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Safety Study of Recombinant Interferon Variant(PEG-IFN-SA) to Treat HCV Disease (PEG-IFN-SA)

23 januari 2016 bijgewerkt door: Yanhua Ding, The First Hospital of Jilin University

Phase I Clinical Trial of PEG-IFN-SA in HCV Disease: Evidence for Drug Safety, Tolerance, and Antiviral Activity

The purpose of this study is to determine whether PEG-IFN-SA is safe, tolerant and effective in the treatment of HCV patients.

Studie Overzicht

Toestand

Voltooid

Interventie / Behandeling

Gedetailleerde beschrijving

Chronic infection with the hepatitis C virus (HCV) is a significant public health problem in china. Progressive liver disease, as a result of chronic HCV infection, usually develops slowly over 20-50 years and may lead to cirrhosis, hepatocellular carcinoma, liver failure and eventual death. Symptoms are typically mild and non-specific but nevertheless can cause a decrease in quality of life. Peginterferon alfa and ribavirin combination therapy is currently used in the china for treatment of chronic HCV. Successful treatment is considered to be attainment of a sustained virological response (SVR), defined as undetectable serum HCV ribonucleic acid (RNA) 6 months after cessation of treatment.

PEG-IFN-SA is a new recombinant interferon variant. Its N-terminus is modified by 20KD molecular weight single-methoxy polyethylene glycol (PEG). It consists of 171 amino acids before modification. PEG-IFN-SA is reorganization, unnatural existence and a new type of interferon (171Arg126Asp171IFN) after modification. The safety, tolerance and antiviral activity of PEG-IFN-SA was tested in adults with HCV infection.

PEG-IFN-SA was injected subcutaneously one times per week for 12 times. Peginterferon alfa-2a (Pegasys) is the positive control drug. 80 patients were randomly assigned to eight groups (PEG-IFN-SA 1.0μg/kg, Peginterferon alfa-2a 180 μg, PEG-IFN-SA 1.5 μg/kg,PEG-IFN-SA 2 μg/kg, PEG-IFN-SA 3 μg/kg,PEG-IFN-SA 1.5μg/kg + ribavirin 0.45g/bid group,Intergen 15μg/48hours for 7 times and ribavirin 0.45g/bid for 10 times).

Clinical and biological adverse effects were recorded every week such as headache, nausea and vomiting. HCV RNA level was tested by COBAS Taqman HCV Test system of Roche. Blood cell counts were tested using an automatic cell counter such as WBC, neutrophil, PLT and HGB. Biochemical indicators were tested by automatic biochemical analysis instrument.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

80

Fase

  • Fase 2
  • Fase 1

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • Jilin
      • Changchun, Jilin, China, 13021
        • Phase One Clinical Trial ward, First Hospital, Jilin University

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

20 jaar tot 65 jaar (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  1. enrolled voluntarily, can understand and sign informed consent;
  2. More than 18 years and less than 65 years;
  3. body mass index (BMI) is at 18 - 26;
  4. anti-HCV antibodies and / or HCV RNA positive, and / or other evidence of chronic hepatitis C;
  5. HCV RNA level ≥ 2000IU/ml (or equal to this viral load);
  6. Women's urine pregnancy test was negative, and the subjects (male subjects) is willing to have no pregnancy plans at next 18 months. (7) ALT is within 6 times of the upper limit of normal

Exclusion Criteria:

  1. pregnant women, lactating women or plan to pregnant the next 18 months.
  2. mental disorder, including history of mental illness (especially the history of depression or depressive tendencies, epilepsy, etc.);
  3. The patient who received interferon therapy within the past six months or had no response at previous interferon therapy.
  4. The patient who used a strong immune regulator over two weeks with three months before screening, such as adrenocorticotropic hormone, thymosin of α1, thymus 5 peptide.
  5. The patient who used hepatotoxic drugs with 6 months before screening, such as dapsone, erythromycin, fluconazole, ketoconazole, rifampin.
  6. co-infection with other viruses (HAV, HBV, HEV, the HIV, EBV, CMV) .
  7. patients with a history of hepatocellular carcinoma (HCC), or may had hepatocellular carcinoma evidence, such as imaging of suspicious nodules, or AFP abnormal (AFP> 200ng/mL). FibroScan value greater than or equal to F3 at Screening
  8. other causes of liver disease: a chronic alcoholic hepatitis, drug-induced hepatitis, autoimmune liver disease, nonalcoholic steatohepatitis.
  9. autoimmune diseases, including psoriasis, systemic lupus erythematosus, thrombocytopenic purpura, and so on.
  10. heart and vascular system diseases, a history of myocarditis, hypertension, coronary heart disease, pathological arrhythmia, stroke.
  11. endocrine system diseases, including thyroid disease, diabetes, etc.
  12. pulmonary diseases, including invasive pulmonary disease, pneumonia, shortness of breath.
  13. Eye diseases, including retinopathy, retinopathy.
  14. chronic infectious disease history (history of tuberculosis).
  15. chronic kidney disease, serum creatinine level> 1.5 times upper limit of normal at screening, renal insufficiency, renal anemia history.
  16. anemia (including thalassemia, sickle hemoglobin, anemia), and hemophilia.
  17. peptic ulcer not controlled, colitis, pancreatitis and others.
  18. malignancies.
  19. peripheral blood checking: white blood cell count <3 × 109 / L; neutrophil count <1.5 x 109 / L; platelet count <90 × 109 / L; hemoglobin was less than the normal reference limit.
  20. serum total bilirubin> 2 times normal maximum reference value (ULN); serum albumin <35g / L; a history of decompensated cirrhosis evidence.
  21. evidence of drug addiction (including excessive alcohol intake, average alcohol consumption: men> 40g / day; women> 20g / day, equivalent to 50 degrees white wine 100ml / day and 50ml / day) within one year before screening.
  22. a serious history of drug and food allergy, especially towards the test drug (interferon, ribavirin).
  23. plans to accept an organ transplant or have organ transplant.
  24. participated other clinical trials before 3 months at screening
  25. The researchers judged the patients have other factors which may influence the experiment.

ribavirin exclusion criteria:

  1. women Hgb <12g/dl or men Hgb <13gdl at screening.
  2. anemia patients (eg, thalassemia, spherocytosis hyperlipidemia, gastrointestinal bleeding history) or suspected anemia patients.
  3. patients have a history of coronary artery disease or patients with cerebrovascular disease should not join this study, hemoglobin decline up to 4g/dl (it may be observed in the ribavirin treatment).

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: NVT
  • Interventioneel model: Opdracht voor een enkele groep
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: recombinant interferon
PEG-IFN-SA 1.0μg/kg for 12 times, Peginterferon alfa-2a 180 μg for 12 times, PEG-IFN-SA 1.5 μg/kg for 12 times, PEG-IFN-SA 2 μg/kg for 12 times, PEG-IFN-SA 3 μg/kg for 12 times, PEG-IFN-SA 1.5μg/kg + ribavirin 0.45g/bid group for 12 times, Intergen 15μg/48hours for 7 times, ribavirin 0.45g/bid for 10 times
PEG-IFN-SA (new interferon) was injected subcutaneously one times per week for 12 times.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Tijdsspanne
The proportions of absence of detectable HCV RNA after the 12th treatment
Tijdsspanne: 12th week
12th week

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
The proportions of absence of detectable HCV RNA after the 4th and 8th treatment
Tijdsspanne: 4th and 8th week
4th and 8th week
HCV RNA levels after the 4th, 8th and 12th treatment
Tijdsspanne: the 4th, 8th and 12th week
the 4th, 8th and 12th week
The test of Liver function
Tijdsspanne: the 2th, 4th, 6th, 8th,10th and 12th week
Liver function test:TBIL,IBIL, ALT, AST;
the 2th, 4th, 6th, 8th,10th and 12th week
The test of Kidney function
Tijdsspanne: the 2th, 4th, 6th, 8th,10th and 12th week
Kidney function test:BUN, CR;
the 2th, 4th, 6th, 8th,10th and 12th week
The test of Peripheral blood
Tijdsspanne: the 2th, 4th, 6th, 8th,10th and 12th week
Peripheral blood detection:WBC, RBC, HgB,PLT, neutrophil
the 2th, 4th, 6th, 8th,10th and 12th week

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Studie directeur: yanhua ding, associate professor, First Hospital, Jilin University

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start

1 juni 2011

Primaire voltooiing (Werkelijk)

1 december 2013

Studie voltooiing (Werkelijk)

1 december 2013

Studieregistratiedata

Eerst ingediend

10 mei 2012

Eerst ingediend dat voldeed aan de QC-criteria

23 mei 2012

Eerst geplaatst (Schatting)

25 mei 2012

Updates van studierecords

Laatste update geplaatst (Schatting)

26 januari 2016

Laatste update ingediend die voldeed aan QC-criteria

23 januari 2016

Laatst geverifieerd

1 januari 2016

Meer informatie

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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