- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00811967
Inhibition of Disease Progression in Hepatitis C-infected Patients With Compensated Liver Cirrhosis (P03811) (COMPLETED)
Inhibition of Disease Progression in Hepatitis C-infected Patients With Compensated Liver Cirrhosis
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Phase
- Phase 3
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
Patients with compensated hepatic cirrhosis secondary to chronic hepatitis C who would meet all the inclusion criteria below and would not interfere with any of the exclusion criteria below.
- Patients (regardless of gender) who can take contraceptive measures from date of informed consent to the end of follow-up
Patients who meet all the criteria below in the test/observation/ investigation in 30 days before the beginning of treatment.
- Patients with quantitative HCV-RNA (+)
- ALT > 40 IU/L
- Patients who are classified as Child-Pugh Classification A, and who do not have ascites or hepatic encephalopathy
- Prothrombin Time <=3.0 seconds prolonged, total bilirubin <= 1.5 mg/dL or direct bilirubin <= 0.7 mg/dL, Albumin >= 3.0 g/dL
- AFP within normal limits, AFP-L3 <= 10%,PIVKA-II <= 100 mAU/mL
- Serum creatinine <= upper limit of normal, creatinine clearance >= 51 mL/minute
- Patients with fasting blood glucose < 110 mg/dL.
- Thyroid-stimulating hormone within normal limits
- Hemoglobin level >= 12 g/dL,leukocyte count >= 3,000/mm3,neutrophil count >= 1,500 /mm3,platelet count >= 80,000/mm3
- Patients who weighs more than 40 kg and not more than 100 kg within 60 days prior to registration
- Patients who were diagnosed with liver cirrhosis (fibrosis score: F4) based on the liver biopsy performed within a year prior to registration and is able to provide with liver tissue sample.
- Patients who between the ages of 20 and 70 years at time of informed consent who can give written informed consent
- Patients who can be hospitalized at least for 14 days from the initiation of treatment.
Exclusion Criteria:
- Patients who have been administered pegylated interferon or ribavirin in the past.
- Patients who had previously received treatment with IFN for whom at least 90 days have not elapsed since the end of previous treatment by the time of registration in the study
- Patients who have received treatment within 14 days prior to registration with the injectable preparations containing glycyrrhizin/cysteine/glycyron (Stronger Neo-Minophagen C, etc.), or shosaikoto
- Patients who have had antiviral drug or antitumor drug, or immune regulation therapy (including steroid administration, radiation therapy) within 90 days prior to registration. [except for topical application and external drug]
- Patients who have been administered any study drug within 180 days prior to registration.
Patients who meet the following criteria in the screening test
- HBs antigen positive
- antinuclear antibody >= 320 times
- Patients with or who have a history of primary biliary cirrhosis, hepatic failure, hepatocellular carcinoma.
- Patients with other etiologies of liver disease such as autoimmune, alcoholic and drug-induced liver diseases
- Patients with or who have a history of decompensated cirrhosis with following disorder. Ascites, jaundice, bleeding varices, esophageal and/or gastric varices which needs treatment, hepatic encephalopathy, and spontaneous bacterial peritonitis.
- Patients with hemophilia
- Patients with or who have a history of neuropsychiatry disorder such as depression.
- Patients with or who have a history of epileptic seizures requiring treatment
- Patients with or who have a history of angina pectoris, heart failure, myocardial infarction, uncontrollable hypertension (diastolic blood pressure: equal to or more than 110mmHg) or arrhythmia which needs treatment.
- Patients with chronic pulmonary disease
- Patients with or who have a history of autoimmune disease (Crohn's disease, ulcerative colitis, chronic rheumatoid arthritis, idiopathic thrombocytopenic purpura, systemic lupus erythematosus, autoimmune hemolytic anemia, scleroderma, etc).
- Patients with Hemoglobinopathies (thalassaemia, sickle cell anemia)
- Patients with malignant tumors
- Patients with organ transplants (other than cornea and hair transplant).
- Patients with a history of hypersensitivity to interferon preparations, biological products such as vaccine, or nucleoside analogs
- Female patients who are pregnant or nursing (male patients with partner who are pregnant), and for whom pregnancy cannot be ruled out by serum HCG test conducted during the screening period
- Patients with specific reaction to PEG-IFNα-2b in prick test conducted before the initiation of treatment(Only PEG/R group)
- Other patients judged by the investigator (sub-investigator) to be inappropriate for inclusion in this study
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Expérimental: Bras de traitement
|
PegIntron administered at a dose of 1.5 ug/kg QW SC for up to 48 weeks
Autres noms:
Rebetol administered at a dose of 600, 800, or 1000 mg/day, orally, for up to 48 weeks.
Autres noms:
|
Aucune intervention: Bras de commande
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
---|---|
Sustained virologic response rate, defined as the proportion of subjects with undetectable HCV-RNA at 24-week post-treatment follow-up
Délai: Measured at 24 weeks post-treatment
|
Measured at 24 weeks post-treatment
|
Mesures de résultats secondaires
Mesure des résultats |
Délai |
---|---|
Rate of subject with undetectable HCV-RNA at the end of treatment (or at discontinuation of treatment)
Délai: Measured at the end of treatment (or at discontinuation of treatment)
|
Measured at the end of treatment (or at discontinuation of treatment)
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Maladies du système digestif
- Processus pathologiques
- Infections par virus à ARN
- Maladies virales
- Infections
- Infections transmissibles par le sang
- Maladies transmissibles
- Attributs de la maladie
- Maladies du foie
- Infections à Flaviviridae
- Hépatite, virale, humaine
- Infections à entérovirus
- Infections à Picornaviridae
- Hépatite chronique
- Fibrose
- Évolution de la maladie
- Hépatite
- Hépatite A
- Hépatite C
- La cirrhose du foie
- Hépatite C chronique
- Effets physiologiques des médicaments
- Mécanismes moléculaires de l'action pharmacologique
- Agents anti-infectieux
- Agents antiviraux
- Antimétabolites
- Facteurs immunologiques
- Interféron-alpha
- Ribavirine
- Peginterféron alfa-2b
Autres numéros d'identification d'étude
- P03811
- JPC-02-320-34
Plan pour les données individuelles des participants (IPD)
Données/documents d'étude
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .
Essais cliniques sur PegIntron (peginterferon alfa-2b; SCH 54031)
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Merck Sharp & Dohme LLCComplétéHépatite D chronique | Hépatite B chronique
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Merck Sharp & Dohme LLCComplétéHépatite C chronique
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