Efficacy and Safety Study of PEG-rIL-29 Plus Ribavirin to Treat Chronic Hepatitis C Virus Infection (EMERGE)

ZymoGenetics

Status and phase: Unknown; Phase 2

Conditions: Hepatitis C, Chronic

Treatments: Drug: Ribavirin; Drug: PEG-rIL-29; Drug: Peginterferon alfa-2a

Study type: Interventional

Funder types: Industry

Identifiers

NCT01001754

526H04

2009-011786-80 (EudraCT Number)

Details and patient eligibility

About

Interleukin 29 (IL-29) is a substance that is produced in the body to help fight viral infections. The purpose of this study is to evaluate the safety and antiviral effects of several different doses of PEG-rIL-29 (a man-made form of IL-29) when it is given in combination with daily oral doses of ribavirin (an antiviral drug) to subjects with hepatitis C infection who have received no prior treatment for this disease.

Full description

PEG-rIL-29 (also known as PEG-interferon lambda) is a unique Type III interferon molecule that has demonstrated antiviral activity when administered weekly for 4 weeks to treatment-relapsed and treatment-naive subjects with genotype 1 hepatitis C virus (HCV) infection. Because PEG-rIL-29 binds to a unique receptor with a more limited distribution than the receptor for interferon (IFN)-α, it may have the potential to treat HCV without some of the treatment-limiting side effects associated with IFN-α-based therapies. The purpose of this Phase 2a/b randomized, controlled, multicenter study is to compare the safety and efficacy of PEG-rIL-29 and peginterferon alfa-2a, both administered subcutaneously weekly for up to 48 weeks in combination with daily oral ribavirin, in treatment-naive subjects with chronic genotype 1, 2, 3, or 4 HCV infection. The initial part of the study (Phase 2a) will be conducted as an open-label study; the second part of the study (Phase 2b) will be conducted as a blinded study. The above information provided in this listing is specific to the Phase 2b portion of the study. In addition, two small open-label substudies will be conducted to evaluate the efficacy of 24-week treatment with PEG-rIL-29 and ribavirin in subjects with HCV genotype 1 who have a particular genetic polymorphism associated with favorable response (n=60) and to evaluate the efficacy of 16-week treatment with PEG-rIL-29 and ribavirin in subjects with HCV genotype 2 or 3 (n=30).

Enrollment: 600 estimated patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• No prior therapy for chronic HCV, other than up to 2 weeks of single-agent therapy with a direct-acting antiviral agent, including but not limited to, a protease or polymerase inhibitor
• HCV genotype 1, 2, 3, or 4
• HCV RNA ≥100,000 IU/mL
• ALT and AST ≤5.0 × ULN
• Documented absence of cirrhosis
• Able to comprehend the investigational nature of this study and sign an informed consent form

Exclusion criteria

• Mixed genotype HCV infection
• Current or prior history of decompensated liver disease
• Received any investigational drug, including a direct-acting antiviral agent, within 60 days prior to receiving study drug
• Positive test for hepatitis B surface antigen, human immunodeficiency virus (HIV)-1, or HIV2 antibody at screening
• Active substance abuse, such as alcohol, or inhaled or injected drugs, within 6 months

Additional inclusion and exclusion criteria are specified in the protocol.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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600 participants in 3 patient groups

PEG-rIL-29 at 120 µg

Experimental group

Treatment:

Drug: PEG-rIL-29

Drug: Ribavirin

PEG-rIL-29 at 180 µg

Experimental group

Treatment:

Drug: PEG-rIL-29

Drug: Ribavirin

Peginterferon alfa-2a at 180 µg

Active Comparator group

Treatment:

Drug: Peginterferon alfa-2a

Drug: Ribavirin