Trial Information
Summary: A Study of PEGASYS (Peginterferon alfa-2a (40KD)) Plus COPEGUS (Ribavirin) With or Without Pioglitazone in Treatment-Naive Patients With Chronic Hepatitis C and Insulin Resistance.
Status: Recruiting
Protocol Number: ML21301
Sponsor: Hoffmann-La Roche
Company Division: Pharmaceutical
Official Scientific Title: A randomized, open-label study of the effect of PEGASYS ® plus COPEGUS® with or without concomitant pioglitazone (Actos®) on early viral kinetics in treatment-naive patients with chronic hepatitis C, genotype-1, and insulin resistance
Brief Summary: This 2 arm study will assess the efficacy and safety of PEGASYS plus COPEGUS, with or without concomitant pioglitazone, on hepatitis C virus titers in treatment-naive patients with genotype 1 chronic hepatitis C, and insulin resistance. Patients will be randomized to receive either a)PEGASYS 180 micrograms/week + Copegus 1000-1600mg/day (according to body weight) or b)16 weeks of pioglitazone (30mg daily for 8 weeks, then 45mg daily for 8 weeks), followed by PEGASYS 180 micrograms/week + Copegus 1000-1600mg/day + pioglitazone 45mg daily for 48 weeks. The anticipated time on study treatment is 1-2 years, and the target sample size is 100-500 individuals. Target sample size is 240.
Study Phase: IV
Study Design / Study Details:
- Purpose: Treatment
- Allocation: Randomized
- Masking: Open Label
- Control: Active
- Assignment: Parallel
- Endpoints: Safety/Efficacy
Study Type:
Interventional
Condition: Hepatitis C, Chronic
Intervention Type: Drug
Intervention Name: peginterferon alfa-2a (40KD) [PEGASYS]
Primary Outcome: 1. Change in HCV RNA Time frame: Week 12 of anti-HCV treatment
Key Secondary Outcomes: 1. Percentage of patients with undetectable HCV RNA, percentage of patients with >2log10 decrease in HCV RNA, change in log10 HCV RNA. Time frame: Week 12
2. Glycemic and lipid control, and insulin resistance. Time frame: At intervals throughout study
3. AEs, laboratory parameters, beta-type natriuretic peptide Time frame: Throughout study
Inclusion Criteria:
- adult patients, >=18 years of age;
- chronic hepatitis C, genotype 1;
- insulin resistance.
Exclusion Criteria:
- other forms of liver disease;
- cirrhosis;
- previous treatment for chronic hepatitis C;
- insulin treatment during prior 2 weeks;
- type 1 diabetes.
Gender: Males or Females
Age Limits: Min: 18 Years
Accepts Healthy Volunteers: No
Anticipated Start Date: November, 2007
Trial Registration Date: 10/15/2007
Date Last Updated: 08/18/2008
Link To Trial Results
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Contact:
Research Site:
Located In:
Palo Alto, CA 94304-1509
Telephone: 973-235-5000 or 800-526-6367
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Trial listings updated: September 2, 2008 at 2:13:14 PM