Title

Interferon-alpha Lozenges for Prevention of Relapse in Hepatitis C
A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Low-Dose Human Interferon-alpha by the Oral Mucosal Route During the 6-Month Follow-up Period of Standard Combination Therapy for Hepatitis C Virus Infection
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Study Participants

    169
The purpose of this study is to determine whether lozenges of interferon-alpha that are dissolved in the mouth can prevent relapse in patients with hepatitis C virus infection who had a complete virologic response after receiving a combination of injected interferon-alpha and oral ribavirin.
Study Started
Jun 30
2009
Primary Completion
Nov 30
2011
Study Completion
Feb 29
2012
Results Posted
Oct 31
2013
Estimate
Last Update
Oct 31
2013
Estimate

Drug interferon-alpha lozenges

500 IU lozenges of natural human interferon-alpha for oral dissolution given once or three times per day for 24 weeks

  • Other names: IFN-alpha, Veldona lozenges, oral interferon, IFN-alpha lozenges, oral interferon lozenges

Drug placebo lozenges

200 mg matching placebo lozenges

  • Other names: sugar pills

500 IU qd Experimental

500 IU Interferon-alpha lozenge taken once per day plus 2 placebo lozenges per day

500 IU tid Experimental

500 IU interferon-alpha lozenge taken 3 times per day

placebo Placebo Comparator

placebo lozenges taken 3 times per day

Criteria

Inclusion Criteria:

HCV genotype 1b
Will be completing pegylated IFN-alpha and ribavirin therapy within 4 weeks
Serum HCV RNA negative within 4 weeks of study entry

Exclusion Criteria:

Child-Pugh score of B or C
Decompensated liver function
History of malignancy within past 5 years
Other causes of liver disease besides HCV infection
Uncontrolled diabetes or hypertension
Unwilling to use two forms of birth control during study treatment

Summary

500 IU qd

500 IU Tid

Placebo

All Events

Event Type Organ System Event Term 500 IU qd 500 IU Tid Placebo

Relapse Rate

Percentage of participants with a positive seum HCV RNA level at any post-baseline evaluation Serum HCV RNA was tested using a commercially available real-time polymerase-chain-reaction (PCR) assay kit (Roche Cobas TaqMan HCV assay kit) with a limit of detection of 15 IU/ml.

500 IU qd

30.5
percentage of participants

500 IU Tid

37.7
percentage of participants

Placebo

35.1
percentage of participants

Normalization of ALT

Percentage of participants with a normal serum ALT level at the end of the study

500 IU qd

71.2
percentage of participants

500 IU Tid

60.4
percentage of participants

Placebo

64.9
percentage of participants

Change in Serum HCV RNA Concentration

Change in serum HCV RNA concentration (log10 IU) from baseline to week 48

500 IU qd

1.6
log10 IU (Log Mean)
Standard Deviation: 2.4

500 IU Tid

1.9
log10 IU (Log Mean)
Standard Deviation: 2.5

Placebo

1.7
log10 IU (Log Mean)
Standard Deviation: 2.5

Change in Serum ALT

Change in Serum ALT concentration from baseline to week 48

500 IU qd

7.8
U/L (Mean)
Standard Deviation: 75.5

500 IU Tid

0.6
U/L (Mean)
Standard Deviation: 36.6

Placebo

8.6
U/L (Mean)
Standard Deviation: 52.6

Change in Social Functioning

Change in the Social Functioning domain of the SF-36 quality-of-life questionnaire from baseline to week 48 Social Functioning (SF) scores range from 0-100, with lower scores indicating that health/emotional problems have had a greater negative impact on social activities, compared to higher scores. SF scores are calculated using a proprietary algorithm based on responses to questions #6 and #10 on the SF-36, which are 5-point likert scales about the extent to which, and the amount of time with which physical or emotional problems have interfered with social activities.

500 IU qd

21.6
change in score (Mean)
Standard Deviation: 17.7

500 IU Tid

16.3
change in score (Mean)
Standard Deviation: 20.9

Placebo

8.8
change in score (Mean)
Standard Deviation: 20.5

Change in Fibrotest Score

Change in fibrotest score from baseline to week 48

500 IU qd

-0.37
units on a scale (Mean)
Standard Deviation: 0.48

500 IU Tid

-0.19
units on a scale (Mean)
Standard Deviation: 0.46

Placebo

-0.31
units on a scale (Mean)
Standard Deviation: 0.37

Sustained Virologic Response Rate

Percentage of participants who remained HCV RNA negative throughout the study

500 IU qd

71.2
percentage of participants

500 IU Tid

62.3
percentage of participants

Placebo

66.7
percentage of participants

Normalization of Platelets

Percentage of participants with a low platelet count at baseline who had a normal platelet count at the end of the study

500 IU qd

81.0
percentage of participants

500 IU Tid

50.0
percentage of participants

Placebo

41.9
percentage of participants

Total

169
Participants

Age Continuous

55.8
years (Mean)
Standard Deviation: 10.8

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

500 IU qd

500 IU Tid

Placebo

Drop/Withdrawal Reasons

500 IU qd

500 IU Tid

Placebo