UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009656
Receipt number R000011283
Scientific Title Therapeutic drug monitoring of telaprevir in chronic hepatitis C patients receiving telaprevir -based triple therapy is useful for predicting virological response.
Date of disclosure of the study information 2012/12/28
Last modified on 2012/12/28 13:15:23

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Basic information

Public title

Therapeutic drug monitoring of telaprevir in chronic hepatitis C patients receiving telaprevir -based triple therapy is useful for predicting virological response.

Acronym

Plasma telaprevir concentrations in chronic hepatitis C patients receiving telaprevir -based triple therapy

Scientific Title

Therapeutic drug monitoring of telaprevir in chronic hepatitis C patients receiving telaprevir -based triple therapy is useful for predicting virological response.

Scientific Title:Acronym

Plasma telaprevir concentrations in chronic hepatitis C patients receiving telaprevir -based triple therapy

Region

Japan


Condition

Condition

Chronic hepatitis C patients of genotype 1

Classification by specialty

Medicine in general Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This pharmacokinetic study was done to investigate the impact of telaprevir (TVR) plasma trough concentrations (C-trough) on the response of TVR-based triple therapy in chronic hepatitis C patients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

To investigate the impact of telaprevir (TVR) plasma trough concentrations (C-trough) on the response of TVR-based triple therapy in chronic hepatitis C patients

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients receive 12-week triple therapy that included TVR (2250mg/day), pegylated interferon alpha-2b (PEG-IFN alpha2b) (60-150micro-g/week) and ribavirin (RBV) (600-1000mg/day) followed by a 12-week dual therapy that included PEG-IFN alpha2b and RBV.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

patients with chronic hepatitis C patients of genotype 1

Key exclusion criteria

Exclusion criteria were: (1) positivity for antibody to human immunodeficiency virus or positivity for hepatitis B surface antigen; (2) clinical or biochemical evidence of hepatic decompensation (ascites, bleeding varices, or encephalopathy); (3) other causes of liver disease (autoimmune hepatitis, primary biliary cirrhosis, or steatohepatitis); (4) excessive active alcohol consumption (a daily intake of more than 40 g of ethanol) or drug abuse; (5) suspected HCC at entry; or (6) treatment with antiviral or immunosuppressive agents prior to enrollment.

Target sample size

70


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Norihiro Furusyo

Organization

Kyushu University Hospital

Division name

Department of General Internal Medicine

Zip code


Address

3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan

TEL

092-642-5909

Email



Public contact

Name of contact person

1st name
Middle name
Last name Norihiro Furusyo

Organization

Kyushu University Hospital

Division name

Department of General Internal Medicine

Zip code


Address

3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan

TEL

092-642-5909

Homepage URL


Email



Sponsor or person

Institute

Kyushu University Hospital

Institute

Department

Personal name



Funding Source

Organization

Kyushu University Hospital

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

九州大学病院 Kyushu University Hospital


Other administrative information

Date of disclosure of the study information

2012 Year 12 Month 28 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

The rates of undetectable HCV RNA at week 4 (RVR) and at 24 weeks after therapy (sustained virological response: SVR) were 71.4% and 82.9%, respectively. Of patients with RVR, 90% achieved an SVR. The mean TVR C-troughs at days 3 and 7 and weeks 2 and 8 of SVR patients (2748.2, 2733.7, 2999.0, and 2937.8 ng/mL, respectively) was significantly higher than that of non-SVR patients (1616.4, 1788.0, 2314.4, and 2691.1 ng/mL, respectively) (all P<0.05). Multiple logistic regression analysis identified two factors: higher TVR C-trough at day 3 (ng/mL) (odds ratio 1.012, P<0.0001) and prior treatment relapse (odds ratio 6.16 for prior null response, P<0.0001).

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2012 Year 04 Month 01 Day

Last follow-up date

2012 Year 12 Month 28 Day

Date of closure to data entry

2012 Year 12 Month 28 Day

Date trial data considered complete

2012 Year 12 Month 28 Day

Date analysis concluded

2012 Year 12 Month 28 Day


Other

Other related information

Therapeutic drug monitoring of TVR in patients receiving TVR-based triple therapy is useful in clinical practice for predicting virological response.


Management information

Registered date

2012 Year 12 Month 28 Day

Last modified on

2012 Year 12 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011283


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name