The SIM-SOF Trial for Hepatitis C

NCT ID: NCT02168361

Last Updated: 2016-03-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

93 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2015-04-30

Brief Summary

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Randomized trial of Hepatitis C-genotype 1-infected patients with compensated cirrhosis comparing the standard of care (Peginterferon/Ribavirin/Sofosbuvir) versus the off-label combination of simeprevir+ sofosbuvir without Ribavirin.

Detailed Description

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Patients can be treatment naive or prior null response to Peg/RBV, and must be genotype subtype 1a.

Must have Child's Class A cirrhosis/compensated and no history of decompensation

Conditions

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Chronic 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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Standard

Pegylated Interferon Alfa-2b (1.5 ugm/kg/week subcutaneously) plus ribavirin (1000-1200 mg daily orally) plus sofosbuvir (400 mg daily) for 12 weeks

Group Type ACTIVE_COMPARATOR

Pegylated Interferon alfa-2b

Intervention Type DRUG

1.5 ugm/kg/week subcutaneously injected along with ribavirin and sofosbuvir for 12 weeks total

Ribavirin

Intervention Type DRUG

1000-1200 mg daily divided twice daily for 12 weeks in combination with pegylated interferon and sofosbuvir

Sofosbuvir

Intervention Type DRUG

12 weeks of combination sofosbuvir and simeprevir

Simeprevir + Sofosbuvir

(SIM-SOF) which is Simeprevir + Sofosbuvir for 12 weeks

Group Type EXPERIMENTAL

Simeprevir

Intervention Type DRUG

150 mg daily orally along with pegylated interferon and sofosbuvir for a total of 12 weeks

Sofosbuvir

Intervention Type DRUG

12 weeks of combination sofosbuvir and simeprevir

Interventions

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Pegylated Interferon alfa-2b

1.5 ugm/kg/week subcutaneously injected along with ribavirin and sofosbuvir for 12 weeks total

Intervention Type DRUG

Simeprevir

150 mg daily orally along with pegylated interferon and sofosbuvir for a total of 12 weeks

Intervention Type DRUG

Ribavirin

1000-1200 mg daily divided twice daily for 12 weeks in combination with pegylated interferon and sofosbuvir

Intervention Type DRUG

Sofosbuvir

12 weeks of combination sofosbuvir and simeprevir

Intervention Type DRUG

Other Intervention Names

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Pegintron Olysio Ribavirin Ribasphere Ribapak Sovaldi

Eligibility Criteria

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Inclusion Criteria

* chronic hepatitis c,
* cirrhosis biopsy-proven, or via fibrotest,
* CPT score less than 7,
* genotype 1a,
* INR 2.3 or less,
* serum albumin greater than 2.7 gm/dL,
* total bilirubin less than 3 gm/dL,
* platelet count 50,000 per cubic milliliter or more
* GFR \>50 ml/min

Exclusion Criteria

* non genotype 1a,
* history of CPT class B or C or decompensation or history of same,
* HIV or HBV coinfection,
* prior treatment with boceprevir, telaprevir or any other direct acting antiviral agent,
* uncontrolled psychiatric or cardiopulmonary disorders,
* planning pregnancy or unwilling/unable to practice contraception
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Center For Hepatitis C, Atlanta, GA

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Brian L Pearlman, MD

Role: PRINCIPAL_INVESTIGATOR

Center for Hepatitis C

Locations

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Center for Hepatitis C

Atlanta, Georgia, United States

Site Status

Countries

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United States

References

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Pearlman BL, Ehleben C, Perrys M. The combination of simeprevir and sofosbuvir is more effective than that of peginterferon, ribavirin, and sofosbuvir for patients with hepatitis C-related Child's class A cirrhosis. Gastroenterology. 2015 Apr;148(4):762-70.e2; quiz e11-2. doi: 10.1053/j.gastro.2014.12.027. Epub 2014 Dec 31.

Reference Type RESULT
PMID: 25557952 (View on PubMed)

Other Identifiers

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CHC-21

Identifier Type: -

Identifier Source: org_study_id

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