Status:

UNKNOWN

Hepatitis C (HCV) Cure and Kidney Health

Lead Sponsor:

San Francisco Veterans Affairs Medical Center

Collaborating Sponsors:

Merck Sharp & Dohme LLC

Conditions:

Hepatitis C

Eligibility:

All Genders

18+ years

Brief Summary

The purpose of this study is to learn how 12 weeks of HCV treatment with elbasvir and grazoprevir (brand name Zepatier) impacts your kidney function.

Detailed Description

Prospective data collection of 25 Genotype 1 or 4 HCV-infected women from the San Francisco Women's Interagency HIV Study (WIHS) site and 25 Genotype 1 or 4 HCV-infected men from the San Francisco VA ...

Eligibility Criteria

Inclusion

  • 1\. Active Genotype 1 or 4 HCV infection (If with Genotype 1a infection, only those without baseline NS5A resistance mutation will be included; Genotype 4 HCV infection is uncommon in both study populations). Subjects with HIV coinfection are included. We will not exclude patients who have severe Chronic Kidney Disease, are on dialysis, or have undergone kidney transplant.

Exclusion

  • HCV genotype 2, 3, 5, or 6 infection
  • Previous virologic failure to regimens containing an NS5A inhibitor
  • Decompensated liver disease (Child-Pugh Class B or C)
  • Albumin below 3g/dL
  • Platelet count below 75,000
  • Any condition that the investigator considers a contraindication to study participation including limited life expectancy
  • Pregnant or breastfeeding woman
  • Hepatitis B virus (HBV) surface antigen positive (Note: Patients positive for the HBV core antibody will not be excluded, but will have HBV DNA levels checked and will be monitored while on Direct Acting Antivirals (DAA) therapy and medically managed as considered appropriate)
  • Documented ongoing nonadherence to prescribed medications or medical treatment, failure to complete HCV disease evaluation appointments and procedures or unable to commit to scheduled followup/monitoring for the duration of treatment
  • Poor venous access not allowing screening laboratory collection
  • Known hypersensitivity to elbasvir/grazoprevir
  • Co-administration with drugs that are 1) strong CYP3A inducers (e.g., phenytoin, carbamazepine, rifampin); 2) OATP1B1/3 inhibitors (e.g., cyclosporine, darunavir, atazanavir, tipranavir, lopinavir or saquinavir) or 3) efavirenz

Key Trial Info

Start Date :

March 27 2018

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 31 2019

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT03407703

Start Date

March 27 2018

End Date

December 31 2019

Last Update

April 18 2018

Active Locations (2)

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Page 1 of 1 (2 locations)

1

University of California, San Francisco

San Francisco, California, United States, 94115

2

San Francisco VA Medical Center

San Francisco, California, United States, 94121