Methods | Randomised phase IIb clinical trial | |
Participants | 211 participants Sex: 131 men, 80 women Mean age: 49.5 years Countries: Australia, Austria, Belgium, Canada, Chile, Czech Republic, France, Germany, Israel, Korea, Lithuania, New Zealand, Poland, South Korea, Sweden, Taiwan, Thailand, UK, and USA Inclusion criteria: treatment‐experienced non‐cirrhotic adults chronic genotype 1 HCV‐infected participants whose previous treatments with P/R had failed, a minimum of 25% of participants prior null responders, men and women 18–65 years of age, and baseline HCV RNA > 4 x 105 IU/mL. Exclusion criteria: non‐HCV‐related chronic hepatitis, HIV co‐infection, evidence of cirrhosis on liver biopsy or approved non‐invasive imaging, or any other condition contraindicated for treatment with P/R |
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Interventions | 4 different experimental arms Experimental group 1: oral MK‐7009 600 mg twice daily for 24 weeks. Experimental group 2: oral MK‐7009 600 mg twice daily for 24 weeks and 24 weeks of placebo for 24 weeks. Experimental group 3: oral MK‐7009 300 mg twice daily for 48 weeks. Experimental group 4: oral MK‐7009 600 mg twice daily for 48 weeks. Control group: placebo for 48 weeks. Co‐intervention: peg‐IFN 180 μg weekly and RBV 1000–1200 mg/day for 24–48 weeks. |
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Outcomes | Safety assessment, SVR. | |
Notes | We emailed Lawitz and colleagues on 26 April 2016 for additional information on randomisation, blinding, dealing with missing data, baseline characteristics for IL28B genotype but reply not received yet. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | The trial was described as being double‐blinded but it was unclear how the blinding was performed |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | The trial was described as being double‐blinded but it was unclear how the blinding was performed |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Above 5% dropouts, and it was unclear how the trial handled missing data |
Selective reporting (reporting bias) | Low risk | All outcomes in the protocol were reported on. NCT00704405 |
Vested‐interest bias | High risk | The trial was funded by Merck, Sharp & Dohme Corp |
Other bias | Low risk | The trial appeared to be free of other components that could put it at risk of bias |