UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012661
Receipt number R000014741
Scientific Title An open-label single arm study to evaluate the safety and efficacy of 12-week simeprevir/peginterferon alpha-2a/ribavirin treatment in patients with chronic genotype 1 HCV infection
Date of disclosure of the study information 2013/12/24
Last modified on 2016/06/24 16:12:47

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Basic information

Public title

An open-label single arm study to evaluate the safety and efficacy of 12-week simeprevir/peginterferon alpha-2a/ribavirin treatment in patients with chronic genotype 1 HCV infection

Acronym

A study of 12-week simeprevir/peginterferon alpha-2a/ribavirin treatment for chronic genotype 1 HCV infection (LINK study)

Scientific Title

An open-label single arm study to evaluate the safety and efficacy of 12-week simeprevir/peginterferon alpha-2a/ribavirin treatment in patients with chronic genotype 1 HCV infection

Scientific Title:Acronym

A study of 12-week simeprevir/peginterferon alpha-2a/ribavirin treatment for chronic genotype 1 HCV infection (LINK study)

Region

Japan


Condition

Condition

chronic hepatitis C

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the efficacy, tolerability, and safety of 12-week simeprevir/peginterferon alfa-2a/ribavirin treatment in patients with chronic genotype 1 HCV infection who are untreated or relapsed after previous therapy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The percentage of patients with a sustained virologic response 12 weeks after planned end of treatment (SVR12)

Key secondary outcomes

1. The percentage of patients with a sustained virologic response 24 weeks after planned end of treatment (SVR24).
2. The percentage of patients whose serum HCV-RNA is undetectable at weeks 2, 4, 8, 12, 24, 36, and 48.
3. The percentage of relapsers.
4. The percentage of patients with breakthrough.
5. The percentage of patients who meet stopping criteria.
6. The percentage of patients who have adverse effects.
7. Relationship between IL-28B SNP and efficacy.
8. Relationship between HCV core 70 variants and efficacy.
9. Relationship between SNPs of SLCO1B1 and SLCO1B3, and simeprevir-induced hyperbilirubinemia.
10. Analysis of HCV variants resistant to simeprevir in breakthrough cases.


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

simeprevir, pegylated interferon alfa-2a, ribavirin
Patients will receive 12-week simeprevir/peginterferon alfa-2a/ribavirin treatment. If serum HCV-RNA is undetectable at weeks 2, 4 and 8, all treatment will be stopped. In other cases, patients will receive peginterferon alfa-2a/ribavirin treatment for additional 12 weeks (totally 24 weeks) unless they meet protocol-defined stopping criteria (decrease of HCV-RNA levels smaller than 2 logIU/mL at week 12, or breakthrough).

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

18 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Infected with genotype 1 (1a or 1b) HCV
2. Serum HCV-RNA levels greater than 5 logIU/mL
3. Untreated or relapsed after treatment of (peg)interferon with or without ribavirin
4. WBC count of 3000/microL or higher, neutrophil count of 1500/microL or higher, platelet count of 90000/microL or higher, and hemoglobin count of 12 g/dl or higher within 30 days prior to entry into the study

Key exclusion criteria

1. patients who received treatments containing telaprevir
2. pregnant women
3. patients allergic to ribavirin or IFN
4. patients with uncontrolled heart diseases
5. patients with abnormal hemoglobin
6. patients with chronic renal diseases
7. patients with severe depression or mental illness
8. patients with liver cirrhosis or liver failure
9. patients who cannot discontinue other antiviral or immunomodulating drugs

Target sample size

160


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tatehiro Kagawa

Organization

Tokai University School of Medicine

Division name

Division of Gastroenterology, Department of Internal Medicine

Zip code


Address

Shimokasuya 143, Isehara

TEL

81-463-93-1121

Email

kagawa@tokai.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tatehiro Kagawa

Organization

Tokai University School of Medicine

Division name

Division of Gastroenterology, Department of Internal Medicine

Zip code


Address

Shimokasuya 143, Isehara

TEL

81-463-93-1121

Homepage URL


Email

kagawa@tokai.ac.jp


Sponsor or person

Institute

Tokai University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

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

東海大学医学部付属病院(神奈川県)、東海大学医学部付属大磯病院(神奈川県)、東海大学医学部付属東京病院(東京都)、東海大学医学部付属八王子病院(東京都)、横浜市立大学病院(神奈川県)、横浜市立大学附属市民総合医療センター(神奈川県)、北里大学東病院(神奈川県)、聖マリアンナ医科大学病院(神奈川県)、川崎市立多摩病院(神奈川県)、聖マリアンナ医科大学横浜市西部病院(神奈川県)、海老名総合病院(神奈川県)、伊勢原協同病院(神奈川県)、東名厚木病院(神奈川県)、秦野赤十字病院(神奈川県)、平塚市民病院(神奈川県)


Other administrative information

Date of disclosure of the study information

2013 Year 12 Month 24 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


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

2013 Year 11 Month 20 Day

Date of IRB


Anticipated trial start date

2013 Year 12 Month 25 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 12 Month 24 Day

Last modified on

2016 Year 06 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014741


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name