E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Chronic Hepatitis C |
Epatite C Cronica |
|
E.1.1.1 | Medical condition in easily understood language |
Chronic Hepatitis C |
Epatite C Cronica |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 15.0 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10057212 |
E.1.2 | Term | Hepatitis viral infections |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective is to evaluate, in treatment-naive subjects with
chronic HCV GT-2 or -3 infection:
• SVR12 following 24 weeks of treatment with Lambda/RBV and the
SVR12 following 24 weeks of treatment with alfa-2a/RBV
• SVR12 following 12 weeks of treatment with Lambda/RBV/DCV and
the SVR12 following 24 weeks of treatment with alfa-2a/RBV |
L’obiettivo primario di questo studio è valutare nei soggetti naïve al trattamento affetti da epatite C cronica con genotipo 2 o 3:
• La SVR12 a seguito di 24 settimane di trattamento con Lambda/RBV e la SVR12 a seguito di 24 settimane di trattamento con alfa-2a/RBV
• La SVR12 a seguito di 12 settimane di trattamento con Lambda/RBV/DCV e la SVR12 a seguito di 24 settimane di trattamento con alfa-2a/RBV |
|
E.2.2 | Secondary objectives of the trial |
• Evaluate the safety of 24 weeks of treatment with Lambda/RBV and 12
weeks of treatment with Lambda/RBV/DCV compared to 24 weeks of
treatment with alfa-2a/RBV in reducing treatment emergent cytopenic
abnormalities
• Evaluate the following on-treatment IFN-associated symptoms
following 24 weeks of treatment with Lambda/RBV and 12 weeks of
treatment with Lambda/RBV/DCV compared to 24 weeks of treatment
with alfa-2a/RBV:
− Flu-like symptoms
− Musculoskeletal symptoms
• Evaluate SVR24 by treatment group
• Evaluate, by treatment group, safety as measured by the frequency of
dose reductions, discontinuations due to adverse events (AEs), and
serious adverse events (SAEs)
• Evaluate SVR12, by treatment group, in subjects with GT-3 chronic
HCV infection
• Evaluate on-treatment IFN-associated constitutional symptoms |
valutare:
•la risp virologica rapid (RVR) per gruppo di trattam
•la sicurezza di 24 sett di trattam con Lambda/RBV e 12 settimane di trattam con Lambda/RBV/DCV a confronto con 24 settimane di trattamento con alfa-2a/RBV nel ridurre le anomalie citopeniche causate dal trattamento
•i seguenti sintomi associati agli interferoni durante il trattam,dopo 24 settimane di trattamento con Lambda/RBV e 12 settimane di trattam con Lambda/RBV/DCV a confronto con 24 settimane di trattam con alfa-2a/RBV: sintomi simil-influenzali, sintomi muscoloscheletrici
•la SVR24 per gruppo di trattam
•la sicurezza, per gruppo di trattamento, misurata come la frequenza di riduzioni di dose, discontinuazioni dovute ad eventi avversi, ed eventi avversi seri (SAE)
•la SVR12 per gruppo di trattam, in sogg GT-3 con infezione cronica da HCV
•sintomi costituzionali durante il trattamento associati agli interfero |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Chronic hepatitis C, Genotype 2 or 3
• Naïve to prior anti-HCV therapy |
•Epatite C Cronica, genotipo 2 o 3
•Naive a precedenti terapie anti-HCV |
|
E.4 | Principal exclusion criteria |
• Infected with HCV other than Genotype 2 or 3
• Positive HBsAg, or HIV-1/HIV-2 antibody
• Evidence of liver disease other than HCV
• Active substance abuse
• Evidence of decompensated cirrhosis |
•Infezione da HCV di genotipo diverso dal 2 o 3
•Positività per HbsAg, o anticorpi HIV-1/HIV-2
•Evidenza di malattia epatica diversa dall’HCV
•Uso attivo di sostanze da abuso
•Evidenza di cirrosi decompensata |
|
E.5 End points |
E.5.1 | Primary end point(s) |
The primary efficacy endpoint is the proportion of chronically infected
genotype 2 and 3 subjects who achieve SVR12. |
L’endpoint primario di efficacia è la proporzione di soggetti con infezione cronica da HCV genotipo 2 e 3 che ottengono la SVR12 |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Post-treatment week 12 |
Settimana 12 post-trattamento |
|
E.5.2 | Secondary end point(s) |
• Proportion of subjects with RVR
• Proportion of subjects with treatment emergent cytopenic
abnormalities
• Proportion of subjects with on-treatment interferon-associated flu-like
symptoms
• Proportion of subjects with on-treatment musculoskeletal symptoms
• Proportion of subjects with SVR24 by treatment group
• Proportion of subjects with on-treatment SAEs
• Proportion of subjects with dose reductions
• Proportion of subjects who discontinue due to AEs
• Proportion of subjects with SVR12 in subjects with GT-3 chronic HCV
infection
• Proportion of subjects with on-treatment constitutional symptoms |
• Proporzione di soggetti con RVR
• Proporzione di soggetti con anomalie citopeniche dovute al trattamento
• Proporzione di soggetti con sindrome simil-influenzale associata all’interferone durante il trattamento
• Proporzione di soggetti con sintomi muscoloscheletrici durante il trattamento
• Proporzione di soggetti con SVR per gruppo di trattamento
• Proporzione di soggetti con SAE durante il trattamento
• Proporzione di soggetti con riduzioni di dose
• Proporzione di soggetti che discontinuano a causa di eventi avversi
• Proporzione di soggetti con SVR12 in soggetti con infezione cronica da HCV GT3
• Proporzione di soggetti con sintomi copstituzionali durante il trattamento |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
From Day 1 through 24 weeks post end treatment |
Dal Giorno 1 fino a 24 settimane post-trattamento |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Outcomes Research Assessments, Resistance and Immunogenicity |
Outcomes Research Assessments, Resistance and Immunogenicity |
|
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 21 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Brazil |
Canada |
Chile |
Hong Kong |
India |
Japan |
Korea, Republic of |
Mexico |
New Zealand |
Puerto Rico |
Russian Federation |
Singapore |
Taiwan |
United States |
|
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
The end of the study is defined as LPLV. The last visit is defined as the
last post-treatment follow-up subject visit.
After the treatment and follow-up period, subjects treated with Lambda
may be asked to enroll in a separate follow-up observational study to
assess long-term virologic response and HCV-related complications. |
Definita come LPLV. L’ultima visita è defcome l’ultima visita del FU post trattam. Successiv al periodo di trattam e di FU, i sogg tratt con Lambda potrebbero ess invitati a partecip in uno studio osservaz di FU separato |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 26 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 26 |
E.8.9.2 | In all countries concerned by the trial days | 0 |