Thymosin Alpha-1 in Combination With Peg-Interferon Alfa- 2a and Ribavirin for the Therapy of Chronic Hepatitis C Nonresponsive to the Combination of IFN and Ribavirin.
This study has been completed.
Sponsor:
sigma-tau i.f.r. S.p.A.
Collaborator:
SciClone Pharmaceuticals
Information provided by:
sigma-tau i.f.r. S.p.A.
ClinicalTrials.gov Identifier:
NCT01178996
First received: August 9, 2010
Last updated: NA
Last verified: August 2010
History: No changes posted
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Purpose
The purpose of the study was to determine safety and efficacy of 48 weeks treatment with Thymosin alpha 1 (Talpha1) in combination with pegylated interferon (PEGIFN) alpha2a and ribavirin (RBV) in adult patients with chronic hepatitis C (CHC) already treated with, and not responding to previous courses of PEGIFN alpha plus RBV combination therapy, in comparison with a concurrent group treated with PEG IFN alpha2a in combination with RBV and placebo.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Hepatitis C |
Biological: Thymosin alpha 1 Drug: Ribavirin Biological: PEGinterferon alfa2a Drug: Placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Phase III, Multicentre, Double Blinded Study In Patients With Chronic Hepatitis C Who Are Non-Responders To Prior Peginterferon Alpha + Ribavirin Therapy Comparing Treatment With Thymosin Alpha 1 + Peginterferon Alpha-2a Plus Ribavirin With Peginterferon Alpha-2a + Ribavirin + Placebo |
Resource links provided by NLM:
Drug Information available for:
Interferon
Ribavirin
Interferon Alfa-2a
Peginterferon Alfa-2a
Hepatitis A Vaccines
U.S. FDA Resources
Further study details as provided by sigma-tau i.f.r. S.p.A.:
Primary Outcome Measures:
- Sustained Virological Response (SVR) [ Time Frame: Week 72 ] [ Designated as safety issue: No ]The proportion of patients who were HCV RNA negative at the end of observation period.
Secondary Outcome Measures:
- Sustained Biochemical Response (SBR) [ Time Frame: Week 72 ] [ Designated as safety issue: No ]The proportion of patients with normal serum ALT at the end of observation period.
- End of Treatment Biochemical Response (EBR) [ Time Frame: Week 48 ] [ Designated as safety issue: No ]The proportion of patients with normal serum ALT at the end of treatment period.
- End of Treatment Virological Response [EVR] [ Time Frame: Week 48 ] [ Designated as safety issue: No ]The proportion of patients who were HCV RNA negative at the end of treatment period.
- Safety [ Time Frame: During the treatment period (up to 48 weeks) and the follow-up period (up to 24 weeks) ] [ Designated as safety issue: Yes ]Safety and tolerability were evaluated by AEs recording, laboratory (hematology and chemistry), ECG, and vital signs evaluations. All laboratory tests were centralized.
| Enrollment: | 552 |
| Study Start Date: | December 2004 |
| Study Completion Date: | July 2009 |
| Primary Completion Date: | May 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Thymosin alpha 1
Patients affected by chronic hepatitis C not responding to a course with approved doses of PEGinterferon alpha plus ribavirin therapy (i.e. at least 1.0 mcg/kg PEGinterferon alpha2b, 180 mcg PEGinterferon alfa2a, 800 mg ribavirin).
|
Biological: Thymosin alpha 1
Thymosin alpha 1 (Zadaxin) 1.6 mg/day, two times weekly in the morning, by subcutaneous injection for 48 weeks.
Other Name: Zadaxin
Drug: Ribavirin
Ribavirin 1000 mg (<75 kg) or 1200 mg (>75 kg) daily with food divided in two doses orally for 48 weeks
Other Name: Copegus
Biological: PEGinterferon alfa2a
180 mcg, once weekly in the evening, by subcutaneous injection for 48 weeks
Other Name: Pegasys
|
|
Placebo Comparator: Placebo
Patients affected by chronic hepatitis C not responding to a course with approved doses of PEGinterferon alpha plus ribavirin therapy (i.e. at least 1.0 mcg/kg PEGinterferon alpha2b, 180 mcg PEGinterferon alfa2a, 800 mg ribavirin).
|
Drug: Ribavirin
Ribavirin 1000 mg (<75 kg) or 1200 mg (>75 kg) daily with food divided in two doses orally for 48 weeks
Other Name: Copegus
Biological: PEGinterferon alfa2a
180 mcg, once weekly in the evening, by subcutaneous injection for 48 weeks
Other Name: Pegasys
Drug: Placebo
Placebo
|
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Signed written informed consent
- Age 18
- Presence of HCV RNA measured by quantitative PCR
- Non responder to previous approved doses of therapy with PEGinterferon alpha plus ribavirin. Patients must have been treated for at least 12 weeks with documented HCV RNA quantitative not showing major of 2 log10 HCV RNA reduction or patients treated for at least 24 weeks with documented HCV RNA qualitative not showing a virological response (viral RNA clearance)
- Liver biopsy consistent with a diagnosis of chronic hepatitis C or histological cirrhosis. Biopsy will not be required if the patient can produce a biopsy performed within the year preceding the randomization day and was performed at least 6 months after the end of the latter course of therapy
- Wash-out period of at least 6 months from previous therapy with PEGinterferon alpha plus ribavirin
- Negative pregnancy test prior (no more than 24 hours) to first study medication dose
Exclusion Criteria:
- Use of systemic corticosteroids within 6 months of entry
- More than one previous course of therapy with PEGinterferon alpha plus ribavirin
- Any other liver disease
- Decompensated liver disease based on a history of hepatic encephalopathy, bleeding oesophageal varices, or ascites
- Decompensate or advanced liver cirrhosis (ChildPugh B or C)
- HIV infection diagnosed by HIV seropositivity and confirmed by Western blot
- Insulin-dependent Diabetes Mellitus
- Severe haemoglobinopathy
- Positive liver and kidney microsomal auto antibodies
- Positive anti thyroid antibodies
- Pregnancy as documented by a urine pregnancy test
- Alcohol or intravenous drug abuse within the previous 1 year
- Patients who are in poor medical or psychiatric conditions, or who have any non-malignant systemic disease that, in the opinion of the Investigator, would make it unlikely that the patient could complete the study protocol
- Any indication that the patient would not comply with the conditions of the study protocol
- Previous treatment with thymosin alpha 1
- Patients with known hypersensitivity to any PEGinterferon and or ribavirin
- Patients with a history of severe depression that required either hospitalization or electroshock therapy or depression associated with suicide attempt
- Simultaneous participation in another investigational drug study or participation in any clinical trial involving investigational drugs within 3 months before study entry
- Presence of serious pulmonary or cardiovascular disorders
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01178996
Locations
| France | |
| Hôpital Necker | |
| Paris, France, 75743 | |
| Germany | |
| Universitätsklinikum Tübingen | |
| Tübingen, Germany, D-72076 | |
| Greece | |
| University Hospital of Ioannina | |
| Ioannina, Greece, 45 500 | |
| Italy | |
| Ospedale Casa Sollievo della Sofferenza | |
| San Giovanni Rotondo, Foggia, Italy, 71013 | |
| Policlinico S.Orsola-Malpighi | |
| Bologna, Italy, 40138 | |
| Ospedale Cardarelli | |
| Napoli, Italy, 80131 | |
| Università Cattolica del Sacro Cuore | |
| Rome, Italy, 00100 | |
| Dipartimento Medico Chirurgico delle Malattie dell'Apparato Digerente e della Nutrizione, Azienda Ospedaliera S Giovanni Battista | |
| Turin, Italy, 10126 | |
| Spain | |
| Hospital del Mar | |
| Barcelona, Spain, 08003 | |
Sponsors and Collaborators
sigma-tau i.f.r. S.p.A.
SciClone Pharmaceuticals
Investigators
| Principal Investigator: | Mario Rizzetto, MD | Dipartimento Medico Chirurgico delle Malattie dell'Apparato Digerente e della Nutrizione, Azienda Ospedaliera S Giovanni Battista, Corso Bramante 88, Turin, Italy |
More Information
No publications provided by sigma-tau i.f.r. S.p.A.
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Alfonso De Rosa Clinical Research Manager, Sigma-tau SPA |
| ClinicalTrials.gov Identifier: | NCT01178996 History of Changes |
| Other Study ID Numbers: | ST1472-DM-03-004, 2004-001277-25 |
| Study First Received: | August 9, 2010 |
| Last Updated: | August 9, 2010 |
| Health Authority: | Italy: Ethics Committee |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis, Chronic Hepatitis C Hepatitis C, Chronic Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections Flaviviridae Infections Ribavirin |
Peginterferon alfa-2a Interferon-alpha Thymalfasin Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Antimetabolites Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Adjuvants, Immunologic Immunologic Factors Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on June 18, 2013