Efficacy and Safety Study of PEG-IFN-SA and Ribavirin to Treat Chronic Hepatitis C
Multi-center, Randomized, Open-label, Parallel-group, Active Controlled Study for the Efficacy and Safety of Pegylated Recombinant Consensus Interferon Variant Solution for Injection in the Treatment of Chronic Hepatitis C
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Detailní popis
Typ studie
Typ studie
Zápis (Aktuální)
Zápis
Fáze
Fáze
- Fáze 3
Kontakty a umístění
Studijní místa
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Beijing, Čína
- Peking University First Hospital
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Beijing, Čína
- Beijing Ditan Hospital, Capital Medical University
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Beijing, Čína
- Beijing Youan Hospital, Capital Medical University
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Beijing, Čína
- Peking University People's Hospital
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Beijing, Čína
- 302 Military Hospital of China
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Beijing, Čína
- Beijing Youyi Hospital, capital Medical University
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Beijing, Čína
- General Hospital of Beijing Military Region
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Chongqing, Čína
- The Second Affiliated Hospital of Chongqing Medical University
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Chongqing, Čína
- Chongqing Southwest Hospital
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Shanghai, Čína
- Shanghai Public Health Clinical Center
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Tianjin, Čína
- Tianjin Infectious Disease Hospital
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Gansu
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Lanzhou, Gansu, Čína
- First Affiliated Hospital of Lanzhou University
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Guangdong
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Guangzhou, Guangdong, Čína
- Guangzhou Eighth People's Hospital
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Guangzhou, Guangdong, Čína
- Nanfang Hospital Southern Medical Unbiversity
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Guangxi
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Nanning, Guangxi, Čína
- The First Affiliated Hospital of Guangxi Medical University
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Hebei
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Shijiazhuang, Hebei, Čína
- Third Affiliated Hospital, Hebei Medical University
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Heilongjiang
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Harbin, Heilongjiang, Čína
- The Second Affiliated Hospital of Harbin Medical University
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Henan
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Xinxiang, Henan, Čína
- The First Affiliated Hospital of Xinxiang Medical University
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Zhengzhou, Henan, Čína
- Henan Provincial People's Hospital
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Hubei
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Wuhan, Hubei, Čína
- Tongji Hospital, Tongji Medical College Huazhong University of Science & Technology
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Wuhan, Hubei, Čína
- Zhongnan Hospital of Wuhan University
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Wuhan, Hubei, Čína
- Union hospital, Tongji Medical College Huazhong University of Science & Technology
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Hunan
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Changsha, Hunan, Čína
- The Second Xiangya Hospital of Central South University
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Changsha, Hunan, Čína
- Xiangya Hospital Central-South University
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Jiangsu
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Nanjing, Jiangsu, Čína
- Jiangsu Province Hospital
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Nanjing, Jiangsu, Čína
- The Second Hospital of Nanjing
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Jiangxi
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Nanchang, Jiangxi, Čína
- First Affiliated Hospital of Nanchang University
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Jilin
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Changchun, Jilin, Čína
- The first Affiliated Hospital of Jilin University
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Yanji, Jilin, Čína
- Yanbian University Hospital (Yanbian Hospital)
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Liaoning
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Shenyang, Liaoning, Čína
- The Sixth People's Hospital of Shenyang
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Shaanxi
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Xi'an, Shaanxi, Čína
- First Affiliated Hospital of Medical College of Xian jiaotong University
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Xi'an, Shaanxi, Čína
- Second Affiliated Hospital Of Medical College of Xian Jiaotong University
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Xi'an, Shaanxi, Čína
- Tangdu hospital,fourth military medical university
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Shandong
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Jinan, Shandong, Čína
- Qilu Hospital of Shandong University
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Jinan, Shandong, Čína
- Jinan Infectious Disease Hospital
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Qingdao, Shandong, Čína
- Qingdao Municipal Hospital
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Shanxi
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Taiyuan, Shanxi, Čína
- The First Hospital of Shanxi Medical University
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Sichuan
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Chengdu, Sichuan, Čína
- West China Hospital, Sichuan University
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Chengdu, Sichuan, Čína
- Sichuan Academy of Medical Science &Sichuan Provincial People's Hospital
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Xinjiang
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Urumqi, Xinjiang, Čína
- The First Teaching Hospital of Xinjiang Medical University
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Zhejiang
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Wenzhou, Zhejiang, Čína
- The First Affiliated Hospital of Wenzhou Medical University
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
- Age 18- 65 years
- Body Mass Index (BMI) 18-30
- Chronic hepatitis C , diagnosed according to Chinese guideline of Hepatitis C (year 2004)
- Detectable serum HCV-RNA by quantitative polymerase chain reaction assay and positive anti-HCV antibody
- Female subjects of childbearing age with no history of menopause and negative pregnancy test, both female and male( including their partners ) subjects were required to conduct adequate contraception since screening until the 6 months after treatment
- Volunteered to participate in this study, understood and signed an informed consent
Exclusion Criteria:
- Previous IFN treated patients
- Hepatotoxic drugs was systematically used more than two weeks within past 6 months
- Systemic therapy with potent immunomodulatory agents such as adrenocorticotropic hormone, thymosin α1, etc more than two weeks within past 6 months, not including corticosteroid nasal sprays, inhaled steroids and / or topical steroids
- Co-infection with HAV, HBV, HEV, EBV, CMV and HIV
- Evidences of hepatic decompensation, including but not limited to serum total bilirubin> 2 times the upper limit of normal (ULN); serum albumin <35g/L; prothrombin activity (PTA) <60%; ascites, upper gastrointestinal bleeding and hepatic encephalopathy; Child-Pugh score B/C grade
- Diagnosed with primary hepatocellular carcinoma or supported by evidences including but not limited to AFP> l00ng/ml, suspicious liver nodules by imaging examinations
- Liver diseases from causes other than HCV infection, including alcoholic liver disease, non-alcoholic steatohepatitis, drug-induced hepatitis, autoimmune hepatitis (antinuclear antibody titer higher than 1:100), hepatolenticular degeneration (Wilson's disease) and hemochromatosis, etc.
- White blood cell count <3×109/L; Neutrophil count<1.5×109/L; platelet count<90×109/L; hemoglobin below the lower limit of normal
- Serum creatinine above the ULN
- Serum creatine kinase> 3 ULN
- Diabetes mellitus or Poorly controlled Thyroid Diseases
- Poorly controlled hypertension (systolic blood pressure> 140mmHg, or diastolic blood pressure> 90 mmHg) with hypertension -related retinal lesions
- Immunodeficiency or autoimmune diseases including but not limited to inflammatory bowel disease, systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, scleroderma, Sjogren's syndrome, autoimmune thrombocytopenia, etc.
- Psychiatric and nervous system disorders, including history of Psychiatric illness or with family history (especially depression, depressive tendencies, epilepsy and hysteria, etc.)
- Severe cardiovascular diseases (New York Heart Association functional class (NYHA) Ⅲ level and above, myocardial infarction occurred within past 6 months or PTCA performed within past 6 months, unstable angina, uncontrolled arrhythmias)
- Serious blood disorders (all kinds of anemia, hemophilia, etc.)
- Severe kidney disease (chronic kidney disease, renal insufficiency, etc.)
- Serious digestive diseases (gastrointestinal ulcers, colitis, etc.)
- Severe respiratory disease (pneumonia, chronic obstructive pulmonary disease, interstitial lung disease, etc.)
- Retinal disease (retinal exfoliation, macular hole, retinal tumors, etc.)
- Malignancies
- Function organs transplant
- Allergies or severe allergies, especially allergic to study drugs or any ingredients of the study drugs
- Evidence of alcohol or drug abuse (average alcohol consumption male> 40g / day, female> 20g / day)
- Pregnant or lactating women
- Usage of prohibition drugs in this study
- Participated in other clinical trials 3 months prior to the screening
- Unwilling to sign the informed consent and adhere to treatment requirements
- Other conditions not suitable for study judged by investigators
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
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Experimentální: PEG-IFN-SA /RBV T1(Genotype2,3)
PEG-IFN-SA/RBV, 1.5μg/kg/week im and RBV 1000mg-1200mg/d po bid(BW<75kg,1000mg/d; BW≥75kg, 1200mg/d),24 weeks
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Aktivní komparátor: Pegasys /RBV C1(Genotype 2,3)
Pegasys 180μg/week and RBV 1000mg-1200mg/d bid depending on body weight(BW),(BW<75kg,1000mg/d;BW≥75kg,1200mg/d)for 24 weeks
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Experimentální: PEG-IFN-SA /RBV T2(Non-genotype 2,3)
PEG-IFN-SA 1.5μg/kg/week and RBV 1000mg-1200mg/d bid depending on body weight(BW),(BW<75kg,1000mg/d;BW≥75kg,1200mg/d)for 48 weeks
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Aktivní komparátor: Pegasys /RBV C2(Non-genotype 2,3)
Pegasys 180μg/week and RBV 1000mg-1200mg/d bid depending on body weight(BW),(BW<75kg,1000mg/d;BW≥75kg,1200mg/d)for 48 weeks
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Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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SVR (sustained virologic response)
Časové okno: 24 weeks after 24 or 48 weeks of study therapy
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defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at 24 weeks after the end of SVR (sustained virologic response) defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at 24 weeks after the end of treatment
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24 weeks after 24 or 48 weeks of study therapy
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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RVR(rapid virologic response)
Časové okno: weeks 4 of study therapy
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defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at weeks 4
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weeks 4 of study therapy
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cEVR (complete early virologic response)
Časové okno: weeks 12 of study therapy
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defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at weeks 12
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weeks 12 of study therapy
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ETVR( end of treatment virologic response)
Časové okno: weeks 24 of study therapy for genotype 2,3, and weeks 48 of study therapy for non-genotype 2,3
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defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at the end of treatment
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weeks 24 of study therapy for genotype 2,3, and weeks 48 of study therapy for non-genotype 2,3
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eRVR ( extended rapid virologic response)
Časové okno: weeks 4 and 12 of study therapy
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defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at weeks 4 and 12
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weeks 4 and 12 of study therapy
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No-responses
Časové okno: weeks 12 or weeks 24 of study therapy
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defined as the proportion of patients who had less than a <2 log IU/ml plasma HCV RNA decline at weeks 12 or had detectable plasma HCV RNA at weeks 24
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weeks 12 or weeks 24 of study therapy
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Breakthrough
Časové okno: weeks 12, 24 of study therapy for genotype 2,3, and weeks 12, 24 and 48 of study therapy for non-genotype 2,3
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defined as the proportion of patients who had detectable plasma HCV RNA at any point during treatment after virological response( undetectable plasma HCV RNA)
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weeks 12, 24 of study therapy for genotype 2,3, and weeks 12, 24 and 48 of study therapy for non-genotype 2,3
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Relapse
Časové okno: 12 and 24 weeks after 24 or 48 weeks of study therapy
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defined as the proportion of patients who had undetectable HCV RNA at the end of treatment, but reappearance of HCV RNA after the then
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12 and 24 weeks after 24 or 48 weeks of study therapy
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Vyšetřovatelé
Vyšetřovatelé
- Vrchní vyšetřovatel: Cheng jun, MD, PhD, Beijing Ditan Hospital
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia
Začátek studia
Primární dokončení (Aktuální)
Primární dokončení
Dokončení studie (Aktuální)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhad)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Odhad)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
- Nemoci trávicího systému
- RNA virové infekce
- Virová onemocnění
- Infekce
- Infekce přenášené krví
- Přenosné nemoci
- Onemocnění jater
- Infekce Flaviviridae
- Hepatitida, virová, lidská
- Enterovirové infekce
- Infekce Picornaviridae
- Hepatitida
- Žloutenka typu A
- Hepatitida C
- Hepatitida, chronická
- Hepatitida C, chronická
- Antiinfekční látky
- Antivirová činidla
- Peginterferon alfa-2a
Další identifikační čísla studie
Další identifikační čísla studie
- KAWIN-002-2
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