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临床试验/EUCTR2008-004864-38-DE
EUCTR2008-004864-38-DE进行中(未招募)不适用

A Phase 2b, Safety and Efficacy Study of Boceprevir in Patients Coinfected with HIV and Hepatitis C

Schering Plough Research Institute, A Division of Schering Corporation0 个研究点目标入组 99 人开始时间: 2009年7月13日最近更新:
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试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
99

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • The subject must fulfill ALL the criteria listed below for entry:
  • 1. Each subject must be willing and able to provide written informed consent
  • 2. Subject must be =18 and =65 years of age
  • 3. Subject must have a body weight =40 and =125 kg
  • 4. Subject must have a documented history of HIV infection for greater than 6
  • months prior to Day 1
  • 5. Subject must be on an optimized anti-retroviral treatment regimen (OTR) with
  • stable HIV disease with CD4 =200 cells/mcL and HIV-1 RNA viral load <50
  • 6. Subject must have documented CHC genotype 1 infection (HCV infection
  • greater than 6 months prior to Day 1). Subjects with other or mixed
  • genotypes are not eligible. The HCV-RNA result obtained at the Screening
  • Visit must confirm genotype 1 infection and be =10,000 IU/mL
  • 7. Subject must have a liver biopsy with histology consistent with CHC and no
  • other etiology. Copies of the pathology report and histology slides (suitable for
  • evaluation by the trial central pathologist) are required for the subject to be
  • included in the trial. The trial site must be able to access the pathology report
  • and histology slides prior to subject randomization. Two unstained slides are
  • preferred; however, one slide stained with hematoxylin plus eosin (H and E)
  • plus one slide stained with Masson’s trichrome will be accepted (slides should
  • be reviewed by the investigator to confirm adequacy). The central
  • pathologist’s reading will be used for analysis purposes only; randomization
  • will be performed based on the local report
  • a. If no cirrhosis is present: The liver biopsy must be within 2 years of the
  • Screening Visit
  • b. If cirrhosis is present: Any historic liver biopsy demonstrating cirrhosis
  • will be accepted regardless of the length of time since biopsy.
  • Refer to Appendix 1 for the Scoring Systems for Hepatic Fibrosis
  • c. If the timing of the liver biopsy does not meet the criteria outlined in
  • Inclusion Criteria Nos. 7a and 7b, a liver biopsy may be performed
  • between Screening and Day 1 (only if the subject’s Screening Visit
  • confirms that the subject meets the other trial inclusion criteria)
  • 8. Subject with bridging fibrosis or cirrhosis must have an ultrasound within 6
  • months of the Screening Visit (or between Screening and Day 1) with no
  • findings suspicious for hepatocellular carcinoma (HCC)
  • 9. Subject and subject’s heterosexual partner(s) must each agree to use
  • acceptable methods of contraception for at least 2 weeks prior to Day 1 and continue until at least 6 months after last dose of trial medication, or longer if dictated by local regulations
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Clinical Exclusion Criteria:
  • 1. Prior HCV treatment except herbal remedies must be discontinued except silymarin
  • 2. Coinfected w/ hepatitis B virus or signs/symptoms of infection
  • 3. Decompensated liver disease: ascites, bleeding varices, or hepatic encephalopathy
  • 4. Anti-retroviral regimen change w/in 3 months (except zidovudine, didanosine, stavudine) efavirenz, etravirine, nevirapine & HIV protease inhibitors w/out ritonavir
  • 5. Use of zidovudine, didanosine, stavudine, efavirenz, etravirine, nevirapine w/in 1 month & during the trial
  • 6. Significant opportunistic infections w/in 1yr
  • 7. Diabetic & hypertensive subjects w/ocular findings: retinopathy, cotton wool spots, optic nerve disorder, retinal hemorrhage, or any abnormality
  • 8. Pre-existing psychiatric condition:
  • a. Moderate or severe depression
  • b. Depression associated with:
  • 1) Hospitalization
  • 2) Electroconvulsive Therapy
  • 3) Prolonged work absence or disruption of daily functions
  • c. Suicidal or homicidal ideation/attempt
  • d. Severe psychiatric disorders
  • e. Lithium use
  • f. Antipsychotic drug
  • 9. Substance abuse: alcohol, intravenous drugs, inhalational (not marijuana), psychotropics, narcotics, cocaine, prescription or OTC drugs or history of polysubstance abuse (=3)
  • 10. Clinical diagnosis w/in 6 months of substance abuse
  • Clinical diagnosis requires:
  • a. Documentation w/in 6 months of a low risk for psychiatric exacerbation induced by interferon
  • b. Documentation of compliance by an HIV viral load <400 copies/mL for = 1yr
  • 11. Receiving opiate agonist substitution therapy but not in a substitution maintenance program
  • 12. Marijuana deemed excessive or interfering w/subject's life. Stop use of recreational marijuana prior to trial
  • 13. Pre-existing medical condition interfering with participation
  • a. Central nervous system trauma requiring intubation, intracranial pressure monitoring, brain meningeal or skull surgery, or resulting in seizure, coma, permanent neurologic deficits, abnormal brain imaging, cerebrospinal fluid
  • leak, or prior brain hemorrhage and/or intracranial aneurysms
  • b. Seizure disorder unless seizure was >10 years ago, an isolated event, no anti-seizure medications prescribed, &
  • a normal neurological examination documented w/in 6 months
  • c. Stroke or transient ischemic attack
  • d. Immunologically-mediated disease
  • e. Chronic pulmonary disease
  • f. Significant cardiac abnormalities/dysfunctions including uncontrolled hypertension, or history of antianginal agents for cardiac conditions
  • g. Conditions requiring, or likely to require, chronic systemic administration of corticosteroids
  • h. Active clinical gout w/in 1 year
  • i. Hemoglobinopathy
  • j. Myelodysplastic syndromes
  • k. Coagulopathy
  • l. Organ transplants other than cornea & hair
  • m. Poor venous access precluding routine blood sampling
  • n. Indwelling venous catheters
  • o. Gastric surgery or malabsorption disorders
  • 14. Malignancy w/in the last 5yrs
  • 15. Subjects pregnant or nursing, who intend to become pregnant, & male subjects w/partners who are, or intend to become pregnant
  • 16. Other conditions unsuitable for enrollment or could interfere w/participating
  • 17. Intent to or participation in other clinical trials w/in 30 days of randomization. Collection of blood, urine, or tissue samples or data, beyond this protocol, is prohibited
  • 18. Treatment w/an investigational drug w/in 30 days of randomization
  • 19. Site personnel involved w/the trial
  • 20. Family members of the trial staff
  • 另有 1 项未显示

研究者

发起方
Schering Plough Research Institute, A Division of Schering Corporation

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