Sofosbuvir, Ledipasvir, Ribavirin for Hepatitis C Cirrhotics, Genotype 1

NCT ID: NCT02705534

Last Updated: 2018-04-30

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-30

Study Completion Date

2017-10-31

Brief Summary

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The investigators will treat 50 patients with cirrhosis due to hepatitis C genotype 1, with sofosbuvir 400 mg daily, ledipasvir 90 mg daily and weight-based ribavirin (1000 mg/d if \<75 kg, 1200 mg/d if \>75 kg, divided in two daily doses) for 12 weeks and calculate the sustained viral response rate at 12 weeks.

Detailed Description

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Cirrhosis due to Hepatitis C virus (HCV) presents a rather difficult treatment problem as many cannot tolerate interferon, the previous standard of care. The new direct acting antivirals have provided these patients with a new hope. One such combination is sofosbuvir (SOF) 400 mg and ledipasvir (LDV) 90 mg given once daily with or without weight-based ribavirin (RBV) for 12 or 24 weeks only for HCV genotype 1 patients. The current recommendation for cirrhotics (genotype 1) is SOF/LDV/RBV for 24 weeks but that recommendation is based on the lack of data for shorter periods. In order to evaluate the response rate to the combination of SOF/LDV/RBV the investigators decided to treat 50 HCV genotype 1 cirrhotics with this combination for 12 weeks. Patients with MELD score \> 20 are excluded. The investigators will calculate the sustained viral response rate at 12 weeks (SVR12).

Conditions

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Hepatitis C Cirrhosis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment

Subjects will receive sofosbuvir, ledipasvir and ribavirin

Group Type EXPERIMENTAL

Sofosbuvir

Intervention Type DRUG

400 mg, included in a combination pill with 90 mg ledipasvir

Ledipasvir

Intervention Type DRUG

90 mg, included in a combination pill with 400 mg sofosbuvir

Ribavirin

Intervention Type DRUG

1000 mg/day if \<75 kg, 1200 mg/day for \>75 kg. Divided into two daily doses

Interventions

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Sofosbuvir

400 mg, included in a combination pill with 90 mg ledipasvir

Intervention Type DRUG

Ledipasvir

90 mg, included in a combination pill with 400 mg sofosbuvir

Intervention Type DRUG

Ribavirin

1000 mg/day if \<75 kg, 1200 mg/day for \>75 kg. Divided into two daily doses

Intervention Type DRUG

Other Intervention Names

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SOF LDV RBV

Eligibility Criteria

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Inclusion Criteria

* Positive qualitative hepatitis C RNA polymerase chain reaction assay on two occasions at least 6 months apart

Exclusion Criteria

* Renal failure \[estimated glomerular filtration rate (eGFR) \< 30 cc/min\],
* Model or End stage Liver Disease (MELD) score \> 20,
* Child's class C (score \> 12),
* Heart rate \< 50/min,
* Taking amiodarone
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bakhtar Bioshimi Co

UNKNOWN

Sponsor Role collaborator

Tehran University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Reza Malekzadeh, M.D.

Role: STUDY_CHAIR

Tehran University of Medical Sciences

Locations

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Shariati Hospital

Tehran, , Iran

Site Status

Countries

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Iran

Other Identifiers

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94-04-37-31023

Identifier Type: -

Identifier Source: org_study_id

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