Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as peginterferon alfa-2a [Pegasys], pegasys, PEG-IFN alfa-2a
peginterferon alfa-2a · 18 trials · 10 indications
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.
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.
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.
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.
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 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.
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 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+.
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 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.
Qualitative HBsAg assay reads "non-detectable"
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).
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.
An acute virologic response was determined by change from baseline in viral antigen/antibody laboratory data.
| Arm | Type | Description |
|---|---|---|
| A Pegasys | EXPERIMENTAL | - |
| B Untreated Control | NO_INTERVENTION | - |
| C Fibrosis non-randomized | EXPERIMENTAL | - |
| Switch | EXPERIMENTAL | - |
| 1 | EXPERIMENTAL | - |
| 2 | EXPERIMENTAL | - |
| 3 | ACTIVE_COMPARATOR | - |
| PEG-IFN alfa-2a + Ribavirin for 24 weeks | EXPERIMENTAL | After 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 weeks | ACTIVE_COMPARATOR | After 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) | EXPERIMENTAL | Chronic 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 mcg | EXPERIMENTAL | Chronic 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 ribavirin | EXPERIMENTAL | The treating investigator decided the most appropriate treatment. It was recommended that participants receive combination therapy. |
| Peginterferon alfa-2a | EXPERIMENTAL | Participants 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 weeks | EXPERIMENTAL | peginterferon alpha 2a 180mcg for 24 weeks |
| PEG 48 weeks | EXPERIMENTAL | peginterferon alpha 2a 180mcg 48 weeks |
| Control | NO_INTERVENTION | No treatment for 72 weeks |
| PEGASYS | EXPERIMENTAL | Patient 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. |
| Aspirin | ACTIVE_COMPARATOR | 81 or 100 mg daily. |
| Active Comparator | ACTIVE_COMPARATOR | Pplacebo in combination with standard of care Pegasys (peginterferon alfa-2a) and Copegus (ribavirin) |
| Setrobuvir | EXPERIMENTAL | Setrobuvir (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 Intervention | NO_INTERVENTION | Participants were on non- specific anti-viral treatment. |
| Capecitabine + Peginterferon alfa-2a | EXPERIMENTAL | Treatment-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-2a | EXPERIMENTAL | Participants will receive peginterferon alfa-2a alone, administered over 48 weeks. |
| Group B: Combination with Peginterferon alfa-2a + Ribavirin | EXPERIMENTAL | Participants will receive combination therapy with peginterferon alfa-2a plus ribavirin, administered over 48 weeks. |
| A/B | EXPERIMENTAL | - |
| C/D | EXPERIMENTAL | - |
| Single Arm | EXPERIMENTAL | - |
| 4 | NO_INTERVENTION | - |
| Name | Type | Description |
|---|---|---|
| peginterferon alfa-2a [Pegasys] | DRUG | Body surface area adapted doses of 45-180 mcg subcutaneously weekly for 48 weeks, Weeks 1- 48 |
| placebo | DRUG | orally daily, 96 weeks |
| tenofovir | DRUG | 245mg po daily, 96 weeks |
| adefovir dipivoxil | DRUG | 10mg po daily for 96 weeks (arm 1) or 48 weeks (arm 2) |
| peginterferon alfa-2a | DRUG | - |
| Ribavirin | DRUG | - |
| PEGASYS | DRUG | - |
| Aspirin | DRUG | 81 or 100 mg daily. |
| ribavirin [Copegus] | DRUG | 1000 mg or 1200 mg orally daily |
| setrobuvir | DRUG | Loading 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] | DRUG | There 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. |
| Capecitabine | DRUG | Participants 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] | DRUG | sc weekly |
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 ...
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.
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.
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.
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.
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.
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.