Clinical Trial Results:
High-dose intravenous silibinin infusions during 10 days as add-on treatment to triple therapy (telaprevir, peginterferon alpha and ribavirin) in cirrhotic GT 1 hepatitis C virus infected patients being null responders to prior dual therapy with peginterferon alpha and ribavirin – a proof-of-concept trial on antiviral efficacy and safety
Summary
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EudraCT number |
2012-004442-15 |
Trial protocol |
DE |
Global end of trial date |
03 Mar 2014
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Results information
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Results version number |
v1(current) |
This version publication date |
30 Aug 2020
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First version publication date |
30 Aug 2020
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Other versions |
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Summary report(s) |
HISTORY |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
HISTORY
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Other trial identifiers |
DRKS: DRKS00005455 | ||
Sponsors
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Sponsor organisation name |
Universität Leipzig
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Sponsor organisation address |
Ritterstr. 26, Leipzig, Germany,
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Public contact |
Prof. Dr. Thomas Berg, Universität Leipzig, 49 3419712330, thomas.berg@medizin.uni-leipzig.de
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Scientific contact |
Prof. Dr. Thomas Berg, Universität Leipzig, 49 3419712330, thomas.berg@medizin.uni-leipzig.de
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
03 Dec 2014
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
03 Mar 2014
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
To compare the rates of RVR – rapid virological response, defined as HCV RNA ≤ LOQ (limit of quantification), defined as ≤ 15 IU/mL at week four of an antiviral treatment with telaprevir, peginterferon alpha and ribavirin – between patients who either receive infusions of silibinin during the first ten consecutive working days of antiviral treatment or no infusions.
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Protection of trial subjects |
see descriptions in Patient informed consent and the Trial protocol
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
12 Dec 2013
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Germany: 2
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Worldwide total number of subjects |
2
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EEA total number of subjects |
2
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
2
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
2 patients before premature trial termination | ||||||||||||||||||
Pre-assignment
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Screening details |
A total of 3 patients were to be included in the screening process of whom only one was eligible for randomisation and was randomised in the control arm. | ||||||||||||||||||
Period 1
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Period 1 title |
overall trial (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Not blinded | ||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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control | ||||||||||||||||||
Arm description |
Telaprevir 1125 mg BID for a period of 12 weeks starting at baseline visite Ribavirin 1000 or 1200 mg (depending on the body weight) divided in two daily doses for a period of 48 weeks starting at baseline Visite Peginterferon alpha 2a 180 µg s.c. qweek for a period of 48 weeks starting at baseline Visite | ||||||||||||||||||
Arm type |
Active comparator | ||||||||||||||||||
Investigational medicinal product name |
Telaprevir
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Coated tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Telaprevir 1125 mg BID for a period of 12 weeks starting at baseline visite
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Investigational medicinal product name |
Ribavirin
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Coated tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Ribavirin 1000 or 1200 mg (depending on the body weight) divided in two daily doses for a period of 48 weeks starting at baseline visite
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Investigational medicinal product name |
Peginterferon alpha 2a
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate and solvent for solution for injection
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
Peginterferon alpha 2a 180 µg s.c. qweek for a period of 48 weeks starting at baseline visite
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Arm title
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experimental | ||||||||||||||||||
Arm description |
Silibinin infusions (20 mg/kg bw/d) on 10 consecutive working days (ideally Monday to Friday sparing the weekend) +Telaprevir 1125 mg BID for a period of 12 weeks starting at baseline visite + Ribavirin 1000 or 1200 mg (depending on the body weight) divided in two daily doses for a period of 48 weeks starting at baseline visite + Peginterferon alpha 2a 180 µg s.c. qweek for a period of 48 weeks starting at baseline Visite | ||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||
Investigational medicinal product name |
Silibinin
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate and solvent for solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
Silibinin infusions (20 mg/kg bw/d) on 10 consecutive working days (ideally Monday to Friday sparing the weekend)
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Investigational medicinal product name |
Telaprevir
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Coated tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Telaprevir 1125 mg BID for a period of 12 weeks starting at baseline visite
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Investigational medicinal product name |
Ribavirin
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Coated tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Ribavirin 1000 or 1200 mg (depending on the body weight) divided in two daily doses for a period of 48 weeks starting at baseline visite
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Investigational medicinal product name |
Peginterferon alpha 2a
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate and solvent for solution for injection
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
Peginterferon alpha 2a 180 µg s.c. qweek for a period of 48 weeks starting at baseline visite
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Baseline characteristics reporting groups
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Reporting group title |
overall trial
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Reporting group description |
not reported | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
control
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Reporting group description |
Telaprevir 1125 mg BID for a period of 12 weeks starting at baseline visite Ribavirin 1000 or 1200 mg (depending on the body weight) divided in two daily doses for a period of 48 weeks starting at baseline Visite Peginterferon alpha 2a 180 µg s.c. qweek for a period of 48 weeks starting at baseline Visite | ||
Reporting group title |
experimental
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Reporting group description |
Silibinin infusions (20 mg/kg bw/d) on 10 consecutive working days (ideally Monday to Friday sparing the weekend) +Telaprevir 1125 mg BID for a period of 12 weeks starting at baseline visite + Ribavirin 1000 or 1200 mg (depending on the body weight) divided in two daily doses for a period of 48 weeks starting at baseline visite + Peginterferon alpha 2a 180 µg s.c. qweek for a period of 48 weeks starting at baseline Visite |
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End point title |
To compare the rates of RVR – rapid virological response, defined as HCV RNA ≤ LOQ (limit of quantification), defined as ≤ 15 IU/mL at week four of an antiviral treatment with telaprevir, peginterferon alpha and ribavirin – between patients who either rec [1] | |||||||||
End point description |
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End point type |
Primary
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End point timeframe |
4 weeks
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The trial was stopped prematurely and only a very limited number of patients included, which does not allow an endpoint analysis. For further descriptions please see the attached trial synopsis. |
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No statistical analyses for this end point |
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Adverse events information [1]
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Timeframe for reporting adverse events |
Adverse events will be documented at every visit from the baseline visit (visit 2) until visit 18/week FU 12 = End of Event Reporting = EoER)
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Adverse event reporting additional description |
Not recorded
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Assessment type |
Systematic | ||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||
Dictionary version |
17.0
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Frequency threshold for reporting non-serious adverse events: 1% | |||
Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: Please see the list of AEs related and not related to the IMP in the trial synopsis, uploaded together with the posting of this results report. |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||||||
Date |
Amendment |
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27 Nov 2013 |
Change of co-ordinating investigator
Change of a principal Investigator at a trial site |
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Interruptions (globally) |
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Were there any global interruptions to the trial? Yes | |||||||
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Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||||||
The study was aborted prematurely due to current developments in the field of treatment of chronic hepatitis C patients (i.e. approval of new antiviral agents). |