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Copegus

Phase 2

Hepatitis C, Chronic | Small molecule | Infectious Disease |Roche Holding AG|Last Updated: Nov 2, 2016

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials7
Total Enrollment2,125

FDA Designations

No designations recorded

Clinical trial landscape

Copegus · 7 trials · 1 indication

Phase 2 7
NCT01482403A Study of Mericitabine in Combination With Boceprevir and Pegasys/Copegus in Patients With Chronic Hepatitis CHepatitis C, Chronic
COMPLETED58 Analytics
NCT01331850A Study of Danoprevir/Ritonavir and Copegus With RO5024048 and/or Pegasys in Patients With Chronic Hepatitis CHepatitis C, Chronic
COMPLETED381 Analytics
NCT01220947A Study of Danoprevir Boosted With Low Dose Ritonavir in Combination With Pegasys and Copegus in Treatment-Naive Patients With Chronic Hepatitis C Virus InfectionHepatitis C, Chronic
COMPLETED421 Analytics
NCT00963885A Study of RO5190591 (Danoprevir) in Combination With Pegasys and Copegus in Treatment-Naive Patients With Chronic Hepatitis C Genotype 1 Virus InfectionHepatitis C, Chronic
COMPLETED229 Analytics
NCT00517439A Study of Hepatitis C Virus (HCV) Polymerase Inhibitor Pro-Drug in Combination With PEGASYS Plus COPEGUS Compared With PEGASYS Plus COPEGUS in Patients With Chronic Hepatitis C Genotype 1 Infection.Hepatitis C, Chronic
COMPLETED516 Analytics
NCT00377182A Study of Hepatitis C Virus (HCV) Polymerase Inhibitor Pro-Drug in Combination With PEGASYS With or Without COPEGUS in Patients With Chronic Hepatitis C (CHC) Genotype 1 Infection.Hepatitis C, Chronic
COMPLETED107 Analytics
NCT00869661A Study of RO5024048 in Combination With Pegasys and Copegus in Treatment-Naive Patients With Chronic Hepatitis C, Genotype 1 or 4Hepatitis C, Chronic
COMPLETED413 Analytics
PHASE2COMPLETED
A Study of Mericitabine in Combination With Boceprevir and Pegasys/Copegus in Patients With Chronic Hepatitis C
Hepatitis C, ChronicUnlock trial analytics
PHASE2COMPLETED
A Study of Danoprevir/Ritonavir and Copegus With RO5024048 and/or Pegasys in Patients With Chronic Hepatitis C
Hepatitis C, ChronicUnlock trial analytics
PHASE2COMPLETED
A Study of Danoprevir Boosted With Low Dose Ritonavir in Combination With Pegasys and Copegus in Treatment-Naive Patients With Chronic Hepatitis C Virus Infection
Hepatitis C, ChronicUnlock trial analytics
PHASE2COMPLETED
A Study of RO5190591 (Danoprevir) in Combination With Pegasys and Copegus in Treatment-Naive Patients With Chronic Hepatitis C Genotype 1 Virus Infection
Hepatitis C, ChronicUnlock trial analytics
PHASE2COMPLETED
A Study of Hepatitis C Virus (HCV) Polymerase Inhibitor Pro-Drug in Combination With PEGASYS Plus COPEGUS Compared With PEGASYS Plus COPEGUS in Patients With Chronic Hepatitis C Genotype 1 Infection.
Hepatitis C, ChronicUnlock trial analytics
PHASE2COMPLETED
A Study of Hepatitis C Virus (HCV) Polymerase Inhibitor Pro-Drug in Combination With PEGASYS With or Without COPEGUS in Patients With Chronic Hepatitis C (CHC) Genotype 1 Infection.
Hepatitis C, ChronicUnlock trial analytics
PHASE2COMPLETED
A Study of RO5024048 in Combination With Pegasys and Copegus in Treatment-Naive Patients With Chronic Hepatitis C, Genotype 1 or 4
Hepatitis C, ChronicUnlock trial analytics

Study Endpoints

Primary Endpoints

Sustained virological response 12 weeks after treatment (SVR-12)
up to 60 weeks
Sustained virological response (SVR) of danoprevir/ritonavir with RO5024048 and Copegus in patients with previous partial or null response to peginterferon/ribavirin treatment
24 weeks
Sustained virological response (SVR) of danoprevir/ritonavir with Pegasys and Copegus in patients with previous partial response to peginterferon/ribavirin treatment
24 weeks
Sustained virological response (SVR) of danoprevir/ritonavir and RO5024048 with Pegasys and Copegus in patients with previous partial or null response to peginterferon/ribavirin treatment
24 weeks
Sustained virological response (SVR) of danoprevir/ritonavir and RO5024048 with Pegasys and Copegus followed by 24 weeks of Pegasys and Copegus treatment in patients with previous null response to peginterferon/ribavirin treatment
48 weeks
Sustained virological response (HCV RNA measured by Roche COBAS TaqMan HCV test)
24 weeks after end of treatment
Sustained virological response
24 weeks after end of treatment
Sustained virological response (SVR)
24 weeks post treatment end (ie weeks 48 or 72)
Adverse events (AEs) and laboratory parameters.
Week 4, 8 and Week 72
Sustained virologic response: Percentage of patients with undetectable Hepatitis C RNA level
24 weeks after end of treatment

Secondary Endpoints

Sustained virological response 4 weeks after treatment
up to 52 weeks
Virologic response over time
60 weeks
Proportion of patients who develop treatment resistance
60 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment Arm AEXPERIMENTAL24 weeks of therapy with mericitabine 1000 mg twice a day (BID), boceprevir 800 mg three times daily (TID), Pegasys 180 microgram/week, and Copegus 1000/1200 mg/day (total treatment duration of 24 weeks), followed by a 24-week treatment-free follow-up period.
Treatment Arm BEXPERIMENTAL24 weeks of therapy with mericitabine + boceprevir + Pegasys/Copegus followed by 24 weeks of therapy with boceprevir + Pegasys/Copegus (triple) (total treatment duration of 48 weeks), followed by a 24-week treatment-free follow-up period.
Treatment Arm C (Control)ACTIVE_COMPARATOR4 weeks of therapy with mericitabine placebo, boceprevir placebo + Pegasys/Copegus, then 20 weeks of therapy with mericitabine placebo + boceprevir + Pegasys/Copegus, then 24 weeks of therapy with boceprevir + Pegasys/Copegus (total treatment duration of 48 weeks), followed by a 24-week treatment-free follow-up period.
Previous null responders (Cohort B): Group 4EXPERIMENTALPatients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Group 4 will receive RO5024048 1000 mg twice a day and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.
Previous null responders (Cohort B): Group 5EXPERIMENTALPatients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. Group 5 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.
Previous null responders (Cohort B): Group 6EXPERIMENTALPatients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. Group 6 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks. In addition, patients in Group 6 will receive another 24 weeks of Pegasys plus Copegus treatment.
Previous partial responders (Cohort A): Group 1EXPERIMENTALPatients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Group 1 will receive RO5024048 1000 mg twice a day and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.
Previous partial responders (Cohort A): Group 2EXPERIMENTALPatients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Group 2 will receive Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.
Previous partial responders (Cohort A): Group 3EXPERIMENTALPatients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. Group 3 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.
Group AEXPERIMENTALDanoprevir 200 mg twice a day (BID) + ritonavir 100 mg + Pegasys 180 microgram sc qw + Copegus 1000 mg or 1200 mg po daily for 24 weeks
Group BEXPERIMENTALDanoprevir 100 mg BID + ritonavir 100 mg + Pegasys 180 microgram sc qw + Copegus 1000 mg or 1200 mg po daily for 24 weeks
Group CEXPERIMENTALDanoprevir 50 mg BID + ritonavir 100 mg + Pegasys 180 microgram sc qw + Copegus 1000 mg or 1200 mg po daily for 24 weeks
Group DEXPERIMENTALDanoprevir 100 mg BID + ritonavir 100 mg + Pegasys 180 μg sc qw + Copegus 1000 mg or 1200 mg po daily for 12 weeks or 24 weeks
Group EACTIVE_COMPARATORPegasys 180 microgram sc qw + Copegus 1000 mg or 1200 mg po daily for 48 weeks
Part 1: PlaceboPLACEBO_COMPARATORPlacebo in combination with standard doses of Pegasys and Copegus.
Part 1: RO5190591 300mg poEXPERIMENTALRO5190591 300mg po every 8 hours in combination with standard doses of Pegasys and Copegus.
Part 1: RO5190591 600mg poEXPERIMENTALRO5190591 600mg po every 12 hours in combination with standard doses of Pegasys and Copegus.
Part 1: RO5190591 900mg poEXPERIMENTALRO5190591 900mg po every 12 hours in combination with standard doses of Pegasys and Copegus.
Part 2: PlaceboPLACEBO_COMPARATORIf the safety and virological response data from Part 1 of the study are supportive, in Part 2 patients will be randomized to receive placebo in combination with standard doses of Pegasys and Copegus.
Part 2: RO5190591 300mg poEXPERIMENTALIf the safety and virological response data from Part 1 of the study are supportive, in Part 2 patients will be randomized to receive RO5190591 300mg po every 8 hours or 600mg po every 12 hours or 900mg po every 12 hours in combination with standard doses of Pegasys and Copegus.
Group 1EXPERIMENTALGroup 1 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).
Group 2EXPERIMENTALGroup 2 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).
Group 3EXPERIMENTALGroup 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks.
Group 4EXPERIMENTALGroup 4 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).
Group 5EXPERIMENTALGroup 5 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).
Group 6EXPERIMENTALGroup 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).
Group 7ACTIVE_COMPARATORStandard of care (SOC)
PEGASYS with COPEGUSACTIVE_COMPARATOR -
RO5024048 1500mg in combination with PEGASYSEXPERIMENTAL -
RO5024048 3000mg in combination with PEGASYSEXPERIMENTAL -
RO5024048 in combination with PEGASYS and COPEGUSEXPERIMENTAL -

Interventions

NameTypeDescription
CopegusDRUGtotal daily dose of 1000 mg or 1200 mg for 24 weeks
PegasysDRUG180 microgram subcutaneous once a week for 24 weeks
boceprevirDRUG800 mg three times a day for 24 weeks
mericitabineDRUG1000 mg twice daily for 24 weeks
mericitabine placeboDRUGmericitabine placebo
boceprevir placeboDRUGboceprevir placebo
RO5024048DRUG1000 mg oral doses twice a day for 24 weeks
danoprevirDRUG100 mg oral doses twice a day for 24 weeks
ritonavirDRUG100 mg oral doses twice a day for 24 weeks
PlaceboDRUGpo for 12 weeks
RO5190591 (Danoprevir)DRUG300mg po q8h for 12 weeks
RO4588161DRUG1000mg po bid for 24 weeks
RO5024048 1500mgDRUG1500mg po bid for 4 weeks
RO5024048 3000mgDRUG3000mg po bid for 4 weeks
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites24

Inclusion Criteria: * Adult patients, \>/=18 years of age * Chronic hepatitis C infection for at least 6 months duration * Hepatitis C genotype 1a or 1b * Patients must have discontinued prior hepatitis C treatment at least 12 weeks prior to enrollment in this study * Patient showed a previous null...

Countries:United StatesCanadaFranceGermanyItalyPuerto RicoSpainAustraliaAustriaBrazilMexicoPolandUnited Kingdom
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Frequently asked questions about Copegus

What is Copegus used for in chronic hepatitis C?

Copegus is a small molecule used for the treatment of chronic hepatitis C. It is developed by Roche Holding AG and is typically studied in combination with other antiviral agents, such as PEGASYS, to address chronic hepatitis C virus infection.

What does Copegus target?

Copegus is a small molecule antiviral, but its specific molecular target is not disclosed in the available information. It is used in combination regimens for chronic hepatitis C, but the precise mechanism of action is not detailed.

Who makes Copegus?

Copegus is developed by Roche Holding AG, a pharmaceutical company. The company's stock is traded under the ticker RHHBY.

What phase is Copegus in?

Copegus is in Phase 2 clinical development for chronic hepatitis C. It is an investigational drug and has not been approved by regulatory authorities. All seven clinical trials listed for Copegus are completed, with no active trials currently ongoing.

What clinical trials is Copegus in?

Copegus has been studied in seven completed Phase 2 clinical trials, including NCT00377182, NCT00517439, NCT01220947, and NCT01482403. These trials evaluated Copegus in combination with other agents like PEGASYS and danoprevir in patients with chronic hepatitis C.

Is Copegus the same as ribavirin?

Copegus is a brand name for ribavirin, an antiviral medication. It is used in combination with other drugs for chronic hepatitis C. The generic name is ribavirin, and Copegus is one of its trade names.