Status:
UNKNOWN
Study for Patients With Chronic HCV (GT 1 or 3) Who Relapsed to Previous (Peg)Interferon/ Ribavirin Combination Therapy
Lead Sponsor:
University of Hamburg-Eppendorf
Collaborating Sponsors:
Universitätsklinikum Hamburg-Eppendorf
Hoffmann-La Roche
Conditions:
Hepatitis C, Chronic
Relapse
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
The aim of this study is, to compare the relapse rate in chronic HCV patients with genotype 1 or 3 under the combination of standard dose Peg-Interferon alfa-2a (PEG-IFN alfa-2a), Ribavirin (RBV) and ...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- Relapsers to previous combination therapy with (PEG-)IFN alfa-/Ribavirin and a negative HCV-RNA test result at the end of this regular treatment course and positive HCV-RNA test result during the follow-up period.
- Termination of (PEG-)IFN alfa-/ribavirin therapy at least 3 months prior to enrolment
- Chronic HCV infection genotype 1 or 3.
- Serum HCV-RNA quantifiable at \>100 IU/mL by COBAS AmpliPrep or another quantitative HCV-RNA PCR test (reported in IU)
- Compensated liver disease (Child-Pugh A)
- Exclusion of HCC in patients with cirrhosis or transition to cirrhosis. In patients with AFP \>50 ng/mL an established assay for exclusion of HCC has to be done
- Negative urine or blood pregnancy test
- All fertile males and females must use two reliable forms of effective contraception (combined) during treatment with study drugs and 6 months post treatment
- Exclusion Criteria (at screening):
- Hypersensitiveness to Interferon, PEG-IFN alfa-2a, Ribavirin and Amantadine or other ingredient of the drugs
- Ongoing pregnancy or breast feeding
- Male partners of women who are pregnant or with women without effective contraception
- Signs or symptoms of hepatocellular carcinoma
- Chronic HCV infection genotype 2, 4, 5 or 6
- Therapy with any systemic anti-viral, anti-neoplastic or immunomodulatory treatment \< 6 months prior to the first dose of study drug and during study period. Exception: patients who have had a limited (\< 7 days) course of acyclovir or valacyclovir for herpetic lesions \< 1 month prior to the first administration of test drug are not excluded.
- Any investigational drug \< 6 weeks prior to the first dose of study drug
- Positive test for anti-HAV IgM, HBsAg, anti-HBc IgM, anti-HIV
- History or other evidence of a medical condition associated with chronic liver disease other than HCV
- History or other evidence of decompensated liver disease or a Child-Pugh score \> 6.
- Hb \<12 g/dL (\<120 g/L) in women or \<13 g/dL (\<130 g/L) in men at screening
- Any patient with an increased baseline risk for anemia or for whom anemia would be medically problematic
- Neutrophil count \<1,500 cells/mm3 and/or platelet count \<90,000 cells/mm3
- Serum creatinin concentration \>1.5 mg/dl
- History of severe psychiatric disease, especially depression.
- History of a severe seizure disorder that can not be stabilized by medication
- History of immunologically mediated disease
- Chronic pulmonary disease associated with functional limitation
- History of severe cardiac disease
- History of major organ transplantation except corneatransplantation
- Evidence of severe illness, malignancy, or any other conditions which would make the patient, in the opinion of the investigator, unsuitable for the study
- Thyroid dysfunction not adequately controlled
- Evidence of severe retinopathy or clinically relevant ophthalmological disorder due to diabetes mellitus or hypertension
- Evidence of active drug abuse within one year of study entry except of a prescribed stable opioid substitution
- Take of Memantine during study period
- Cardiomyopathy and myocarditis
- AV-Block II° and III°
- Pre-existing bradycardia \< 55 counts/min
- Known QT-interval (QTc after Bazett \> 420 ms) or recognized U-waves or congenital QT-syndrome
- History of severe ventricular arrhythmia incl. Torsade de pointes
- Simultaneous therapy with Budipin or other medicine that extend the QT-interval like (e.g.antiarrhythmic drugs class IA and class III, antipsychotic drugs, tri- and tetracyclic antidepressants, antihistaminics, macrolide, gyrase inhibitors, Azol-antimykotics)
- Patients with obstructive glaucoma
- Patients with excitableness and confusion
- Patients with delirium and exogenic psychosis in the anamnesis
- Prostataadenome
- Diuretic medication of the type combination Triamterene/ Hydrochlorothiazide
- Inability or unwillingness to provide informed consent or abide by the requirements of the study
Exclusion
Key Trial Info
Start Date :
November 1 2005
Trial Type :
INTERVENTIONAL
End Date :
Estimated Enrollment :
300 Patients enrolled
Trial Details
Trial ID
NCT00299923
Start Date
November 1 2005
Last Update
March 9 2007
Active Locations (27)
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1
Universitätsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, Germany, 79106
2
Universitätsklinikum Ulm
Ulm, Baden-Wurttemberg, Germany, 89081
3
Universitätsklinikum Mannheim
Mannheim, Baden-Würtemberg, Germany, 68167
4
Universitätsklinikum Heidelberg
Heidelberg, Baden-Württembeg, Germany, 69120