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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00980330
Registration number
NCT00980330
Ethics application status
Date submitted
10/09/2009
Date registered
21/09/2009
Date last updated
9/06/2014
Titles & IDs
Public title
A Safety and Effectiveness Study of TMC435 in Chronic, Genotype 1, Hepatitis C Patients Who Failed to Previous Standard Treatment
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Scientific title
A Phase IIb, Randomized, Double-Blind, Placebo-Controlled Trial to Investigate the Efficacy, Tolerability, Safety and Pharmacokinetics of TMC435 as Part of a Treatment Regimen Including PegIFNa-2a and Ribavirin in HCV Genotype 1 Infected Subjects Who Failed Previous Standard Therapy
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Secondary ID [1]
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TMC435-TiDP16-C206
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Secondary ID [2]
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CR016063
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Universal Trial Number (UTN)
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Trial acronym
ASPIRE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hepatitis C
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0
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Condition category
Condition code
Infection
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0
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0
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Other infectious diseases
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Oral and Gastrointestinal
0
0
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - TMC435
Treatment: Drugs - Placebo
Treatment: Drugs - Peg-IFN-alfa-2a (P)
Treatment: Drugs - Ribavirin (R)
Experimental: TMC435 100 mg 12 Wks + PR48 - Participants will receive TMC435 100 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 12 weeks followed by Placebo with PR for 36 weeks.
Experimental: TMC435 100 mg 24 Wks + PR48 - Participants willl receive TMC435 100 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 24 weeks followed by Placebo with PR for 24 weeks.
Experimental: TMC435 100 mg 48 Wks + PR48 - Participants will receive TMC435 100 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 48 weeks.
Experimental: TMC435 150 mg 12 Wks + PR48 - Participants will receive TMC435 150 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 12 weeks followed by Placebo and PR for 36 weeks.
Experimental: TMC435 150 mg 24 Wks + PR48 - Participants will receive TMC435 150 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 24 weeks followed Placebo and PR for 24 weeks.
Experimental: TMC435 150 mg 48 Wks + PR48 - Participants will receive TMC435 150 mg once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 48 weeks.
Placebo comparator: Placebo 48 Wks + PR48 - Participants will receive Placebo once daily with Peg-IFN-alfa-2a (P) once weekly and ribavirin (R) twice daily for 48 weeks.
Treatment: Drugs: TMC435
One TMC435 100-mg capsule or two 75-mg capsules orally (by mouth) once daily for 12, 24, or 48 weeks.
Treatment: Drugs: Placebo
One or 2 capsules of placebo identical in appearance to TMC435 taken orally once daily for 24, 36, or 48 weeks.
Treatment: Drugs: Peg-IFN-alfa-2a (P)
180 micrograms taken as one 0.5 mL subcutaneous injection once weekly for 48 weeks.
Treatment: Drugs: Ribavirin (R)
1000 or 1200 mg/day (5 or 6 tablets) taken orally as a twice daily regimen taken for 48 weeks.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The Percentage of Participants Achieving a Sustained Virologic Response at the End of Treatment (EOT) and 24 Weeks After the EOT (SVR24)
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Assessment method [1]
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The table below shows the percentage of participants in the overall population with an SVR24, defined as having plasma levels of Hepatitis C Virus ribonucleic acid less than 25 IU/mL undetectable at the EOT and 24 weeks after the EOT.
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Timepoint [1]
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Week 72
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Secondary outcome [1]
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The Percentage of Participants With a Greater Than 2 log10 Drop in Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels at Time Points During Treatment
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Assessment method [1]
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The table below shows the percentage of participants in each treatment group who achieved a greater than 2 log10 drop in plasma levels of HCV RNA at selected time points during treatment.
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Timepoint [1]
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Weeks, 2, 4, 8, and 12
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Secondary outcome [2]
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The Percentage of Participants Achieving Plasma Levels of Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable During Treatment and Follow-up
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Assessment method [2]
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The table below shows the percentage of participants in each treatment who achieved plasma HCV RNA levels of \<25 IU/mL undetectable at selected time points during treatment and follow-up and at the end of treatment (EOT).
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Timepoint [2]
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Weeks, 2, 4, 8, 12, 24, 36, 48, 60, 72 and EOT (up to Week 48)
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Secondary outcome [3]
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The Percentage of Participants Achieving Plasma Levels of Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Detectable or Undetectable During Treatment and Follow-up
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Assessment method [3]
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The table below shows the percentage of participants in each treatment group who achieved plasma HCV RNA levels below the limit of quantification defined as less than 25 IU/mL (detectable or undetectable) at selected time points during treatment, follow-up, and at the end of treatment (EOT).
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Timepoint [3]
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Weeks, 2, 4, 8, 12, 24, 36, 48, 60, 72, and EOT (up to Week 48)
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Secondary outcome [4]
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The Percentage of Participants Achieving a Rapid Virologic Response (RVR)
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Assessment method [4]
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The table below shows the percentage of participants in each treatment group who achieved a RVR, defined as having an undetectable plasma Hepatitis C virus ribonucleic acid level after receiving 4 weeks of treatment.
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Timepoint [4]
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Week 4
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Secondary outcome [5]
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The Percentage of Participants Achieving an Early Virologic Response (EVR)
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Assessment method [5]
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The table below shows the percentage of participants who achieved an EVR, defined as having a greater than or equal to 2 log10 reduction in plasma Hepatitis C virus ribonucleic acid from baseline at Week 12.
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Timepoint [5]
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Week 12
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Secondary outcome [6]
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The Percentage of Participants Achieving a Complete Early Virologic Response (cEVR)
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Assessment method [6]
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The table below shows the percentage of participants in each treatment group who had a cEVR, defined as having undetectable plasma levels of Hepatitis C virus ribonucleic acid at Week 12.
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Timepoint [6]
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Week 12
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Secondary outcome [7]
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The Percentage of Participants Achieving a Sustained Virologic Response 12 Weeks After the Planned End of Treatment (SVR12)
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Assessment method [7]
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The table below shows the percentage of participants in the overall population who achieved undetectable plasma Hepatitis C virus ribonucleic acid levels at the end of treatment (EOT) and 12 Weeks after the planned EOT.
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Timepoint [7]
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Week 60
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Secondary outcome [8]
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The Percentage of Participants With Viral Breakthrough
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Assessment method [8]
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The table below shows the percentage of participants in the overall population in each treatment group during the treatment period who experienced viral breakthrough, defined as a confirmed increase of greater than 1 log10 IU/mL in Hepatitis C virus (HCV) ribonucleic acid (RNA) from the lowest level reached or a confirmed HCV RNA of \> 100 IU/mL in participants whose HCV RNA had previously been below the lower limit of quantification (i.e., less than 25 IU/mL detectable or undetectable).
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Timepoint [8]
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EOT (up to Week 48)
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Secondary outcome [9]
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The Percentage of Participants With Viral Relapse
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Assessment method [9]
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The table below shows the percentage of participants in the overall population who had viral relapse, defined as confirmed detectable Hepatitis C virus (HCV) ribonucleic acid (RNA) during the follow-up period in participants with HCV RNA less than 25 IU/mL undetectable at end of treatment.
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Timepoint [9]
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Up to Week 72
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Secondary outcome [10]
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The Number of Participants Who Achieved Normalized Alanine Aminotransferase (ALT) Levels at the End of Treatment (EOT)
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Assessment method [10]
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The table below shows the number of participants with abnormal ALT levels at Baseline who achieved the normal ALT levels at the EOT (up to Week 48).
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Timepoint [10]
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EOT (up to Week 48)
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Secondary outcome [11]
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Plasma Concentrations of TMC435
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Assessment method [11]
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The table below shows median (range) predose plasma concentration (C0h) values and median (range) average steady-state plasma concentration (Css,av) values for TMC435 for participants in each of the 6 TMC435 treatment groups.
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Timepoint [11]
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0 (predose, baseline) and 4, 8, 12, and 24 hours post-dose at Weeks 2, 4, 8, 12, 16, 24, and 48
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Secondary outcome [12]
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Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24h) for TMC435
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Assessment method [12]
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The table below shows the median (range) AUC24h values for TMC435 for participants in each TMC435 treatment group.
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Timepoint [12]
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0 (predose, baseline) and 4, 8, 12, and 24 hours post-dose at Weeks 2, 4, 8, 12, 16, 24, and 48
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Eligibility
Key inclusion criteria
* Must have chronic hepatitis C infection as evidenced by liver biopsy, anti-hepatitis C virus (HCV) and HCV RNA positive
* Must have chronic hepatitis C infection (genotype 1) with HCV RNA level greater than10000 IU/mL
* Patient must have failed at least 1 prior course of peg interferon (Peg-IFN-alfa-2a)/ribavirin (RBV) therapy (standard treatment)
* Must be willing to use 2 effective methods of birth control for up to 7 months after last dose of study medication
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Has an evidence of decompensated liver disease
* Co-infection with any other Hepatitis C virus genotype or co-infection with the human immunodeficiency virus (HIV)
* Has a medical condition which is a contraindication to Peg-INF or RBV therapy
* Have had history of, or any current medical condition which could impact the safety of the patient in the study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2009
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/08/2011
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Sample size
Target
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Accrual to date
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Final
463
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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- Concord
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Recruitment hospital [2]
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- Darlinghurst
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Recruitment hospital [3]
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- Fitzroy
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Recruitment hospital [4]
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- Melbourne
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Recruitment hospital [5]
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- New Lambton Heights
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Recruitment hospital [6]
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- Parkville
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Recruitment hospital [7]
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- Sydney
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Recruitment hospital [8]
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- Woolloongabba N/A
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Recruitment postcode(s) [1]
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- Concord
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Recruitment postcode(s) [2]
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- Darlinghurst
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Recruitment postcode(s) [3]
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- Fitzroy
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Recruitment postcode(s) [4]
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- Melbourne
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Recruitment postcode(s) [5]
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- New Lambton Heights
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Recruitment postcode(s) [6]
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- Parkville
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Recruitment postcode(s) [7]
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- Sydney
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Recruitment postcode(s) [8]
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- Woolloongabba N/A
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Recruitment outside Australia
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United States of America
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California
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United States of America
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Florida
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United States of America
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Illinois
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United States of America
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Louisiana
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United States of America
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Maryland
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United States of America
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Mississippi
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United States of America
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New York
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United States of America
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North Carolina
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United States of America
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Ohio
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United States of America
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Tennessee
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United States of America
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Texas
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Austria
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Wien
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Belgium
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Brugge
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Belgium
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Brussels
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Belgium
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Bruxelles
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Belgium
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Edegem
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Belgium
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Gent
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Belgium
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Leuven
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Belgium
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Roeselare
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Canada
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Alberta
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Canada
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Ontario
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Canada
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Quebec
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France
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Creteil N/A
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France
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Grenoble
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France
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Lyon
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France
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Nice
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France
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Paris Cedex 12
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France
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Paris
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France
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Vandoeuvre Les Nancy
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Germany
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Berlin
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Germany
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Düsseldorf
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Germany
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Frankfurt A. M.
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Germany
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Freiburg
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Germany
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Hannover
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Germany
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Köln
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Germany
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Stuttgart
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Germany
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Würzburg
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Israel
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Haifa
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Israel
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Jerusalem
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Israel
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Nazareth
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Israel
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Petah Tiqva
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Israel
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Ramat-Gan
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Israel
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Tel-Aviv
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Israel
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Zefat
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New Zealand
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Auckland
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New Zealand
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Christchurch
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New Zealand
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Hamilton
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Norway
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Nordbyhagen
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Norway
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Oslo
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Norway
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Tromsø
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Poland
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Bialystok
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Poland
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Bydgoszcz
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Poland
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Czeladz
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Poland
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Kielce
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Poland
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Warszawa
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Portugal
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Coimbra
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Portugal
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Lisboa
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Portugal
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Porto
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Russian Federation
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Moscow
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Russian Federation
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Nizhny Novgorod
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Russian Federation
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Saint-Petersburg
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Russian Federation
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Samara
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Russian Federation
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Smolensk
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Russian Federation
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St Petersburg
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United Kingdom
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London
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United Kingdom
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Plymouth
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Tibotec Pharmaceuticals, Ireland
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to determine the efficacy, safety and tolerability of different regimens of TMC435 with standard treatment compared to standard treatment alone in participants with chronic, genotype 1, hepatitis C virus (HCV) infection who has failed previous treatment with pegylated interferon (Peg-INF-alfa-2a) and ribavirin (RBV).
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Trial website
https://clinicaltrials.gov/study/NCT00980330
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Trial related presentations / publications
Lenz O, Verbinnen T, Fevery B, Tambuyzer L, Vijgen L, Peeters M, Buelens A, Ceulemans H, Beumont M, Picchio G, De Meyer S. Virology analyses of HCV isolates from genotype 1-infected patients treated with simeprevir plus peginterferon/ribavirin in Phase IIb/III studies. J Hepatol. 2015 May;62(5):1008-14. doi: 10.1016/j.jhep.2014.11.032. Epub 2014 Nov 28. Scott J, Rosa K, Fu M, Cerri K, Peeters M, Beumont M, Zeuzem S, Evon DM, Gilles L. Fatigue during treatment for hepatitis C virus: results of self-reported fatigue severity in two Phase IIb studies of simeprevir treatment in patients with hepatitis C virus genotype 1 infection. BMC Infect Dis. 2014 Aug 26;14:465. doi: 10.1186/1471-2334-14-465. Zeuzem S, Berg T, Gane E, Ferenci P, Foster GR, Fried MW, Hezode C, Hirschfield GM, Jacobson I, Nikitin I, Pockros PJ, Poordad F, Scott J, Lenz O, Peeters M, Sekar V, De Smedt G, Sinha R, Beumont-Mauviel M. Simeprevir increases rate of sustained virologic response among treatment-experienced patients with HCV genotype-1 infection: a phase IIb trial. Gastroenterology. 2014 Feb;146(2):430-41.e6. doi: 10.1053/j.gastro.2013.10.058. Epub 2013 Nov 1.
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Public notes
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Contacts
Principal investigator
Name
0
0
Tibotec Pharmaceuticals, Ireland Clinical Trial
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Address
0
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Tibotec Pharmaceuticals, Ireland
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for public queries
Name
0
0
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Address
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0
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00980330
Download to PDF