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
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienorte
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Beijing, China
- Peking University First Hospital
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Beijing, China
- Beijing Ditan Hospital, Capital Medical University
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Beijing, China
- Beijing Youan Hospital, Capital Medical University
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Beijing, China
- Peking University People's Hospital
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Beijing, China
- 302 Military Hospital of China
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Beijing, China
- Beijing Youyi Hospital, capital Medical University
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Beijing, China
- General Hospital of Beijing Military Region
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Chongqing, China
- The Second Affiliated Hospital of Chongqing Medical University
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Chongqing, China
- Chongqing Southwest Hospital
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Shanghai, China
- Shanghai Public Health Clinical Center
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Tianjin, China
- Tianjin Infectious Disease Hospital
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Gansu
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Lanzhou, Gansu, China
- First Affiliated Hospital of Lanzhou University
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Guangdong
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Guangzhou, Guangdong, China
- Guangzhou Eighth People's Hospital
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Guangzhou, Guangdong, China
- Nanfang Hospital Southern Medical Unbiversity
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Guangxi
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Nanning, Guangxi, China
- The First Affiliated Hospital of Guangxi Medical University
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Hebei
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Shijiazhuang, Hebei, China
- Third Affiliated Hospital, Hebei Medical University
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Heilongjiang
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Harbin, Heilongjiang, China
- The Second Affiliated Hospital of Harbin Medical University
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Henan
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Xinxiang, Henan, China
- The First Affiliated Hospital of Xinxiang Medical University
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Zhengzhou, Henan, China
- Henan Provincial People's Hospital
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Hubei
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Wuhan, Hubei, China
- Tongji Hospital, Tongji Medical College Huazhong University of Science & Technology
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Wuhan, Hubei, China
- Zhongnan Hospital of Wuhan University
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Wuhan, Hubei, China
- Union hospital, Tongji Medical College Huazhong University of Science & Technology
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Hunan
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Changsha, Hunan, China
- The Second Xiangya Hospital of Central South University
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Changsha, Hunan, China
- Xiangya Hospital Central-South University
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Jiangsu
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Nanjing, Jiangsu, China
- Jiangsu Province Hospital
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Nanjing, Jiangsu, China
- The Second Hospital of Nanjing
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Jiangxi
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Nanchang, Jiangxi, China
- First Affiliated Hospital of Nanchang University
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Jilin
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Changchun, Jilin, China
- The first Affiliated Hospital of Jilin University
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Yanji, Jilin, China
- Yanbian University Hospital (Yanbian Hospital)
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Liaoning
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Shenyang, Liaoning, China
- The Sixth People's Hospital of Shenyang
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Shaanxi
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Xi'an, Shaanxi, China
- First Affiliated Hospital of Medical College of Xian jiaotong University
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Xi'an, Shaanxi, China
- Second Affiliated Hospital Of Medical College of Xian Jiaotong University
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Xi'an, Shaanxi, China
- Tangdu hospital,fourth military medical university
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Shandong
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Jinan, Shandong, China
- Qilu Hospital of Shandong University
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Jinan, Shandong, China
- Jinan Infectious Disease Hospital
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Qingdao, Shandong, China
- Qingdao Municipal Hospital
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Shanxi
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Taiyuan, Shanxi, China
- The First Hospital of Shanxi Medical University
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Sichuan
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Chengdu, Sichuan, China
- West China Hospital, Sichuan University
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Chengdu, Sichuan, China
- Sichuan Academy of Medical Science &Sichuan Provincial People's Hospital
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Xinjiang
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Urumqi, Xinjiang, China
- The First Teaching Hospital of Xinjiang Medical University
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Zhejiang
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Wenzhou, Zhejiang, China
- The First Affiliated Hospital of Wenzhou Medical University
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: 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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|
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Aktiver Komparator: 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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Experimental: 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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Aktiver Komparator: 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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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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SVR (sustained virologic response)
Zeitfenster: 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
|
24 weeks after 24 or 48 weeks of study therapy
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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RVR(rapid virologic response)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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
|
|
eRVR ( extended rapid virologic response)
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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)
|
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
Zeitfenster: 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
|
12 and 24 weeks after 24 or 48 weeks of study therapy
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Cheng jun, MD, PhD, Beijing Ditan Hospital
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des Verdauungssystems
- RNA-Virusinfektionen
- Viruserkrankungen
- Infektionen
- Durch Blut übertragene Infektionen
- Übertragbare Krankheiten
- Leberkrankheiten
- Flaviviridae-Infektionen
- Hepatitis, viral, menschlich
- Enterovirus-Infektionen
- Picornaviridae-Infektionen
- Hepatitis
- Hepatitis A
- Hepatitis C
- Hepatitis, chronisch
- Hepatitis C, chronisch
- Antiinfektiva
- Antivirale Mittel
- Peginterferon alfa-2a
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- KAWIN-002-2
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