Study to Evaluate the Treatment for Chronic Hepatitis C With Normal Transaminases in HIV Positive Patients

NCT ID: NCT01684787

Last Updated: 2012-09-13

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-09-30

Study Completion Date

2011-06-30

Brief Summary

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In the current practice patients with normal levels of ALT were not treated. However, a percentage of patients will present an advanced grade of fibrosis and cirrhosis.

Another reason to treat is the similar response to the treatment than elevated ALT patients published recently in mono-infected patients.

The investigators have not data concerning the evolution and response to the treatment in co-infected patients with normal ALT.

In the story of treatment chronic hepatitis C of co-infected patients HCV/HIV, sometimes, it assumes a behavior similar between mono and co-infected patients and the results are different.

In the case of normal ALT the investigators do not know if the natural history in co-infected patients is similar than the mono-infected patients, and also the response of the treatment.

This study prospective and controls is the answer of this question. The main hypothesis is if the response of treatment in co-infected patients is not inferior than mono-infected patients.

The objective is to evaluate the efficacy and safety of peginterferon alfa-2a and ribavirin in HIV positive patients with chronic hepatitis and persistently normal ALT. Every CASE (patient with normal ALT) will have a CONTROL (patient with elevated ALT), concerning genotype, gender and hospital.

Detailed Description

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The treatment of co-infected patients with normal ALT would be very important because the evolution of cirrhosis in this patients is quicker and frequently than mono-infected patients.

Conditions

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Chronic Hepatitis C

Keywords

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chronic hepatitis C normal ALT HIV/HCV patients

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Peginterferon alfa-2a + ribavirin in normal ALT

Group Type EXPERIMENTAL

Peginterferon alfa-2a + ribavirin in normal ALT

Intervention Type DRUG

peginterferon alfa-2a 180 mcg/weekly ribavirin 1000-1200 mg/daily

2

peginterferon alfa-2a + ribavirin in elevated ALT

Group Type ACTIVE_COMPARATOR

Peginterferon alfa-2a + ribavirin in elevated ALT

Intervention Type DRUG

peginterferon alfa-2a 180 mcg/weekly ribavirin 1000-1200 mg/daily

Interventions

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Peginterferon alfa-2a + ribavirin in normal ALT

peginterferon alfa-2a 180 mcg/weekly ribavirin 1000-1200 mg/daily

Intervention Type DRUG

Peginterferon alfa-2a + ribavirin in elevated ALT

peginterferon alfa-2a 180 mcg/weekly ribavirin 1000-1200 mg/daily

Intervention Type DRUG

Other Intervention Names

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Pegasys + ribavirin Pegasys + ribavirin

Eligibility Criteria

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Inclusion Criteria

* Patients over 18 years old
* Hepatitis C co infected with stable HIV-1 and normal ALT (CASE) or elevated levels of ALT (CONTROL)
* CD4 \> 200 cel/mL
* Stable anti-retroviral treatment for HIV during at least, the 6 previous months to the inclusion
* Negative contraception test
* Informed consent signed

Exclusion Criteria

* Pregnancy
* Any previous treatment for CHC
* Any experimental treatment in the 6 previous weeks to the inclusion
* Cirrhosis grade B or C (Child-Pugh)
* Treatment with colony-stimulating factors, didanosine or zidovudine, immunomodulator therapy, isoniazid, rifampicin, …
* Hepatic cancer
* Neutrophils \< 1500 cel/mL, Platelets \< 70000 cel/mL, Hemoglobin \< 11 g/dL (men) or \< 12 g/dL (women) previous to inclusion
* Severe psychiatric illness background
* Serum creatinin \> 1,5 times the upper normal limit
* Background of Pulmonary or Cardiovascular disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Miguel Santin

OTHER

Sponsor Role lead

Responsible Party

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Miguel Santin

Dr

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Miguel Santin, Dr

Role: STUDY_CHAIR

Hospital Universitari of Bellvitge

Locations

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Hospital de Txagorritxu

Vitoria-Gasteiz, Alava, Spain

Site Status

Hospital del Mar

Barcelona, Barcelona, Spain

Site Status

Hospital Santa Creu i Sant Pau

Barcelona, Barcelona, Spain

Site Status

Hospital Clinic

Barcelona, Barcelona, Spain

Site Status

Consorci Sanitari Integral

Hospitalet, Barcelona, Spain

Site Status

Hospital Universitari of Bellvitge

Hospitalet, Barcelona, Spain

Site Status

Hospital General de Mataró

Mataró, Barcelona, Spain

Site Status

Consorci Sanitari de Terrassa

Terrassa, Barcelona, Spain

Site Status

Hospital de Donostia

San Sebastián, Guipúzcoa, Spain

Site Status

Hospital San Jorge

Huesca, Huesca, Spain

Site Status

Hospital de la Princesa

Madrid, Madrid, Spain

Site Status

Hospital Ramón y Cajal

Madrid, Madrid, Spain

Site Status

Hospital Clínico San Carlos

Madrid, Madrid, Spain

Site Status

Hospital 12 de Octubre

Madrid, Madrid, Spain

Site Status

Hospital Xeral-Cíes

Vigo, Pontevedra, Spain

Site Status

Hospital Joan XXIII

Tarragona, Tarragona, Spain

Site Status

Hospital de Cruces

Barakaldo, Vizcaya, Spain

Site Status

Hospital Clínico Lozano Blesa

Zaragoza, Zaragoza, Spain

Site Status

Countries

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Spain

Other Identifiers

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Miguel Santín

Identifier Type: -

Identifier Source: org_study_id