Table 2.
Efficacy outcomes of the telaprevir phase II randomized-controlled trials in treatment-naïve patients with genotype 1 HCV. In each trial, patients were randomized to one of the featured treatment regimens: telaprevir for 12 weeks with pegylated interferon-α2a (pegIFN) and ribavirin for 12 weeks (T12PR12); 12 weeks of telaprevir with 24 weeks of pegIFN and ribavirin (T12PR24); 12 weeks of telaprevir with 48 weeks of pegIFN and ribavirin (T12PR48); 12 weeks of telaprevir with 12 weeks of pegIFN (T12P12); or 12 weeks of placebo with 48 weeks of pegIFN and ribavirin (the control group, PR48). Telaprevir was dosed at 750 mg 8-hourly after a 1250 mg loading dose. PegIFN and ribavirin were given at standard doses. Breakthrough refers to an increase of >1 log10 unit from nadir or >100 IU/mL of previously undetectable HCV RNA during treatment; relapse refers to undetectable HCV RNA at the end of treatment but detectable during 24 weeks of follow up. SVR, sustained virological response.
Study | Number of participants | Duration of treatment | Treatment regimen (number of patients) | SVR | Relapse | Breakthrough |
---|---|---|---|---|---|---|
PROVE 1 [McHutchison et al. 2009] | 250 | 12–48 weeks | T12PR12 (17) T12PR24 (79) T12PR48 (79) PR48 (75) |
35% 61% 67% 41% |
33% 2% 6% 23% |
7% of all telaprevir-treated patients |
PROVE 2 [Hezode et al. 2009] | 334 | 12–48 weeks | T12PR12 (82) T12PR24 (81) T12P12 (78) PR48 (82) |
60% 69% 36% 46% |
30% 14% 48% 22% |
1% 5% 24% 1% |