Status:

COMPLETED

Zepatier in Patients with Substance Use

Lead Sponsor:

University of Illinois at Chicago

Collaborating Sponsors:

Merck Sharp & Dohme LLC

Conditions:

Hepatitis C

Hiv

Eligibility:

All Genders

18+ years

Brief Summary

The goal of this study is to assess hepatitis C virus (HCV) treatment with Zepatier (elbasvir/grazoprevir) in HCV monoinfected and human immunodeficiency virus (HIV)-HCV co-infected, HCV treatment-naï...

Detailed Description

Previously, people who use substances and those without liver fibrosis or cirrhosis were excluded from receiving direct-acting antiviral (DAA) treatment due to Illinois Medicaid restrictions. These so...

Eligibility Criteria

Inclusion

  • Adults (at least 18 years of age or older)
  • Chronic HCV (HCV antibody positive with detectable HCV-RNA)
  • HCV genotypes 1a, without the presence of baseline NS5A resistance (specifically, polymorphisms at amino acid positions 28, 30, 31, or 93), 1b, or 4
  • HCV treatment-naïve or peginterferon/ribavirin-experienced
  • Managed by the UI Health Infectious Diseases Clinic or Liver Clinic
  • Recent or current substance use (per self-report or electronic medical record (EMR) data within 90 days of the screening visit, with or without positive baseline urine toxicology), inclusive of one or more of the following: Opiate substitution therapy; Prescription medication misuse (including: opiates, sedatives, tranquilizers, hypnotics, and psychostimulants); Illicit substances; Injection drug use; Alcohol

Exclusion

  • Incarcerated
  • Pregnant or breastfeeding
  • Decompensated liver disease (Child-Pugh B or C)
  • Albumin below 3 g/dL
  • Platelet count below 75,000
  • Unwilling to commit to treatment and/or monitoring
  • Poor venous access inhibiting laboratory collection
  • Any condition considered by the investigators to be a contraindication to study participation
  • Hepatitis B virus (HBV) surface antigen (HBsAg) positive

Key Trial Info

Start Date :

September 20 2019

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

September 9 2022

Estimated Enrollment :

25 Patients enrolled

Trial Details

Trial ID

NCT04048850

Start Date

September 20 2019

End Date

September 9 2022

Last Update

January 28 2025

Active Locations (1)

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1

University of Illinois at Chicago

Chicago, Illinois, United States, 60612