DAAs Treatment for Chronic HCV/HBV Co-infection Patients(DASCO)

NCT ID: NCT02555943

Last Updated: 2021-09-01

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

PHASE2/PHASE3

Total Enrollment

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2021-08-31

Brief Summary

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This is a prospective study to determine the incidence, morbidity, mortality and predisposing factors for the reactivation of hepatitis B virus replication during direct anti-HCV treatment of HCV/HBV co-infection patients.

Detailed Description

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Patients who receive direct-acting anti-HCV treatment will be prospectively studied during 2-year period. All patients have HCV/HBV co-infection.

The inclusion/exclusion criteria and the follow up plan will be listed in following part.

Conditions

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Chronic Hepatitis C Infection HBV Coinfection Hepatitis B Reactivation

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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Prophylactic/Early anti-HBV treatment

HCV/HBV co-infection patients in this arm will receive nucleos(t)ides analog (Entecavir or Tenofovir disoproxil fumarate) for the treatment of hepatitis B infection before or at the commencement of direct anti-HCV treatment using DAAs (Ledipasvir/Sofosbuvir; or Sofosbuvir and Daclatasvir, or Ombitasvir, Paritaprevir, Ritonavir, Dasabuvir; or Sofosbuvir+Ribavirin).

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Group Type ACTIVE_COMPARATOR

Ledipasvir/Sofosbuvir

Intervention Type DRUG

Oral direct anti-HCV agent. Ledipasvir/Sofosbuvir(LDV/SOF) 400mg/90mg fixed-dose combination(FDC) tablet, administered orally once daily.

Sofosbuvir and Daclatasvir

Intervention Type DRUG

TWO oral direct anti-HCV agent: Sofosbuvir(SOF), 400mg tablet administered orally once daily. Daclatavir(DCV), 60mg tablet administered orally once daily.

Ombitasvir, Paritaprevir, Ritonavir, Dasabuvir

Intervention Type DRUG

VIEKIRA PAK includes ombitasvir, a hepatitis C virus NS5A inhibitor, paritaprevir, a hepatitis C virus NS3/4A protease inhibitor, ritonavir, a CYP3A inhibitor and dasabuvir, a hepatitis C virus non-nucleoside NS5B palm polymerase inhibitor.

Entecavir

Intervention Type DRUG

Nucleoside-inhibitor-treatment-naïve with compensated liver disease (greater than or equal to 16 years old): 0.5 mg once daily.

Tenofovir disoproxil

Intervention Type DRUG

VIREAD is indicated for the treatment of chronic hepatitis B in adults and pediatric patients 12 years of age and older.

Deferred anti-HBV treatment

HCV/HBV co-infection patients in this arm will receive nucleos(t)ides analog (Entecavir or Tenofovir disoproxil fumarate) for the treatment of hepatitis B infection when HBV viral breakthrough occurred during anti-HCV treatment using DAAs (Ledipasvir/Sofosbuvir; or Sofosbuvir and Daclatasvir, or Ombitasvir, Paritaprevir, Ritonavir, Dasabuvir; or Sofosbuvir+Ribavirin).

Group Type EXPERIMENTAL

Ledipasvir/Sofosbuvir

Intervention Type DRUG

Oral direct anti-HCV agent. Ledipasvir/Sofosbuvir(LDV/SOF) 400mg/90mg fixed-dose combination(FDC) tablet, administered orally once daily.

Sofosbuvir and Daclatasvir

Intervention Type DRUG

TWO oral direct anti-HCV agent: Sofosbuvir(SOF), 400mg tablet administered orally once daily. Daclatavir(DCV), 60mg tablet administered orally once daily.

Ombitasvir, Paritaprevir, Ritonavir, Dasabuvir

Intervention Type DRUG

VIEKIRA PAK includes ombitasvir, a hepatitis C virus NS5A inhibitor, paritaprevir, a hepatitis C virus NS3/4A protease inhibitor, ritonavir, a CYP3A inhibitor and dasabuvir, a hepatitis C virus non-nucleoside NS5B palm polymerase inhibitor.

Entecavir

Intervention Type DRUG

Nucleoside-inhibitor-treatment-naïve with compensated liver disease (greater than or equal to 16 years old): 0.5 mg once daily.

Tenofovir disoproxil

Intervention Type DRUG

VIREAD is indicated for the treatment of chronic hepatitis B in adults and pediatric patients 12 years of age and older.

Interventions

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Ledipasvir/Sofosbuvir

Oral direct anti-HCV agent. Ledipasvir/Sofosbuvir(LDV/SOF) 400mg/90mg fixed-dose combination(FDC) tablet, administered orally once daily.

Intervention Type DRUG

Sofosbuvir and Daclatasvir

TWO oral direct anti-HCV agent: Sofosbuvir(SOF), 400mg tablet administered orally once daily. Daclatavir(DCV), 60mg tablet administered orally once daily.

Intervention Type DRUG

Ombitasvir, Paritaprevir, Ritonavir, Dasabuvir

VIEKIRA PAK includes ombitasvir, a hepatitis C virus NS5A inhibitor, paritaprevir, a hepatitis C virus NS3/4A protease inhibitor, ritonavir, a CYP3A inhibitor and dasabuvir, a hepatitis C virus non-nucleoside NS5B palm polymerase inhibitor.

Intervention Type DRUG

Entecavir

Nucleoside-inhibitor-treatment-naïve with compensated liver disease (greater than or equal to 16 years old): 0.5 mg once daily.

Intervention Type DRUG

Tenofovir disoproxil

VIREAD is indicated for the treatment of chronic hepatitis B in adults and pediatric patients 12 years of age and older.

Intervention Type DRUG

Other Intervention Names

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Harvoni® GS-7977 GS-5885 Sovaldi®, GS-7977 Daklinza®,BMS-790052 VIEKIRA PAK™ BARACLUDE® VIREAD®

Eligibility Criteria

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Inclusion Criteria

* HCV RNA positive,
* HBsAg positive with detectable or undetectable HBV DNA,
* Receiving pan oral direct-acting anti-HCV regimen

Exclusion Criteria

* Pregnant or nursing female or male with pregnant female partner;
* HIV infection;
* Hematologic or biochemical parameters at Screening outside the protocol- specified requirements;
* Active or recent history (≤ 1 year) of drug or alcohol abuse;
* History or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the subject's participation for the full duration of the study, such that it is not in the best interest of the subject to participate.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing 302 Hospital

OTHER

Sponsor Role collaborator

Nanfang Hospital, Southern Medical University

OTHER

Sponsor Role collaborator

Humanity and Health Research Centre

OTHER

Sponsor Role lead

Responsible Party

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George Lau

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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George Lau, M.D.

Role: PRINCIPAL_INVESTIGATOR

Humanity and Health GI and Liver Centre

Locations

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Humanity and Health GI and Liver Centre

Hong Kong, Hong Kong, China

Site Status

Countries

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China

Other Identifiers

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H&H_DASCO

Identifier Type: -

Identifier Source: org_study_id

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