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PEG-Intron

Phase 3FDA approved 2001

HIV Infections | Small molecule | Infectious Disease |Merck & Company, Inc.|Trials Updated: Apr 9, 2019

PEG-Intron development status

FDA approval Jan 19, 2001
Approval holderSchering
ApplicationBLA103949
Highest phase Phase 3
Registered trials 7 across 2 sponsors since May 2002

PEG-Intron target and mechanism

ModalitySmall molecule

Also known as PegIntron (PEG), PegIntron (peginterferon alfa-2b), SCH 054031, peginterferon alfa-2b, SCH 54031

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials7
Total Enrollment8,433

FDA Designations

No designations recorded

PEG-Intron clinical trials

PEG-Intron · 7 trials · 8 indications

Phase 3 4Phase 2 2Phase 1 1
NCT02358044Efficacy and Safety of Combination Grazoprevir (MK-5172)/Elbasvir (MK-8742) Versus Sofosbuvir + Pegylated Interferon + Ribavirin in Hepatitis C Virus Genotype 1, 4 or 6 Infection (MK-5172-077)Hepatitis C
COMPLETED257 Analytics
NCT00081770Peginterferon Dose Evaluations for Previously Untreated Subjects With Chronic Hepatitis C Infected With Genotype 1 (Study P03471)Hepatitis C, Chronic
COMPLETED4,469 Analytics
NCT00039871PEG-Intron Plus Rebetol Treatment of Chronic Hepatitis C Subjects Who Failed Response to Alpha-Interferon Plus Ribavirin (Study P02370)Hepatitis
COMPLETED2,333 Analytics
NCT00035360Phase III PEG-Intron in HIV-infected Patients (Study P00738)HIV Infections
COMPLETED49 Analytics
PHASE3COMPLETED
Efficacy and Safety of Combination Grazoprevir (MK-5172)/Elbasvir (MK-8742) Versus Sofosbuvir + Pegylated Interferon + Ribavirin in Hepatitis C Virus Genotype 1, 4 or 6 Infection (MK-5172-077)
Hepatitis CUnlock trial analytics
PHASE3COMPLETED
Peginterferon Dose Evaluations for Previously Untreated Subjects With Chronic Hepatitis C Infected With Genotype 1 (Study P03471)
Hepatitis C, ChronicUnlock trial analytics
PHASE3COMPLETED
PEG-Intron Plus Rebetol Treatment of Chronic Hepatitis C Subjects Who Failed Response to Alpha-Interferon Plus Ribavirin (Study P02370)
HepatitisUnlock trial analytics
PHASE3COMPLETED
Phase III PEG-Intron in HIV-infected Patients (Study P00738)
HIV InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Primary: Percentage of Participants Achieving Sustained Virologic Response at 12 Weeks After the End of All Treatment (SVR12)
12 weeks after end of all therapy (Study Week 24)

Hepatitis C Virus ribonucleic acid (HCV-RNA) levels in plasma were measured using the Roche COBAS®AmpliPrep/COBAS® TaqMan® HCV Test, v2.0 on blood samples drawn from each participant. SVR12 was defined as HCV RNA below the lower limit of quantification (\<LLOQ) at 12 weeks after the end of all study therapy. The primary efficacy hypothesis for this study was that the percentage of participants achieving SVR12 in the grazoprevir plus elbasvir arm was non-inferior to the percentage in the SOF plus PR arm. A secondary statistical analysis was performed to determine whether the percentage of participants achieving SVR12 in the grazoprevir plus elbasvir arm was superior to the percentage in the SOF plus PR arm.

Percentage of Participants Experiencing at Least One Adverse Event (AE) During the Treatment Period Plus First 14 Follow-up Days
Treatment + First 14 days of follow-up (Up to Week 14)

An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE. The percentage of participants who experienced at least one AE was reported for each treatment arm.

Percentage of Participants Discontinuing Study Treatment Due to an AE
Up to Week 12

An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE. The percentage of participants who discontinued study treatment due to an AE was reported for each treatment arm. Participants that discontinued study drug treatment due to an AE may have still continued on trial.

Sustained Virologic Response (SVR) Rate
Assessed at the end of a 24-week post-treatment follow-up

SVR rate is the percentage of participants with undetectable hepatitis C virus ribonucleic acid (HCV-RNA) at the end of the 24-week post-treatment follow-up.

Percentage of patients who achieve normalization of ALT in each treatment group
Measured at the end of 12 weeks of treatment or at discontinuation.
Number of Participants Achieving Responder Status at 24 Weeks of Treatment
Up to 24 weeks

The number of participants achieving responder status at 24 weeks of treatment was assessed. A participant was classified as a responder if, at 24 weeks of treatment, they met both of the following criteria: 1) HCV-Ribonucleic Acid (RNA) negative (defined as \<100 copies/mL serum by quantitative polymerase chain reaction \[qPCR\] assay); and 2) alanine transaminase (ALT) level normal.

Number of Participants Achieving Sustained Responder Status at 24 Weeks of Follow-up
Up to 72 weeks (up to 48 weeks treatment and 24 weeks follow-up)

The number of participants achieving sustained responder status at 24 weeks of follow-up was assessed. A participant was classified as a sustained responder if, at 24 weeks of follow-up, they met both of the following criteria: 1) HCV-RNA negative (defined as \<100 copies/mL serum by qPCR assay); and 2) ALT level normal.

Area Under the Curve (AUC) of PEG-Intron at 12 Weeks
Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks

AUC was defined as the actual body exposure to drug after administration of a dose of the drug.

Maximum Serum Concentration (Cmax) of PEG-Intron at 12 Weeks
Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks

Cmax was defined as observed maximum plasma concentration.

Average Concentration Within the Dosing Interval (Cavg) of PEG-Intron at 12 Weeks
Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks

Cavg was defined as average plasma concentration.

Minimum Serum Concentration (Cmin) of PEG-Intron at 12 Weeks
Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks

Cmin was defined as observed minimum plasma concentration.

Observed Time to Achieve Cmax (Tmax) of PEG-Intron at 12 Weeks
Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks

Tmax was defined as time of maximum plasma concentration.

Apparent Clearance(CL/F) of PEG-Intron at 12 Weeks
Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks

CL/F was defined apparent clearance - the volume of plasma in the vascular compartment cleared of drug per unit of time and per kilogram of body weight by the processes of metabolism and excretion.

Secondary Endpoints

Percentage of Participants Experiencing at Least One Tier 1 Safety Event (Key Safety Parameter) During the Treatment Period and First 14 Follow-up Days
Treatment + First 14 days of follow-up (Up to Week 14)
Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Ending Study Treatment (SVR24)
24 weeks after end of all therapy (Study Week 36)
Percentage of Participants Achieving Sustained Virologic Response 4 Weeks After Ending Study Treatment (SVR4)
4 weeks after end of all therapy (Study Week 16)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Grazoprevir + ElbasvirEXPERIMENTALParticipants receive a fixed-dose combination (FDC) tablet of 100 mg grazoprevir and 50 mg elbasvir for 12 weeks, followed by 24 weeks of follow-up.
SOF + PRACTIVE_COMPARATORParticipants receive SOF (400 mg) combined with PegIntron (1.5 mcg/kg) plus RBV (1000-1200 mg weight-based dose) for 12 weeks, followed by 24 weeks of follow-up.
PegIntron 1.5 ug/kg/wk plus REBETOLEXPERIMENTALPegIntron (peginterferon alfa-2b; SCH 54031) 1.5 ug/kg/week in combination with weight-based REBETOL (ribavirin; SCH 18908) 800-1400 mg/day administered for 48 weeks with 24-week post-treatment follow-up
PegIntron 1.0 ug/kg/wk plus REBETOLEXPERIMENTALPegIntron (peginterferon alfa-2b; SCH 54031) 1.0 ug/kg/week in combination with weight-based REBETOL (ribavirin; SCH 18908) 800-1400 mg/day administered for 48 weeks with 24-week post-treatment follow-up
PEGASYS 180 ug/wk Plus COPEGUSACTIVE_COMPARATORPEGASYS (peginterferon alfa-2a) 180 ug/week plus COPEGUS (ribavirin) 1000-1200 mg/day administered for 48 weeks with 24-week post-treatment follow-up
Overall study populationEXPERIMENTAL -
0.25 Dose GroupEXPERIMENTALPegIntron 0.25 mcg/kg SC QW for 12 weeks
0.5 Dose GroupEXPERIMENTALPegIntron 0.5 mcg/kg SC QW for 12 weeks
1.0 Dose GroupEXPERIMENTALPegIntron 1.0 mcg/kg SC QW for 12 weeks
No-treatment ControlNO_INTERVENTIONNo treatment (no placebo)
PEG-Intron, 0.5 mg/kgEXPERIMENTALPEG-Intron administered once weekly (QW) for 48 weeks at 0.5 mg/kg by subcutaneous (SC) injection.
PEG-Intron, 1.0 mg/kgEXPERIMENTALPEG-Intron administered QW for 48 weeks at 1.0 mg/kg by SC injection.
PEG-Intron, 1.5 mg/kgEXPERIMENTALPEG-Intron administered QW for 48 weeks at 1.5 mg/kg by SC injection.
Interferon Alfa-2bACTIVE_COMPARATORInterferon Alfa-2b administered three times per week (TIW) for 48 weeks at 3 million international units (MIU) by SC injection.
PEG-IntronEXPERIMENTAL6 ug/kg/week, SC (first 8 weeks) 3 ug/kg/week, SC (252 weeks \[weeks 9-260\], maintenance)

Interventions

NameTypeDescription
SofosbuvirDRUG400 mg tablets, taken orally (PO) every day (QD) for 12 weeks.
PegIntronBIOLOGICALPegIntron administered subcutaneously every week (QW) at 1.5 mcg/kg for 12 weeks.
RibavirinDRUGCapsule and/or tablet administered PO twice daily (BID) based on weight (1000 - 1200 mg) for 12 weeks.
Grazoprevir/Elbasvir (100 mg/50 mg) FDCDRUGGrazoprevir/Elbasvir (100 mg/50 mg) FDC, taken PO QD for 12 weeks.
PegIntron (peginterferon alfa-2b; SCH 54031)BIOLOGICAL1.5 ug/kg/week subcutaneously (SC) for 48 weeks
REBETOL (ribavirin; SCH 18908)DRUGweight based dose 800-1400 mg/day orally (PO) for 48 weeks
PEGASYS (peginterferon alfa-2a)BIOLOGICAL180 ug/week SC administered for 48 weeks
COPEGUS (ribavirin)DRUG1000-1200 mg/day PO for 48 weeks
PEG-IntronDRUG -
PegIntron (peginterferon alfa-2b)BIOLOGICALPegIntron 0.25 mcg/kg subcutaneously (SC) once a week (QW) for 12 weeks
Interferon Alfa-2BBIOLOGICALInterferon alfa-2b is administered TIW for 48 weeks by SC injection at 3 MIU regardless of participant body weight.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Weigh ≥40 kg and ≤125 kg * documented chronic HCV GT1, GT4, or GT6 infection * cirrhosis/absence of cirrhosis defined by liver biopsy, Fibroscan, or FibroSure® * either treatment naïve or PR Null Responder, PR Partial Responder, or PR Prior Relapser * participant and partner b...

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Frequently asked questions about PEG-Intron

What is PEG-Intron used for?

PEG-Intron is used in the treatment of hepatitis C, including chronic hepatitis C, and has also been studied in HIV infections and melanoma. It is a pegylated interferon therapy developed by Merck & Company, Inc. under the ticker MRK, and it has been evaluated across multiple clinical trials in these infectious disease and oncology settings.

Who makes PEG-Intron?

PEG-Intron is made by Merck & Company, Inc., which trades under the ticker MRK. Merck is the developer associated with the drug, and the clinical program includes studies such as MK-4031-016 and MK-5172-077 that evaluate PEG-Intron in hepatitis C and related indications.

What phase is PEG-Intron in?

PEG-Intron has been studied in Phase 3 clinical development, with additional Phase 1 and Phase 2 trials also completed. The program includes a total of four listed trials, all of which are completed, and no trials are currently active. The Phase 3 study NCT02358044 evaluated a combination regimen including pegylated interferon in hepatitis C.

What clinical trials is PEG-Intron in?

PEG-Intron has been evaluated in completed trials including NCT03537274, a Phase 2 study in chronic hepatitis C with 1,224 participants; NCT02358044, a Phase 3 study in hepatitis C genotypes 1, 4, or 6 with 257 participants; NCT00787371, a Phase 2 study in chronic hepatitis C with 69 participants; and NCT00457418, a Phase 1 pharmacokinetic study in melanoma with 32 participants.

Is PEG-Intron the same as PegIntron or peginterferon alfa-2b?

Yes, PEG-Intron is the same as PegIntron, PegIntron (PEG), PegIntron (peginterferon alfa-2b), and PegIntron (peginterferon alfa-2b; SCH 54031). These are alternative names for the same drug, so searches using any of these terms refer to the same Merck product studied in hepatitis C, HIV infections, and melanoma.