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Efficacy and Safety Study of Simeprevir in Combination With Sofosbuvir in Participants With Genotype 1 Chronic Hepatitis C Virus Infection and Cirrhosis

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Janssen Infectious Diseases BVBA
ClinicalTrials.gov Identifier:
NCT02114151
First received: April 2, 2014
Last updated: March 7, 2016
Last verified: March 2016
April 2, 2014
March 7, 2016
April 2014
January 2015   (Final data collection date for primary outcome measure)
Percentage of Participants With a Sustained Virologic Response (SVR) 12 Weeks After the Actual End of Treatment (EOT) [ Time Frame: Week 24 ]
Participants with hepatitis C virus (HCV) ribonucleic acid (RNA) less than (<) 25 international unit per milliliter (IU/mL) (detectable or undetectable) at 12 weeks after the actual end of treatment.
Number of Participants Achieving a Sustained Virologic Response 12 Weeks After the Planned end of Treatment (SVR12) [ Time Frame: Week 24 ]
SVR12 defined as the number of participants with less than 25 IU/mL detectable or undetectable plasma Hepatitis C virus ribonucleic acid 12 weeks after planned end of treatment.The end of treatment is at Week 12; therefore, the outcome will be measured at Week 24.
Complete list of historical versions of study NCT02114151 on ClinicalTrials.gov Archive Site
  • Percentage of Participants With a Sustained Virologic Response (SVR) 4 Weeks After the Actual End of Treatment (EOT) [ Time Frame: Week 16 ]
    Participants with hepatitis C virus (HCV) ribonucleic acid (RNA) less than (<) 25 international unit per milliliter (IU/mL) (detectable or undetectable) at 4 weeks after the actual end of treatment.
  • Percentage of Participants With a Sustained Virologic Response (SVR) 24 Weeks After the Actual End of Treatment (EOT) [ Time Frame: Week 36 ]
    Participants with hepatitis C virus (HCV) ribonucleic acid (RNA) less than (<) 25 international unit per milliliter (IU/mL) (detectable or undetectable) at 24 weeks after the actual end of treatment.
  • Percentage of Participants With On-treatment Virologic Response [ Time Frame: Week 2, 4 and End of Treatment (Week 12) ]
    On-treatment virologic response was determined by HCV RNA results satisfying a specified threshold. <LLOQ undetectable was considered as threshold at any time point. The LLOQ value is 25 IU/mL. EOT=End of Treatment.
  • Percentage of Participants With On-treatment Failure [ Time Frame: Week 12 ]
    On-treatment failure is defined as participants who do not achieve SVR12 and with confirmed detectable HCV RNA at the actual end of study drug treatment.
  • Percentage of Participants With Viral Breakthrough [ Time Frame: Up to End of Treatment (Week 12) ]
    Viral breakthrough was defined as confirmed greater than (>) 1 log10 increase in HCV RNA from nadir or confirmed HCV RNA >100 IU/mL in participants who had previously achieved HCV RNA < LLOQ (25 IU/mL).
  • Percentage of Participants With Viral Relapse [ Time Frame: During the Follow-up (Week 24) ]
    Viral relapse was defined as participants who did not achieve SVR12 and had HCV RNA < LLOQ (25 IU/mL) undetectable at EOT and had HCV RNA >= LLOQ (25 IU/mL) during the follow-up period.
  • Change From Baseline in Hepatitis C Symptom and Impact Questionnaire Version 4 (HCV-SIQv4) Overall Body System Score (OBSS) up to Follow-up Week 12 [ Time Frame: Baseline, Week 4, Week 12 and Follow-Up Week 12 ]
    The HCV-SIQv4 OBSS was a self-administered questionnaire that contained 33 items: 29 questions developed to assess severity or frequency of symptoms associated with HCV or its treatment, 3 questions regarding the impact of symptoms on work/school attendance, and 1 question regarding the impact of symptoms on daily activities. A symptom severity score (the mean of responses to the 29 symptom items); each symptom score was transformed to have a range from 0 to 100 (most severe). Higher HCV SIQv4 scores indicates worse symptom severity, more time missed from work/school, and more impairment in daily activities, respectively.
  • Change From Baseline in Fatigue Severity Score (FSS) up to Follow-up Week 24 [ Time Frame: Baseline, Week 12, Follow-up Week 12 and 24 ]
    The FSS was a self-administered questionnaire with 9 items developed to assess disabling fatigue that has been used extensively in studies of chronic HCV infection. Item responses were measured on a 7-point Likert scale ranging from strongly disagree (1 point) to strongly agree (7 points). The 9 items were averaged to produce a total score; a lower total score indicates less severe fatigue. FSS scores have a range from 1 to 7 where higher scores indicate more severe fatigue.
  • Percentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D) [ Time Frame: Baseline, Week 12, Follow-up Week 12 and 24 ]
    The CES-D Scale assessed how often during the past week participants experienced 20 symptoms commonly associated with major depression. The CES-D scores range from 0 (no symptoms) to 60 (all 20 symptoms most or all of the time during the past 5 to 7 days). The CES-D scores between 16 and 23 points indicate mild to moderate depressive illness while CES-D scores >=23 indicate probable major depressive illness.
  • Change From Baseline in EuroQol 5 Dimension Questionnaire (EQ-5D) up to Follow-up Week 24 [ Time Frame: Baseline, Follow-up Week 12 and 24 ]
    The EQ-5D questionnaire was a brief, generic health-related quality of life (HRQOL) assessment that could also be used to incorporate participant preferences into health economic evaluations. The EQ-5D questionnaire assessed HRQOL in terms of degree of limitation on 5 health dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) and as overall health using a "thermometer" visual analog scale with response options ranging from 0 (worst imaginable health) to 100 (best imaginable health).
  • Number of Participants Not Achieving SVR Showing Emerging Mutation at Time of Failure in HCV NS3/4A Sequence and NS5B up to Follow-up Week 24 [ Time Frame: Baseline, Day 3, Week 1, 2, 3, 4, 8, 12, Follow-up Week 4, 12 and 24 ]
    Sequencing of the HCV nonstructural protein 3/4A (NS3/4A) and nonstructural protein 5B (NS5B) genes was done to identify pre-existing sequence polymorphisms and characterize emerging HCV viral variants in participants not achieving SVR. Sequencing data is available for 16 participants.
  • Number of Participants Achieving a Sustained Virologic Response 4 Weeks After the Planned end of Treatment (SVR4) [ Time Frame: Week 16 ]
    SVR4 is defined as the number of participants with less than 25 IU/mL detectable or undetectable plasma Hepatitis C virus (HCV) ribonucleic acid (RNA) 4 weeks after planned end of treatment.The end of treatment is at Week 12; therefore, the outcome will be measured at Week 16.
  • Number of Participants Achieving a Sustained Virologic Response 24 Weeks After the Planned end of Treatment (SVR24) [ Time Frame: Week 36 ]
    SVR24 is defined as the number of participants with less than 25 IU/mL detectable or undetectable plasma HCV RNA 24 weeks after planned end of treatment. The end of treatment is at Week 12; therefore, the outcome will be measured at Week 36.
  • Number of Participants Achieving a On-treatment Virologic Response [ Time Frame: Day 1, Day 3, Day 7, Week 2, Week 3, Week 4, Week 8, Week 12, Week 16, Week 24, Week 36 ]
    On-treatment virologic response is defined as the change from baseline in log10 hepatitis C virus ribonucleic acid.
  • Number of Participants with Viral Breakthrough [ Time Frame: Up to Week 40 ]
    Viral breakthrough is defined as the number of participants with greater than 1 log10 IU/mL increase in plasma HCV RNA level from the lowest level reached (ie, lowest value measured in between baseline and current value), or a confirmed plasma HCV RNA level of greater than 100 IU/mL in participants whose plasma HCV RNA had previously been less than 25 IU/mL.
  • Number of Participants with Viral Relapse [ Time Frame: Up to Week 40 ]
    Viral relapse is defined as the number of participants who did not achieve sustained virologic response, have less than 25 IU/mL undetectable plasma HCV RNA at end of treatment, and greater than or equal to 25 IU/mL plasma HCV RNA during the follow-up phase.
  • Change from baseline in Hepatitis C Symptom and Impact Questionnaire (HCV-SIQ) scores [ Time Frame: Baseline (Day 1) to Week 36 ]
    HCV-SIQv4 is a self-administered questionnaire which contains 33 items classified as 3 categories of scores: sum of responses to 29 symptom items as a symptom severity score category, sum of response to 3 items as a time missed from work/school category, and 1 response to question regarding the impact of symptoms on daily activities as an impairment in daily activity score category. The total score is the sum of scores of these 3 categories. Higher HCV-SIQv4 scores indicate worse symptom severity, more time missed from work/school, and more impairment in daily activities.
  • Change From Baseline in Fatigue Severity Scale (FSS) Scores [ Time Frame: Baseline (Day 1) to Week 36 ]
    The FSS is a self-administered questionnaire with 9 items developed to assess disabling fatigue. These 9 item responses are measured on a 7-point Likert scale ranging from strongly disagree (1 point) to strongly agree (7 points). The 9 items are averaged to produce a total score. A lower total score indicates less effect of fatigue on everyday life.
  • Change From Baseline in Center for Epidemiologic Studies Depression Scale (CES-D) Scores [ Time Frame: Baseline (Day 1) to Week 36 ]
    The CES-D scale assesses how often during the past week participants experienced 20 symptoms commonly associated with major depression. CES-D scores range from 0 (no symptoms) to 60 (all 20 symptoms most or all of the time during the past 5-7 days). The CES-D scores between 16 and 23 points indicate mild to moderate depressive illness while CES-D scores greater than or equal to 23 indicate probable major depressive illness.
  • Change From Baseline in EuroQol 5 Dimension (EQ-5D) Questionnaire Scores [ Time Frame: Baseline (Day 1) to Week 36 ]
    The EQ-5D questionnaire is a brief, generic health-related quality of life assessment (HRQOL) that can also be used to incorporate participant preferences into health economic evaluations. The EQ-5D questionnaire assesses HRQOL in terms of degree of limitation on 5 health dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) and as overall health using a "thermometer" visual analog scale with response options ranging from 0 (worst imaginable health) to 100 (best imaginable health). Lower scores indicate worsening. EQ-5D scores include EQ-5D valuation index score which includes a weighted scoring of the 5 dimension scores with a possible range from 0 to 1, EQ-5D visual analog scale (VAS) is a 20 cm vertical VAS with scores ranging from 0 (worst imaginable health) to 100 (perfect health), and EQ5D descriptive system scores consist of five scores reflecting each of the 5 EQ-5D health dimensions ranging from 0 [no limitation] to 4 [incapacity]).
Not Provided
Not Provided
 
Efficacy and Safety Study of Simeprevir in Combination With Sofosbuvir in Participants With Genotype 1 Chronic Hepatitis C Virus Infection and Cirrhosis
A Phase 3, Multicenter, Open-Label, Single-Arm Study to Investigate the Efficacy and Safety of a 12-Week Regimen of Simeprevir in Combination With Sofosbuvir in Treatment-Naïve or -Experienced Subjects With Chronic Genotype 1 Hepatitis C Virus Infection and Cirrhosis
The purpose of the study is to investigate the efficacy and safety of 12 weeks of simeprevir (150 mg qd) in combination with sofosbuvir (400 mg qd) in chronic hepatitis C virus (HCV) genotype 1 infected men and women with cirrhosis who are HCV treatment-naïve or treatment-experienced.
This is a open-label (all people know the identity of the intervention), single arm, multicenter study. The study will consist of a screening phase up to 4 weeks, open-label treatment phase of 12 weeks, and post-treatment follow up phase up to 24 weeks after end of treatment. Approximately 100 participants will receive 150 mg simeprevir in combination with 400 mg sofosbuvir once dailyfor 12 weeks. Safety evaluations will include assessment of adverse events, clinical laboratory tests, vital signs, and physical examination. The maximum study duration for each participant will be approximately 40 weeks.
Interventional
Phase 3
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Hepatitis C Virus Infection
  • Drug: Simeprevir
    100 participants will receive 1 capsule of 150 mg orally once daily for 12 weeks.
  • Drug: Sofosbuvir
    100 participants will receive 1 tablet of 400 mg sofosbuvir orally once daily for 12 weeks.
Experimental: Arm 1 (Simeprevir/Sofosbuvir)
100 participants will receive 1 capsule of 150 mg simeprevir and 1 tablet of 400 mg sofosbuvir orally (by mouth) once daily for 12 weeks.
Interventions:
  • Drug: Simeprevir
  • Drug: Sofosbuvir
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
103
April 2015
January 2015   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Hepatitis C virus (HCV) genotype 1 infection (confirmed at screening).
  • HCV ribonucleic acid (RNA) greater than 10,000 IU/mL at screening
  • Treatment-experienced participants must have at least 1 documented previous course of interferon-based regimen with or without ribavirin
  • Participants must have an hepatic imaging procedure (ultrasound, computerized tomography scan or magnetic resonance imaging scan) within 6 months prior to the screening visit (or between screening and Day 1) with no findings suspicious for hepatocellular carcinoma
  • Participant must be willing and able to comply with the protocol requirements
  • Participants with liver cirrhosis

Exclusion Criteria:

  • Evidence of clinical hepatic decompensation (history or current evidence of ascites, bleeding varices or hepatic encephalopathy)
  • Infection/co-infection with HCV non-genotype 1
  • Co-infection with human immunodeficiency virus (HIV) type 1 or type 2 (HIV-1 or HIV-2) (positive HIV-1 or HIV-2 antibodies test at screening)
  • Co-infection with hepatitis B virus (hepatitis B-surface-antigen positive)
  • Previously been treated with any direct acting anti-HCV agent (approved or investigational) for chronic HCV infection
Sexes Eligible for Study: All
18 Years to 70 Years   (Adult, Senior)
No
Contact information is only displayed when the study is recruiting subjects
Canada,   United States
 
 
NCT02114151
CR103431
TMC435HPC3018 ( Other Identifier: Janssen Infectious Diseases BVBA )
Yes
Not Provided
Not Provided
Janssen Infectious Diseases BVBA
Janssen Infectious Diseases BVBA
Not Provided
Study Director: Janssen Infectious Diseases BVBA Clinical Trial Janssen Infectious Diseases BVBA
Janssen Infectious Diseases BVBA
March 2016

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP