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VICTRELIS(boceprevir) capsule(二十三)
2013-10-12 22:42:30 来源: 作者: 【 】 浏览:16801次 评论:0
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.
  • 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
    *
    The Full Analysis Set (FAS) consisted of all randomized subjects (N=1097) who received at least one dose of any study medication (PegIntron, REBETOL, or VICTRELIS).
    Sustained Virologic Response (SVR): reported as plasma HCV-RNA < 25 IU/mL at follow-up week (FW) 24. The last available HCV-RNA value in the period at or after FW24 was used. If HCV-RNA value at FW24 was missing, the FW12 value was carried forward.
    Relapse rate was the proportion of subjects with undetectable HCV-RNA at End of Treatment (EOT) and detectable HCV-RNA (≥ 25 IU/mL) at End of Follow-up (EOF) among subjects who were undetectable at EOT and not missing End of Follow-up (EOF) data.
    §
    Includes subjects with missing baseline data regarding cirrhosis as diagnosed by liver biopsy.
    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)  
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