- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT00856804
Thalidomide Plus Peginterferon and Ribavirin in Patients With Interferon Resistance (TRITAL)
Usefulness of Adding Thalidomide to Peginterferon and Ribavirin in Patients With Hepatitis C and Resistance to Interferon. Phase II
INDICATION:
Patients with chronic hepatitis C, genotype 1 and non-responders to standard treatment for hepatitis C.
OBJECTIVES:
- ascertain the rate of sustained response in patients with hepatitis C, genotype 1 with peginterferon + ribavirin resistance.
- To know the response rate in 12 weeks
- Describe the tolerance and safety of thalidomide in combination with peginterferon and ribavirin.
DESIGN OF TEST Pilot Study:
The single arm study will:
1. Thalidomide 200 mg and peg-interferon alfa 2b (based on weight: 50-120 mcg / week) + ribavirin (based on weight: 1000-1200mg / day)
Be tracked for 24 weeks after treatment.
Suspended treatment of 12 weeks in patients who have failed a drop of HCV RNA> 2 log.
Patients who have been suspended for any reason, the treatment will be followed during 24 weeks, to assess safety parameters.
SUBJECT NUMBER: 10
연구 개요
연구 유형
등록 (예상)
단계
- 2 단계
연락처 및 위치
연구 장소
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Sevilla, 스페인, 41014
- 모병
- Hospital De Valme
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연락하다:
- Manuel Romero-Gomez, M.D. Ph.D
- 전화번호: +34 955015761
- 이메일: mromerogomez@us.es
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-
참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Men and women in non fertile age.
- HCV RNA detectable in serum.
- Chronic hepatitis C virus with non-cirrhotic compensated liver disease (clinical classification according to Child-Pugh Grade A) (Appendix 1).
- Genotype 1.
- Not responding to treatment with peginterferon alfa-2a in combination with Ribavirin.
- Effective contraceptive measures during treatment and for 6 months after treatment.
Exclusion Criteria:
Patients with any of the following will not be selected for treatment:
- Patients with liver biopsy compatible with cirrhosis F4 Metav classification.
- Patients diagnosed with diabetes or basal glycemia higher than 126 mg / dl
- Women and men of childbearing age
- Treatment with systemic antineoplastic or immunomodulatory (including suprafisiológicas doses of steroids and radiotherapy) 6 months before the first dose of treatment.
- Treatment with any investigational drug 6 weeks before the first dose of treatment.
- History or other evidence of any pathology associated with chronic liver disease than HCV.
- Signs or symptoms of hepatocellular carcinoma.
- History or other evidence of bleeding due to esophageal varices or other conditions consistent with decompensated liver disease.
- neutrophil count <1500 células/mm3 or platelet count <90,000 células/mm3 at Screening.
- Hb <12 g / dL in women or <13 g / dL in men, at the time of evaluation.
- Patients with baseline increased risk of anemia (eg thalassemia, spherocytosis, history of gastrointestinal bleeding, etc.). Or where the presence of anemia would be a medical problem.
- Patients with documented or presumed coronary artery disease or cerebrovascular disease should not be treated if in the opinion of the investigator, could not tolerate an adequately sharp decline in hemoglobin.
- serum creatinine> 1.5 times above the normal upper limit at the time of valuation.
- History of severe psychiatric illness, particularly depression. Is defined as a serious psychiatric illness requiring treatment with antidepressants or major tranquilizers in therapeutic doses required for major depression or psychosis, respectively, for at least 3 months at any time before or any of the following background: attempted suicide, hospitalization due to of psychiatric illness, or period of disability due to psychiatric illness.
- History of seizure disorder or current use of major anticonvulsants.
- History of immune disease, chronic lung disease associated with limited functionality, serious heart disease, congestive heart failure, advanced atherosclerosis, increased organ transplant or other signs of serious disease, neoplasia, or any other condition deemed by the investigator, prevent the patient is suitable for the study.
- A history of thyroid disease poorly controlled with medications prescribed, elevated concentrations of thyroid stimulating hormone (TSH) with increased thyroid peroxidase antibodies and any clinical manifestation of thyroid disease.
- Pathology involving a risk of acute renal function: dehydration (diarrhea, vomiting), fever, infectious states and / or hypotonic severe (shock, sepsis, urinary infection, neuropathy).
- Evidence of severe retinopathy (eg CMV retinitis, macular degeneration).
- Exploration programanada radiation with intravenous administration of contrast media (IVU, angiography).
- Evidence of drug use in the year prior to study.
- Consumption of alcohol.
- Inability or unwillingness to give informed consent or to comply with the requirements of the study.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위화되지 않음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
---|---|
실험적: 1
thalidomide added to peg-interferon + ribavirina
|
Open-label pilot study analyzing the impact of adding thalidomide (200 mg/d)to SOC on 12 weeks virological response in patients with chronic hepatitis C and interferon resistance.
다른 이름들:
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
---|---|
Virological response at week 12
기간: 36 months
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36 months
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2차 결과 측정
결과 측정 |
기간 |
---|---|
Sustained virological response 24 weeks after the end of therapy
기간: 36 months
|
36 months
|
Safety of using thalidomide together with SOC.
기간: 36 months
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36 months
|
공동 작업자 및 조사자
수사관
- 수석 연구원: Manuel Romero-Gomez, Prof., Valme University Hospital
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (예상)
연구 완료 (예상)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- TRITAL
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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