Efficacy and Safety to Extend Treatment 24 Weeks in co-Infected HIV-HCV Genotype 1 and/or 4

NCT ID: NCT00612755

Last Updated: 2008-02-12

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

PHASE4

Total Enrollment

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-10-31

Study Completion Date

2008-01-31

Brief Summary

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A study concerning viral kinetic with 10 co-infected HIV-HCV patients on treatment with peginterferon alfa-2a + ribavirin o IFN + ribavirin was reported in Conference on Retroviruses and Opportunistic Infections 2002 by Dr. Torriani shown half-life of HCV virions and the viral clearance was larger than mono-infected patients.

The doubt is if this difference in viral kinetic of HIV-HCV co-infected patients versus mono-infected is related with the loss of profited on treatment.

In the APRICOT trial patients genotype 2/3 were treated for 48 weeks and the relapse rates was only 2%.

The present study want to evaluate is the treatment extent for 24 weeks more in patients genotype 1 and/or 4 will be improve the percentage of patients with viral clearance at the end of the follow-up period, to prevent relapsed in patients with response at the end of treatment.

Patients will be randomized to received 180 µg/week of peginterferon alfa-2a + 1000-1200 mg/day of ribavirin during 24 weeks more or control.

Detailed Description

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To evaluate efficacy of extend treatment during 24 weeks more in co-infected HIV-HCV patients with genotype 1 and/or 4 who at 44 week of treatment with peginterferón alfa-2a in combination with ribavirin have RNA-HCV undetectable.

Conditions

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HIV Infections Hepatitis C

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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1

Peginterferon alfa-2a 180 mcg/week + 1000-1200 mg/day ribavirin during 24 weeks

Group Type EXPERIMENTAL

Peginterferon alfa-2a + ribavirin

Intervention Type DRUG

Peginterferon alfa-2a 180 mcg/week ribavirin 1000-1200 mg/day during 24 weeks

2

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Peginterferon alfa-2a + ribavirin

Peginterferon alfa-2a 180 mcg/week ribavirin 1000-1200 mg/day during 24 weeks

Intervention Type DRUG

Other Intervention Names

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Pegasys

Eligibility Criteria

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Inclusion Criteria

* Patients on treatment with Peginterferon alfa-2a (180 µg/week) in combination with Ribavirin (1000-1200 mg/day) who are RNA-HCV undetectable at 44 week
* RNA-HCV positive at 48 week before study and genotype 1 or 4.
* HIV-1 positive: ELISA y Western-blot.
* Stable status of HIV-1 infection in the opinion of the investigator, (patients who are not expected to progress during the study).
* Negative urine or blood pregnancy test (for women of childbearing potential) documented within the 24-hour period prior to the first dose of study drug. Additionally, all fertile males and females must be using two forms of effective contraception during treatment and during the 6 months after treatment end. This may include, but is not limited to, using birth control pills, IUDs, condoms, diaphragms, or implants, being surgically sterilized, or being in a post-menopausal state.
* Willingness to give written informed consent and willingness to participate to and comply with the study.

* More of tree weeks from the end of treatment with Peginterferon alfa-2a (180 µg/week) in combination with Ribavirin (1000-1200 mg/day) to the inclusion in "EXTRADOS" trial.

Exclusion Criteria

* Patients with RNA-HCV detectable after 44 weeks of treatment with Peginterferon alfa-2a (180 µg/week) in combination with Ribavirin (1000-1200 mg/day).
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hospital Clinico Universitario San Cecilio

OTHER

Sponsor Role lead

Responsible Party

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Hospital Clinico Universitario San Cecilio

Principal Investigators

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José Hernández-Quero, Dr

Role: STUDY_CHAIR

Hospital Clínico Universitario San Cecilio

Locations

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Hospital de Txagorritxu

Vitoria-Gasteiz, Alava, Spain

Site Status

Hospital Santa Creu i Sant Pau

Barcelona, Barcelona, Spain

Site Status

Hospital de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Hospital Puerta del Mar

Cadiz, Cádiz, Spain

Site Status

Hospital de Jerez

Jerez de la Frontera, Cádiz, Spain

Site Status

Hospital Insular

Las Palmas, Gran Canaria, Spain

Site Status

Hospital Clínico Universitario San Cecilio

Granada, Granada, Spain

Site Status

Hospital de Donostia

San Sebastián, Guipúzcoa, Spain

Site Status

Complejo Hospitalario Universitario

Santiago, La Coruña, Spain

Site Status

Fundación Hospital de Alcorcón

Alcorcón, Madrid, Spain

Site Status

Hospital Clínico San Carlos

Madrid, Madrid, Spain

Site Status

Hospital 12 de Octubre

Madrid, Madrid, Spain

Site Status

Hospital La Paz

Madrid, Madrid, Spain

Site Status

Hospital Son Dureta

Palma de Mallorca, Mallorca, Spain

Site Status

Hospital Virgen Macarena

Seville, Sevilla, Spain

Site Status

Hospital Virgen del Rocío

Seville, Sevilla, Spain

Site Status

Hospital de Valme

Seville, Sevilla, Spain

Site Status

Consorcio Hospital General

Valencia, Valencia, Spain

Site Status

Hospital Clínico de Valladolid

Valladolid, Valladolid, Spain

Site Status

Countries

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Spain

Other Identifiers

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2004-004948-45

Identifier Type: -

Identifier Source: secondary_id

Extrados

Identifier Type: -

Identifier Source: org_study_id

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