Study of Hepatic Responses in Patients Receiving Direct-acting Anti-HCV Drugs
This study is designed to obtain and store samples of serum and liver tissue in HCV (HepC Virus)-infected patients being treated with direct-acting antiviral (DAA) therapy, and to determine the effect of new DAA therapies on HCV-related responses in the liver and peripheral blood.
The introduction of new DAAs regimens that do not include IFN provides unique and novel opportunities to examine whether successful treatment-induced eradication of viral antigen results in reconstitution of T cell immunity. serum and liver tissue samples will be collected and stored in hopes of improving treatment and outcomes for future patients.
研究概览
详细说明
This study is designed to obtain and store samples of serum and liver tissue in HCV-infected patients being treated with DAA therapy.
A liver biopsy will be performed pre-treatment for research reasons. A small liver sample that is not required for pathologic analysis will also be stored. Patients will undergo another liver biopsy at either 4 or 12 weeks after initiation of DAA therapy.
Any patients with HCV-related liver disease (age > 18) will be considered for this study.
Patients will have a 120 ml blood draw for research purposes at baseline and 12 weeks after stopping DAA treatment along with a 60 ml blood draw at 2, 4, 8, and 12 weeks of treatment.
The liver biopsy at baseline and then either at 4 or 12 weeks will be examined using molecular techniques to measure transcription of key genes involved in the antiviral response.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Colorado
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Aurora、Colorado、美国、80045
- Sandra Boimbo
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria
- Signed informed consent
- Ages 18-70
- HCV-infected patients being treated with direct-acting antiviral (DAA) therapy.
Exclusion Criteria
- Pregnant women or females of childbearing potential that are not on contraception
- Institutionalized or mentally disabled persons
- Prisoners
- Unwilling or unable to provide informed consent
- Subjects who are HIV positive
- Anticipated inability to follow up
- Chronic anemia
- Platelet count < 100 for liver biopsy patients who have documented fatty liver disease by ultrasound prior to enrollment
- Any patient with bleeding disorders or prolonged INR
- Abstinent or consuming less than two drinks of alcohol per day.
- Clinical hepatic decompensation (i.e., ascites, encephalopathy or variceal hemorrhage).
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
干预/治疗 |
---|---|
Patients who will have their second Liver biopsy at week 4
The 4 week time point is performed in lieu of the 12 week and the purpose of this time point is to evaluate earlier responses and transcriptional changes that might predict viral clearance or treatment failure in a subset of patients.
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patients will get a research liver biopsy pre-DAA treatment and either 4 or the standard 12 week time point.
The liver biopsy is performed using standard protocol with ultrasound guidance.
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Patients who will have their second Liver biopsy at week 12
Liver biopsies will be obtained at week 12 when most DAA treatments end in order to compare the hepatic responses induced or reduced by clearance of HCV
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patients will get a research liver biopsy pre-DAA treatment and either 4 or the standard 12 week time point.
The liver biopsy is performed using standard protocol with ultrasound guidance.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Changes in gene array from baseline to either 4 or 12 weeks after treatment.
大体时间:1 year
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To examine the effect of new DAA therapies on HCV-related responses in the liver and peripheral blood.
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1 year
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合作者和调查者
调查人员
- 首席研究员:Hugo Rosen, MD、University of Colorado, Denver
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
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