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CompletedNCT02583685SWITCH-1Updated Mar 26, 2025

Switching Regimen in Treating Cirrhotic HCV GT1b Subjects

A Phase 2 interventional study of PR4 + LDV/SOF + ASV 4 wk and PR4 + LDV/SOF + SMV 4 wk in Chronic Hepatitis C Infection, sponsored by Humanity and Health Research Centre. Completed at 2 sites in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-03-26.

Sponsored by Humanity and Health Research Centre · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled May 2015, registered Oct 2015).
Phase
Phase 2
Study type
Interventional
Enrollment
138
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This is a prospective, randomized study to evaluate the efficacy and safety of switching treatment from Peg-interferon and Ribavirin to direct-acting antiviral agents in Chinese with CHC genotype 1b infection, who are interferon/ribavirin-intolerant.

02

Conditions studied

  • Chronic Hepatitis C Infection

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03

In context

Hepatitis C, Chronic

950 studies on the registry are indexed under Hepatitis C, Chronic; 8 are open to participants now.

This study's enrollment of 138 is above the median of 90 across 696 interventional studies indexed under Hepatitis C, Chronic.

Browse Hepatitis C, Chronic studies →

Lead sponsor

Humanity and Health Research Centre is the lead sponsor of 14 studies on the registry; 3 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Individuals with chronic GT1b infection;
  • HCV RNA ≥ 10000 IU/mL at screening;
  • Received 4 weeks pegylated interferon plus ribavirin (PR4) therapy and are intolerant to PR4;
  • Cirrhosis determination; a liver may be required;
  • Use of highly effective methods if female of or sexually active male;

Exclusion criteria

Exclusion Criteria:

  • Pregnant or nursing female or male with pregnant female partner;
  • or co-infection;
  • Hematologic or biochemical parameters at Screening outside the protocol- specified requirements;
  • Active or recent history (≤ 1 year) of drug or alcohol abuse;
  • History or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the subject's participation for the full duration of the study, such that it is not in the best interest of the subject to participate.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
138 participants (actual)

Study arms

  • Experimental
    PR4 + LDV/SOF + ASV 4 wk

    Participants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA \<25 IU/ml by week 2 will receive LDV/SOF + ASV for 4 weeks.

    Drug: PR4 + LDV/SOF + ASV 4 wk

  • Experimental
    PR4 + LDV/SOF + SMV 4 wk

    Participants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA \<25 IU/ml by week 2 will receive LDV/SOF + SMV for 4 weeks.

    Drug: PR4 + LDV/SOF + SMV 4 wk

  • Experimental
    PR4 + LDV/SOF + ASV 6 wk

    Participants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA \<25 IU/ml by week 4 will receive LDV/SOF + ASV for 6 weeks.

    Drug: PR4 + LDV/SOF + ASV 6 wk

  • Experimental
    PR4 + LDV/SOF + SMV 6 wk

    Participants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA \<25 IU/ml by week 4 will receive LDV/SOF + SMV for 6 weeks.

    Drug: PR4 + LDV/SOF + SMV 6 wk

  • Experimental
    PR4 + LDV/SOF + ASV 8 wk

    Participants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA \> 2 log drop but ≥25 IU/ml by week 4 will receive LDV/SOF + ASV for 8 weeks.

    Drug: PR4 + LDV/SOF + ASV 8 wk

  • Experimental
    PR4 + LDV/SOF + SMV 8 wk

    Participants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA \> 2 log drop but ≥25 IU/ml by week 4 will receive LDV/SOF + SMV for 8 weeks.

    Drug: PR4 + LDV/SOF + SMV 8 wk

  • Experimental
    PR4 + LDV/SOF + ASV 12 wk

    Participants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA \<2 log drop by week 4 will receive LDV/SOF + ASV for 12 weeks.

    Drug: PR4 + LDV/SOF + ASV 12 wk

  • Experimental
    PR4 + LDV/SOF + SMV 12 wk

    Participants treated with 4 weeks pegylated interferon and ribavirin and plasma HCV RNA \<2 log drop by week 4 will receive LDV/SOF + SMV for 12 weeks.

    Drug: PR4 + LDV/SOF + SMV 12 wk

Interventions

  • DrugPR4 + LDV/SOF + ASV 4 wk

    Drug page: Peginterferon alfa-2a

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (\< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Asunaprevir (ASV) 200mg administered orally twice daily.

    Also known as: Pegasys®, Copegus®, Harvoni®, Sunvepra®

  • DrugPR4 + LDV/SOF + SMV 4 wk

    Drug page: Peginterferon alfa-2a

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (\< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Simeprevir (SMV) 150 mg tablet orally once daily.

    Also known as: Pegasys®, Copegus®, Harvoni®, OLYSIO®

  • DrugPR4 + LDV/SOF + ASV 6 wk

    Drug page: Peginterferon alfa-2a

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (\< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Asunaprevir (ASV) 200mg administered orally twice daily.

    Also known as: Pegasys®, Copegus®, Harvoni®, Sunvepra®

  • DrugPR4 + LDV/SOF + SMV 6 wk

    Drug page: Peginterferon alfa-2a

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (\< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Simeprevir (SMV) 150 mg tablet orally once daily.

    Also known as: Pegasys®, Copegus®, Harvoni®, OLYSIO®

  • DrugPR4 + LDV/SOF + ASV 8 wk

    Drug page: Peginterferon alfa-2a

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (\< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Asunaprevir (ASV) 200mg administered orally twice daily.

    Also known as: Pegasys®, Copegus®, Harvoni®, Sunvepra®

  • DrugPR4 + LDV/SOF + SMV 8 wk

    Drug page: Peginterferon alfa-2a

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (\< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Simeprevir (SMV) 150 mg tablet orally once daily.

    Also known as: Pegasys®, Copegus®, Harvoni®, OLYSIO®

  • DrugPR4 + LDV/SOF + ASV 12 wk

    Drug page: Peginterferon alfa-2a

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (\< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Asunaprevir (ASV) 200mg administered orally twice daily.

    Also known as: Pegasys®, Copegus®, Harvoni®, Sunvepra®

  • DrugPR4 + LDV/SOF + SMV 12 wk

    Drug page: Peginterferon alfa-2a

    Pegylated interferon alfa-2a (PEG) 180 μg administered once weekly by subcutaneous injection; Ribavirin (RBV) administered as a tablet orally according to body weight (\< 75kg = 1000 mg and ≥ 75 kg = 1200 mg); Ledipasvir/sofosbuvir (LDV/SOF) 90 mg/400 mg fixed dose combination (FDC) tablet administered orally once daily; Simeprevir (SMV) 150 mg tablet orally once daily.

    Also known as: Pegasys®, Copegus®, Harvoni®, OLYSIO®

06

What researchers measure

Primary outcomes

  1. Proportion of participants with sustained virologic response 12 weeks (SVR12) after discontinuation of therapy

    SVR12 is defined as HCV RNA \< lower limit of quantification (LLOQ) 12 weeks after last dose of study drug.

    Time frame: Post treatment Week 12

  2. Proportion of participants with adverse events leading to permanent discontinuation of study drug(s)

    Time frame: Baseline up to Week 24

Secondary outcomes

  1. Proportion of participants with unquantifiable HCV viral load at specified time points during and after treatment

    Time frame: Baseline up to Week 24

  2. Treatment adherence

    To evaluate the proportion of patients adherent to therapy (both on-treatment adherence and treatment discontinuation)

    Time frame: Baseline to Week 12

  3. Change in health related quality of life evaluated with questionnaires

    To evaluate the change in health-related quality of life during and after treatment with questionnaires

    Time frame: Up to Posttreatment Week 24

  4. Change in mental health evaluated with questionnaires

    To evaluate the change in mental health during and after treatment with questionnaires

    Time frame: Up to Posttreatment Week 24

  5. Liver disease progression

    Liver disease progression is a composite endpoint measured by laboratory parameters (alanine aminotransferase (ALT), aspartate aminotransferase (AST), bilirubin, albumin, platelets, prothrombin time (PT) and α-fetoprotein) and observed or reported clinical signs and symptoms.

    Time frame: Up to 10 years

07

Study locations

2 sites
  • Liver Fibrosis Diagnosis and Treatment Centre, 302 Hospital
    Beijing, Beijing 100039, China
  • Humanity and Health GI and Liver Centre
    Hong Kong, Hong Kong 00852, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02583685
Lead sponsor
Humanity and Health Research Centre
Collaborators
Beijing 302 Hospital, Nanfang Hospital, Southern Medical University
Responsible party
Sponsor
First posted
Oct 22, 2015
Start date
May 15, 2015
Primary completion
Oct 31, 2024
Completion
Oct 31, 2024
Last update
Mar 26, 2025

Study contacts

George Lau
principal investigator · Humanity and Health GI and Liver Centre

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Peginterferon alfa-2a

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