then continued on different regimens based on Treatment Week (TW) 8 through TW 24 response-guided therapy (VICTRELIS-RGT). All subjects in this treatment arm were limited to 24 weeks of therapy with VICTRELIS.
-
Subjects with undetectable HCV-RNA at TW 8 (early responders) and who were also negative through TW24 discontinued therapy and entered follow-up at the TW 28 visit.
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Subjects with detectable HCV-RNA at TW 8 or any subsequent treatment week but subsequently negative at TW 24 (late responders) were changed in a blinded fashion to placebo at the TW 28 visit and continued therapy with PegIntron + REBETOL for an additional 20 weeks, for a total treatment duration of 48 weeks.
PegIntron + REBETOL for four weeks followed by VICTRELIS 800 mg three times daily + PegIntron + REBETOL for 44 weeks (VICTRELIS-PR48).
All subjects with detectable HCV-RNA in plasma at TW24 were discontinued from treatment. Sustained Virologic Response (SVR) was defined as plasma HCV-RNA undetectable at Follow-up Week 24. Plasma HCV-RNA results at Follow-up Week 12 were used if plasma HCV-RNA results at Follow-up Week 24 were missing.
Mean age of subjects randomized was 49 years. The racial distribution of subjects was as follows: 82% White, 14% Black, and 4% others. The distribution of subjects by gender was 60% men and 40% women.
The addition of VICTRELIS to PegIntron and REBETOL significantly increased the SVR rates compared to PegIntron and REBETOL alone in the combined cohort (63% to 66% VICTRELIS-containing arms vs. 38% PR48 control) for randomized subjects who received at least one dose of any study medication (Full-Analysis-Set population). SVR rates for Blacks in a predefined analysis who received the combination of VICTRELIS with PegIntron and REBETOL were 42% to 53% (see Table 10).
Table 10 Sustained Virologic Response (SVR)*, † and Relapse Rates‡ for Previously Untreated Subjects
Study Cohorts |
VICTRELIS-RGT |
VICTRELIS-PR48 |
PR48 |
|
Cohort 1 Plus Cohort 2 (all subjects) |
n=368 |
n=366 |
n=363 |
SVR† % |
63 |
66 |
38 |
Relapse‡ % |
9 |
9 |
22 |
(n/N) |
(24/257) |
(24/265) |
(39/176) |
Cohort 1 Plus Cohort 2 (subjects without cirrhosis) |
|