The purpose of the study was to determine safety and efficacy of 48 weeks treatment with Thymosin alpha 1 (Talpha1) in combination with pegylated interferon (PEGIFN) alpha2a and ribavirin (RBV) in adult patients with chronic hepatitis C (CHC) already treated with, and not responding to previous courses of PEGIFN alpha plus RBV combination therapy, in comparison with a concurrent group treated with PEG IFN alpha2a in combination with RBV and placebo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
552
Thymosin alpha 1 (Zadaxin) 1.6 mg/day, two times weekly in the morning, by subcutaneous injection for 48 weeks.
Ribavirin 1000 mg (\<75 kg) or 1200 mg (\>75 kg) daily with food divided in two doses orally for 48 weeks
180 mcg, once weekly in the evening, by subcutaneous injection for 48 weeks
Placebo
Hôpital Necker
Paris, France
Universitätsklinikum Tübingen
Tübingen, Germany
University Hospital of Ioannina
Ioannina, Greece
Ospedale Casa Sollievo della Sofferenza
San Giovanni Rotondo, Foggia, Italy
Policlinico S.Orsola-Malpighi
Bologna, Italy
Ospedale Cardarelli
Naples, Italy
Università Cattolica del Sacro Cuore
Rome, Italy
Dipartimento Medico Chirurgico delle Malattie dell'Apparato Digerente e della Nutrizione, Azienda Ospedaliera S Giovanni Battista
Turin, Italy
Hospital del Mar
Barcelona, Spain
Sustained Virological Response (SVR)
The proportion of patients who were HCV RNA negative at the end of observation period.
Time frame: Week 72
Sustained Biochemical Response (SBR)
The proportion of patients with normal serum ALT at the end of observation period.
Time frame: Week 72
End of Treatment Biochemical Response (EBR)
The proportion of patients with normal serum ALT at the end of treatment period.
Time frame: Week 48
End of Treatment Virological Response [EVR]
The proportion of patients who were HCV RNA negative at the end of treatment period.
Time frame: Week 48
Safety
Safety and tolerability were evaluated by AEs recording, laboratory (hematology and chemistry), ECG, and vital signs evaluations. All laboratory tests were centralized.
Time frame: During the treatment period (up to 48 weeks) and the follow-up period (up to 24 weeks)
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