CClinicalTrials.gg
CompletedNCT01098097POMOSCHUpdated Nov 26, 2014Results posted

Post Marketing Observational Study of Retreatment of Chronic Hepatitis C With Peginterferon Alpha and Ribavirin (Study P06011)

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

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
963
Ages
18 Years and older
Sex
All
01

Study summary

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.

Read the detailed description

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.

02

Conditions studied

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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 963 is above the median of 250 across 687 observational 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
Sampling method
Non-probability sample

Study population

Patients who failed prior treatment with interferon alpha (pegylated or non-pegylated) with or without ribavirin

Inclusion criteria

  • Chronic hepatitis C of any genotype;
  • Prior treatment with interferon alpha (pegylated or non-pegylated) with or without ribavirin did not result in a sustained virological response;
  • Inclusion criteria listed on the approved label in each country;
  • Willingness of the patient to participate and sign the Informed Consent Form.

Exclusion criteria

Exclusion Criteria:

  • Patient exclusion from this observational/non-interventional study will be determined by the treating physician and will be based on the local label in each country.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
963 participants (actual)

Groups and cohorts

  • Peginterferon alpha and ribavirin

    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

Interventions

  • BiologicalPeginterferon alpha

    Peginterferon alpha given in combination with ribavirin according to local labeling guidelines

    Also known as: PegIntron, SCH 054031, MK-4031

  • DrugRibavirin

    Ribavirin given in combination with peginterferon alpha according to local labeling guidelines

    Also known as: Rebetol, SCH 018908, MK-8908

06

What researchers measure

Primary outcomes

  1. 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

  2. Incidence of Thrombocytopenia

    Thrombocytopenia is a low blood platelet count

    Time frame: Up to 12 Weeks

  3. 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

  4. 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

  5. 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

Secondary outcomes

  1. 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

07

Results

Posted Nov 20, 2012

Participant flow

First participant enrolled: 9 February 2009; last participant completed: 17 October 2011. The study was conducted in 117 centers in 12 countries.

Participant flow — Overall Study
MilestonePeginterferon Alpha and Ribavirin
Started963
Completed881
Not completed82
Withdrew: Adverse event17
Withdrew: Lost to follow-up18
Withdrew: Status unknown16
Withdrew: No reason reported31

Outcome measures

PrimaryIncidence 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
Reported as:
Number · percentage of participants
Incidence of Serious Adverse Events (SAEs) and/or Clinically Significant Adverse Events (AEs)
percentage of participantsPeginterferon Alpha and Ribavirin
Clinically significant adverse event33.6
Serious adverse event1.9
PrimaryIncidence of Thrombocytopenia

Thrombocytopenia is a low blood platelet count

Time frame:
Up to 12 Weeks
Reported as:
Number · percentage of participants
Incidence of Thrombocytopenia
percentage of participantsPeginterferon Alpha and Ribavirin
Incidence of Thrombocytopenia3.8
PrimaryIncidence 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
Reported as:
Number · percentage of participants
Incidence of Treatment Discontinuations Due to Adverse Events
percentage of participantsPeginterferon Alpha and Ribavirin
Treatment stopped - any AE2.6
Dose reduced, then treatment stopped - any AE0.1
PrimaryIncidence 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
Reported as:
Number · percentage of participants
Incidence of Particular Adverse Events Resulting in Treatment Discontinuation
percentage of participantsPeginterferon Alpha and Ribavirin
TS - Anemia0.6
TS - Leucopenia0.2
TS - Neutropenia0.2
TS - Thrombocytopenia0.1
TS - Esophageal varices0.0
TS - Splenomegaly0.0
TS -Portal hypertensive gastropathy0.0
TS - Hepatomegaly0.0
DR/TS - Anemia0.1
DR/TS - Leucopenia0.0
DR/TS - Neutropenia0.0
DR/TS - Thrombocytopenia0.0
DR/TS - Esophageal varices0.0
DR/TS - Splenomegaly0.0
DR/TS - Portal hypertensive gastropathy0.0
DR/TS - Hepatomegaly0.0
PrimaryIncidence 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
Reported as:
Number · percentage of participants
Incidence of Dose Modifications Due to Adverse Events
percentage of participantsPeginterferon Alpha and Ribavirin
Dose Reduced9.7
Dose Reduced, then Treatment Stopped0.1
Dose Reduced, Treatment Suspended and Restarted0.3
SecondaryProportion 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
Reported as:
Number · percentage of participants
Proportion of Participants Who Achieve Undetectable Hepatitis C Virus Ribonucleic Acid (HCV-RNA)
percentage of participantsPeginterferon Alpha and Ribavirin
Proportion of Participants Who Achieve Undetectable Hepatitis C Virus Ribonucleic Acid (HCV-RNA)42.4 (39.1 to 45.9)

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Peginterferon Alpha and Ribavirin—18/963 (1.9%)211/963 (21.9%)
Most frequent serious events
Showing 10 of 18
Most frequent serious events
EventPeginterferon Alpha and Ribavirin
AnemiaBlood and lymphatic system disorders3/963
NeutropeniaBlood and lymphatic system disorders3/963
DepressionPsychiatric disorders2/963
LeucopeniaBlood and lymphatic system disorders1/963
Myocardial ischaemiaCardiac disorders1/963
General physical health deteriorationGeneral disorders1/963
PyrexiaGeneral disorders1/963
Acute tonsillitisInfections and infestations1/963
Campylobacter infectionInfections and infestations1/963
ErysipelasInfections and infestations1/963
Most frequent other events
Most frequent other events
EventPeginterferon Alpha and Ribavirin
AnaemiaBlood and lymphatic system disorders104/963
NeutropeniaBlood and lymphatic system disorders55/963
PyrexiaGeneral disorders54/963
LeucopeniaBlood and lymphatic system disorders52/963
FatigueGeneral disorders49/963

Baseline characteristics

Age, Continuous
Age, Continuous(years)Peginterferon Alpha and Ribavirin
Median50 (18 to 78)
Sex: Female, Male
Sex: Female, Male(Participants)Peginterferon Alpha and Ribavirin
Female420
Male543
Previous non-response type
Previous non-response type(participants)Peginterferon Alpha and Ribavirin
Null responder346
Virologic breakthrough67
Relapse544
Previous non-response type not known6
08

Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 26, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01098097
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Apr 2, 2010
Start date
Jun 2009
Primary completion
Oct 2011
Completion
Oct 2011
Results posted
Nov 20, 2012
Last update
Nov 26, 2014

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2014. You cannot join it, but the record below documents what was studied.

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