Use or Non-use of Epoetin Beta in Patients Infected by Chronic Hepatitis C

NCT ID: NCT00262379

Last Updated: 2014-12-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

229 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-12-31

Study Completion Date

2009-06-30

Brief Summary

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

Detailed Description

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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

Conditions

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Chronic Hepatitis C

Keywords

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Chronic hepatitis C peginterferon ribavirin epoetin beta

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A

HCV treatment with peginterferon plus ribavirin during 48 weeks

Group Type NO_INTERVENTION

No interventions assigned to this group

Groupb

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

Group Type ACTIVE_COMPARATOR

epoetin beta (NeoRecormon®)

Intervention Type DRUG

• Prescription of the epoetin beta : when blood concentration of hemoglobin is lower or equal to 12 g/dL in male or lower or equal to 11 g/dL in female

Interventions

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epoetin beta (NeoRecormon®)

• Prescription of the epoetin beta : when blood concentration of hemoglobin is lower or equal to 12 g/dL in male or lower or equal to 11 g/dL in female

Intervention Type DRUG

Other Intervention Names

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NeoRecormon®

Eligibility Criteria

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Inclusion Criteria

* 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)

Exclusion Criteria

* Women with ongoing pregnancy or breast feeding
* Male partner of pregnancy woman
* Minor
* 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Angers

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Françoise Lunel-Fabiani, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

UH Angers

Locations

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H Aix en Provence

Aix-en-Provence, , France

Site Status

UH Angers

Angers, , France

Site Status

H Avignon

Avignon, , France

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H Bourgoin-Jallieu

Bourgoin, , France

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UH Brest

Brest, , France

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UH Caen

Caen, , France

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H Châteauroux

Châteauroux, , France

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UH Clermont Ferrand

Clermont-Ferrand, , France

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H Corbeil-Essonnes

Corbeil-Essonnes, , France

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H Creil

Creil, , France

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H Créteil

Créteil, , France

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UH Dijon

Dijon, , France

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H Dreux

Dreux, , France

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H Freyming-Merlebach

Freyming-Merlebach, , France

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H Grasse

Grasse, , France

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UH Grenoble

Grenoble, , France

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H La Roche sur Yon

La Roche-sur-Yon, , France

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H Le Mans

Le Mans, , France

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UH Limoges

Limoges, , France

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UH Lyon

Lyon, , France

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H Saint-Joseph

Marseille, , France

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H Montauban

Montauban, , France

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H montélimar

Montélimar, , France

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UH Montpellier

Montpellier, , France

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UH Nantes

Nantes, , France

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H Orléans

Orléans, , France

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H Tenon

Paris, , France

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H saint-Antoine

Paris, , France

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H Pau

Pau, , France

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UH Poitiers

Poitiers, , France

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UH Rennes

Rennes, , France

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UH Rouen

Rouen, , France

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H Saint-Dizier

Saint-Dizier, , France

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Arnault Tzanck Institute

Saint-Laurent-du-Var, , France

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UH Toulouse

Toulouse, , France

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H Tourcoing

Tourcoing, , France

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UH Tours

Tours, , France

Site Status

Countries

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France

Other Identifiers

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CP 2005-01

Identifier Type: -

Identifier Source: org_study_id