- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica 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
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Tipo di studio
Iscrizione (Effettivo)
Fase
- Fase 3
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
---|---|
Sperimentale: Braccio di trattamento
|
PegIntron administered at a dose of 1.5 ug/kg QW SC for up to 48 weeks
Altri nomi:
Rebetol administered at a dose of 600, 800, or 1000 mg/day, orally, for up to 48 weeks.
Altri nomi:
|
Nessun intervento: Braccio di controllo
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
---|---|
Sustained virologic response rate, defined as the proportion of subjects with undetectable HCV-RNA at 24-week post-treatment follow-up
Lasso di tempo: Measured at 24 weeks post-treatment
|
Measured at 24 weeks post-treatment
|
Misure di risultato secondarie
Misura del risultato |
Lasso di tempo |
---|---|
Rate of subject with undetectable HCV-RNA at the end of treatment (or at discontinuation of treatment)
Lasso di tempo: Measured at the end of treatment (or at discontinuation of treatment)
|
Measured at the end of treatment (or at discontinuation of treatment)
|
Collaboratori e investigatori
Sponsor
Studiare le date dei record
Studia le date principali
Inizio studio
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
- Malattie dell'apparato digerente
- Processi patologici
- Infezioni da virus a RNA
- Malattie virali
- Infezioni
- Infezioni a trasmissione ematica
- Malattie trasmissibili
- Attributi della malattia
- Malattie del fegato
- Flaviviridae Infezioni
- Epatite, virale, umana
- Infezioni da enterovirus
- Infezioni da Picornaviridae
- Epatite cronica
- Fibrosi
- Progressione della malattia
- Epatite
- Epatite A
- Epatite C
- Cirrosi epatica
- Epatite C, cronica
- Effetti fisiologici delle droghe
- Meccanismi molecolari dell'azione farmacologica
- Agenti antinfettivi
- Agenti antivirali
- Antimetaboliti
- Fattori immunologici
- Interferone-alfa
- Ribavirina
- Peginterferone alfa-2b
Altri numeri di identificazione dello studio
- P03811
- JPC-02-320-34
Piano per i dati dei singoli partecipanti (IPD)
Dati/documenti di studio
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
Prove cliniche su Cirrosi epatica
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Medical College of WisconsinRitiratoModello alto per il punteggio MELD (end-stage Liver Disease).Stati Uniti
Prove cliniche su PegIntron (peginterferon alfa-2b; SCH 54031)
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Merck Sharp & Dohme LLCCompletatoEpatite D, cronica | Epatite B, cronica
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Merck Sharp & Dohme LLCCompletatoEpatite C, cronica
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Merck Sharp & Dohme LLCTerminato
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