A Phase 4 interventional study of Peginterferon alfa-2a [Pegasys] in Hepatitis B, Chronic, sponsored by Hoffmann-La Roche. Completed at 4 sites in Morocco. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2016-07-22.
Sponsored by Hoffmann-La Roche · Phase 4, Interventional, and Treatment
This is an expanded access programme to make Pegasys (peginterferon alfa-2a) available to patients with HBeAg-negative chronic hepatitis B in Morocco. Patients will receive Pegasys 180 mcg subcutaneously weekly for 48 weeks and efficacy and safety will be recorded during treatment and for 24 weeks of follow-up.
2,709 studies on the registry are indexed under Hepatitis A; 142 are open to participants now.
This study's enrollment of 59 is below the median of 100 across 1,886 interventional studies indexed under Hepatitis A.
Browse Hepatitis A studies →Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.
Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) have results posted.
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Exclusion Criteria:
Eligible participants with HI3vAg (a type of Hepatitis B surface antigen) negative chronic hepatitis B will be administered peginterferon alpha-2a (PEGASYS), 40kD, 180 micrograms (mcg) subcutaneously once weekly for 48 weeks. The untreated Follow-up will be for 24 weeks.
Drug: Peginterferon alfa-2a [Pegasys]
180 mcg subcutaneously weekly, 48 weeks
Percentage of Participants Achieving Hepatitis C Virus Deoxyribonucleic Acid <10,000 Copies/Milliliter at Week 72
Participants who had Hepatitis B Virus Deoxyribonucleic Acid (HBV-DNA) levels below 100,000 copies per milliliter (mL) at the end of follow-up (at Week 72) were reported.
Time frame: At Week 72
Percentage of Participants Achieving Normalization of Alanine Aminotransferase at Week 72
Percentage of participants with a normal serum alanine aminotransferase (ALT) level at the end of the study was analyzed. Normal ranges for ALT are 7 to 56 International Units/Litre. Participants with ALT less than the upper limit of normal at end of treatment were reported.
Time frame: At Week 72
Number of Participants With Any Adverse Events and Serious Adverse Events
An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. A serious adverse event (SAE) is any significant hazard, contraindication, side effect that is fatal or life-threatening, requires hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability/ incapacity, is a congenital anomaly/ birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above
Time frame: Up to Week 72
Percentage of Participants Achieving Hepatitis B Virus DNA < 400 Copies/mL at Week 72
Participants who had HBV-DNA levels below 400 Copies/mL at the end of follow-up (at Week 72) were reported.
Time frame: At Week 72
Percentage of Participants Achieving Hepatitis B Surface Antigen Seroconversion at Screening and Week 48
Seroconversion is defined as the absence of hepatitis B surface antigen (HBsAg) with a negative result for HBsAg and the presence of anti-Haemoglobin (HBs) antibodies (a positive result for anti-HBs) determined at Week 48. Blood samples were analyzed to check whether it is HBsAg-negative and anti-HBs antibodies positive.
Time frame: At Screening and Week 48
Percentage of Participants Achieving Combined Response Hepatitis B Virus DNA < 10,000 Copies/mL and Normal ALT at Week 72
Percentage of participants showing normal ALT values and HBV DNA levels \<10,000 copies/ mL were reported.
Time frame: At Week 72
A total of 59 participants were enrolled in this study conducted from 13 January 2006 to 25 May 2009 at 9 centers in Kingdom of Morocco.
| Milestone | Peginterferon Alpha-2a, 180 mcg/48 Weeks |
|---|---|
| Started | 59 |
| Completed | 56 |
| Not completed | 3 |
| Withdrew: Lost to follow-up | 2 |
| Withdrew: Lack of efficacy | 1 |
Participants who had Hepatitis B Virus Deoxyribonucleic Acid (HBV-DNA) levels below 100,000 copies per milliliter (mL) at the end of follow-up (at Week 72) were reported.
| Percentage of participants | Peginterferon Alpha-2a, 180 mcg/48 Weeks |
|---|---|
| Percentage of Participants Achieving Hepatitis C Virus Deoxyribonucleic Acid <10,000 Copies/Milliliter at Week 72 | 65.4 (52.5 to 78.3) |
Percentage of participants with a normal serum alanine aminotransferase (ALT) level at the end of the study was analyzed. Normal ranges for ALT are 7 to 56 International Units/Litre. Participants with ALT less than the upper limit of normal at end of treatment were reported.
| Percentage of participants | Peginterferon Alpha-2a, 180 mcg/48 Weeks |
|---|---|
| Percentage of Participants Achieving Normalization of Alanine Aminotransferase at Week 72 | 68.6 (56.8 to 80.4) |
An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. A serious adverse event (SAE) is any significant hazard, contraindication, side effect that is fatal or life-threatening, requires hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability/ incapacity, is a congenital anomaly/ birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above
| Participants | Peginterferon Alpha-2a, 180 mcg/48 Weeks |
|---|---|
| Any AE | 46 |
| Any SAE | 0 |
Participants who had HBV-DNA levels below 400 Copies/mL at the end of follow-up (at Week 72) were reported.
| Percentage of participants | Peginterferon Alpha-2a, 180 mcg/48 Weeks |
|---|---|
| Percentage of Participants Achieving Hepatitis B Virus DNA < 400 Copies/mL at Week 72 | 26.9 (14.8 to 39.0) |
Seroconversion is defined as the absence of hepatitis B surface antigen (HBsAg) with a negative result for HBsAg and the presence of anti-Haemoglobin (HBs) antibodies (a positive result for anti-HBs) determined at Week 48. Blood samples were analyzed to check whether it is HBsAg-negative and anti-HBs antibodies positive.
| Percentage of participants | Peginterferon Alpha-2a, 180 mcg/48 Weeks |
|---|---|
| HBs-Ag Negative, Screening (n= 59) | 1.7 |
| HBs-Ag Negative, Week 48 (n= 55) | 10.9 |
| Anti-HBs Positive, Screening (n= 59) | 0 |
| Anti-HBs Positive, Week 48 (n= 55) | 10.9 |
Percentage of participants showing normal ALT values and HBV DNA levels \<10,000 copies/ mL were reported.
| Percentage of participants | Peginterferon Alpha-2a, 180 mcg/48 Weeks |
|---|---|
| Percentage of Participants Achieving Combined Response Hepatitis B Virus DNA < 10,000 Copies/mL and Normal ALT at Week 72 | 58.8 |
Collected over Up to Week 72. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Peginterferon Alpha-2a, 180 mcg/ 48 Weeks | — | 0/59 (0%) | 40/59 (67.8%) |
| Event | Peginterferon Alpha-2a, 180 mcg/ 48 Weeks |
|---|---|
| AstheniaGeneral disorders | 23/59 |
| NeutropeniaBlood and lymphatic system disorders | 9/59 |
| InsomniaPsychiatric disorders | 7/59 |
| AnxietyPsychiatric disorders | 5/59 |
| ArthralgiaGeneral disorders | 4/59 |
| MyalgiaMusculoskeletal and connective tissue disorders | 4/59 |
Safety analysis population included all the participants who received at least one dose of study medication and have one subsequent post baseline safety assessment
| Age, Continuous(years) | Peginterferon Alpha-2a, 180 mcg/48 Weeks |
|---|---|
| Mean | 41 ± 11 |
| Sex: Female, Male(Participants) | Peginterferon Alpha-2a, 180 mcg/48 Weeks |
|---|---|
| Female | 12 |
| Male | 47 |
This study is completed, as verified in Jun 2016. You cannot join it, but the record below documents what was studied.
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