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Trial information

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 type: Interventional; Treatment; Randomized; Open Label; Active; Parallel; Safety/Efficacy study

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 Max: N/A (No limit)

Accepts healthy volunteers: No

Anticipated start date: November, 2007

Trial registration date: 10/15/2007

Date last updated: 11/21/2008


Link to trial result

This trial is being conducted at the following locations:

United States

  • Birmingham, AL
  • Tucson , AZ
  • Anaheim, CA
  • Fresno, CA
  • La Jolla, CA
  • Loma Linda, CA
  • Los Angeles, CA
  • Merced, CA
  • Palo Alto, CA
  • Pasadena, CA
  • San Clemente, CA
  • San Mateo, CA
  • Englewood, CO
  • Littleton, CO
  • Hartford, CT
  • Atlanta, GA
  • Marietta, GA
  • Chicago, IL
  • Downers Grove, IL
  • Indianapolis , IN
  • Iowa City, IA
  • Louisville, KY
  • New Orleans, LA
  • Portland, ME
  • Baltimore, MD
  • Boston, MA
  • Burlington, MA
  • Detroit, MI
  • Duluth, MN
  • Tupelo, MS
  • Kansas City, MO
  • Lebanon, NH
  • Egg Harbour Township, NJ
  • Hackensack, NJ
  • Bayside, NY
  • Manhasset, NY
  • New York, NY
  • Asheville, NC
  • Charlotte, NC
  • Durham, NC
  • Cincinnati, OH
  • Cleveland, OH
  • Dayton, OH
  • Tulsa , OK
  • Portland, OR
  • Philadelphia, PA
  • San Juan, PR
  • Columbia, SC
  • Germantown, TN
  • Nashville, TN
  • West Nashville, TN
  • Dallas, TX
  • Fort Sam Houston, TX
  • Houston, TX
  • Lubbock, TX
  • Salt Lake City, UT
  • Charlottesville, VA
  • Seattle, WA
  • Tacoma, WA

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