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临床试验/NCT00262379
NCT00262379已完成3 期

Multicenter Study, Randomized and Pragmatic, Comparing Two Therapeutic Strategies : Use or Non-use of Epoetin Beta in Patients Infected by Chronic Hepatitis C and Treated by Combination Therapy Peginterferon Alfa-2a Plus Ribavirin

University Hospital, Angers37 个研究点 分布在 1 个国家目标入组 229 人开始时间: 2005年12月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
229
试验地点
37
主要终点
Sustained Viral Response (Week 72)

研究概览

简要总结

The purpose is to demonstrate a correction of anemia in hepatitis C virus treatment with peginterferon plus ribavirin.

详细描述

Show that the correction of anemia by epoetin beta (NeoRecormon®) able to maintain a optimal dose of ribavirin (Copegus®). The study compares two therapeutic strategies : use or non-use of epoetin beta (NeoRecormon®) in patients infected by chronic hepatitis C and treated by combination therapy Peginterferon alfa-2a (Pegasys®) plus ribavirin (Copegus®). The main judgement criteria are :

  • Sustained Viral Response (Week 72)
  • Viral Response at the End of Treatment (Week 48)
  • Quality of life
  • Cumulative dose of ribavirin from D0-W24 and from W24-W48 periods
  • Clinical and biological tolerance

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

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

入选标准

  • Male or female patients 18 years old or above
  • Patient with French social security or other equivalent health assurance
  • Patient with informed consent
  • Serologic evidence of chronic hepatitis C by detectable anti-HCV antibodies
  • Patient infected by HCV genotype 1, 4, 5 or 6
  • Compensated liver disease (Child-Pugh ≤ 6)
  • Negative urine or blood pregnancy test (for women of childbearing potential) documented within the 24-hour period prior the enrollment in the study
  • All fertile males and females receiving ribavirin must have effective contraception during treatment and during the 6 following months
  • Patient naive of treatment with installation of treatment by investigator following criteria for use Peginterferon alfa-2a (Pegasys) and ribavirin (Copegus)

排除标准

  • Women with ongoing pregnancy or breast feeding
  • Male partner of pregnancy woman
  • Major protected by French law for biomedical study
  • Co-infection by HBV or HIV
  • History or other evidence of decompensated liver disease or Child-Pugh score > 6
  • Clinical or radiological evidence (abdominal ultrasound, CT scan or MRI) of hepatocellular carcinoma
  • IFN or ribavirin at any previous time
  • Patient who received an erythropoetin within 2 months before inclusion
  • History of epilepsy (during the last 6 months)
  • Chronic cardiac insufficiency (stage III or IV in classification from the New York Heart Association [NYHA])
  • Not controlled portal hypertension
  • Antecedents or risk of venous thrombosis
  • Surgery within 3 months before inclusion
  • Serum creatinine level >15 mg/mL (130µmol/L)
  • Deficiency in vitamin B9 and/or B12 (suspected with macrocytosis > 105 µm3)
  • Thrombocytosis (platelets > 500 000/mm3)
  • Chronic inflammatory syndrome (CRP > 10 mg/L)
  • Deficiency not corrected in iron :
  • Ferritin blood level < 10 µg/L Or - Transferrin saturation coefficient < 20 %
  • History of neoplasia (except basocellular epithelioma and cervical cancer)
  • Contraindications to use epoetin beta or an excipient from molecule to study (urea, polysorbate 20, glycine, leucine, isoleucine, threonine, glutamic acid, phenylalanine, benzoic acid, benzyl alcohol)
  • Absence of written informed consent
  • Exclusion time for another biomedical study
  • Patient with blood concentration of hemoglobin lower or equal to 12 g/dL for male or lower or equal to 11 g/dL for female

研究组 & 干预措施

Groupb

Active Comparator

HCV treatment with peginterferon plus ribavirin during 48 weeks plus epoetin beta under anemia conditions

干预措施: epoetin beta (NeoRecormon®) (Drug)

结局指标

主要结局

Sustained Viral Response (Week 72)

时间窗: Week 72

Actual Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Values up to Week 24 in the Post-treatment Follow-up Period

次要结局

  • • Quality of life(D0, W4, W12, W24, W48, W72)
  • • Cumulative dose of ribavirin from D0-W24 and from W24-W48 periods(D0, W4, W8, W12, W16, W20, W24, W28, W32, W36, W40, W44, W48)
  • • Viral Response at the End of Treatment (Week 48)(Week 48)
  • • Clinical and biological tolerance(D0, W4, W8, W12, W16, W20, W24, W28, W32, W36, W40, W44, W48, W52, W60, W72)

研究者

发起方
University Hospital, Angers
申办方类型
Other Gov
责任方
Sponsor

研究点 (37)

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