The purpose of this study is to assess the safety and efficacy of combination treatment with VX-222 and telaprevir administered for 12 weeks with and without peginterferon-alfa-2a and/or ribavirin. The subjects enrolled in this study are chronically infected with hepatitis C virus (HCV) genotype 1 and will not have previously received treatment for their HCV infection. This study will include an Investigational Phase and Extension Phase. These phases will contain a Treatment Period and a Follow-up Period. All subjects will be enrolled in the Investigational Phase of this study. Subjects who fail treatment during the Investigational Phase will have the option to enter the Extension Phase at which point they will be eligible to receive peginterferon alfa-2a and ribavirin for a total of 48 weeks. Based on an evaluation of on-treatment safety, pharmacokinetic and antiviral data from patients in each arm of the trial, Vertex may elect to enroll up to two additional treatment arms (Treatment Arm E and Treatment Arm F) that will evaluate telaprevir/VX-222-based combination therapy. The components of the treatment regimens of these arms will be selected based on clinical data that emerges from the four initially-studied regimens. If enacted, up to 25 patients are expected to enroll in each additional treatment arm. If Treatment Arm E or Treatment Arm F is discontinued subjects meeting certain criteria will have the option to enter a telaprevir-containing Rollover Phase. Subjects who do not meet the eligibility criteria to enter the Rollover Phase may elect to enter the Extension Phase.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
152
tablet, 1125-mg, twice daily
capsule, 100-mg, twice daily
tablet, 1000-mg for subjects weighing \<75-kg or 1200-mg for subjects weighing ≥75-kg, twice daily
subcutaneous injection, 180-mcg, once weekly
capsule, 400-mg, twice daily
Unnamed facility
La Jolla, California, United States
Unnamed facility
San Francisco, California, United States
Unnamed facility
Aurora, Colorado, United States
Unnamed facility
Gainesville, Florida, United States
Unnamed facility
Atlanta, Georgia, United States
Unnamed facility
Marietta, Georgia, United States
Unnamed facility
Lutherville, Maryland, United States
Unnamed facility
Rochester, Minnesota, United States
Unnamed facility
St Louis, Missouri, United States
Unnamed facility
Egg Harbor, New Jersey, United States
...and 11 more locations
Safety and Tolerability
Assessed by adverse events, physical examinations, vital signs, 12 lead electrocardiograms (ECGs), and laboratory assessments (serum chemistry, hematology, and urinalysis) vital signs, 12-lead electrocardiograms (ECGs), and laboratory assessments (clinical chemistry, hematology, and urinalysis)
Time frame: 40 weeks
Proportion of Subjects Who Achieve a Sustained Viral Response
Time frame: 24 weeks after the completion of the last dose of the assigned study drug treatment regimen
Undetectable HCV RNA Measurements
* Time to undetectability * Proportion of subjects who achieve undetectable HCV RNA levels at Week 2, Week 4, Week 8, and Week 12 * Proportion of subjects who achieve undetectable HCV RNA levels at Week 2 and Week 8 * Proportion of subjects who have undetectable HCV RNA levels at the end of treatment
Time frame: 36 weeks
Proportion of Subjects Who Have a Viral Breakthrough or Relapse
Time frame: 60 weeks
Plasma Exposures of VX-222 and Telaprevir
Time frame: 12 weeks
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