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Boceprevir

Phase 3

Chronic Hepatitis C Genotype 1 | Small molecule | Infectious Disease |Merck & Company, Inc.|Last Updated: Feb 8, 2021

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment238

FDA Designations

No designations recorded

Clinical trial landscape

Boceprevir · 13 trials · 6 indications

Phase 3 8Phase 2 2Phase 1 2Early Phase 1 1
NCT01945294Short Duration Versus Standard Response-Guided Therapy With Boceprevir Combined With PegIntron and Ribavirin in Previously Untreated Non-Cirrhotic Asian Participants With Chronic HCV Genotype 1 (MK-3034-107)Hepatitis C, Chronic
COMPLETED257 Analytics
NCT01585584Triple-Therapy in Patients With HCV Genotype 3 Who Previously Failed TreatmentHepatitis C
COMPLETED11 Analytics
NCT01425203The Effect of Boceprevir in Russian Participants Diagnosed With Chronic Hepatitis C Genotype 1 (P08160)Chronic Hepatitis C Genotype 1
COMPLETED238 Analytics
NCT01390844Safety and Efficacy of Boceprevir in Asia Pacific Participants With Chronic Hepatitis C Genotype 1 (P07063)Hepatitis C, Chronic
COMPLETED282 Analytics
NCT01023035Boceprevir/Peginterferon/Ribavirin for Chronic Hepatitis C: Erythropoietin Use Versus Ribavirin Dose Reduction for Anemia (P06086 AM2)Hepatitis C, Chronic
COMPLETED687 Analytics
NCT00910624Boceprevir Treatment in Participants With Chronic Hepatitis C Genotype 1 Deemed Nonresponders to Peginterferon/Ribavirin (P05514)Hepatitis C, Chronic
COMPLETED168 Analytics
NCT00845065Boceprevir in Combination With Peginterferon Alfa-2a and Ribavirin in Participants With Chronic Hepatitis C Genotype 1 Who Failed Prior Treatment With Peginterferon/Ribavirin (Study P05685AM2)(COMPLETED)Hepatitis C, Chronic
COMPLETED202 Analytics
NCT00708500Boceprevir in Subjects With Chronic Hepatitis C Genotype 1 Who Failed Prior Treatment With Peginterferon/Ribavirin (Study P05101AM3)(COMPLETED)Hepatitis C, Chronic
COMPLETED404 Analytics
PHASE3COMPLETED
Short Duration Versus Standard Response-Guided Therapy With Boceprevir Combined With PegIntron and Ribavirin in Previously Untreated Non-Cirrhotic Asian Participants With Chronic HCV Genotype 1 (MK-3034-107)
Hepatitis C, ChronicUnlock trial analytics
PHASE3COMPLETED
Triple-Therapy in Patients With HCV Genotype 3 Who Previously Failed Treatment
Hepatitis CUnlock trial analytics
PHASE3COMPLETED
The Effect of Boceprevir in Russian Participants Diagnosed With Chronic Hepatitis C Genotype 1 (P08160)
Chronic Hepatitis C Genotype 1Unlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Boceprevir in Asia Pacific Participants With Chronic Hepatitis C Genotype 1 (P07063)
Hepatitis C, ChronicUnlock trial analytics
PHASE3COMPLETED
Boceprevir/Peginterferon/Ribavirin for Chronic Hepatitis C: Erythropoietin Use Versus Ribavirin Dose Reduction for Anemia (P06086 AM2)
Hepatitis C, ChronicUnlock trial analytics
PHASE3COMPLETED
Boceprevir Treatment in Participants With Chronic Hepatitis C Genotype 1 Deemed Nonresponders to Peginterferon/Ribavirin (P05514)
Hepatitis C, ChronicUnlock trial analytics
PHASE3COMPLETED
Boceprevir in Combination With Peginterferon Alfa-2a and Ribavirin in Participants With Chronic Hepatitis C Genotype 1 Who Failed Prior Treatment With Peginterferon/Ribavirin (Study P05685AM2)(COMPLETED)
Hepatitis C, ChronicUnlock trial analytics
PHASE3COMPLETED
Boceprevir in Subjects With Chronic Hepatitis C Genotype 1 Who Failed Prior Treatment With Peginterferon/Ribavirin (Study P05101AM3)(COMPLETED)
Hepatitis C, ChronicUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Undetectable HCV RNA Who Achieve Sustained Viral Response at Follow-up Week 12 (SVR12) [16-Week Arm vs. 28-Week Arm]
Follow-up Week (FW) 12 (up to 40 weeks)

SVR12 was declared when participants who had undetectable HCV RNA (HCV RNA \< Lower Limit of Quantification \[LLoQ\]) after the 12-week lead-in also had undetectable HCV RNA 12 weeks after completing their assigned BOC treatment regimen. The Roche COBAS™ Taqman™ automated HCV test (v2.0 assay) used in this study has a LLoQ of 15 IU/mL.

Sustained Virologic Response (SVR) at 24 Weeks Post Treatment
24 weeks after treatment

Sustained Virologic Response (SVR) is evaluated 24 weeks after end of treatment and defined as undetectable plasma HCV-RNA at follow up week 24. HCV RNA is measured using Cobas TaqMan.Of the 6 subjects who completed the treatment, 3 obtained SVR at 24 weeks post treatment.

Percentage of Participants Achieving Sustained Virologic Response At Follow-up Week 24 (SVR24) Among Participants Who Received At Least One Dose of Any Trial Medication (Full Analysis Set Population)
Follow-up Week 24 (up to 72 weeks)

SVR24 was defined as an undetectable plasma Hepatitis C Virus-ribonucleic acid (HCV-RNA) level at Follow-up Week 24 (FW24). If a participant was missing FW24 data and had undetectable HCV-RNA at FW12, the participant was considered a sustained virologic responder.

Percentage of Participants in Korea and Taiwan With Sustained Virologic Response (SVR) at Follow-Up Week 24 - Full Analysis Set (FAS) Population
Follow-up Week 24

SVR is defined as undetectable plasma HCV-RNA at Follow-up Week (FW) 24. If FW24 is missing and other HCV-RNA values after FW24 are available, the last available value would be used for FW24. The last observation carried forward (LOCF) method was used to impute missing values; if a participant is missing at and after FW24 and has FW12 data, then FW12 data will be carried forward to FW24. Cross-over participants are considered as non-responders in SVR.

Percentage of Participants in India With SVR at Follow-Up Week 24 - FAS Population
Follow-up Week 24

SVR is defined as undetectable plasma HCV-RNA at FW24. If FW24 is missing and other HCV-RNA values after FW24 are available, the last available value would be used for FW24. The LOCF method was used to impute missing values; if a participant is missing at and after FW24 and has FW12 data, then FW12 data will be carried forward to FW24. Cross-over participants are considered as non-responders in SVR.

Percentage of Participants With Sustained Virologic Response (SVR)
At Follow-up Week 24

SVR was defined as undetectable plasma Hepatitis C Virus ribonucleic acid (HCV-RNA) at Follow-up Week 24

Percentage of Participants With Sustained Virologic Response at Follow-Up Week 24 (SVR24);
From start of 4-week PEG/RBV lead-in therapy or 44-week BOC/PR treatment through Follow-Up Week (FW) 24 (up to 68 weeks)

SVR24 was defined as undetectable Hepatitis C Virus ribonucleic acid (HCV-RNA) at Follow-up Week (FW) 24. SVR rates were evaluated by the prior interferon response (e.g., log drop from baseline at TW 4 or TW 12) in the previous studies.

Percentage of Participants With Adverse Events (AEs) Leading to Dose Modification (DM) or Discontinuation (DC), Treatment-Related Serious AEs (SAEs), Neutrophil Count <0.75 × 10^9/L, or Hemoglobin (Hgb) <10 g/dL
From start of 4-week PEG/RBV lead-in therapy or 44-week BOC/PR treatment through FW 24 (up to 68 weeks)

AE= any untoward medical occurrence in a participant administered a pharmaceutical product/biologic (at any dose), whether or not considered related to the use of that product. Included the onset of new illness and the exacerbation of pre-existing conditions. Clinically significant laboratory abnormalities that required intervention/additional therapy, required a dose modification, or were associated with a clinical manifestation were considered AEs. SAE= any adverse drug or biologic or device experience occurring at any dose resulting in death, was life-threatening, was persistent or caused significant disability/incapacity, required in-patient hospitalization or prolonged hospitalization, or was a congenital anomaly or birth defect.

Sustained Virologic Response (SVR) Rate in Full Analysis Set (FAS) Population.
Follow-up Week 24

SVR rate was the percentage of participants treated with at least one dose of study medication (PEG2a, Ribavirin, or Boceprevir/Placebo) who had achieved SVR. SVR was defined as undetectable Hepatitis C Virus-Ribonucleic Acid (HCV RNA).

Sustained Virologic Response (SVR) Rate in the Full Analysis Set (FAS) Population.
At Follow-up Week 24

SVR is defined as undetectable plasma hepatitis C virus RNA (HCV-RNA) at Follow-up Week 24. This outcome measure evaluates SVR after treatment with boceprevir and PEG2b plus RBV versus PEG2b plus RBV alone in participants with chronic hepatitis C (CHC) genotype 1 who failed prior treatment.

Number of Participants With Sustained Virologic Response (SVR)
From follow-up week (FW) 24 up to end of follow-up (EOF)

Participants with undetectable HCV-RNA at FW 24 up to EOF had achieved SVR. Participants missing data at FW 24 were considered to achieve SVR if 1. he/she had undetectable HCV-RNA at FW 12 or later 2. he/she returned later to the study center and had undetectable HCV-RNA. HCV-RNA in plasma samples was detected with reverse-transcriptase-polymerase chain reaction (RT-PCR) assay, with a lower limit of detection (LLD) of 29 international units/mL (IU/mL). A participant in Arm 2 with undetectable HCV-RNA at FW 24 had detectable HCV-RNA after FW 24. He is not considered to achieve SVR.

Percent of Participants Who Were Hepatitis C Virus Ribonucleic Acid (HCV-RNA) Negative at the End of Treatment (EoT)
Baseline up to Week 49

Sustained Viral Response (SVR) was defined as the percentage of participants with HCV-RNA undetectable at the follow-up Week 24. All percentages were based on the total number of participants originally randomized/enrolled to that particular arm. For Arm 1B, the denominator for the percentages was the number who received at least 1 dose of BOC. Arm 1A was not analyzed.

Percent of Participants Who Achieved Sustained Virologic Response (SVR)
Baseline up to Week 73 [24 weeks after end of treatment (EoT)]

SVR was defined as the percentage of participants with Hepatitis C Virus Ribonucleic Acid (HCV-RNA) undetectable at the follow-up Week 24. All percentages were based on the total number of participants originally randomized/enrolled to that particular arm. For Arm 1B, the denominator for the percentages was the number who received at least 1 dose of BOC. Arm 1A was not analyzed.

Area Under the Concentration Versus Time Curve (AUC) at Steady State of Methadone Enantiomers When Administered With or Without Boceprevir
Methadone samples collected Day 1, 0 (predose) through 24 hours post-dose (Day 2). Boceprevir and methadone samples collected Day 7, 0 (predose) through 24 hours post-dose (Day 8). Predose samples also collected on Days 5-6.

AUC is a measure of the amount of drug in the blood over time, measured at steady state (time at which the amount of drug eliminated by the body is in equilibrium with the amount taken in). The Day 1, 0 through 24 hour samples were for methadone levels in the absence of boceprevir co-administration. The Day 7, 0 through 24 hour samples were for methadone levels in the presence of boceprevir co-administration. The Day 5 and 6 predose samples were to check steady state for methadone + boceprevir.

Maximum Concentration (Cmax) at Steady State of Methadone Enantiomers When Administered With or Without Boceprevir
Methadone samples collected Day 1, 0 (predose) through 24 hours post-dose (Day 2). Boceprevir and methadone samples collected Day 7, 0 (predose) through 24 hours post-dose (Day 8). Predose samples also collected on Days 5-6.

Cmax is a measure of the maximum level of drug in the blood, measured at steady state (time at which the amount of drug eliminated by the body is in equilibrium with the amount taken in). The Day 1, 0 through 24 hour samples were for methadone levels in the absence of boceprevir co-administration. The Day 7, 0 through 24 hour samples were for methadone levels in the presence of boceprevir co-administration. The Day 5 and 6 predose samples were to check steady state for methadone + boceprevir.

AUC of Buprenorphine (Administered in Combination With Naloxone) at Steady State With or Without Boceprevir
Buprenorphine/naloxone samples collected Day 1, 0 (predose) through 24 hours post-dose (Day 2). Boceprevir and buprenorphine/naloxone samples collected Day 7, 0 (predose) through 24 hours post-dose (Day 8). Predose samples also collected on Days 5-6.

AUC is a measure of the amount of drug in the blood over time, measured at steady state (time at which the amount of drug eliminated by the body is in equilibrium with the amount taken in). The Day 1, 0 through 24 hour samples were for buprenorphine/naloxone levels in the absence of boceprevir co-administration. The Day 7, 0 through 24 hour samples were for buprenorphine/naloxone levels in the presence of boceprevir co-administration. The Day 5 and 6 predose samples were to check steady state for buprenorphine/naloxone + boceprevir.

Cmax of Buprenorphine (Administered in Combination With Naloxone) at Steady State With or Without Boceprevir
Buprenorphine/naloxone samples collected Day 1, 0 (predose) through 24 hours post-dose (Day 2). Boceprevir and buprenorphine/naloxone samples collected Day 7, 0 (predose) through 24 hours post-dose (Day 8). Predose samples also collected on Days 5-6.

Cmax is a measure of the maximum level of drug in the blood, measured at steady state (time at which the amount of drug eliminated by the body is in equilibrium with the amount taken in). The Day 1, 0 through 24 hour samples were for buprenorphine/naloxone levels in the absence of boceprevir co-administration. The Day 7, 0 through 24 hour samples were for buprenorphine/naloxone levels in the presence of boceprevir co-administration. The Day 5 and 6 predose samples were to check steady state for buprenorphine/naloxone + boceprevir.

Area Under the Concentration Curve (AUC) From Hour 0 to the Final Quantifiable Sample (AUCtf) for Boceprevir Tablets Versus Capsules in Fed State
Predose through 72 hours post-dose

AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve.

Maximum Plasma Concentration (Cmax) of Boceprevir Tablets Versus Capsules in Fed State
Predose through 72 hours post-dose

Cmax is the highest plasma drug concentration observed on the plasma concentration-time curve.

AUCtf for Boceprevir Tablets Versus Capsules in Fasted State
Predose through 72 hours post-dose

AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve.

Cmax of Boceprevir Tablets Versus Capsules in Fasted State
Predose through 72 hours post-dose

Cmax is the highest plasma drug concentration observed on the plasma concentration-time curve.

AUC From Hour 0 to Infinity (AUCinf) in Fed State
Predose through 72 hours post-dose

AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve.

AUCinf in Fasted State
Predose through 72 hours post-dose

AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve.

Half Life (t1/2) of Boceprevir in Fed State
Predose through 72 hours post-dose

T1/2 is the time required for a given drug concentration to decrease by 50%.

t1/2 Boceprevir in Fasted State
Predose through 72 hours post-dose

T1/2 is the time required for a given drug concentration to decrease by 50%.

Number of individuals who can remain HCV RNA undetected 6 months post orthotopic liver transplant after receiving peginterferon, ribavirin, and boceprevir.
6 months post orthotopic liver transplant

The primary objective is to determine the number of individuals who can remain HCV RNA undetected 6 months post orthotopic liver transplant after receiving peginterferon, ribavirin, and boceprevir. The primary safety objective is to determine the safety and efficacy of peginterferon, ribavirin, and boceprevir in Hepatitis C, genotype I individuals undergoing orthotopic liver transplantation.

Secondary Endpoints

Percentage of Participants With Undetectable HCV RNA Across Treatment
TW4, TW8, and TW12
Percentage of Participants Achieving SVR12 Among Participants With Undetectable HCV RNA Across Treatment
TW4, TW8, and TW12
Percentage of Participants With Relapse
From EOT to FW12 (up to 12 weeks)
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1: 16-week Treatment ArmEXPERIMENTALAll screened and enrolled participants initially underwent a 12-week (4 weeks PR + 8 weeks BOC + PR) lead-in treatment period prior to randomization to Arms 1 or 2 (participants with undetectable HCV RNA) or allocation to Arm 3 (participants with detectable HCV RNA). After completing the 12-week lead-in, participants with undetectable HCV RNA were randomized to receive an additional 4 weeks of BOC + PR, for a total of 16 weeks of treatment. At Week 16, participants underwent 12 weeks of follow-up (participation complete at Week 28).
Arm 2: 28-week Treatment ArmEXPERIMENTALAll screened and enrolled participants initially underwent a 12-week (4 weeks PR + 8 weeks BOC + PR) lead-in treatment period prior to randomization to Arms 1 or 2 (participants with undetectable HCV RNA) or allocation to Arm 3 (participants with detectable HCV RNA). After completing the 12-week lead-in, participants with undetectable HCV RNA were randomized to receive an additional 16 weeks of BOC + PR, for a total of 28 weeks of treatment. At Week 28, participants underwent 12 weeks of follow-up (participation complete at Week 40).
Arm 3: 48-week Treatment ArmEXPERIMENTALAll screened and enrolled participants initially underwent a 12-week (4 weeks PR + 8 weeks BOC + PR) lead-in treatment period prior to randomization to Arms 1 or 2 (participants with undetectable HCV RNA) or allocation to Arm 3 (participants with detectable HCV RNA). After completing the 12-week lead-in, participants with detectable HCV RNA were allocated to receive an additional 24 weeks of BOC + PR and an additional 12 weeks of PR, for a total of 48 weeks of treatment. At Week 48, participants underwent 12 weeks of follow-up (participation complete at Week 60).
BoceprevirEXPERIMENTAL -
RGT BOC + PREXPERIMENTALParticipants received PR for 4 weeks before addition of BOC. Participants then received response guided therapy (RGT) with BOC + PR for up to 32 weeks followed by PBO + PR for up to 20 weeks.
PBO + PR (Control)PLACEBO_COMPARATORParticipants received PR for 4 weeks before addition of BOC-matched PBO. Participants then received BOC + PR for up to 44 weeks.
Crossover ArmEXPERIMENTALParticipants randomized to the PBO + PR Control arm who failed the futility rule at treatment week (TW) 12 or 24 were rolled over to the Crossover arm and received BOC + PR.
ControlACTIVE_COMPARATORPEG + RBV for 4 weeks followed by BOC placebo + PEG + RBV for 44 weeks. Participants with undetectable HCV-RNA at Treatment Week 12 and at subsequent assays will continue on placebo + PEG + RBV through Treatment Week 48 and proceed to 24 weeks of post-treatment follow-up. Participants with detectable HCV-RNA at Treatment Week 12 may roll over to Cross-Over BOC treatment beginning with Treatment Week 14.
Treated/Not RandomizedEXPERIMENTALParticipants received 4 weeks of PEG2b/RBV followed by 24 or 44 weeks of boceprevir plus PEG2b/RBV depending on Hepatitis C Virus RNA (HCV-RNA) levels. Participants continued with this treatment if their serum hemoglobin remained \>10 g/dL throughout the 28- or 48-week treatment period.
Ribavirin Dose ReductionEXPERIMENTALAfter the initiation of treatment with 4 weeks with PEG2b/RBV followed by 24 or 44 weeks of boceprevir, participants who became anemic (serum hemoglobin = ≤10 g/dL) within the 28- or 48-week treatment period and who were randomized to the Ribavirin (RBV) Dose Reduction Arm received reduced doses of RBV for management of the anemia in combination with PEG2b and boceprevir therapies.
Erythropoietin UseEXPERIMENTALAfter the initiation of treatment with 4 weeks with PEG2b/RBV followed by 24 or 44 weeks of boceprevir, participants who became anemic (serum hemoglobin = ≤10 g/dL) within the 28- or 48-week treatment period and who were randomized to the Erythropoietin Use Arm received erythropoietin for management of the anemia in addition to PEG2b/RBV and boceprevir therapies.
BOC + PEG/RBVEXPERIMENTALParticipants who enrolled within 2 weeks after the last dose of PEG/RBV in previous protocol received boceprevir (BOC) + peginterferon/ribavirin (PEG/RBV) for up to 44 weeks followed by 24 weeks post-treatment follow-up. Participants who did not enroll within 2 weeks after the last dose of PEG/RBV in previous protocol received PEG/RBV for 4 weeks followed by BOC + PEG/RBV for up to 44 weeks, with 24 weeks post-treatment follow-up.
Arm 1 (Control Arm)PLACEBO_COMPARATORPeginterferon alfa-2a (180 μg/week subcutaneously \[SC\]) plus ribavirin (1000 to 1200 mg/day orally \[PO\]) for 4 weeks followed by placebo (800 mg three times a day \[TID\] PO, using placebo matching SCH 503034 200-mg capsules) + peginterferon alfa-2a 180 μg/week SC plus ribavirin 1000 to 1200 mg/day PO divided twice daily (BID) for 48 weeks with 24 weeks post-treatment follow-up.
Arm 2 (Boceprevir Arm)EXPERIMENTALPeginterferon alfa-2a (180 μg/week subcutaneously \[SC\]) plus ribavirin (1000 to 1200 mg/day orally \[PO\]) for 4 weeks followed by boceprevir (800 mg three times a day \[TID\] PO, using SCH 503034 200-mg capsules) + peginterferon alfa-2a 180 μg/week SC plus ribavirin 1000 to 1200 mg/day PO divided twice daily (BID) for 48 weeks with 24 weeks post-treatment follow-up.
Placebo+PEG2b+RBV, x 44 weeksPLACEBO_COMPARATORParticipants in Arm 1 (control) received pegylated interferon alfa 2b (PegIntron, PEG2b) + Ribavirin (RBV) (weight-based dosing \[WBD\]) for 4 weeks followed by boceprevir placebo + PEG2b + RBV (WBD) for 44 weeks with 24 weeks post-treatment follow-up.
Boceprevir+PEG2b+RBV, Response Guided TherapyEXPERIMENTALParticipants in Arm 2 (experimental) were assigned either a 36-week or 48-week course of therapy based on their HCV-RNA status at Treatment Week 8. PEG2b + RBV (WBD) for 4 weeks followed by boceprevir + PEG2b + RBV (WBD) for 32 weeks, then: * 36-week regimen: Participants who have undetectable HCV-RNA at Treatment Week 8 discontinue treatment and enter 36 weeks of post treatment follow-up. * 48-week regimen: Participants who have detectable HCV-RNA at Treatment Week 8 are assigned an additional 12 weeks of therapy, followed by 24 weeks of post treatment follow-up. Placebo replaces boceprevir for the remaining 12 weeks of therapy, and this switch will occur in a blinded fashion.
Boceprevir+PEG2b+RBV, x 44 weeksEXPERIMENTALParticipants in Arm 3 (experimental) received PEG2b + RBV (WBD) for 4 weeks followed by boceprevir + PEG2b + RBV (WBD) for 44 weeks with 24 weeks post-treatment follow-up.
Arm 1. PEG +RBV for 48 Wks (Part I)ACTIVE_COMPARATORParticipants treated with PegIntron (1.5 μg/kg, once weekly \[QW\]) and Ribavirin (800 to 1400 mg/day) for 48 weeks. Participants with detectable HCV-RNA levels after 24 weeks of treatment had the option of crossing over to receive 24 weeks of PegIntron (1.5 μg/kg, QW), Ribavirin (800 to 1400 mg/day), and boceprevir (800 mg three times daily \[TID\]) for 24 additional weeks. The participants that crossed over to receive boceprevir formed Arm 8. The total treatment duration was up to 54 weeks.
Arm 2. PEG + RBV + BOC for 28 Wks (Part I)EXPERIMENTALParticipants receiving boceprevir (800 mg TID) plus PegIntron (1.5 μg/kg QW) and ribavirin (800 to 1400 mg/day) for up to 28 weeks.
Arm 3. PEG + RBV + BOC (from Wk 4) for 24 Wks (Part I)EXPERIMENTALParticipants receiving a lead-in treatment with PegIntron (1.5 μg/kg QW) and ribavirin (800 to 1400 mg/day) for 4 weeks, followed by boceprevir (800 mg TID) plus PegIntron (1.5 μg/kg QW) and ribavirin (800 to 1400 mg/day) for up to 24 weeks.
Arm 4. PEG +RBV + BOC for 48 Wks (Part I)EXPERIMENTALParticipants receiving boceprevir (800 mg TID) plus PegIntron (1.5 μg/kg QW) and ribavirin (800 to 1400 mg/day) for up to 48 weeks.
Arm 5. PEG + RBV + BOC (from Wk 4) for 44 Wks (Part I)EXPERIMENTALParticipants receiving a lead-in treatment with PegIntron (1.5 μg/kg QW) and ribavirin (800 to 1400 mg/day) for 4 weeks, followed by boceprevir (800 mg TID) plus PegIntron (1.5 μg/kg QW) and ribavirin (800 to 1400 mg/day) for up to 44 weeks.
Arm 6. PEG + RBV + BOC for 48 Wks (Part II)EXPERIMENTALParticipants receiving PegIntron (1.5 μg/kg QW), ribavirin (800 to 1400 mg/day) and boceprevir (800 mg TID) for up to 48 weeks during Part II of the study. Part II was initiated after participants were fully enrolled for Part I.
Arm 7. PEG +Low-dose RBV + BOC for 48 Wks (Part II)EXPERIMENTALParticipants receiving PegIntron (1.5 μg/kg QW), low-dose ribavirin (400 to 1000 mg/day) and boceprevir (800 mg TID) for up to 48 weeks (Arm 7) during Part II of the study. Part II was initiated after participants were fully enrolled for Part I.
Arm 8. PEG + RBV + BOC (from Wk 24) for 48 Wks (Part I)EXPERIMENTALParticipants that started in Arm 1 and had detectable HCV-RNA levels after 24 weeks of treatment had the option of receiving boceprevir (800 mg TID) with PegIntron (1.5 μg/kg QW), and ribavirin (800 to 1400 mg/day). Participants that took the option of crossing over to receive PegIntron, ribavirin, and boceprevir (800 mg TID) for 24 additional weeks constitute Arm 8. The total treatment duration was up to 54 weeks.
Arm 1A: PegIntron (PEG) + Ribavirin (RBV)ACTIVE_COMPARATORA single dose of PEG is given first, followed 1 week later by PEG + RBV for 12 weeks. If HCV-RNA is undetected, PEG + RBV will continue for another 36 weeks.
Arm 1B: PegIntron (PEG)+Ribavirin (RBV)+Boceprevir (BOC) 400ACTIVE_COMPARATORA single dose of PEG is given first, followed 1 week later by PEG + RBV for 12 weeks. If HCV-RNA is detectable, BOC 400 mg TID will be added for 36 weeks. By second protocol amendment to P03659, participants will be rolled over into Arm 8 for the remainder of the treatment period.
Arm 2: PegIntron (PEG) + Boceprevir (BOC) 100 (48 weeks)EXPERIMENTALA single dose of PEG is given first, followed 1 week later by PEB + BOC 100 for 48 weeks. By second protocol amendment to P03659, participants will be rolled over into Arm 8 for the remainder of the treatment period.
Arm 3: PegIntron (PEG) + Boceprevir (BOC) 200 (48 Weeks)EXPERIMENTALA single dose of PEG is given first, followed 1 week later by PEG + BOC 200 for 48 weeks. By second protocol amendment to P03659, participants will be rolled over into Arm 8 for the remainder of the treatment period.
Arm 4: PegIntron (PEG) + Boceprevir (BOC) 400 (48 weeks)EXPERIMENTALA single dose of PEG is given first, followed 1 week later by PEG + BOC 400 for 48 weeks. By second protocol amendment to P03659, participants will be rolled over into Arm 8 for the remainder of the treatment period.
Arm 5: PegIntron (PEG)+Ribavirin (RBV)+Boceprevir (BOC) 400EXPERIMENTALA single dose of PEG is given first, followed 1 week later by PEG + RBV + BOC 400 for 48 weeks. By second protocol amendment to P03659, participants will be rolled over into Arm 8 for the remainder of the treatment period.
Arm 6: PegIntron (PEG) + Boceprevir (BOC) 400 (24 Weeks)EXPERIMENTALA single dose of PEG is given first, followed 1 week later by PEG + BOC 400 for 24 weeks. By second protocol amendment to P03659, participants will be rolled over into Arm 8 for the remainder of the treatment period.
Arm 7: PegIntron (PEG) + Boceprevir (BOC) 800EXPERIMENTALBy first protocol amendment to P03659, this non-randomized arm is added. A single dose of PEG is given first, followed 1 week later by PEG + BOC 800 for 24 weeks. By second protocol amendment to P03659, participants will be rolled over into Arm 8 for the remainder of the treatment period.
Arm 8: PegIntron (PEG)+Ribavirin (RBV)+Boceprevir (BOC) 800EXPERIMENTALBy second protocol amendment to P03659, participants from all arms except Arm 1A will be rolled over into PEG + RBV + BOC 800 for the remainder of the treatment period.
Methadone + boceprevirEXPERIMENTALParticipants receive standard methadone maintenance therapy (20-150 mg tablets, liquid, or disket, orally, once per day) on Days 1 through 8 + boceprevir (800 mg \[4 x 200 mg capsules\], orally, every 8 hours) on Days 2 through 7)
Buprenorphine/naloxone + boceprevirEXPERIMENTALParticipants receive standard buprenorphine/naloxone maintenance therapy (8/2-24/6 mg, tablets, sublingual, once per day) on Days 1 through 8 + boceprevir (800 mg \[4 x 200 mg capsules\], orally, every 8 hours) on Days 2 through 7
Boceprevir Tablets then Capsules (fed)EXPERIMENTALParticipants will start therapy with a single dose of boceprevir tablets, orally, in fed condition, and then 4 days later will take a single dose of boceprevir capsules, orally, in fed condition.
Boceprevir Capsules then tablets (fed)EXPERIMENTALParticipants will start therapy with a single dose of boceprevir capsules, orally, in fed condition, and then 4 days later will take a single dose of boceprevir tablets, orally, in fed condition.
Boceprevir Tablets then Capsules (fasted)EXPERIMENTALParticipants will start therapy with a single dose of boceprevir tablets, orally, following an overnight fast, and then 4 days later will take a single dose of boceprevir capsules, orally, following an overnight fast.
Boceprevir Capsules then Tablets (fasted)EXPERIMENTALParticipants on this study arm will start therapy with a single dose of boceprevir capsules, orally, following an overnight fast, and then 4 days later will take a single dose of boceprevir tablets, orally, following an overnight fast.

Interventions

NameTypeDescription
BoceprevirDRUG800 mg three times daily orally
Peg-interferon alfa-2bBIOLOGICAL1.5 mcg/kg weekly subcutaneously
RibavirinDRUG800-1400 mg twice-daily divided orally based on body weight
PlaceboDRUGboceprevir-matched placebo four 200-mg capsules PO TID.
peginterferon alfa-2bBIOLOGICALpeginterferon alfa-2b 1.5 μg/kg/wk subcutaneously (SC)
Boceprevir (BOC)DRUG200 mg capsules, 800 mg three times daily by mouth
Placebo to boceprevirDRUG200 mg placebo capsules, 800 mg three times daily by mouth
Peginterferon alfa-2b (PEG)DRUG1.5 mcg/kg/week subcutaneously
Ribavirin (RBV)DRUG200 mg capsules, weight-based dosing 800 to 1400 mg/day by mouth divided twice daily
Cross-Over Boceprevir TreatmentDRUGAt Treatment Week 14, participants in the Placebo group with detectable HCV-RNA at Treatment Week 12 have the option to add boceprevir 800 mg three times daily to the PEG + RBV regimen for up to 32 weeks.
Peginterferon alfa-2b (PEG2b)DRUG1.5 µg/kg/week given subcutaneously (SC)
ErythropoietinDRUGInitial dose of 40,000 Units given subcutaneously (SC) once weekly (QW), with dose adjustment as necessary to achieve and maintain serum hemoglobin levels of 10-12 g/dL
Peginterferon alfa-2b (SCH 54031)BIOLOGICALPeginterferon alfa-2b 1.5 µg/kg/week subcutaneously (SC)
Ribavirin (SCH 18908)DRUGRibavirin weight-based dosing (WBD) 600 mg/day to 1400 mg/day PO divided twice daily (BID).
Peginterferon alfa-2aBIOLOGICALPeginterferon alfa-2a, pre-filled syringes, given 180 μg/week subcutaneously (SC) for 48 weeks
Boceprevir (SCH 503034)DRUGBoceprevir, 200 mg capsules, 800 mg TID PO
Pegylated interferon alfa-2b (SCH 54031)BIOLOGICALPEG2b 1.5 μg/kg/week subcutaneously (SC)
Boceprevir placeboDRUGBoceprevir placebo, 200 mg capsules, 800 mg three times daily (TID) PO.
peginterferon-alfa 2b (PegIntron)DRUG1.5 μg/kg subcutaneously (SC) once weekly (QW)
ribavirin (low-dose)DRUG200 mg capsules in doses of 400 to 1000 mg/day (based on weight) taken orally divided twice daily
PegIntron (PEG)BIOLOGICAL1.5 mcg/kg weekly subcutaneously
methadoneDRUGmethadone, 20-150 mg tablets, liquid, or disket, orally, once per day, Day 1 through Day 8
buprenorphine/naloxoneDRUGbuprenorphine/naloxone 8/2-24/6 mg, tablets, sublingual, once per day, Day 1 through Day 8
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * weigh ≥ 40 kg and ≤ 125 kg * have CHC genotype 1 infection * has had a liver biopsy or non-invasive liver fibrosis test that shows no evidence of cirrhosis and hepatocellular carcinoma * must agree that the participant and the participant's partner will each use acceptable met...

Countries:CanadaUnited States
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Frequently asked questions about Boceprevir

What is Boceprevir used for?

Boceprevir is an investigational small molecule being developed for chronic Hepatitis C, including chronic Hepatitis C genotype 1, Hepatitis C virus, and use in liver transplantation. It has been studied in patients with chronic Hepatitis C who did not respond to prior treatment with peginterferon alfa plus ribavirin, as well as in previously untreated patients.

What does Boceprevir target?

Boceprevir is a small molecule developed by Merck & Company, Inc. for the treatment of chronic Hepatitis C. It is being studied in combination with peginterferon and ribavirin in clinical trials for Hepatitis C virus infections, including genotype 1.

Who makes Boceprevir?

Boceprevir is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company has conducted multiple clinical trials of Boceprevir for chronic Hepatitis C and related conditions.

What phase is Boceprevir in?

Boceprevir is in Phase 2 clinical development for chronic Hepatitis C. It has completed six clinical trials with a total enrollment of approximately 2,000 participants. Boceprevir is investigational and has not been approved by the FDA.

What clinical trials is Boceprevir in?

Boceprevir has been studied in several completed clinical trials, including NCT00160251, NCT00423670, NCT01425203, and NCT01909401. These trials evaluated Boceprevir in patients with chronic Hepatitis C genotype 1, including those who did not respond to prior therapy and those undergoing liver transplantation.

Is Boceprevir the same as SCH 503034?

Boceprevir is also known as SCH 503034. Clinical trials have used both names to refer to the same drug, including studies of SCH 503034 plus Peg-Intron with and without ribavirin in patients with chronic Hepatitis C genotype 1.