Study on Chronic Hepatitis C Treatment With Interferon Alpha, Ribavirin and Amantadine in Naive Patients

September 1, 2005 updated by: UMC Utrecht
* Adding Amantadine to standard anti-viral treatment can improve sustained response rates in patients with chronic hepatitis C

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The CIRA-study is a double blind, placebo controlled, randomised, multicentre study in previously untreated patients suffering from chronic hepatitis C comparing double therapy, consisting of (PEG-)interferon alpha 2b ((PEG)Intron-A®) and ribavirin (Rebetol®), with triple therapy, consisting of (PEG-)interferon alpha 2b, ribavirin and amantadine, for 52 weeks. Follow-up is completed at week 104. 150 Subjects per treatment group will be included. Patients will be stratified before randomisation according to genotype (1 versus non-1). Viral load will not be a discriminating factor.

The aim is to investigate the efficacy of the adjunct amantadine to the currently used combination therapy with interferon alpha and ribavirin.

Study Type

Interventional

Enrollment

390

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Netherlands
      • Utrecht, Netherlands, 3508 GA
        • UMC Utrecht

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Anti-HCV positivity >6 months
  • ALT and/or AST elevation on at least once in the previous 6 months
  • Positive HCV-RNA
  • Liver biopsy within one year before the start of therapy in non- cirrhosis. In the case of known cirrhosis, liver biopsy is not necessary
  • Intention to be treated and participate treatment
  • Obtained written informed consent

Exclusion Criteria:

  • Age < 18 years
  • Pregnancy or intention to get pregnant within the 12 months period of treatment and up to 6 months after discontinuation of therapy, no adequate contraception, lactation
  • Men not practicing or willing to practice acceptable methods of contraception during the treatment period and up to 6 months after discontinuation of therapy
  • Life expectancy < 1 year
  • Child Pugh B or C (Appendix III)
  • Creatinine > 150 μmol/L or > 1.70 mg/dl
  • Haemoglobulin < 6.5 mmol/l or < 10.5 g/dl
  • White blood cell count < 2,5 x 109/L, neutrophil < 1,5 x 109/L
  • Platelet count < 70 x 109/L
  • HIV positivity
  • Chemotherapy, systematical antiviral treatment during the 6 months prior to study entry
  • Other serious disease (e.g. malignancy, uncontrolled myocardial disease or severe arrhythmias)
  • Active uncontrolled psychiatric disorders and suicidal leanings
  • Patients with a history of uncontrolled seizure or other significant CNS dysfunction
  • Any condition which in the opinion of the (co-)investigator might interfere with the evaluation of the study objectives

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: DOUBLE

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Response rate at end of treatment and end of follow-up (sustained response rate)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

UMC Utrecht

Investigators

  • Principal Investigator: Karel v. Erpecum, MD, PhD, UMC Utrecht, dept. Gastroenterology
  • Principal Investigator: Melvin Samsom, MD, PhD, UMC Utrecht, dept gastroenterology

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

February 1, 2000

Study Completion

January 1, 2007

Study Registration Dates

First Submitted

September 1, 2005

First Submitted That Met QC Criteria

September 1, 2005

First Posted (ESTIMATE)

September 5, 2005

Study Record Updates

Last Update Posted (ESTIMATE)

September 5, 2005

Last Update Submitted That Met QC Criteria

September 1, 2005

Last Verified

September 1, 2005

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CIRA-study

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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