Pilot Study of Patients Chronic Hepatitis C in Co-infected HIV Patients Relapsers After Previous Therapies (PILOT-NR)
Treatment of Patients With Chronic Hepatitis C Co-infected With HIV Relapsers or Non Responders, Previous Exposed to Sub-optimal Therapies: Open, Pilot Trial
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
An important number of co-infected patients were treated suboptimally in the past with others ineffective therapies interferon-based.
All co-infected patients should be an opportunity of retreatment with actually therapies.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
-
-
Madrid
-
Madrid., Madrid, Spanien, 28029
- Hospital Carlos III
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Male and female patients between 18 and 65 years of age
- Anti-HCV positive
- Detectable plasma HCV-RNA
- Relapsers after treatment with interferon o peginterferon +/- ribavirin
- HIV positive
- CD4 >/= 200 cell
Patients on clinically stable liver disease with:
- Hgb >/= 12 g/dL in women or 13 g/dL in men
- Leucocytes >/= 3000 mm3
- Neutrophil count (ANC) >/= 1500 cells/mm3
- Platelet count >/= 100.000 cells/mm3
- Normal prothrombin, bilirubin, albumin, creatinine and uric acid
- HBsAg negative
- With antecedents of diabetes or hypertension is necessary an previous ocular exploration
Exclusion Criteria:
- Women with ongoing pregnancy or breast feeding
- Positive test at screening for anti-HAV IgM Ab, HBsAg, anti-HBc IgM Ab, HBeAg
- Hemochromatosis
- Deficit of alfa-1 antitrypsin
- Wilson disease
- Alcoholic liver disease
- Autoimmune hepatitis
- Hepatitis by toxin exposures
- Hepatitis by obesity
- Hemoglobinopathy (e.g. thalassemia)
- History or other evidence of bleeding from esophageal varices or other conditions consistent with decompensated liver disease
- Hepatocarcinoma observed in the liver ecography.
- History of severe psychiatric disease, especially depression. Severe psychiatric disease is defined as treatment with an antidepressant medication or a major tranquilizer at therapeutic doses for major depression or psychosis, respectively, for at least 3 months at any previous time or any history of the following: a suicidal attempt, hospitalization for psychiatric disease, or a period of disability due to a psychiatric disease
- History of a severe seizure disorder or current anticonvulsant use
- History of significant cardiac disease that could be worsened by acute anemia (e.g. NYHA Functional Class III or IV, myocardial infarction within 6 months, ventricular tachyarrhythmias requiring ongoing treatment, unstable angina)
- Diabetes Mellitus
- History of immunologically mediated disease (e.g., inflammatory bowel disease, idiopathic thrombocytopenic purpura, lupus erythematosus, autoimmune hemolytic anemia, scleroderma, severe psoriasis, rheumatoid arthritis)
- History or other evidence of chronic pulmonary disease associated with functional limitation
- Drug use within 6 months of 1st dose and excessive alcohol consumption.
- Concomitant treatment with ddI
- Male partners of women who are pregnant
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Peginterferon alfa-2a plus ribavirin
|
PegInterferon 180 mcg/week, Adjusted body weight Ribavirin (1000 mg <75 kg, 1200 mg >75 kg)
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
% of patients with RNA-HCV undetectable
Tidsramme: 24 weeks after end of treatment
|
24 weeks after end of treatment
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
% of patients with RNA-HCV undetectable at different moments of the treatment according genotype, viremia, liver fibrosis, number of CD4 cells and previous therapy
Tidsramme: At weeks 4, 12, 24 and 48 on treatment
|
At weeks 4, 12, 24 and 48 on treatment
|
|
Ribavirin levels
Tidsramme: At weeks 4, 12, 24 and 48 on treatment
|
At weeks 4, 12, 24 and 48 on treatment
|
|
Impact of dose reduction peg-interferon and/or ribavirin
Tidsramme: At weeks 4, 12, 24 and 48 on treatment
|
At weeks 4, 12, 24 and 48 on treatment
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Vicente Soriano, Dr, Hospital Carlos III. Madrid. Spain
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdomme i fordøjelsessystemet
- RNA-virusinfektioner
- Virussygdomme
- Infektioner
- Blodbårne infektioner
- Overførbare sygdomme
- Leversygdomme
- Flaviviridae infektioner
- Hepatitis, viral, menneskelig
- Enterovirus infektioner
- Picornaviridae infektioner
- Hepatitis
- Hepatitis A
- Hepatitis C
- Hepatitis, kronisk
- Hepatitis C, kronisk
- Molekylære mekanismer for farmakologisk virkning
- Anti-infektionsmidler
- Antivirale midler
- Antimetabolitter
- Ribavirin
- Peginterferon alfa-2a
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 2005-001192-34
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