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peginterferon alfa-2a

Phase 4

Hepatitis B, Chronic | Small molecule | Infectious Disease |Roche Holding AG|Trials Updated: Jul 14, 2025

peginterferon alfa-2a development status

Highest phase Phase 4 (NCT00394277)
Phase scored for RHHBYPhase 3
Registered trials 82 across 25 sponsors since Aug 2000

peginterferon alfa-2a target and mechanism

Molecular targetIFNAR1, IFNAR2
Target classAgonist
ModalitySmall molecule

Also known as peginterferon alfa-2a [Pegasys], pegasys, PEG-IFN alfa-2a

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials18
Total Enrollment2,338

FDA Designations

No designations recorded

peginterferon alfa-2a clinical trials

peginterferon alfa-2a · 18 trials · 10 indications

Phase 3 9Phase 2 6Phase 1 3
NCT01519960A Study of Pegasys (Peginterferon Alfa-2a) Versus Untreated Control in Children With HBeAg Positive Chronic Hepatitis BHepatitis B, Chronic
COMPLETED165 Analytics
NCT01088659A Study of Pegasys (Peginterferon Alfa 2a) Alone or in Combination With Tenofovir in Patients With Chronic Hepatitis D.Hepatitis D, Chronic
COMPLETED50 Analytics
NCT00661076ADVANCE Study: A Study of PEGASYS (Peginterferon Alfa-2a (40KD)) + Adefovir Dipivoxil in Patients With Hbe(-) Chronic Hepatitis BHepatitis B, Chronic
COMPLETED10 Analytics
NCT00623428A Study of Combination Therapy With PEGASYS (Pegylated Interferon Alfa-2a (40KD)) and Copegus (Ribavirin) in Patients With Chronic Hepatitis C Genotype 2 or 3 Who Do Not Achieve a Rapid Viral ResponseHepatitis C, Chronic
COMPLETED235 Analytics
NCT01237496Analysis of HBV-Specific Immune Response in Patients With HBeAg Negative Chronic Hepatitis B Treated With Pegasys (Peginterferon Alfa-2a (40KD)) - Immunology Sub-Study of ML18253Hepatitis B, Chronic
COMPLETED17 Analytics
NCT02806505HELPS Study - A Study of Peginterferon Alfa-2a (Pegasys) in Patients With Chronic Hepatitis C (CHC) and End-Stage Renal Disease (ESRD)Hepatitis C, Chronic
COMPLETED81 Analytics
NCT01853254A Study of Pegasys (Peginterferon Alfa-2a) Administered Alone or in Combination With Copegus (Ribavirin) in Patients With Chronic Hepatitis C Who Have Participated in Previous Pegasys TrialsHepatitis C, Chronic
COMPLETED272 Analytics
NCT02736721Expanded Access Study With Peginterferon Alfa-2a (Pegasys) in Participants With Chronic Myelogenous Leukemia (CML)Myelogenous Leukemia, Chronic
COMPLETED41 Analytics
NCT00048945Efficacy and Safety Study of Pegasys in the Treatment of Chronic Hepatitis BChronic Hepatitis B
COMPLETED820 Analytics
PHASE3COMPLETED
A Study of Pegasys (Peginterferon Alfa-2a) Versus Untreated Control in Children With HBeAg Positive Chronic Hepatitis B
Hepatitis B, ChronicUnlock trial analytics
PHASE3COMPLETED
A Study of Pegasys (Peginterferon Alfa 2a) Alone or in Combination With Tenofovir in Patients With Chronic Hepatitis D.
Hepatitis D, ChronicUnlock trial analytics
PHASE3COMPLETED
ADVANCE Study: A Study of PEGASYS (Peginterferon Alfa-2a (40KD)) + Adefovir Dipivoxil in Patients With Hbe(-) Chronic Hepatitis B
Hepatitis B, ChronicUnlock trial analytics
PHASE3COMPLETED
A Study of Combination Therapy With PEGASYS (Pegylated Interferon Alfa-2a (40KD)) and Copegus (Ribavirin) in Patients With Chronic Hepatitis C Genotype 2 or 3 Who Do Not Achieve a Rapid Viral Response
Hepatitis C, ChronicUnlock trial analytics
PHASE3COMPLETED
Analysis of HBV-Specific Immune Response in Patients With HBeAg Negative Chronic Hepatitis B Treated With Pegasys (Peginterferon Alfa-2a (40KD)) - Immunology Sub-Study of ML18253
Hepatitis B, ChronicUnlock trial analytics
PHASE3COMPLETED
HELPS Study - A Study of Peginterferon Alfa-2a (Pegasys) in Patients With Chronic Hepatitis C (CHC) and End-Stage Renal Disease (ESRD)
Hepatitis C, ChronicUnlock trial analytics
PHASE3COMPLETED
A Study of Pegasys (Peginterferon Alfa-2a) Administered Alone or in Combination With Copegus (Ribavirin) in Patients With Chronic Hepatitis C Who Have Participated in Previous Pegasys Trials
Hepatitis C, ChronicUnlock trial analytics
PHASE3COMPLETED
Expanded Access Study With Peginterferon Alfa-2a (Pegasys) in Participants With Chronic Myelogenous Leukemia (CML)
Myelogenous Leukemia, ChronicUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Pegasys in the Treatment of Chronic Hepatitis B
Chronic Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With HBeAg Seroconversion at 24 Weeks After End of Treatment (EOT)/POP in Groups A and B
FU Week 24 (up to 72 weeks overall)

HBeAg seroconversion was defined as loss of HBeAg and the presence of hepatitis B envelope antibody (anti-HBe). The percentage of participants with HBeAg seroconversion at 24 weeks after EOT/POP was reported. The 95 percent (%) confidence interval (CI) was calculated by the Pearson-Clopper method. Intent-to-Treat (ITT) Population: All randomized participants regardless of treatment received.

proportion of patients becoming HDV-RNA negative
week 96
Normalization of ALT, and HBV-DNA <400 copies/mL
Week 96 for arm 1; week 48 for arms 2 and 3
HBsAg quantitative loss and anti-HBs seroconversion
Weeks 48, 96 and 144
Percentage of Participants With a Sustained Virologic Response 24 Weeks After Scheduled Completion of Treatment
24 weeks after scheduled treatment completion (approximately Week 48 for participants in the 24-week treatment group and Week 72 for participants in the 48-week treatment group.

Sustained virological response (SVR) is defined as a single last HCV RNA measurement \<15 IU/ml (measured using the Roche COBAS AmpliPrep / COBAS TaqMan HCV Test) 24 weeks after scheduled treatment completion, defined as Week 44 or later for participants randomized to the 24-week treatment period or Week 68 or later for participants randomized to the 48-week treatment period. Participants without measurements at the end of the 24-week untreated follow-up period were considered non-responders in the analysis.

Percentage of Participants With a Sustained Virologic Response 24 Weeks After Actual End of Treatment
24 weeks after actual end of treatment (range from Week 48 to Week 72).

Sustained virological response (SVR) is defined as a single last HCV RNA measurement \<15 IU/ml (measured using the Roche COBAS AmpliPrep / COBAS TaqMan HCV Test) at 24 weeks after actual end of study treatment. For participants in the 48-week treatment group who stopped study treatment prior to Week 48 for any reason, the HCV RNA measurements 24 weeks after actual end of treatment were used in the analysis. Participants without a 24-week post treatment measurement are considered non-responders.

CD4 and CD8 mediated immune response: Interferon-y (ELISPOT analysis, flow cytometry)
24 weeks
CD4 and CD8 mediated immune response: Interleukin-2 production (Flow cytometry)
24 weeks
CD4 and CD8 mediated immune response: Cytokine profile analysis by supernatant culture
24 weeks
CD4 and CD8 mediated immune response: Proliferative response upon T-cell stimulation
24 weeks
CD8 response in HLA-A2 positive patients
24 weeks
Percentage of Participants With Sustained Virological Response (SVR) at 24 Weeks After End of Treatment
24 weeks after end of treatment (Week 72)

SVR was defined as the percentage of patients with undetectable HCV RNA. SVR rate was calculated as the number of participants with an undetectable HCV RNA divided by the number of participants of the respective participant population. The last single HCV RNA less than (\<) 50 international units per millilitre (IU/mL) measured \>=140 days after treatment end (i.e., \>= 20 weeks after treatment end) was used to determine SVR. Participants without measurements in this time window were considered to be nonresponders.

Percentage of Participants With at Least 1 Adverse Event
From Baseline to the end of the study (up to 72 weeks)
Number of Participants With Complete Hematologic Response
Up to approximately 7 years

Hematologic response was considered to be achieved if participants met all of the following criteria: normalization of white blood cells count to less than (\<) 10\*10\^9 per liter (/L) with normal differentiation, normalization of platelet count at \<450\*10\^9/L, and disappearance of all signs and symptoms of the disease. This response had to be confirmed at least 4 weeks after the first measure and beyond that.

Time to Loss of Previous Hematologic Response
Up to approximately 7 years

Time to loss of previous hematologic response was defined as the interval between the first day of treatment in the study and the first day of loss of previous hematologic response during elapsed time of study. Hematologic response was considered to be achieved if participants met all of the following criteria: normalization of white blood cells count to \<10\*10\^9/L with normal differentiation, normalization of platelet count at \<450\*10\^9/L, and disappearance of all signs and symptoms of the disease. This response had to be confirmed at least 4 weeks after the first measure and beyond that.

Number of Participants With Major Cytogenetic Response (CyR)
Up to approximately 7 years

CyR was based on the prevalence of Philadelphia chromosome-positive (Ph+) bone marrow cells in metaphase determined from reverse transcriptase polymerase chain reaction (RT-PCR). Major cytogenetic response was categorized as either complete cytogenetic response (CCyR) or partial cytogenetic response (PCyR). CCyR was achieved when there was absence of detectable Ph+ bone marrow cells and PCyR was achieved when 1 to 34 percent (%) of bone marrow cells were Ph+.

Time to Loss of Previous CyR
Up to approximately 7 years

Time to loss of previous CyR was defined as the interval between the first day of treatment in the study and the first day of loss of previous CyR. CyR is based on the prevalence of Ph+ bone marrow cells in metaphase. Major CyR was categorized as either CCyR or PCyR. CCyR was achieved when there was absence of detectable Ph+ bone marrow cells and PCyR was achieved when 1 to 34% of bone marrow cells were Ph+.

Number of Participants With Molecular Response (MR)
Up to approximately 7 years

MR was assessed using breakpoint cluster region - Abelson (BCR-ABL) proto-oncogene transcript levels measured by RT-PCR from peripheral blood. Number of participants with BCR-ABL/ABL ratio less than or equal to 10 (%) was reported.

Time to Loss of Previous MR
Up to approximately 7 years

Time to loss of previous MR was defined as the interval between the first day of treatment in the study and the first day of loss of previous MR. MR was assessed using BCR-ABL transcript levels measured by RT-PCR from peripheral blood.

HBsAg loss
24 weeks after end of therapy

Qualitative HBsAg assay reads "non-detectable"

Evaluate the ability of Pegylated Interferon Alfa-2a to achieve Complete Response or Partial Response in patients with (1) high risk polycythemia vera or (2) high risk essential thrombocythemia or (3) splanchnic vein thrombosis
4 years
Proportion of patients achieving sustained virologic response (SVR24), defined as undetectable hepatitis C virus (HCV) RNA at 24 weeks after discontinuation of all study drugs
24 weeks after discontinuation of all study drugs (treatment duration 28 or 48 weeks)
Percentage of Participants With Stable Virological Response
Up to Week 108

Stable virological response is serum Hepatitis B virus deoxyribonucleic acid (HBV DNA) \<20 000 copies/ml during the treatment (after each 12 weeks) and after the follow-up period (24 weeks after the last treatment period).

Objective response rate
up to post-chemotherapy follow-up ( approximately 46 months)
Number of Participants With Alanine Aminotransferase (ALT) Normalization Plus Negative Hepatitis D Virus (HDV) Ribonucleic Acid (RNA) at 48 Weeks After End of Treatment
Week 96

Normalized ALT was defined as ALT value above the upper limit of normal (ULN) at Baseline with a decrease in ALT value to at/below the ULN at 48 weeks after end of treatment (Week 96). Negative HDV RNA was defined as HDV RNA not detected by polymerase chain reaction (PCR). The number of participants with ALT normalization and negative HDV RNA at Week 96 was reported.

HCV RNA levels (IU/ml, COBAS TaqMan HCV Test) in correlation with area under the plasma concentration-time curve (AUC) after sc and iv administration
11 months
The longitudinal effect on HBV-related markers: viral load, viral antigen/antibody, viral sequence, cellular and humoral immune responses, RNA
assessed every 2 months on treatment (not exceeding maximum approved duration), and up to week 24 of follow-up
Mean Change From Baseline in Viral Quantitative e Antibody
Day 1, 3, 5, 8, 10, 14, Week 3, 4, 5, 6 (weeks are computed from the first dose of Pegasys)

An acute virologic response was determined by change from baseline in viral antigen/antibody laboratory data.

Secondary Endpoints

Percentage of Participants With Loss of HBeAg at 24 Weeks After EOT/POP in Groups A and B
FU Week 24 (up to 72 weeks overall)
Percentage of Participants With Hepatitis B Surface Antigen (HBsAg) Seroconversion at 24 Weeks After EOT/POP in Groups A and B
FU Week 24 (up to 72 weeks overall)
Percentage of Participants With Normal ALT at 24 Weeks After EOT/POP in Groups A and B
FU Week 24 (up to 72 weeks overall)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
A PegasysEXPERIMENTAL -
B Untreated ControlNO_INTERVENTION -
C Fibrosis non-randomizedEXPERIMENTAL -
SwitchEXPERIMENTAL -
1EXPERIMENTAL -
2EXPERIMENTAL -
3ACTIVE_COMPARATOR -
PEG-IFN alfa-2a + Ribavirin for 24 weeksEXPERIMENTALAfter 24 weeks of treatment with pegylated interferon alfa-2a (PEG-IFN alfa-2a) 180 μg/week plus ribavirin 800-1200 mg/day participants who achieved at least a 2-log10 drop of hepatitis C virus (HCV) ribonucleic acid (RNA) at Week 12 (as compared to HCV RNA levels prior to treatment initiation) or had HCV RNA \<15 IU/mL, and who were still taking study medication at treatment Week 24 were randomized into the study, at which time treatment was stopped. Participants were followed for an additional 48 weeks during the treatment-free follow-up period.
PEG-IFN alfa-2a + Ribavirin for 48 weeksACTIVE_COMPARATORAfter 24 weeks of treatment with PEG-IFN alfa-2a 180 μg/week plus ribavirin 800-1200 mg/day participants who achieved at least a 2-log10 drop of HCV RNA at Week 12 (as compared to HCV RNA levels prior to treatment initiation) or had HCV RNA \<15 IU/mL, and who were still taking study medication at treatment Week 24 were randomized into the study, and continued treatment for another 24 weeks (for a total of 48 weeks of treatment). Participants were followed for an additional 24 weeks during the treatment-free follow-up period.
Peginterferon alfa-2a 135 microgram (mcg)EXPERIMENTALChronic Hepatitis C participants with end-stage renal disease undergoing hemodialysis will receive Peginterferon alfa-2a 135 mcg subcutaneously (SC) once weekly up to Week 48.
Peginterferon alfa-2a 90 mcgEXPERIMENTALChronic Hepatitis C participants with end-stage renal disease undergoing hemodialysis will receive Peginterferon alfa-2a 90 mcg SC once weekly up to Week 48.
Peginterferon alfa-2a monotherapy or combined with ribavirinEXPERIMENTALThe treating investigator decided the most appropriate treatment. It was recommended that participants receive combination therapy.
Peginterferon alfa-2aEXPERIMENTALParticipants will receive peginterferon alfa-2a subcutaneously in doses between 90 and 450 microgram (mcg) once weekly until medically indicated as judged by the treating investigator.
PEG 24 weeksEXPERIMENTALpeginterferon alpha 2a 180mcg for 24 weeks
PEG 48 weeksEXPERIMENTALpeginterferon alpha 2a 180mcg 48 weeks
ControlNO_INTERVENTIONNo treatment for 72 weeks
PEGASYSEXPERIMENTALPatient will start at 45 micrograms per week and gradually increase to 180 micrograms per week. Pegasys will be supplied in prefilled syringes and are to be given subcutaneously.
AspirinACTIVE_COMPARATOR81 or 100 mg daily.
Active ComparatorACTIVE_COMPARATORPplacebo in combination with standard of care Pegasys (peginterferon alfa-2a) and Copegus (ribavirin)
SetrobuvirEXPERIMENTALSetrobuvir (800 mg orally b.i.d loading dose followed by 200 mg orally .b.i.d.) in combination with standard of care Pegasys (peginterferon alfa-2a) and Copegus (ribavirin)
No InterventionNO_INTERVENTIONParticipants were on non- specific anti-viral treatment.
Capecitabine + Peginterferon alfa-2aEXPERIMENTALTreatment-naive participants with advanced liver cancer will receive combination treatment with capecitabine (1000 milligrams per meter-squared \[mg/m\^2\] twice daily orally on Days 1 to 14 of each 21-day cycle) and peginterferon alfa-2a (180 micrograms (mcg) subcutaneous \[SC\] every week during each 21-day cycle) until at least 6 cycles (18 weeks) or disease progression, intolerable toxicity, or consent withdrawal.
Group A: Monotherapy with Peginterferon alfa-2aEXPERIMENTALParticipants will receive peginterferon alfa-2a alone, administered over 48 weeks.
Group B: Combination with Peginterferon alfa-2a + RibavirinEXPERIMENTALParticipants will receive combination therapy with peginterferon alfa-2a plus ribavirin, administered over 48 weeks.
A/BEXPERIMENTAL -
C/DEXPERIMENTAL -
Single ArmEXPERIMENTAL -
4NO_INTERVENTION -

Interventions

NameTypeDescription
peginterferon alfa-2a [Pegasys]DRUGBody surface area adapted doses of 45-180 mcg subcutaneously weekly for 48 weeks, Weeks 1- 48
placeboDRUGorally daily, 96 weeks
tenofovirDRUG245mg po daily, 96 weeks
adefovir dipivoxilDRUG10mg po daily for 96 weeks (arm 1) or 48 weeks (arm 2)
peginterferon alfa-2aDRUG -
RibavirinDRUG -
PEGASYSDRUG -
AspirinDRUG81 or 100 mg daily.
ribavirin [Copegus]DRUG1000 mg or 1200 mg orally daily
setrobuvirDRUGLoading dose of 800 mg orally b.i.d on Day 1, followed by 200 mg orally b.i.d., 28 or 48 weeks
PEGASYS [peginterferon alfa-2a]DRUGThere were 4 treatment cycles of continuous intermittent treatment with Peginterferon alfa-2a. Each cycle consisted of 12 weeks injection treatment with Peginterferon alfa-2a 135 micrograms in 0.5 ml solution in prefilled syringes, applied once weekly subcutaneously and followed by 12 weeks period without treatment.
CapecitabineDRUGParticipants will receive oral capecitabine, 1000 mg/m\^2 twice daily on Days 1 to 14 of each 21-day cycle, for at least 6 cycles (18 weeks). Treatment may continue until disease progression, intolerable toxicity, or consent withdrawal.
peginterferon alfa 2a [Pegasys]DRUGsc weekly
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Eligibility Criteria

Age Range3 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites39

Inclusion Criteria: * Male or female patients, 3 years to \<18 years of age at baseline * Positive HBsAg for more than 6 months * Positive HBeAg and detectable HBV DNA at screening * A liver biopsy obtained within the past 2 years prior to baseline (and more than 6 months after the end of previous ...

Countries:United StatesAustraliaBelgiumBulgariaChinaGermanyIsraelItalyPolandRussiaUkraineUnited KingdomTurkey (Türkiye)AustriaBrazilCanadaMexicoPuerto RicoSwitzerlandFranceGreeceIndonesiaUnited Arab EmiratesSpainTaiwanNew ZealandSingaporeSouth KoreaThailand
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Frequently asked questions about peginterferon alfa-2a

What is peginterferon alfa-2a used for?

Peginterferon alfa-2a is used in chronic viral hepatitis and certain blood cancers. Its studied indications include chronic hepatitis B, chronic hepatitis C, chronic hepatitis D, chronic myelogenous leukemia, and hepatocellular carcinoma. It is also known by the brand name Pegasys.

What does peginterferon alfa-2a target?

Peginterferon alfa-2a targets the interferon receptors IFNAR1 and IFNAR2. It acts as an agonist at these receptors, meaning it activates them. This receptor activation triggers interferon signaling pathways that produce antiviral, antiproliferative, and immune-modulating effects in the body.

Who makes peginterferon alfa-2a?

Peginterferon alfa-2a is developed by Roche Holding AG, which trades under the ticker RHHBY. Roche is the company behind the Pegasys brand of peginterferon alfa-2a.

What phase is peginterferon alfa-2a in?

Peginterferon alfa-2a is in Phase 2 development. It is an investigational therapy still being studied in clinical trials. Five trials have been completed, and none are currently active.

What clinical trials is peginterferon alfa-2a in?

Peginterferon alfa-2a has been studied in completed trials including NCT02992704 in inactive chronic hepatitis B carriers, NCT02806505 in chronic hepatitis C with end-stage renal disease, NCT02736721 in chronic myelogenous leukemia, and NCT02731131 in chronic hepatitis D. These trials enrolled a combined total of 902 participants.

Is peginterferon alfa-2a the same as Pegasys?

Yes, peginterferon alfa-2a is the same as Pegasys. Pegasys is the brand name for peginterferon alfa-2a, and it is also written as PEG-interferon alfa-2a or peginterferon alfa 2a. These names all refer to the same Roche drug.