CClinicalTrials.gg
CompletedNCT01787279Updated Jul 22, 2016Results posted

An Expanded Access Study of Pegasys (Peginterferon Alfa-2a) in Patients With HBeAg-Negative Chronic Hepatitis B

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

Phase
Phase 4
Study type
Interventional
Enrollment
59
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
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Study summary

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.

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Conditions studied

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 59 is below the median of 100 across 1,886 interventional studies indexed under Hepatitis A.

Browse Hepatitis A studies →

Lead sponsor

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.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult patients, >/= 18 and \</= 70 years of age
  • HBeAg-negative chronic hepatitis B
  • HBsAg-positive for at least 6 months, anti- hepatitis B (HBs) negative
  • Serum alanine transaminase (ALT) > 2 ULN (upper limit of normal) but \</= 10 x Upper limit of normal (ULN)
  • Hepatitis B virus (HBV) DNA > 10'000 copies/ml (Roche Monitor or Taqman)
  • No previous treatment with interferon (standard or pegylated) or with a nucleoside analogue
  • Women of childbearing potential must agree to use reliable contraception during the study and for 3 months after treatment completion

Exclusion criteria

Exclusion Criteria:

  • Previous antiviral interferon-based therapy for chronic hepatitis B
  • Pregnant and lactating women
  • Evidence of decompensated liver disease
  • Co-infection with active hepatitis A, hepatitis C, hepatitis D and/or human immunodeficiency virus (HIV)
  • History or other evidence of a medical condition associated with chronic liver disease other than viral hepatitis
  • Previous or current hepatocellular carcinoma
  • History or other evidence of bleeding from oesophageal varices or other conditions consistent with decompensated liver disease
  • Inadequate hematologic or renal function
  • Serum bilirubin level > 2 times the upper limit of normal
  • Severe psychiatric disease
  • History of severe seizure disorder or current anticonvulsant use
  • History of evidence of any disease or condition which would make the patient, in the opinion of the investigator, unsuitable for the study
  • Evidence of drug abuse within one year of study entry
  • Alcohol intake of more than 3 standard drinks per day for men and 2 standard drinks per day for women (1 standard drink contains 10 g of alcohol)
  • Participation in another trial or receipt of an investigational drug within 12 weeks prior to screening
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
59 participants (actual)

Study arms

  • Experimental
    Peginterferon alpha-2a, 180 mcg/48 weeks

    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]

Interventions

  • DrugPeginterferon alfa-2a [Pegasys]

    180 mcg subcutaneously weekly, 48 weeks

06

What researchers measure

Primary outcomes

  1. 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

  2. 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

  3. 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

Secondary outcomes

  1. 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

  2. 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

  3. 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

07

Results

Posted Jul 22, 2016

Participant flow

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.

Participant flow — Overall Study
MilestonePeginterferon Alpha-2a, 180 mcg/48 Weeks
Started59
Completed56
Not completed3
Withdrew: Lost to follow-up2
Withdrew: Lack of efficacy1

Outcome measures

PrimaryPercentage 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
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Hepatitis C Virus Deoxyribonucleic Acid <10,000 Copies/Milliliter at Week 72
Percentage of participantsPeginterferon Alpha-2a, 180 mcg/48 Weeks
Percentage of Participants Achieving Hepatitis C Virus Deoxyribonucleic Acid <10,000 Copies/Milliliter at Week 7265.4 (52.5 to 78.3)
PrimaryPercentage 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
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Normalization of Alanine Aminotransferase at Week 72
Percentage of participantsPeginterferon Alpha-2a, 180 mcg/48 Weeks
Percentage of Participants Achieving Normalization of Alanine Aminotransferase at Week 7268.6 (56.8 to 80.4)
PrimaryNumber 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
Reported as:
Number · Participants
Number of Participants With Any Adverse Events and Serious Adverse Events
ParticipantsPeginterferon Alpha-2a, 180 mcg/48 Weeks
Any AE46
Any SAE0
SecondaryPercentage 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
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Hepatitis B Virus DNA < 400 Copies/mL at Week 72
Percentage of participantsPeginterferon Alpha-2a, 180 mcg/48 Weeks
Percentage of Participants Achieving Hepatitis B Virus DNA < 400 Copies/mL at Week 7226.9 (14.8 to 39.0)
SecondaryPercentage 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
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Hepatitis B Surface Antigen Seroconversion at Screening and Week 48
Percentage of participantsPeginterferon 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
SecondaryPercentage 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
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Combined Response Hepatitis B Virus DNA < 10,000 Copies/mL and Normal ALT at Week 72
Percentage of participantsPeginterferon 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 7258.8

Adverse events

Collected over Up to Week 72. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Peginterferon Alpha-2a, 180 mcg/ 48 Weeks—0/59 (0%)40/59 (67.8%)
Most frequent other events
Most frequent other events
EventPeginterferon Alpha-2a, 180 mcg/ 48 Weeks
AstheniaGeneral disorders23/59
NeutropeniaBlood and lymphatic system disorders9/59
InsomniaPsychiatric disorders7/59
AnxietyPsychiatric disorders5/59
ArthralgiaGeneral disorders4/59
MyalgiaMusculoskeletal and connective tissue disorders4/59

Baseline characteristics

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
Age, Continuous(years)Peginterferon Alpha-2a, 180 mcg/48 Weeks
Mean41 ± 11
Sex: Female, Male
Sex: Female, Male(Participants)Peginterferon Alpha-2a, 180 mcg/48 Weeks
Female12
Male47
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Study locations

4 sites
  • Casablanca, 20100, Morocco
  • Casablanca, Morocco
  • Rabat, 504, Morocco
  • Rabat, 62000, Morocco
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01787279
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Feb 8, 2013
Start date
Jan 2006
Primary completion
May 2009
Completion
May 2009
Results posted
Jul 22, 2016
Last update
Jul 22, 2016

Study contacts

Clinical Trials
study director · Hoffmann-La Roche
View the source record on ClinicalTrials.gov ↗

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