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临床试验/NCT00530972
NCT00530972已完成4 期

Treatment of Patients With Chronic Hepatitis C Co-infected With HIV Relapsers or Non Responders, Previous Exposed to Sub-optimal Therapies: Open, Pilot Trial

Hospital Carlos III, Madrid1 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2006年3月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
发起方
入组人数
50
试验地点
1
主要终点
% of patients with RNA-HCV undetectable

研究概览

简要总结

To determine the efficacy and safety of Peginterferón alfa-2a (40 KD) plus Ribavirin in patients who have relapsed or not responded to a previous suboptimal therapy based in Interferon.

详细描述

An important number of co-infected patients were treated suboptimally in the past with others ineffective therapies interferon-based.

All co-infected patients should be an opportunity of retreatment with actually therapies.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male and female patients between 18 and 65 years of age
  • Anti-HCV positive
  • Detectable plasma HCV-RNA
  • Relapsers after treatment with interferon o peginterferon +/- ribavirin
  • HIV positive
  • CD4 >/= 200 cell
  • Patients on clinically stable liver disease with:
  • Hgb >/= 12 g/dL in women or 13 g/dL in men
  • Leucocytes >/= 3000 mm3
  • Neutrophil count (ANC) >/= 1500 cells/mm3
  • Platelet count >/= 100.000 cells/mm3
  • Normal prothrombin, bilirubin, albumin, creatinine and uric acid
  • HBsAg negative
  • With antecedents of diabetes or hypertension is necessary an previous ocular exploration

排除标准

  • Women with ongoing pregnancy or breast feeding
  • Positive test at screening for anti-HAV IgM Ab, HBsAg, anti-HBc IgM Ab, HBeAg
  • Hemochromatosis
  • Deficit of alfa-1 antitrypsin
  • Wilson disease
  • Alcoholic liver disease
  • Autoimmune hepatitis
  • Hepatitis by toxin exposures
  • Hepatitis by obesity
  • Hemoglobinopathy (e.g. thalassemia)
  • History or other evidence of bleeding from esophageal varices or other conditions consistent with decompensated liver disease
  • Hepatocarcinoma observed in the liver ecography.
  • History of severe psychiatric disease, especially depression. Severe psychiatric disease is defined as treatment with an antidepressant medication or a major tranquilizer at therapeutic doses for major depression or psychosis, respectively, for at least 3 months at any previous time or any history of the following: a suicidal attempt, hospitalization for psychiatric disease, or a period of disability due to a psychiatric disease
  • History of a severe seizure disorder or current anticonvulsant use
  • History of significant cardiac disease that could be worsened by acute anemia (e.g. NYHA Functional Class III or IV, myocardial infarction within 6 months, ventricular tachyarrhythmias requiring ongoing treatment, unstable angina)
  • Diabetes Mellitus
  • History of immunologically mediated disease (e.g., inflammatory bowel disease, idiopathic thrombocytopenic purpura, lupus erythematosus, autoimmune hemolytic anemia, scleroderma, severe psoriasis, rheumatoid arthritis)
  • History or other evidence of chronic pulmonary disease associated with functional limitation
  • Drug use within 6 months of 1st dose and excessive alcohol consumption.
  • Concomitant treatment with ddI
  • Male partners of women who are pregnant

研究组 & 干预措施

Peginterferon alfa-2a plus ribavirin

Experimental

干预措施: Peginterferon alfa-2a plus ribavirin adjusted to body weight (Drug)

结局指标

主要结局

% of patients with RNA-HCV undetectable

时间窗: 24 weeks after end of treatment

次要结局

  • % of patients with RNA-HCV undetectable at different moments of the treatment according genotype, viremia, liver fibrosis, number of CD4 cells and previous therapy(At weeks 4, 12, 24 and 48 on treatment)
  • Ribavirin levels(At weeks 4, 12, 24 and 48 on treatment)
  • Impact of dose reduction peg-interferon and/or ribavirin(At weeks 4, 12, 24 and 48 on treatment)

研究者

发起方
Hospital Carlos III, Madrid
申办方类型
Other

研究点 (1)

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