity, caused a congenital anomaly or birth defect, or may have required medical or surgical intervention to prevent one of these outcomes.
| percentage of participants | Peginterferon Alpha and Ribavirin |
|---|---|
| Clinically significant adverse event | 33.6 |
| Serious adverse event | 1.9 |
Thrombocytopenia is a low blood platelet count
| percentage of participants | Peginterferon Alpha and Ribavirin |
|---|---|
| Incidence of Thrombocytopenia | 3.8 |
All treatment discontinuations due to an AE were reported. See Outcome Measure 1 for definition of AEs.
| percentage of participants | Peginterferon Alpha and Ribavirin |
|---|---|
| Treatment stopped - any AE | 2.6 |
| Dose reduced, then treatment stopped - any AE | 0.1 |
All treatment discontinuations due to particular AEs were reported. These discontinuations included treatment stopped (TS) and dose reduced followed by treatment stopped (DR/TS). The particular AE evaluated were anemia (low red blood cells), leucopenia (low white blood cells), neutropenia (low blood neutrophils), thrombocytopenia (low blood platelets), esophageal varices (dilated veins in lower esophagus), splenomegaly (enlarged spleen), portal hypertensive gastropathy (changes in stomach mucosa), and hepatomegaly (enlarged liver)
| percentage of participants | Peginterferon Alpha and Ribavirin |
|---|---|
| TS - Anemia | 0.6 |
| TS - Leucopenia | 0.2 |
| TS - Neutropenia | 0.2 |
| TS - Thrombocytopenia | 0.1 |
| TS - Esophageal varices | 0.0 |
| TS - Splenomegaly | 0.0 |
| TS -Portal hypertensive gastropathy | 0.0 |
| TS - Hepatomegaly | 0.0 |
| DR/TS - Anemia | 0.1 |
| DR/TS - Leucopenia | 0.0 |
| DR/TS - Neutropenia | 0.0 |
| DR/TS - Thrombocytopenia | 0.0 |
| DR/TS - Esophageal varices | 0.0 |
| DR/TS - Splenomegaly | 0.0 |
| DR/TS - Portal hypertensive gastropathy | 0.0 |
| DR/TS - Hepatomegaly | 0.0 |
All dose modifications due to an AE were reported. See Outcome Measure 1 for definition of AEs.
| percentage of participants | Peginterferon Alpha and Ribavirin |
|---|---|
| Dose Reduced | 9.7 |
| Dose Reduced, then Treatment Stopped | 0.1 |
| Dose Reduced, Treatment Suspended and Restarted | 0.3 |
Participant's blood was tested for HCV-RNA by quantitative polymerase chain reaction. The limit of detection for the assay was 50 IU/mL.
| percentage of participants | Peginterferon Alpha and Ribavirin |
|---|---|
| Proportion of Participants Who Achieve Undetectable Hepatitis C Virus Ribonucleic Acid (HCV-RNA) | 42.4 (39.1 to 45.9) |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Peginterferon Alpha and Ribavirin | — | 18/963 (1.9%) | 211/963 (21.9%) |
| Event | Peginterferon Alpha and Ribavirin |
|---|---|
| AnemiaBlood and lymphatic system disorders | 3/963 |
| NeutropeniaBlood and lymphatic system disorders | 3/963 |
| DepressionPsychiatric disorders | 2/963 |
| LeucopeniaBlood and lymphatic system disorders | 1/963 |
| Myocardial ischaemiaCardiac disorders | 1/963 |
| General physical health deteriorationGeneral disorders | 1/963 |
| PyrexiaGeneral disorders | 1/963 |
| Acute tonsillitisInfections and infestations | 1/963 |
| Campylobacter infectionInfections and infestations | 1/963 |
| ErysipelasInfections and infestations | 1/963 |
| Event | Peginterferon Alpha and Ribavirin |
|---|---|
| AnaemiaBlood and lymphatic system disorders | 104/963 |
| NeutropeniaBlood and lymphatic system disorders | 55/963 |
| PyrexiaGeneral disorders | 54/963 |
| LeucopeniaBlood and lymphatic system disorders | 52/963 |
| FatigueGeneral disorders | 49/963 |
| Age, Continuous(years) | Peginterferon Alpha and Ribavirin |
|---|---|
| Median | 50 (18 to 78) |
| Sex: Female, Male(Participants) | Peginterferon Alpha and Ribavirin |
|---|---|
| Female | 420 |
| Male | 543 |
| Previous non-response type(participants) | Peginterferon Alpha and Ribavirin |
|---|---|
| Null responder | 346 |
| Virologic breakthrough | 67 |
| Relapse | 544 |
| Previous non-response type not known | 6 |
No study locations are listed for this record.
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Merck Sharp & Dohme LLC