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Triple-Therapy in Patients With HCV Genotype 3 Who Previously Failed Treatment

Phase 3
Completed
Conditions
Hepatitis C
Interventions
Registration Number
NCT01585584
Lead Sponsor
University of Calgary
Brief Summary

The purpose of this study is to test the potential antiviral efficacy of triple-combination therapy with Peginterferon α-2b + ribavirin + boceprevir (PRB) in patients with HCV genotype 3 who previously failed Peginterferon α + ribavirin (non-responders or relapsers).

Detailed Description

i) Obtain preliminary information on the association between important baseline and on-treatment factors and SVR in this patient population. Variables to be examined may include gender, age, advanced fibrosis or cirrhosis (F3 or F4 estimated by Fibroscan), baseline viral load, RVR, wk 8 viral load, end-of-treatment viral response.

ii) Evaluate adverse events. iii) Evaluate viral resistance.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
11
Inclusion Criteria
  • Subjects will be eligible for the study if they meet the following inclusion criteria:

    1. 18 years of age or older
    2. Infected with HCV genotype 3 (mixed genotypes are NOT permitted)
    3. Have received at least 12 weeks of previous treatment with peginterferon-α + ribavirin
    4. Detectable serum HCV-RNA
    5. No significant co-morbid conditions
    6. Liver biopsy is not necessary
    7. Cirrhotic patients will be eligible to participate if Child-Pugh class A (maximum 15% of subjects)
Exclusion Criteria
  • Subjects will be excluded from participation in this study if the following conditions are present:

    1. Significant comorbidities: uncontrolled psychiatric conditions including severe depression, cardiovascular, respiratory, renal or metabolic conditions, active carcinoma.
    2. Active substance abuse within the past 12 months
    3. Co-infection with hepatitis B or HIV
    4. Decompensated cirrhosis (Child-Pugh class B or C)
    5. Significant cytopenia - any of the following: platelets <80 x 109/L, neutropenia <1.2 x 103/L, Hb <120 g/l for men or 110 g/l for women
    6. Lack of informed consent
    7. Previous null-responders (<2 log10 decrease at week 12 with previous PR therapy)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
BoceprevirBoceprevir-
Primary Outcome Measures
NameTimeMethod
Sustained Virologic Response (SVR) at 24 Weeks Post Treatment24 weeks after treatment

Sustained Virologic Response (SVR) is evaluated 24 weeks after end of treatment and defined as undetectable plasma HCV-RNA at follow up week 24. HCV RNA is measured using Cobas TaqMan.Of the 6 subjects who completed the treatment, 3 obtained SVR at 24 weeks post treatment.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Calgary Liver Unit

🇨🇦

Calgary, Alberta, Canada

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