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CompletedNCT02731131Updated Jul 15, 2016Results posted

A Study of Peginterferon Alfa-2a With or Without Ribavirin in Participants With Chronic Hepatitis D (CHD)

A Phase 2 interventional study of Peginterferon alfa-2a and Ribavirin in Hepatitis D, Chronic, sponsored by Hoffmann-La Roche. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-07-15.

Sponsored by Hoffmann-La Roche · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This single-center, randomized, open-label, pilot study is designed to evaluate the efficacy and safety of 48 weeks of treatment with peginterferon alfa-2a alone versus in combination with ribavirin in participants with CHD.

02

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 12 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.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Positive hepatitis B surface antigen (HBsAg) for the prior 6 months
  • Positive anti-delta for the prior 3 months
  • Positive HDV RNA at Screening
  • Elevated ALT (1 to 10 times upper limit of normal) prior to first dose
  • Chronic, necroinflammatory hepatitis documented within the prior 18 months (non-cirrhotic) or 30 months (cirrhotic)
  • Negative pregnancy and adequate contraceptive use

Exclusion criteria

Exclusion Criteria:

  • Antiviral therapy for CHD within previous 3 months
  • Positive for hepatitis A or C, or human immunodeficiency virus (HIV)
  • Increased risk of metabolic liver disease
  • Decompensated liver disease
  • Elevated bilirubin
  • Poor hematologic or renal function
  • Drug/alcohol abuse within 1 year prior to study
  • History of significant psychiatric, autoimmune, pulmonary, cardiac, oncologic, or thyroid disease
  • Organ transplantation with existing functional graft
  • Retinopathy or other ophthalmologic complication of diabetes or hypertension
  • Inclusion in another investigational trial within previous 12 weeks
05

Study design

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

Study arms

  • Experimental
    Group A: Monotherapy with Peginterferon alfa-2a

    Participants will receive peginterferon alfa-2a alone, administered over 48 weeks.

    Drug: Peginterferon alfa-2a

  • Experimental
    Group B: Combination with Peginterferon alfa-2a + Ribavirin

    Participants will receive combination therapy with peginterferon alfa-2a plus ribavirin, administered over 48 weeks.

    Drug: Peginterferon alfa-2a · Drug: Ribavirin

Interventions

  • DrugPeginterferon alfa-2a

    Peginterferon alfa-2a will be administered as 180 micrograms (mcg) once weekly via subcutaneous (SC) injection.

    Also known as: Pegasys

  • DrugRibavirin

    Ribavirin will be administered as 1000 to 1200 milligrams (mg) per day in divided oral doses.

    Also known as: Copegus

06

What researchers measure

Primary outcomes

  1. Number of Participants With Alanine Aminotransferase (ALT) Normalization Plus Negative Hepatitis D Virus (HDV) Ribonucleic Acid (RNA) at 48 Weeks After End of Treatment

    Normalized ALT was defined as ALT value above the upper limit of normal (ULN) at Baseline with a decrease in ALT value to at/below the ULN at 48 weeks after end of treatment (Week 96). Negative HDV RNA was defined as HDV RNA not detected by polymerase chain reaction (PCR). The number of participants with ALT normalization and negative HDV RNA at Week 96 was reported.

    Time frame: Week 96

Secondary outcomes

  1. Number of Participants With ALT Normalization Plus Negative HDV RNA at End of Treatment

    Normalized ALT was defined as ALT value above the ULN at Baseline with a decrease in ALT value to at/below the ULN at the end of treatment (Week 48). Negative HDV RNA was defined as HDV RNA not detected by PCR. The number of participants with ALT normalization and negative HDV RNA at Week 48 was reported.

    Time frame: Week 48

  2. Number of Participants With ALT Normalization at 48 Weeks After End of Treatment

    Normalized ALT was defined as ALT value above the ULN at Baseline with a decrease in ALT value to at/below the ULN at 48 weeks after end of treatment (Week 96). The number of participants with ALT normalization at Week 96 was reported.

    Time frame: Week 96

  3. Number of Participants With ALT Normalization at End of Treatment

    Normalized ALT was defined as ALT value above the ULN at Baseline with a decrease in ALT value to at/below the ULN at the end of treatment (Week 48). The number of participants with ALT normalization at Week 48 was reported.

    Time frame: Week 48

  4. Number of Participants With Negative HDV RNA at 48 Weeks After End of Treatment

    Negative HDV RNA was defined as HDV RNA not detected by PCR. The number of participants with negative HDV RNA at 48 weeks after end of treatment (Week 96) was reported.

    Time frame: Week 96

  5. Number of Participants With Negative HDV RNA at End of Treatment

    Negative HDV RNA was defined as HDV RNA not detected by PCR. The number of participants with negative HDV RNA at the end of treatment (Week 48) was reported.

    Time frame: Week 48

07

Results

Posted Jul 15, 2016

Participant flow

Participant flow — Overall Study
MilestoneGroup A: Monotherapy With Peginterferon Alfa-2aGroup B: Combination With Peginterferon Alfa-2a + Ribavirin
Started66
Completed64
Not completed02
Withdrew: Psychiatric disorder01
Withdrew: Refused therapy01

Outcome measures

PrimaryNumber of Participants With Alanine Aminotransferase (ALT) Normalization Plus Negative Hepatitis D Virus (HDV) Ribonucleic Acid (RNA) at 48 Weeks After End of Treatment

Normalized ALT was defined as ALT value above the upper limit of normal (ULN) at Baseline with a decrease in ALT value to at/below the ULN at 48 weeks after end of treatment (Week 96). Negative HDV RNA was defined as HDV RNA not detected by polymerase chain reaction (PCR). The number of participants with ALT normalization and negative HDV RNA at Week 96 was reported.

Time frame:
Week 96
Reported as:
Number · participants
Number of Participants With Alanine Aminotransferase (ALT) Normalization Plus Negative Hepatitis D Virus (HDV) Ribonucleic Acid (RNA) at 48 Weeks After End of Treatment
participantsGroup A: Monotherapy With Peginterferon Alfa-2aGroup B: Combination With Peginterferon Alfa-2a + Ribavirin
Number of Participants With Alanine Aminotransferase (ALT) Normalization Plus Negative Hepatitis D Virus (HDV) Ribonucleic Acid (RNA) at 48 Weeks After End of Treatment01
Statistical analysis
  • Group A: Monotherapy With Peginterferon Alfa-2a vs Group B: Combination With Peginterferon Alfa-2a + Ribavirin · Fisher Exact · p = 0.30
SecondaryNumber of Participants With ALT Normalization Plus Negative HDV RNA at End of Treatment

Normalized ALT was defined as ALT value above the ULN at Baseline with a decrease in ALT value to at/below the ULN at the end of treatment (Week 48). Negative HDV RNA was defined as HDV RNA not detected by PCR. The number of participants with ALT normalization and negative HDV RNA at Week 48 was reported.

Time frame:
Week 48
Reported as:
Number · participants
Number of Participants With ALT Normalization Plus Negative HDV RNA at End of Treatment
participantsGroup A: Monotherapy With Peginterferon Alfa-2aGroup B: Combination With Peginterferon Alfa-2a + Ribavirin
Number of Participants With ALT Normalization Plus Negative HDV RNA at End of Treatment00
SecondaryNumber of Participants With ALT Normalization at 48 Weeks After End of Treatment

Normalized ALT was defined as ALT value above the ULN at Baseline with a decrease in ALT value to at/below the ULN at 48 weeks after end of treatment (Week 96). The number of participants with ALT normalization at Week 96 was reported.

Time frame:
Week 96
Reported as:
Number · participants
Number of Participants With ALT Normalization at 48 Weeks After End of Treatment
participantsGroup A: Monotherapy With Peginterferon Alfa-2aGroup B: Combination With Peginterferon Alfa-2a + Ribavirin
Number of Participants With ALT Normalization at 48 Weeks After End of Treatment31
Statistical analysis
  • Group A: Monotherapy With Peginterferon Alfa-2a vs Group B: Combination With Peginterferon Alfa-2a + Ribavirin · Fisher Exact · p = 0.22
SecondaryNumber of Participants With ALT Normalization at End of Treatment

Normalized ALT was defined as ALT value above the ULN at Baseline with a decrease in ALT value to at/below the ULN at the end of treatment (Week 48). The number of participants with ALT normalization at Week 48 was reported.

Time frame:
Week 48
Reported as:
Number · participants
Number of Participants With ALT Normalization at End of Treatment
participantsGroup A: Monotherapy With Peginterferon Alfa-2aGroup B: Combination With Peginterferon Alfa-2a + Ribavirin
Number of Participants With ALT Normalization at End of Treatment10
Statistical analysis
  • Group A: Monotherapy With Peginterferon Alfa-2a vs Group B: Combination With Peginterferon Alfa-2a + Ribavirin · Fisher Exact · p = 0.30
SecondaryNumber of Participants With Negative HDV RNA at 48 Weeks After End of Treatment

Negative HDV RNA was defined as HDV RNA not detected by PCR. The number of participants with negative HDV RNA at 48 weeks after end of treatment (Week 96) was reported.

Time frame:
Week 96
Reported as:
Number · participants
Number of Participants With Negative HDV RNA at 48 Weeks After End of Treatment
participantsGroup A: Monotherapy With Peginterferon Alfa-2aGroup B: Combination With Peginterferon Alfa-2a + Ribavirin
Number of Participants With Negative HDV RNA at 48 Weeks After End of Treatment01
Statistical analysis
  • Group A: Monotherapy With Peginterferon Alfa-2a vs Group B: Combination With Peginterferon Alfa-2a + Ribavirin · Fisher Exact · p = 0.30
SecondaryNumber of Participants With Negative HDV RNA at End of Treatment

Negative HDV RNA was defined as HDV RNA not detected by PCR. The number of participants with negative HDV RNA at the end of treatment (Week 48) was reported.

Time frame:
Week 48
Reported as:
Number · participants
Number of Participants With Negative HDV RNA at End of Treatment
participantsGroup A: Monotherapy With Peginterferon Alfa-2aGroup B: Combination With Peginterferon Alfa-2a + Ribavirin
Number of Participants With Negative HDV RNA at End of Treatment12
Statistical analysis
  • Group A: Monotherapy With Peginterferon Alfa-2a vs Group B: Combination With Peginterferon Alfa-2a + Ribavirin · Fisher Exact · p = 0.50

Adverse events

Collected over Baseline through 24 weeks after end of treatment (up to 72 weeks). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group A: Monotherapy With Peginterferon Alfa-2a—0/6 (0%)6/6 (100%)
Group B: Combination With Peginterferon Alfa-2a + Ribavirin—0/6 (0%)6/6 (100%)
Most frequent other events
Showing 10 of 41
Most frequent other events
EventGroup A: Monotherapy With Peginterferon Alfa-2aGroup B: Combination With Peginterferon Alfa-2a + Ribavirin
AstheniaGeneral disorders5/63/6
PyrexiaGeneral disorders5/63/6
ArthralgiaMusculoskeletal and connective tissue disorders5/62/6
MyalgiaMusculoskeletal and connective tissue disorders4/62/6
InsomniaPsychiatric disorders4/63/6
AnxietyPsychiatric disorders0/64/6
HeadacheNervous system disorders3/62/6
DepressionPsychiatric disorders2/63/6
IrritabilityPsychiatric disorders2/63/6
CoughRespiratory, thoracic and mediastinal disorders3/62/6

Baseline characteristics

Intent-to-Treat (ITT) Population: All participants who received at least one dose of study medication.

Age, Continuous
Age, Continuous(years)Group A: Monotherapy With Peginterferon Alfa-2aGroup B: Combination With Peginterferon Alfa-2a + RibavirinTotal
Mean47.2 ± 9.249.2 ± 7.448.2 ± 8.0
Sex: Female, Male
Sex: Female, Male(Participants)Group A: Monotherapy With Peginterferon Alfa-2aGroup B: Combination With Peginterferon Alfa-2a + RibavirinTotal
Female101
Male5611
08

Study locations

1 site
  • Cagliari, 09042, Italy
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 15, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02731131
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Apr 7, 2016
Start date
Sep 2004
Primary completion
May 2009
Completion
May 2009
Results posted
Jul 15, 2016
Last update
Jul 15, 2016

Study contacts

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

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