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    Summary
    EudraCT Number:2012-003280-22
    Sponsor's Protocol Code Number:AI452-032
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2013-07-12
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2012-003280-22
    A.3Full title of the trial
    Phase 3 open label study evaluating the efficacy and safety of pegylated interferon lambda-1a, in combination with ribavirin and daclatasvir, for treatment of chronic HCV infection with treatment naïve genotypes 1, 2, 3 or 4 in subjects co-infected with HIV.
    Estudio fase 3 abierto para evaluar la eficacia y seguridad de interferón lambda-1a pegilado, en combinación con ribavirina y daclatasvir para el tratamiento de la infección crónica por el VHC de genotipos 1, 2, 3 y 4 en pacientes coinfectados con el VIH que --no han recibido tratamiento con anterioridad
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Efficacy and Safety Study of Pegylated Interferon Lambda-1a with Ribavirin and Daclatasvir, to treat na?ve subjects with chronic HCV Genotypes 1, 2, 3, and 4 who are co-infected with HIV.
    EVALUACIÓN DE LA EFICACIA Y SEGURIDAD DE INTERFERÓN LAMBDA-1A PEGILADO, EN COMBINACIÓN CON RIBAVIRINA Y DACLATASVIR PARA EL TRATAMIENTO DE LA INFECCIÓN CRÓNICA POR EL VHC DE GENOTIPOS 1, 2, 3 Y 4 EN PACIENTES COINFECTADOS CON EL VIH
    A.3.2Name or abbreviated title of the trial where available
    DIMENSION
    DIMENSION
    A.4.1Sponsor's protocol code numberAI452-032
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorBristol-Myers Squibb International Corporation
    B.1.3.4CountryBelgium
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportBristol-Myers Squibb International Corporation
    B.4.2CountryBelgium
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationBristol-Myers Squibb International Corporation
    B.5.2Functional name of contact pointEU Study Start-Up Unit
    B.5.3 Address:
    B.5.3.1Street AddressParc de l'Alliance - Avenue de Finlande, 4
    B.5.3.2Town/ cityBraine-l'Alleud
    B.5.3.3Post code1420
    B.5.3.4CountryBelgium
    B.5.6E-mailclinical.trials@bms.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namePegylated Interferon Lambda
    D.3.2Product code BMS-914143 / PEG-rIL-29 / PEGIFN-?1
    D.3.4Pharmaceutical form Solution for injection in pre-filled syringe
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNPEGYLATED INTERFERON LAMBDA
    D.3.9.2Current sponsor codeBMS-914143
    D.3.9.4EV Substance CodeSUB31655
    D.3.10 Strength
    D.3.10.1Concentration unit µg/ml microgram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number400
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameDaclatasvir
    D.3.2Product code BMS-790052, DCV
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNDACLATASVIR
    D.3.9.2Current sponsor codeBMS-790052
    D.3.9.3Other descriptive nameHCV NS5A Replication Co-Factor Inhibitor
    D.3.9.4EV Substance CodeSUB34092
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number30
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Ribasphere
    D.2.1.1.2Name of the Marketing Authorisation holderThree Rivers Pharmaceuticals, LLC
    D.2.1.2Country which granted the Marketing AuthorisationUnited States
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRIBAVIRIN
    D.3.9.1CAS number 36791-04-5
    D.3.9.4EV Substance CodeSUB10297MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Chronic Hepatitis C Virus (HCV) Infection (Genotypes 1, 2, 3, 4)
    INFECCIÓN CRÓNICA POR EL VITUS DE LA HEPATITIS C (VHC)(GENOTIPOS 1,2,3,4)
    E.1.1.1Medical condition in easily understood language
    Chronic Hepatitis C
    HEPATITIS C CRÓNICA
    E.1.1.2Therapeutic area Diseases [C] - Virus Diseases [C02]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 16.0
    E.1.2Level PT
    E.1.2Classification code 10008912
    E.1.2Term Chronic hepatitis C
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate Sustained Virologic Response at post treatment Week 12 (SVR12) following treatment with Lambda/RBV/DCV in chronic HCV GT-1, -2, -3 or -4 subjects co-infected with HIV-1.
    El objetivo principal de este estudio es evaluar la respuesta virológica Sostenida en la semana 12 postratamiento (RVS12) tras el tratamiento con lambda/RBV/DCV en pacientes con infección crónica por el VHC de GT-1, GT-2, GT-3 o GT-4 coinfectados con el VIH-1
    E.2.2Secondary objectives of the trial
    1) Evaluate Rapid Virologic Response (RVR) and Extended Rapid Virologic Response (eRVR).

    2) Evaluate HCV RNA < Lower Limit of Quantification (LLOQ) at 24 weeks post treatment (SVR24).

    3) Evaluate the treatment emergent cytopenic abnormalities (anemia as defined by hemoglobin (Hb) < 10 g/dL, and/or neutropenia as defined by absolute neutrophil count (ANC) < 750 mm3 and/or thrombocytopenia as defined by platelets < 50,000/ml) during the treatment period.

    4) Evaluate the following on-treatment IFN-associated symptoms:
    - Flu-like symptoms (as defined by pyrexia or chills or pain)
    - Musculoskeletal symptoms (as defined by arthralgia or myalgia or back pain)

    5) Evaluate safety as measured by the frequency of discontinuations due to adverse events (AEs), and serious adverse events (SAEs)

    6) To assess change in absolute CD4 cell count, percent CD4 cell count, lymphocyte cell count, and platelet count.
    1)EVALUAR LA RVR Y LA RVRE.
    2)EVALUAR EL ARN DEL VHC < LIDC A 24 SEM.DESP.DEL TRATAMIENTO (RVS24).3)EVALUAR LAS ANOMALÍAS CITOPÉNICAS DURANTE EL TRATAMIENTO (ANEMIA, HB<10 G/DL Y/O NEUTROPENIA, RAN< 750 MM3 Y/O TROMBOCITOPENIA, PLAQUETAS<50.000/ML)DURANTE EL PERÍODO DE TRATAMIENTO (SEM.1,2,4,6,8,12,20Y24 Y EN LAS SEM.28,32,36,40,44 Y 48 PARA LOS PACIENTES QUE REQUIEREN ESTAS VISITAS).4)EVALUAR LOS SIGUIENTES SÍNTOMAS ASOCIADOS AL IFN DURANTE EL TRATAMIENTO (DESDE EL DÍA 1 HASTA EL FINAL DEL TRATAMIENTO, 24 SEM.O 48 SEM.:- SÍNTOMAS PSEUDOGRIPALES (POR PIREXIA, ESCALOFRÍOS O DOLOR)
    - SÍNTOMAS MUSCULOESQUELÉTICOS (DEFINIDOS POR ARTRALGIAS O MIALGIAS O DOLOR DE ESPALDA)5)EVALUAR LA SEGURIDAD MEDIDA POR LA FRECUENCIA DE ABANDONOS DEBIDO A AA Y AAG (DESDE EL DÍA 1 HASTA EL FINAL DEL TRATAM. 24 SEM.O 48 SEM.)
    6)EVALUAR EL CAMBIO EN EL RADE LINFOCITOS CD4, PORCENTAJE DEL RECUENTO DE LINFOCITOS CD4, RECUENTO DE LINFOCITOS Y RECUENTO DE PLAQUETAS (SEM.4, 8, 12 Y 24 Y 36 CUANDO CORRESPONDA)
    E.2.3Trial contains a sub-study Yes
    E.2.3.1Full title, date and version of each sub-study and their related objectives
    Pharmacogenetics Blood Sample Amendment Number 01 - Site Specific
    (version 1.0, dated 15-Apr-2013)

    The objective of this Amendment is to permit the collection and storage of blood samples for use in future exploratory pharmacogenetic research. Bristol-Myers Squibb will use DNA obtained from the blood sample and health information collected from the main clinical trial, AI452032 to study the association between genetic variation and drug response. Bristol-Myers Squibb may also use the DNA to study the causes and further progression of hepatitis C infection. Samples from this study may also be used in conjunction with pharmacogenetic research results from
    other clinical studies to accomplish this objective.
    ENMIENDA SOBRE MUESTRAS DE SANGRE PARA FARMACOGENÉTICA
    NÚMERO 01 - ESPECÍFICA DE CENTRO
    CENTRO: TODOS (VERSIÓN 1 DE 15-APR-2013)
    EL OBJETIVO DE ESTA ENMIENDA ES PERMITIR LA RECOGIDA Y LA CONSERVACIÓN DE MUESTRAS DE SANGRE PARA USO EN ESTUDIOS DE INVESTIGACIÓN FARMACOGENÉTICA EXPLORATORIOS FUTUROS. BRISTOL-MYERS SQUIBB USARÁ EL ADN OBTENIDO DE LA MUESTRA DE SANGRE Y LA INFORMACIÓN DE SALUD RECOGIDA DEL ENSAYO CLÍNICO PRINCIPAL, AI452032, PARA ESTUDIAR LA ASOCIACIÓN ENTRE LA VARIACIÓN GENÉTICA Y LA RESPUESTA A LOS MEDICAMENTOS. BMS TAMBIÉN PUEDE USAR EL ADN PARA ESTUDIAR LAS CAUSAS Y PROGRESIÓN ADICIONAL DE LA INFECCIÓN POR EL VIRUS DE LA HEPATITIS C. PARA CONSEGUIR ESTE OBJETIVO PUEDEN USARSE CONJUNTAMENTE MUESTRAS DE ESTE Y OTROS ESTUDIOS DE INVESTIGACIÓN FARMACOGENÉTICA
    E.3Principal inclusion criteria
    ? HCV Genotype-1, -2, -3 or -4 treatment naïve;

    ? Male and females, 18 years of age and above

    ? HCV RNA ? 10,000 IU/mL at screening;

    ? HIV-1 infection (approximately 200 subjects receiving HAART, approximately 100 subjects not receiving HAART);

    ? For subjects receiving HAART, HIV RNA must be below < 40 copies/mL at screening and < 200 copies/mL for at least 8 weeks prior to screening;

    ? CD4 cell count at screening must be ? 100 cells/?L if receiving HAART or ? 350 cells/?L if not receiving HAART

    ? Seronegative for HBsAg

    ? Body Mass Index (BMI) of 18 to 35 kg/m2, inclusive. BMI = weight (kg)/ [height (m)]2 at screening;

    ? Subjects with compensated cirrhosis are permitted, but the number of subjects will be capped at approximately 30%. If a subject does not have cirrhosis, a liver biopsy within 3 years prior to enrollment is required to demonstrate the absence of cirrhosis. If cirrhosis is present, any prior liver biopsy is sufficient. Fibroscan® or FibroTest are acceptable if performed within 1 year prior to treatment in countries where liver biopsy is not required prior to treatment and where non-invasive imaging tests are approved for staging of liver disease.

    ? Subjects with mild to moderate hemophilia as defined as:
    - Mild ? factor level activity of 6-40% OR
    - Moderate defined as factor level activity of 1-5%

    For additional inclusion criteria, please refer to Protocol section 3.3.1
    -INFECCIÓN CRÓNICA POR EL VHC DE GT-1, GT-2, GT-3 O GT-4
    -HOMBRES Y MUJERES DE 18 A 70 AÑOS DE EDAD.
    -DETECCIÓN ARN DEL VHC >10.000 UI/ML
    -PARA LOS PACIENTES QUE RECIBEN TARGA, EL ARN DEL VIH DEBE SER < 40 COPIAS/ML EN LA SELECCIÓN Y DEBE HABER SIDO < 200 COPIAS/ML DURANTE AL MENOS LAS 8 SEMANAS PREVIAS A LA SELECCIÓN
    -EVIDENCIA DE INFECCIÓN CRÓNICA POR EL VIH-1
    -LOS RECUENTOS DE CD4 EN EL BASAL DEBEN SER ?350 CÉLULAS/?L SI NO ESTÁN RECIBIENDO TARGA O 100CÉLULAS/?L SI ESTÁN RECIBIENDO TARGA
    -SERONEGATIVOS PARA HBSAG
    - INDICE DE MASA CORPORAL (IMC) DE 18 A 35 KG/M2, INCLUSIVE. IMC= PESO(KG)/ALTURA(M)]2 A SCREENING;
    -SE PERMITEN LOS PACIENTES CON CIRROSIS COMPENSADA. SI EXISTE CIRROSIS, ES SUFICIENTE CUALQUIER BIOPSIA HEPÁTICA PREVIA. LOS PACIENTES DEBEN TENER UNA DE LAS SIGUIENTES EVALUACIONES PARA EVALUAR LA CIRROSIS DEPENDIENDO DE LOS REQUISITOS DEL PAÍS/CENTRO:
    I.BIOPSIA HEPÁTICA:
    PARA LOS PACIENTES ELEGIBLES NO CIRRÓTICOS, LOS RESULTADOS DE LA BIOPSIA HEPÁTICA COHERENTES CON UNA INFECCIÓN CRÓNICA POR VHC (SIGNOS DE FIBROSIS Y/O INFLAMACIÓN) DEBEN HABER SIDO OBTENIDOS EN LOS 3 AÑOS ANTERIORES A SU INCLUSIÓN EN EL ESTUDIO. PARA LOS PACIENTES ELEGIBLES CON CIRROSIS COMPENSADA, LA BIOPSIA QUE PERMITA LA DOCUMENTACIÓN DE LA CIRROSIS PODRÁ HABERSE REALIZADO EN CUALQUIER MOMENTO ANTES DEL RECLUTAMIENTO. LOS PACIENTES NO CIRRÓTICOS DEBEN TENER UNA BIOPSIA HEPÁTICA DOCUMENTADA CON UNA PUNTUACIÓN DE ISHAK MENOR O IGUAL A 4 O PUNTUACIÓN DE FIBROSIS METAVIR MENOR O IGUAL A 3. LOS PACIENTES CIRRÓTICOS COMPENSADOS DEBEN TENER UNA BIOPSIA HEPÁTICA DOCUMENTADA CON UNA PUNTUACIÓN DE FIBROSIS DE ISHAK ?5 O UNA PUNTUACIÓN DE FIBROSIS METAVIR DE 4.
    II.FIBROSCAN:
    PARA LOS PAÍSES EN LOS QUE NO SE REQUIERE UNA BIOPSIA HEPÁTICA ANTES DEL TRATAMIENTO Y DONDE LAS PRUEBAS DE IMAGEN NO INVASIVAS (ECOGRAFÍA FIBROSCAN) SON EL MÉTODO DE REFERENCIA PARA ESTADIFICAR LA ENFERMEDAD HEPÁTICA, SE ACEPTA UN FIBROSCAN REALIZADO ANTES DE LA SELECCIÓN SI SE REALIZÓ UN AÑO ANTES DE LA SELECCIÓN (? 14,6 KPA DEBERÍA SER CONSIDERADO COHERENTE CON CIRROSIS). SI EL FIBROSCAN PREVIO NO SE HIZO EN EL AÑO ANTERIOR A LA SELECCIÓN, SE REQUIERE UN NUEVO FIBROSCAN ANTES DE ADMINISTRAR EL FÁRMACO DEL ESTUDIO. SI DE UN PACIENTE SE DISPONE DE BIOPSIA Y FIBROSCAN, LOS RESULTADOS DE LA BIOPSIA HEPÁTICA PREVALECEN SOBRE LOS DEL FIBROSCAN.
    III.FIBROTEST:
    LOS RESULTADOS DEL FIBROTEST SE PUEDEN USAR COMO ALTERNATIVA: EN LOS PAÍSES DONDE NO SE REQUIERE BIOPSIA HEPÁTICA ANTES DEL TRATAMIENTO Y DONDE LAS PRUEBAS DE IMAGEN NO INVASIVAS SON EL MÉTODO DE REFERENCIA PARA ESTADIFICAR LA ENFERMEDAD HEPÁTICA.
    EL RESULTADO DEL FIBROTEST MENOR O IGUAL A 0,74 SE CONSIDERARÁ EQUIVALENTE A UNA PUNTUACIÓN METAVIR DE F0-F3 Y LOS RESULTADOS DEL FIBROTEST ?0,75 SE CONSIDERARÁN EQUIVALENTES A UNA PUNTUACIÓN METAVIR DE F4). SI EL FIBROTEST ANTERIOR NO SE HIZO EN EL AÑO PREVIO A LA SELECCIÓN, SE REQUIERE UN NUEVO FIBROTEST ANTES DE ADMINISTRAR EL FÁRMACO DEL ESTUDIO.
    -SE PERMITEN LOS PACIENTES CON HEMOFILIA LEVE O MODERADA. LA HEMOFILIA LEVE Y MODERADA SE DEFINE COMO:
    I.LEVE: NIVEL DE ACTIVIDAD DE FACTOR DE 6-40% O
    II.MODERADA: NIVEL DE ACTIVIDAD DE FACTOR DE 1-5%
    PARA CRITERIOS DE INCLUSIÓN ADICIONALES, CONSULTAR LA SECCIÓN 3.3.1 DEL PROTOCOLO.
    E.4Principal exclusion criteria
    -Any evidence of liver disease other than chronic HCV;

    ? Subjects infected with HIV-2;

    ? Diagnosed or suspected hepatocellular carcinoma;

    ? Decompensated liver disease;

    ? Presence of AIDS-defining opportunistic infections within 12 weeks prior to study entry;

    ? Laboratory values: ANC < 1.5 x 109 cells/L (< 1.2 x 109 cells/L for Black subjects), platelet count <90 x 109 cells/L, hemoglobin < 11 g/dL for females, hemoglobin < 12 g/dL for males;

    ? Subjects (receiving HAART) who had first initiated anti-retroviral therapy within last 8 weeks prior to Day 1; however, if changes are required to a subject?s HAART regimen to meet the requirements of the protocol, these changes are allowed at the screening visit. Subjects should wait a minimum of 1 month prior to Day 1 after a repeat of HIV viral load has been confirmed, < 40 copies/mL;

    ? Subjects on zidovudine (AZT), didanosine (ddI), or stavudine (d4T);

    ? Active drug or alcohol use or dependence that, in the opinion of the site investigator, would interfere with adherence to study requirements.

    ? Subjects with severe hemophilia (defined as < 1% factor activity level)

    For additional exclusion criteria, please refer to Protocol section 3.3.2
    -Evidencia de infección con VIH-2
    -Cualquier evidencia de enfermedad hepática distinta a infección crónica por el VHC
    -Regímenes TARGA no enumerados en la Sección 3.4.1. Los pacientes que han iniciado el TARGA menos de 6 meses antes del día 1.
    -Uso de AZT, ddI o d4T en el mes anterior al día 1 y durante el período de tratamiento del ensayo
    -Cambio en el régimen TARGA en los 8 meses anteriores debido a fracaso virológico o debido al inicio del tratamiento en pacientes previamente no tratados
    -Presencia de infecciones oportunistas que definen el SIDA en las 12 semanas anteriores a la entrada en el estudio
    -Valores de laboratorio: RAN < 1,5 x 109 células/ml (< 1,2 x 109 células/ml en pacientes de raza negra), recuento de plaquetas < 90 x 109 células/ml, hemoglobina < 11 g/dl para las mujeres, hemoglobina < 12 g/dl para los hombres
    Evidencia de descompensación hepática
    -Evidencia de alfa-fetoproteína (AFP) > 100 ng/ml o imagen sugerente de carcinoma hepatocelular (CHC)
    -Uso o dependencia de drogas o alcohol que, en opinión del investigador del centro, pudiera interferir con el cumplimiento de los requisitos del estudio
    SUJETOS CON HEMOFILIA GRAVE ( DEFINIDA COMO < 1% NIVEL DE FACTOR DE ACTIVIDAD
    PARA CRIRTERIOS DE EXCLUSIÓN ADICIONALES VER LA SECCIÓN 3.3.2 DEL PROTOCOLO
    E.5 End points
    E.5.1Primary end point(s)
    Proportion of subjects with SVR12 defined as HCV RNA < LLOQ (25 IU/mL; target detected or not detected) at 12 weeks post treatment.
    EL OBJETIVO PRINCIPAL DE ESTE ESTUDIO ES EVALUAR LA RESPUESTA VIROLÓGICA SOSTENIDA EN LA SEMANA 12 POSTRATAMIENTO (RVS12) DEFINIDA COMO ARNVHC<LLOQ(25IU/ML; OBJETIVO DETECTADO O NO DETECTADO) A LAS 12 SEMANAS POST TRATAMIENTO.
    E.5.1.1Timepoint(s) of evaluation of this end point
    Post treatment Week 12
    Semana 12 post tratmiento
    E.5.2Secondary end point(s)
    1) Proportion of subjects with RVR and eRVR, where RVR is defined as < LLOQ target not detected at Week 4 and eRVR defined as < LLOQ target not detected at Weeks 4 and 12.

    2) Proportion of subjects in each group/duration who achieve HCV RNA < LLOQ target detected or not detected, at end of therapy (SVR24).

    3) Proportion of subjects with treatment emergent cytopenic abnormalities (anemia as defined by Hb < 10 g/dL, and/or neutropenia as defined by ANC < 750 mm3 and/or thrombocytopenia as defined by platelets < 50,000 mm3) during the treatment period.

    4) Proportion of subjects with the following on treatment IFN-associated symptoms:
    a) Flu-like symptoms (as defined by pyrexia or chills or pain)
    b) Musculoskeletal symptoms (as defined by arthralgia or myalgia or back pain).

    5) Frequency of deaths, serious adverse events (SAEs), discontinuations due to AEs, dose reductions, and severity Grade 3/4 laboratory abnormalities.

    6) Absolute and percent change from baseline in the CD4 cell count, lymphocyte cell count, and platelet count.
    1)EVALUAR LA RESPUESTA VIROLÓGICA RÁPIDA (RVR) Y LA RESPUESTA VIROLÓGICA RÁPIDA PROLONGADA (RVRE).
    2)EVALUAR EL ARN DEL VHC < LÍMITE INFERIOR DE CUANTIFICACIÓN (LIDC) A LAS 24 SEMANAS DESPUÉS DEL TRATAMIENTO (RVS24).
    3)EVALUAR LAS ANOMALÍAS CITOPÉNICAS SURGIDAS DURANTE EL TRATAMIENTO (ANEMIA DEFINIDA COMO HEMOGLOBINA (HB) < 10 G/DL Y/O NEUTROPENIA DEFINIDA COMO RECUENTO ABSOLUTO DE NEUTRÓFILOS (RAN) < 750 MM3 Y/O TROMBOCITOPENIA DEFINIDA COMO PLAQUETAS < 50.000/ML) DURANTE EL PERÍODO DE TRATAMIENTO (SEMANAS 1, 2, 4, 6, 8, 12, 20 Y 24 Y EN LAS SEMANAS 28, 32, 36, 40, 44 Y 48 PARA LOS PACIENTES QUE REQUIEREN ESTAS VISITAS).
    4)EVALUAR LOS SIGUIENTES SÍNTOMAS ASOCIADOS AL IFN DURANTE EL TRATAMIENTO (DESDE EL DÍA 1 HASTA EL FINAL DEL TRATAMIENTO, 24 SEMANAS O 48 SEMANAS):
    - SÍNTOMAS PSEUDOGRIPALES (DEFINIDOS POR PIREXIA, ESCALOFRÍOS O DOLOR)
    - SÍNTOMAS MUSCULOESQUELÉTICOS (DEFINIDOS POR ARTRALGIAS O MIALGIAS O DOLOR DE ESPALDA)
    5)EVALUAR LA SEGURIDAD MEDIDA POR LA FRECUENCIA DE ABANDONOS DEBIDO A ACONTECIMIENTOS ADVERSOS (AA) Y ACONTECIMIENTOS ADVERSOS GRAVES (AAG) (DESDE EL DÍA 1 HASTA EL FINAL DEL TRATAMIENTO, 24 SEMANAS O 48 SEMANAS)
    6)EVALUAR EL CAMBIO EN EL RECUENTO ABSOLUTO DE LINFOCITOS CD4, PORCENTAJE DEL RECUENTO DE LINFOCITOS CD4, RECUENTO DE LINFOCITOS Y RECUENTO DE PLAQUETAS (SEMANAS 4, 8, 12 Y 24 Y 36 CUANDO CORRESPONDA)
    E.5.2.1Timepoint(s) of evaluation of this end point
    1) RVR at Week 4 and eRVR at Weeks 4 and 12

    2) 24 weeks post treatment (SVR24)

    3) Weeks 1, 2, 4, 6, 8, 12, 20, and 24 (and Weeks 28, 32, 36, 40, 44, and 48 for subjects requiring those visits)

    4) From Day 1 to End of Treatment, 24 or 48 weeks: Weeks 1, 2, 4, 6, 8, 12, 20, and 24 (and Weeks 28, 32, 36, 40, 44, and 48 for subjects requiring those visits)

    5) From Day 1 until the end of treatment, 24 weeks or 48 weeks: Weeks 1, 2, 4, 6, 8, 12, 20, and 24 (and Weeks 28, 32, 36, 40, 44, and 48 for subjects requiring those visits)

    6) Weeks 4, 8, 12 and 24 (and Week 36 for subjects requiring visit)
    1) RVR en la semana 4 y eRVR en las semanas 4 y 12
    2) 24 semanas post tratmiento(SVR24)
    3) semanas1, 2, 4, 6, 8, 12, 20, and 24 (y semanas 28, 32, 36, 40, 44, y 48 para pacientes que requiera esas visitas)
    4) Del dia 1 al final del tratamiento, 24 o 48 semanas: semanas 1, 2, 4, 6, 8, 12, 20, and 24 (y semanas 28, 32, 36, 40, 44, y 48 para pacientes que requiera esas visitas
    5) Del día 1 hasta final del tratamiento, 24 semanas o 48 semanas: semanas 1, 2, 4, 6, 8, 12, 20, y 24 (y semanas 28, 32, 36, 40, 44, y48 para pacientes que requiera esas visitas)
    6) semanas 4, 8, 12 y 24 (y semana 36 para pacientes que requieran esas visitas)
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic Yes
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    Biomarkers; Outcomes Research; HCV and HIV Resistance Monitoring; Immunogenicity
    Biomarcadores; Outcomes Research; monitorización de resistencias de VHC y VIH; Immunogenicidad
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised No
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Information not present in EudraCT
    E.8.2.2Placebo Information not present in EudraCT
    E.8.2.3Other Information not present in EudraCT
    E.8.2.4Number of treatment arms in the trial2
    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.8.4.1Number of sites anticipated in Member State concerned5
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA33
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Argentina
    Belgium
    Canada
    France
    Germany
    Italy
    Mexico
    Poland
    Romania
    Russian Federation
    Spain
    United Kingdom
    United States
    E.8.7Trial 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
    LPLV
    Último paciente, última visita
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months6
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 270
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 30
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state40
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 145
    F.4.2.2In the whole clinical trial 300
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    At the end of the study, the sponsor will not continue to supply study drug to subjects/investigators unless the sponsor chooses to extend the study. The investigator should ensure that the subject receives appropriate standard of care to treat the condition under study.
    Al final del estudio, el promotor dejará de facilitar el fármaco del estudio a los pacientes/investigadores, salvo en el caso de que decidiera prolongar dicho estudio. El investigador debe asegurarse de que el paciente recibe un tratamiento de referencia adecuado para tratar el problema en estudio.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2013-08-23
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2013-07-31
    P. End of Trial
    P.End of Trial StatusCompleted
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