Methods | Multicenter randomised clinical trial | |
Participants | 52 participants Sex: 35 men, 17 women Mean age: 44 years Countries: France, UK, Italy, and Sweden Inclusion criteria: 18–65 years; chronic infection with either genotype 2 or genotype 3 HCV (serum HCV RNA > 10,000 IU/mL); absolute neutrophil count > 1500 mm3 and platelet count > 100,000 mm3; no prior treatment for HCV Exclusion criteria: relevant concomitant medical condition; decompensated liver disease or cirrhosis, or other significant liver disease; HIV or HBV co‐infection; peg‐IFN or RBV contraindication; a history of alcohol or illicit drug use; pregnancy/breast feeding |
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Interventions | The participants were randomised according to genotype 2 and 3 Experimental group 1: oral 750 mg telaprevir every 8th hour for 2 weeks Experimental group 2: oral 750 mg telaprevir every 8th hour + peg‐IFN‐α‐2a 180 µg once weekly plus RBV 400 mg twice daily for 2 weeks Control group: telaprevir placebo (every 8 h) plus peg‐IFN‐α‐2a 180 µg once weekly plus RBV 400 mg twice daily for 2 weeks Co‐intervention: The peg‐IFN‐α‐2a and RBV were a co‐intervention between control group and experimental group 2 during treatment period, and all participants received peg‐IFN‐α‐2a 180 g once weekly plus RBV 400 mg twice daily for 24 weeks after treatment. |
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Outcomes | Viral kinetics, efficacy and safety assessment | |
Notes | We emailed Foster and colleagues on 21 April 2016 for additional information (randomisation, blinding, death, missing data) but reply not received yet. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described (central randomisation system) |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding of participants and personnel (performance bias) All outcomes | High risk | The monotherapy group was not blinded |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not described |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | More than 5% percent dropped out (7 participants) |
Selective reporting (reporting bias) | Low risk | All outcomes stated in the protocol were assessed |
Vested‐interest bias | Unclear risk | The trial was funded by Janssen Pharmaceuticals and Vertex Pharmaceuticals) |
Other bias | Low risk | The trial appeared to be free of other components that could put it at risk of bias |