A Study of TMC435 in Participants With Genotype 1 Hepatitis C Virus (HCV) Infection

Sponsor
Janssen Pharmaceutical K.K. (Industry)
Overall Status
Completed
CT.gov ID
NCT01366638
Collaborator
(none)
79
11
3
18.1
7.2
0.4

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of TMC435 in combination with peginterferon alfa-2b and ribavirin in chronic genotype 1 hepatitis C virus (HCV)-infected participants who are treatment-naive or treatment-experienced (prior relapser or non-responder to Interferon-based therapy) in Japan.

Condition or Disease Intervention/Treatment Phase
  • Drug: TMC435
  • Drug: Peginterferon alfa-2b (pegIFN alfa-2b)
  • Drug: Ribavirin (RBV)
Phase 3

Detailed Description

This is an open-label study (all people involved know the identity of the intervention) to evaluate the efficacy and safety of TMC435 (also referred to as jnj-38733214-aaa) in combination with the standard of care therapy (SoC: peginterferon [pegIFN] alfa-2b and ribavirin) in adult, genotype 1 hepatitis C virus (HCV)-infected participants who are treatment-naive (never received treatment for HCV), prior relapsers (relapsed after previous interferon [IFN]-based therapy), or non-responders (failed to respond to previous IFN-based therapy) in Japan. The study objective is to evaluate the efficacy, safety, and pharmacokinetics of TMC435. A sufficient number of participants who are treatment-naive, prior relapsers to treatment with IFN-based therapy, and prior non-responders to treatment with IFN-based therapy will be enrolled and assigned to 1 of 3 panels (referred to as treatment groups). Participants who are treatment-naive or prior relapsers to IFN-based therapy will receive 12 weeks of treatment with TMC435 (100 mg) once daily with pegIFN alfa-2b and ribavirin (PR) followed by an additional 12 or 24 weeks of treatment with PR. Participants who are non-responders to IFN-based therapy will receive 12 weeks of treatment with TMC435 (100 mg) once daily with PR followed by an additional 36 weeks of treatment with PR. TMC435 is a 100-mg capsule and will be taken orally by mouth. The SoC treatment will consist of Pegylated interferon (PegIFN alpha-2b) (1.5 mcg/kg) injected with a syringe subcutaneously (under the skin) once weekly and ribavirin 200-mg capsules (daily dose: 600-1000 mg based on body weight) taken orally by mouth 2 times a day after meals for 24 or 48 weeks.

Study Design

Study Type:
Interventional
Actual Enrollment :
79 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase III, Open-Label Study in Japan to Assess the Efficacy and Safety of TMC435 as Part of a Treatment Regimen Including Peginterferon Alfa-2b and Ribavirin in Hepatitis C, Genotype 1 Infected Subjects
Study Start Date :
May 1, 2011
Actual Primary Completion Date :
Nov 1, 2012
Actual Study Completion Date :
Nov 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48

Participants will receive TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment will be stopped at Week 24 in participants who achieve plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants will continue PR until Week 48.

Drug: TMC435
100 mg capsule taken by mouth once daily for 12 weeks

Drug: Peginterferon alfa-2b (pegIFN alfa-2b)
PegIFN alfa-2b will be supplied as a vial containing dried and frozen powder with 74,148 or 222 mcg pegIFN alpha-2b attached to 0.7 ml injection water (50, 100 or 150 mcg/0.5mL pegIFN alpha-2b) and will be administered according to the manufacturer's prescribing information as 1.5 mcg/kg once weekly injected subcutaneous (under the skin) for up to 24-48 weeks.
Other Names:
  • PEGINTRON
  • Drug: Ribavirin (RBV)
    The dose of RBV given will be based on body weight. If body weight is > 80 kg the total daily dose of RBV will be 1000 mg, taken by mouth as 400 mg (2 capsules of 200 mg) after breakfast and 600 mg (3 capsules of 200 mg) after supper. If body weight is > 60 kg to <=80 kg the total daily dose will be 800 mg, taken by mouth as 400 mg (2 capsules of 200 mg per intake) after breakfast and supper. If body weight is <=60 kg the total daily dose of RBV will be 600 mg, taken by mouth as 200 mg (1 capsule of 200 mg) after breakfast and 400 mg (2 capsules of 200 mg) after supper. Total duration of RBV will be 24-48 weeks.
    Other Names:
  • REBETOL
  • Experimental: Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48

    Participants will receive TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment will be stopped at Week 24 in participants who achieve plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants will continue PR until Week 48.

    Drug: TMC435
    100 mg capsule taken by mouth once daily for 12 weeks

    Drug: Peginterferon alfa-2b (pegIFN alfa-2b)
    PegIFN alfa-2b will be supplied as a vial containing dried and frozen powder with 74,148 or 222 mcg pegIFN alpha-2b attached to 0.7 ml injection water (50, 100 or 150 mcg/0.5mL pegIFN alpha-2b) and will be administered according to the manufacturer's prescribing information as 1.5 mcg/kg once weekly injected subcutaneous (under the skin) for up to 24-48 weeks.
    Other Names:
  • PEGINTRON
  • Drug: Ribavirin (RBV)
    The dose of RBV given will be based on body weight. If body weight is > 80 kg the total daily dose of RBV will be 1000 mg, taken by mouth as 400 mg (2 capsules of 200 mg) after breakfast and 600 mg (3 capsules of 200 mg) after supper. If body weight is > 60 kg to <=80 kg the total daily dose will be 800 mg, taken by mouth as 400 mg (2 capsules of 200 mg per intake) after breakfast and supper. If body weight is <=60 kg the total daily dose of RBV will be 600 mg, taken by mouth as 200 mg (1 capsule of 200 mg) after breakfast and 400 mg (2 capsules of 200 mg) after supper. Total duration of RBV will be 24-48 weeks.
    Other Names:
  • REBETOL
  • Experimental: Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48

    Participants will receive TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.

    Drug: TMC435
    100 mg capsule taken by mouth once daily for 12 weeks

    Drug: Peginterferon alfa-2b (pegIFN alfa-2b)
    PegIFN alfa-2b will be supplied as a vial containing dried and frozen powder with 74,148 or 222 mcg pegIFN alpha-2b attached to 0.7 ml injection water (50, 100 or 150 mcg/0.5mL pegIFN alpha-2b) and will be administered according to the manufacturer's prescribing information as 1.5 mcg/kg once weekly injected subcutaneous (under the skin) for up to 24-48 weeks.
    Other Names:
  • PEGINTRON
  • Drug: Ribavirin (RBV)
    The dose of RBV given will be based on body weight. If body weight is > 80 kg the total daily dose of RBV will be 1000 mg, taken by mouth as 400 mg (2 capsules of 200 mg) after breakfast and 600 mg (3 capsules of 200 mg) after supper. If body weight is > 60 kg to <=80 kg the total daily dose will be 800 mg, taken by mouth as 400 mg (2 capsules of 200 mg per intake) after breakfast and supper. If body weight is <=60 kg the total daily dose of RBV will be 600 mg, taken by mouth as 200 mg (1 capsule of 200 mg) after breakfast and 400 mg (2 capsules of 200 mg) after supper. Total duration of RBV will be 24-48 weeks.
    Other Names:
  • REBETOL
  • Outcome Measures

    Primary Outcome Measures

    1. The Percentage of Participants With a Sustained Virologic Response 12 Weeks After the Actual End of Treatment (SVR12) [Week 36 or 60]

      The table below shows the percentage of participants in each treatment group with an SVR12 defined as participants with undetectable plasma Hepatitis C virus (HCV) ribonucleic acid (RNA) at the end of treatment (Week 24 or 48) who also had undetectable plasma HCV RNA 12 weeks after the last dose of treatment (Week 36 or 60). NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).

    2. The Percentage of Participants With a Sustained Virologic Response 24 Weeks After the Actual End of Treatment (SVR24) [24 weeks after the last dose of treatment (Week 48 or 72)]

      The table below shows the percentage of participants in each treatment group with a SVR24 defined as participants with undetectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) at the end of treatment and at 24 weeks after the last dose of treatment (Week 48 or 72). NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).

    3. The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) During Treatment and at the End of Treatment [Weeks 4, 12, 24, 36, 48, 60, 72, and EOT (up to Week 48)]

      The table below shows the percentage of participants in each treatment group with undetectable HCV RNA less than 1.2 log10 IU/mL during treatment and at end of treatment (EOT). NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).

    4. The Number of Participants With Viral Breakthrough [Up to 48 Weeks]

      The table below shows the number of participants in each treatment group who experienced viral breakthrough during the TMC435 treatment period. Viral breakthrough is defined as a confirmed increase of greater than 1 log10 IU/mL in plasma hepatitis C virus (HCV) ribonucleic acid (RNA) level from the lowest level reached or a confirmed value of plasma HCV RNA of greater than 2.0 log10 IU/mL in participants whose plasma HCV RNA level had previously been reported below 1.2 log10 IU/mL detectable or undetectable. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).

    5. The Number of Participants Demonstrating Viral Relapse [Up to 72 weeks]

      The table below shows the number of participants in each treatment group who demonstrated viral relapse, defined as having undetectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels at end of treatment (EOT [Week 24 or 48]) and detectable HCV RNA during follow-up or detectable HCV RNA at the time points of an assessment of sustained virologic response (SVR). The number of participants analyzed in each treatment group below are those with undetectable HCV RNA levels at EOT and with at least one follow-up HCV RNA measurement. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).

    6. The Number of Participants With Abnormal Alanine Aminotransferase (ALT) Levels at Baseline Who Achieved Normal Limit of ALT at the End of Treatment (EOT) [Up to Week 48]

      The table below shows the number of participants in each treatment group with abnormal ALT levels at Baseline who achieved normalization of ALT levels defined as having an ALT value less than or equal to the Upper Limit of Normality (ie, 40 IU/mL) at EOT. At Baseline, 15 treatment-naïve participants, 13 prior relapsers, and 13 prior non-responders had abnormal ALT levels at Baseline. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).

    7. The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-up [Day 3, Day 7 and Weeks 2, 3, 4, 8, 12, 16, 20, 24, 28, 36, 48, 60, 72, EOT (up to Week 24 or 48), follow-up (FU) Week 4, 12, and 24]

      The table below shows the percentage of participants in each treatment group with greater than or equal to 2 log10 IU/mL drop from baseline in plasma hepatitis C virus (HCV) ribonucleic acid (RNA) at each time point during treatment and post-treatment follow-up. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).

    8. The Percentage of Participants Who Met Response Guided Treatment (RGT) Criteria and Completed Treatment With Peginterferon Alpha-2b (PegIFNα-2b) and Ribavirin (RBV) at Week 24 [Week 24 or 48]

      The table below shows the percentage of participants in each treatment group who met RGT criteria (ie, who had plasma levels of hepatitis C virus ribonucleic acid [HCV RNA] <1.2 log10 IU/mL detectable/undetectable at Week 4 and <1.2 log 10 IU/mL undetectable at Week 12) and completed treatment with PegIFNα-2b and RBV at Week 24. Participants in the TMC435 Treatment-Naïve and TMC435 Prior Relapser treatment groups not meeting RGT criteria continued treatment with PegIFNα-2a and RBV to Week 48 (does not apply to the TMC435 Non-responder treatment group because the specified treatment duration was 48 weeks and RGT criteria was not assessed at Week 24). NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).

    9. The Area Under the Plasma Concentration-Time Curve (From 0 to 24 Hours) (AUC24h) [Overall (Up to Week 12)]

      The table below shows the median (range) AUC24h values for TMC435 for all participants in each TMC435 treatment group who received TMC435 for up to 12 weeks. "Overall" is the median exposure estimate using all available data for each participant in the study. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).

    10. Plasma Concentrations of TMC435 [Overall (Up to Week 12)]

      The table below shows the median (range) TMC435 predose plasma concentrations (C0h) and maximum concentration (Cmax) values for participants in each treatment group. "Overall" is the median exposure estimate using all available data for each participant in the study. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    20 Years to 70 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Patient must have chronic genotype 1 HCV infection with HCV RNA level >= 5.0 log10 IU/mL

    • Patient has never received treatment for HCV (treatment-naive), relapsed after previous IFN-based therapy (prior relapser) or failed to respond to previous IFN-based therapy (non-responder)

    • Patient must be willing to use contraceptive measures from the time of informed consent to 6 months after last dose of study medication.

    Exclusion Criteria:
    • Co-infection with any other HCV genotype or co-infection with the human immunodeficiency virus (HIV)

    • Diagnosed with hepatic cirrhosis or hepatic failure

    • A medical condition which is a contraindication to peg-IFN or ribavirin therapy

    • History of, or any current medical condition, which could impact the safety of the patient in the study

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Amagasaki Japan
    2 Ikeda Japan
    3 Kawasaki Japan
    4 Kumamoto Japan
    5 Niigata Japan
    6 Ohmura Japan
    7 Osaka Japan
    8 Sakai Japan
    9 Sapporo Japan
    10 Suita Japan
    11 Tokyo Japan

    Sponsors and Collaborators

    • Janssen Pharmaceutical K.K.

    Investigators

    • Study Director: Janssen Pharmaceutical K.K. Clinical Trial, Janssen Pharmaceutical K.K.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Janssen Pharmaceutical K.K.
    ClinicalTrials.gov Identifier:
    NCT01366638
    Other Study ID Numbers:
    • CR017935
    • TMC435HPC3010
    First Posted:
    Jun 6, 2011
    Last Update Posted:
    May 5, 2014
    Last Verified:
    Apr 1, 2014

    Study Results

    Participant Flow

    Recruitment Details The study was conducted between 01-Apr-2011 to 20-Nov-2012 and recruited participants with chronic Hepatitis C Virus (HCV) infection from 14 study centers in Japan. A total of 79 participants with chronic genotype 1 HCV infection were randomized and started treatment; 65 completed the study.
    Pre-assignment Detail Participants with genotype 1 hepatitis C virus (HCV) infection who were treatment-naïve or treatment-experienced (prior relapsers or nonresponders to interferon-based therapy) were assigned to 1 of 3 groups and received TMC435 100 mg/day for 12 weeks coadministered with PegIFNa-2b + ribavirin until Week 24 or Week 48.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    Period Title: Overall Study
    STARTED 24 29 26
    COMPLETED 23 29 20
    NOT COMPLETED 1 0 6

    Baseline Characteristics

    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48 Total
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48. Total of all reporting groups
    Overall Participants 24 29 26 79
    Age (years) [Median (Full Range) ]
    Median (Full Range) [years]
    60
    60
    53
    60
    Sex: Female, Male (Count of Participants)
    Female
    16
    66.7%
    13
    44.8%
    13
    50%
    42
    53.2%
    Male
    8
    33.3%
    16
    55.2%
    13
    50%
    37
    46.8%

    Outcome Measures

    1. Primary Outcome
    Title The Percentage of Participants With a Sustained Virologic Response 12 Weeks After the Actual End of Treatment (SVR12)
    Description The table below shows the percentage of participants in each treatment group with an SVR12 defined as participants with undetectable plasma Hepatitis C virus (HCV) ribonucleic acid (RNA) at the end of treatment (Week 24 or 48) who also had undetectable plasma HCV RNA 12 weeks after the last dose of treatment (Week 36 or 60). NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).
    Time Frame Week 36 or 60

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    Measure Participants 24 29 26
    Number [Percentage of Participants]
    91.7
    382.1%
    100.0
    344.8%
    38.5
    148.1%
    2. Primary Outcome
    Title The Percentage of Participants With a Sustained Virologic Response 24 Weeks After the Actual End of Treatment (SVR24)
    Description The table below shows the percentage of participants in each treatment group with a SVR24 defined as participants with undetectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) at the end of treatment and at 24 weeks after the last dose of treatment (Week 48 or 72). NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).
    Time Frame 24 weeks after the last dose of treatment (Week 48 or 72)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    Measure Participants 24 29 26
    Number [Percentage of participants]
    91.7
    382.1%
    96.6
    333.1%
    38.5
    148.1%
    3. Primary Outcome
    Title The Percentage of Participants With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) During Treatment and at the End of Treatment
    Description The table below shows the percentage of participants in each treatment group with undetectable HCV RNA less than 1.2 log10 IU/mL during treatment and at end of treatment (EOT). NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).
    Time Frame Weeks 4, 12, 24, 36, 48, 60, 72, and EOT (up to Week 48)

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    Measure Participants 24 29 26
    Week 4
    79.2
    330%
    86.2
    297.2%
    57.7
    221.9%
    Week 12
    100
    416.7%
    100
    344.8%
    76.9
    295.8%
    Week 24
    100
    416.7%
    96.6
    333.1%
    65.4
    251.5%
    Week 36
    87.5
    364.6%
    96.6
    333.1%
    57.7
    221.9%
    Week 48
    83.3
    347.1%
    96.6
    333.1%
    53.8
    206.9%
    Week 60
    91.7
    382.1%
    96.6
    333.1%
    38.5
    148.1%
    Week 72
    91.7
    382.1%
    96.6
    333.1%
    38.5
    148.1%
    EOT
    100
    416.7%
    100
    344.8%
    57.7
    221.9%
    4. Primary Outcome
    Title The Number of Participants With Viral Breakthrough
    Description The table below shows the number of participants in each treatment group who experienced viral breakthrough during the TMC435 treatment period. Viral breakthrough is defined as a confirmed increase of greater than 1 log10 IU/mL in plasma hepatitis C virus (HCV) ribonucleic acid (RNA) level from the lowest level reached or a confirmed value of plasma HCV RNA of greater than 2.0 log10 IU/mL in participants whose plasma HCV RNA level had previously been reported below 1.2 log10 IU/mL detectable or undetectable. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).
    Time Frame Up to 48 Weeks

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    Measure Participants 24 29 26
    Number [Participants]
    0
    0%
    0
    0%
    2
    7.7%
    5. Primary Outcome
    Title The Number of Participants Demonstrating Viral Relapse
    Description The table below shows the number of participants in each treatment group who demonstrated viral relapse, defined as having undetectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels at end of treatment (EOT [Week 24 or 48]) and detectable HCV RNA during follow-up or detectable HCV RNA at the time points of an assessment of sustained virologic response (SVR). The number of participants analyzed in each treatment group below are those with undetectable HCV RNA levels at EOT and with at least one follow-up HCV RNA measurement. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).
    Time Frame Up to 72 weeks

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    Measure Participants 24 29 15
    Number [Participants]
    2
    8.3%
    1
    3.4%
    4
    15.4%
    6. Primary Outcome
    Title The Number of Participants With Abnormal Alanine Aminotransferase (ALT) Levels at Baseline Who Achieved Normal Limit of ALT at the End of Treatment (EOT)
    Description The table below shows the number of participants in each treatment group with abnormal ALT levels at Baseline who achieved normalization of ALT levels defined as having an ALT value less than or equal to the Upper Limit of Normality (ie, 40 IU/mL) at EOT. At Baseline, 15 treatment-naïve participants, 13 prior relapsers, and 13 prior non-responders had abnormal ALT levels at Baseline. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).
    Time Frame Up to Week 48

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    Measure Participants 15 13 13
    Number [Percentage of participants]
    13
    54.2%
    8
    27.6%
    8
    30.8%
    7. Primary Outcome
    Title The Percentage of Participants Who Achieved a Greater Than or Equal to 2 log10 IU/mL Drop From Baseline in Plasma Hepatitis C Virus Ribonucleic Acid (HCV RNA) at Each Time Point During Treatment and Follow-up
    Description The table below shows the percentage of participants in each treatment group with greater than or equal to 2 log10 IU/mL drop from baseline in plasma hepatitis C virus (HCV) ribonucleic acid (RNA) at each time point during treatment and post-treatment follow-up. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).
    Time Frame Day 3, Day 7 and Weeks 2, 3, 4, 8, 12, 16, 20, 24, 28, 36, 48, 60, 72, EOT (up to Week 24 or 48), follow-up (FU) Week 4, 12, and 24

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    Measure Participants 24 29 26
    Day 3
    100
    416.7%
    100
    344.8%
    88.5
    340.4%
    Day 7
    100
    416.7%
    100
    344.8%
    100
    384.6%
    Week 2
    100
    416.7%
    100
    344.8%
    100
    384.6%
    Week 3
    100
    416.7%
    100
    344.8%
    96.2
    370%
    Week 4
    100
    416.7%
    100
    344.8%
    96.2
    370%
    Week 8
    100
    416.7%
    100
    344.8%
    92.3
    355%
    Week 12
    100
    416.7%
    100
    344.8%
    84.6
    325.4%
    Week 16
    100
    416.7%
    96.6
    333.1%
    76.9
    295.8%
    Week 20
    95.8
    399.2%
    100
    344.8%
    76.9
    295.8%
    Week 24
    100
    416.7%
    96.6
    333.1%
    73.1
    281.2%
    Week 28
    91.7
    382.1%
    96.6
    333.1%
    69.2
    266.2%
    Week 36
    87.5
    364.6%
    96.6
    333.1%
    65.4
    251.5%
    Week 48
    83.3
    347.1%
    96.6
    333.1%
    61.5
    236.5%
    Week 60
    91.7
    382.1%
    96.6
    333.1%
    42.3
    162.7%
    Week 72
    91.7
    382.1%
    96.6
    333.1%
    38.5
    148.1%
    EOT
    100
    416.7%
    100
    344.8%
    80.8
    310.8%
    FU Week 4
    95.8
    399.2%
    100
    344.8%
    46.2
    177.7%
    FU Week 12
    91.7
    382.1%
    100
    344.8%
    42.3
    162.7%
    FU Week 24
    91.7
    382.1%
    96.6
    333.1%
    38.5
    148.1%
    8. Primary Outcome
    Title The Percentage of Participants Who Met Response Guided Treatment (RGT) Criteria and Completed Treatment With Peginterferon Alpha-2b (PegIFNα-2b) and Ribavirin (RBV) at Week 24
    Description The table below shows the percentage of participants in each treatment group who met RGT criteria (ie, who had plasma levels of hepatitis C virus ribonucleic acid [HCV RNA] <1.2 log10 IU/mL detectable/undetectable at Week 4 and <1.2 log 10 IU/mL undetectable at Week 12) and completed treatment with PegIFNα-2b and RBV at Week 24. Participants in the TMC435 Treatment-Naïve and TMC435 Prior Relapser treatment groups not meeting RGT criteria continued treatment with PegIFNα-2a and RBV to Week 48 (does not apply to the TMC435 Non-responder treatment group because the specified treatment duration was 48 weeks and RGT criteria was not assessed at Week 24). NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).
    Time Frame Week 24 or 48

    Outcome Measure Data

    Analysis Population Description
    The Full Analysis Set (FAS) consisted of all participants who received at least one dose of study drug during the study except for those who did not meet the major eligibility criteria for the study and participants who did not have efficacy data available after treatment with study medication.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48.
    Measure Participants 24 29
    Number [Percentage of participants]
    91.7
    382.1%
    96.6
    333.1%
    9. Primary Outcome
    Title The Area Under the Plasma Concentration-Time Curve (From 0 to 24 Hours) (AUC24h)
    Description The table below shows the median (range) AUC24h values for TMC435 for all participants in each TMC435 treatment group who received TMC435 for up to 12 weeks. "Overall" is the median exposure estimate using all available data for each participant in the study. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).
    Time Frame Overall (Up to Week 12)

    Outcome Measure Data

    Analysis Population Description
    Pharmacokinetic (PK) analysis was performed in the PK population, defined as all participants from whom sparse blood samples were drawn and who received at least 1 dose of study medication.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    Measure Participants 24 29 26
    Median (Full Range) [ng·h/mL]
    35448
    68130
    40645
    10. Primary Outcome
    Title Plasma Concentrations of TMC435
    Description The table below shows the median (range) TMC435 predose plasma concentrations (C0h) and maximum concentration (Cmax) values for participants in each treatment group. "Overall" is the median exposure estimate using all available data for each participant in the study. NOTE: All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated (refer to Limits and Caveats).
    Time Frame Overall (Up to Week 12)

    Outcome Measure Data

    Analysis Population Description
    Pharmacokinetic (PK) analysis was performed in the PK population, defined as all participants from whom sparse blood samples were drawn and who received at least 1 dose of study medication.
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    Measure Participants 24 29 26
    Cmax
    2304
    3643
    2521
    C0h
    735
    2015
    921

    Adverse Events

    Time Frame Up to approximately 52 weeks (includes all serious and other adverse events that newly occurred or worsened after treatment with TMC435, PegIFNα-2b or ribavirin, until the end date of the last study medication intake + 28 days)
    Adverse Event Reporting Description
    Arm/Group Title Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Arm/Group Description Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks), followed by PR until Week 24 or Week 48. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 24. Treatment was to be stopped at Week 24 in participants who achieved plasma hepatitis C virus (HCV) ribonucleic acid (RNA) levels <1.2 log10 IU/mL detectable or undetectable at Week 4, and undetectable plasma HCV RNA levels at Week 12. All other participants continued PR until Week 48. Participants received TMC435 100 mg once daily with PegIFNa-2b and ribavirin (PR) for 12 weeks (Wks) followed by PR until Week 48.
    All Cause Mortality
    Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/24 (4.2%) 0/29 (0%) 1/26 (3.8%)
    Hepatobiliary disorders
    Hyperbilirubinaemia 1/24 (4.2%) 0/29 (0%) 0/26 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Peripheral T-cell lymphoma unspecified 0/24 (0%) 0/29 (0%) 1/26 (3.8%)
    Other (Not Including Serious) Adverse Events
    Treatment-Naive: TMC435 100 mg 12 Wks+PR 24/48 Prior Relapser: TMC435 100 mg 12 Wks+PR 24/48 Prior Non-Responder: TMC435 100 mg 12 Wks+PR 48
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 24/24 (100%) 29/29 (100%) 26/26 (100%)
    Blood and lymphatic system disorders
    Anaemia 11/24 (45.8%) 21/29 (72.4%) 8/26 (30.8%)
    Neutropenia 6/24 (25%) 2/29 (6.9%) 5/26 (19.2%)
    Leukopenia 4/24 (16.7%) 2/29 (6.9%) 1/26 (3.8%)
    Ear and labyrinth disorders
    Tinnitus 0/24 (0%) 2/29 (6.9%) 0/26 (0%)
    Eye disorders
    Dry eye 2/24 (8.3%) 0/29 (0%) 0/26 (0%)
    Gastrointestinal disorders
    Diarrhoea 6/24 (25%) 0/29 (0%) 6/26 (23.1%)
    Stomatitis 6/24 (25%) 6/29 (20.7%) 9/26 (34.6%)
    Nausea 4/24 (16.7%) 5/29 (17.2%) 2/26 (7.7%)
    Abdominal discomfort 3/24 (12.5%) 2/29 (6.9%) 4/26 (15.4%)
    Constipation 3/24 (12.5%) 1/29 (3.4%) 0/26 (0%)
    Cheilitis 2/24 (8.3%) 1/29 (3.4%) 3/26 (11.5%)
    Abdominal pain upper 1/24 (4.2%) 1/29 (3.4%) 2/26 (7.7%)
    Dental caries 0/24 (0%) 1/29 (3.4%) 3/26 (11.5%)
    General disorders
    Pyrexia 18/24 (75%) 27/29 (93.1%) 22/26 (84.6%)
    Malaise 12/24 (50%) 12/29 (41.4%) 14/26 (53.8%)
    Injection site reaction 11/24 (45.8%) 8/29 (27.6%) 12/26 (46.2%)
    Fatigue 6/24 (25%) 7/29 (24.1%) 1/26 (3.8%)
    Injection site erythema 5/24 (20.8%) 2/29 (6.9%) 1/26 (3.8%)
    Chills 2/24 (8.3%) 1/29 (3.4%) 1/26 (3.8%)
    Hepatobiliary disorders
    Hyperbilirubinaemia 2/24 (8.3%) 4/29 (13.8%) 3/26 (11.5%)
    Infections and infestations
    Nasopharyngitis 3/24 (12.5%) 7/29 (24.1%) 6/26 (23.1%)
    Cystitis 1/24 (4.2%) 1/29 (3.4%) 2/26 (7.7%)
    Investigations
    White blood cell count decreased 17/24 (70.8%) 16/29 (55.2%) 13/26 (50%)
    Neutrophil count decreased 11/24 (45.8%) 8/29 (27.6%) 7/26 (26.9%)
    Platelet count decreased 11/24 (45.8%) 6/29 (20.7%) 8/26 (30.8%)
    Haemoglobin decreased 10/24 (41.7%) 2/29 (6.9%) 5/26 (19.2%)
    Haematocrit decreased 8/24 (33.3%) 2/29 (6.9%) 1/26 (3.8%)
    Red blood cell count decreased 7/24 (29.2%) 2/29 (6.9%) 1/26 (3.8%)
    Blood albumin decreased 5/24 (20.8%) 1/29 (3.4%) 0/26 (0%)
    Blood bilirubin increased 5/24 (20.8%) 12/29 (41.4%) 6/26 (23.1%)
    Blood calcium decreased 5/24 (20.8%) 1/29 (3.4%) 1/26 (3.8%)
    Blood cholesterol decreased 5/24 (20.8%) 0/29 (0%) 1/26 (3.8%)
    Lymphocyte percentage increased 5/24 (20.8%) 0/29 (0%) 0/26 (0%)
    Bilirubin conjugated increased 4/24 (16.7%) 0/29 (0%) 0/26 (0%)
    Blood bilirubin unconjugated increased 4/24 (16.7%) 0/29 (0%) 0/26 (0%)
    Weight decreased 4/24 (16.7%) 3/29 (10.3%) 3/26 (11.5%)
    Eosinophil percentage increased 3/24 (12.5%) 0/29 (0%) 0/26 (0%)
    High density lipoprotein decreased 3/24 (12.5%) 0/29 (0%) 0/26 (0%)
    Lipase increased 3/24 (12.5%) 4/29 (13.8%) 0/26 (0%)
    Blood uric acid increased 2/24 (8.3%) 1/29 (3.4%) 0/26 (0%)
    Monocyte percentage increased 2/24 (8.3%) 0/29 (0%) 0/26 (0%)
    Alanine aminotransferase increased 1/24 (4.2%) 2/29 (6.9%) 0/26 (0%)
    Aspartate aminotransferase increased 1/24 (4.2%) 2/29 (6.9%) 0/26 (0%)
    Gamma-glutamyltransferase increased 1/24 (4.2%) 2/29 (6.9%) 0/26 (0%)
    Liver function test abnormal 0/24 (0%) 2/29 (6.9%) 0/26 (0%)
    Metabolism and nutrition disorders
    Decreased appetite 12/24 (50%) 12/29 (41.4%) 7/26 (26.9%)
    Hypocalcaemia 4/24 (16.7%) 0/29 (0%) 1/26 (3.8%)
    Hyperuricaemia 1/24 (4.2%) 0/29 (0%) 2/26 (7.7%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 11/24 (45.8%) 10/29 (34.5%) 6/26 (23.1%)
    Myalgia 8/24 (33.3%) 3/29 (10.3%) 10/26 (38.5%)
    Back pain 6/24 (25%) 5/29 (17.2%) 3/26 (11.5%)
    Arthritis 1/24 (4.2%) 2/29 (6.9%) 1/26 (3.8%)
    Musculoskeletal stiffness 1/24 (4.2%) 1/29 (3.4%) 2/26 (7.7%)
    Pain in extremity 1/24 (4.2%) 0/29 (0%) 2/26 (7.7%)
    Nervous system disorders
    Headache 11/24 (45.8%) 12/29 (41.4%) 13/26 (50%)
    Dysgeusia 4/24 (16.7%) 3/29 (10.3%) 1/26 (3.8%)
    Somnolence 2/24 (8.3%) 0/29 (0%) 0/26 (0%)
    Psychiatric disorders
    Insomnia 4/24 (16.7%) 4/29 (13.8%) 7/26 (26.9%)
    Renal and urinary disorders
    Pollakiuria 0/24 (0%) 1/29 (3.4%) 2/26 (7.7%)
    Respiratory, thoracic and mediastinal disorders
    Cough 4/24 (16.7%) 4/29 (13.8%) 2/26 (7.7%)
    Productive cough 4/24 (16.7%) 1/29 (3.4%) 1/26 (3.8%)
    Oropharyngeal pain 2/24 (8.3%) 2/29 (6.9%) 0/26 (0%)
    Skin and subcutaneous tissue disorders
    Alopecia 14/24 (58.3%) 9/29 (31%) 5/26 (19.2%)
    Rash 12/24 (50%) 8/29 (27.6%) 10/26 (38.5%)
    Pruritus 7/24 (29.2%) 7/29 (24.1%) 6/26 (23.1%)
    Erythema 3/24 (12.5%) 2/29 (6.9%) 1/26 (3.8%)
    Heat rash 0/24 (0%) 2/29 (6.9%) 0/26 (0%)
    Pruritus generalised 0/24 (0%) 2/29 (6.9%) 1/26 (3.8%)
    Vascular disorders
    Hypertension 2/24 (8.3%) 0/29 (0%) 0/26 (0%)

    Limitations/Caveats

    All outcome measures reported in this study are "Exploratory;" not "Primary" as indicated. "Primary" was chosen for each outcome measure because "Exploratory" is not available as an outcome measure type on this form.

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested by the sponsor in writing, the investigator will withhold such publication for up to an additional 60 days to allow for filing of a patent application.

    Results Point of Contact

    Name/Title Director
    Organization Janssen Pharmaceutical K.K., Japan
    Phone 81 3 44115639
    Email
    Responsible Party:
    Janssen Pharmaceutical K.K.
    ClinicalTrials.gov Identifier:
    NCT01366638
    Other Study ID Numbers:
    • CR017935
    • TMC435HPC3010
    First Posted:
    Jun 6, 2011
    Last Update Posted:
    May 5, 2014
    Last Verified:
    Apr 1, 2014