Regression of Liver Fibrosis After Daclatasvir and Asunaprevir Treatment

NCT ID: NCT02865369

Last Updated: 2017-03-07

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

UNKNOWN

Total Enrollment

103 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-09-30

Study Completion Date

2022-12-31

Brief Summary

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A study on regression of liver fibrosis assessed by transient elastography after Daclatasvir and Asunaprevir combined treatment in advanced fibrotic/cirrhotic patients with chronic hepatitis C genotype 1b Infection

Detailed Description

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The measurement of liver stiffness by transient elastography (TE) has been shown to correlate with the hepatic fibrosis stage and to have considerable accuracy for the diagnosis of cirrhosis in patients with chronic hepatitis C. Previous studied reported that liver stiffness is significantly reduced in SVR patients with pegylated interferon (IFN) and ribavirin treatment. Once a patient achieve sustained virological response (SVR), and resultingly lower liver stiffness score than baseline value, it is believed that he will have a better long-term outcome due to the improvement of liver fibrosis.

Daclatasvir(DCV) and Asunaprevir(ASV) combined treatment showed a greater SVR rate in CHC compared to IFN based therapy. The investigators hypothesize that DCV and ASV combined treatment may achieve the improvement of liver stiffness measured by TE and a more favorable clinical outcomes in patients with advanced liver fibrosis. The investigators will also compare the change of fibrosis stage assessed by TE between this study subjects and those treated with other DAA agents during same observational period.

Conditions

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Chronic Hepatitis C

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Daclatasvir plus Asunaprevir treatment

Among patients taking Daclatasvir and Asunaprevir combined treatment and having advanced liver fibrosis assessed by transient elastography

Daclatasvir and Asunaprevir

Intervention Type DRUG

Daclatasvir and Asunaprevir combined treatment will not be assigned to the enrolled patients, but the patients who are treated with Daclatasvir and Asunaprevir will be included in this observational study.

Interventions

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Daclatasvir and Asunaprevir

Daclatasvir and Asunaprevir combined treatment will not be assigned to the enrolled patients, but the patients who are treated with Daclatasvir and Asunaprevir will be included in this observational study.

Intervention Type DRUG

Other Intervention Names

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Daclatasvir and Asunaprevir combined treatment for 24 weeks

Eligibility Criteria

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Inclusion Criteria

* Chronically infected with Hepatitis C virus genotype 1b
* HCV RNA ≥ 10\^4 IU/mL (10,000 IU/mL)
* Chronic Hepatitis C with advanced fibrosis or cirrhosis (defined as ≥F3, ≥8 kilopascals)
* Treatment-naïve or those who previously failed to treatment with peg-interferon alfa and ribavirin
* Women of childbearing potential (WOCBP) and men, who use effective methods of birth control

Exclusion Criteria

* Patients with baseline key NS5A RAVs (Y93 and/or L31)
* Estimated GFR \< 30mL/min without hemodialysis
* Alanine aminotransferase (ALT) \> 100 IU/L
* Coinfection with other hepatitis virus or human immunodeficiency virus
* A daily alcohol intake \>30 g
* Decompensated liver disease or hepatocellular carcinoma, liver or any other organ transplantation
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Boramae Hospital

OTHER

Sponsor Role collaborator

Severance Hospital

OTHER

Sponsor Role collaborator

Inha University Hospital

OTHER

Sponsor Role collaborator

Korea University

OTHER

Sponsor Role collaborator

Gachon University Gil Medical Center

OTHER

Sponsor Role collaborator

Hanyang University Seoul Hospital

OTHER

Sponsor Role collaborator

Ewha Womans University Mokdong Hospital

OTHER

Sponsor Role collaborator

Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

Sang Gyune Kim

OTHER

Sponsor Role lead

Responsible Party

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Sang Gyune Kim

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Sang Gyune Kim, Professor

Role: PRINCIPAL_INVESTIGATOR

Soonchunhyang University Hospital

Locations

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Soonchunhyang University Cheonan Hospital

Cheonan, Chungcheongnam-do, South Korea

Site Status

Korea University Ansan Hospital

Ansan, Gyeonggi-do, South Korea

Site Status

Soon Chun Hyang University Bucheon Hospital

Bucheon-si, Gyeonggi-do, South Korea

Site Status

Inha University Hospital

Jung-gu, Incheon, South Korea

Site Status

Gachon University Gil Medical Center

Incheon, , South Korea

Site Status

Severance hospital

Seoul, , South Korea

Site Status

Soonchunhyang University Hospital

Seoul, , South Korea

Site Status

Hanyang university hospital

Seoul, , South Korea

Site Status

Ewha Womans University Mokdong Hospital

Seoul, , South Korea

Site Status

Wonju severance christian hospital

Wŏnju, , South Korea

Site Status

Countries

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South Korea

Central Contacts

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Sang Gyune Kim, Professor

Role: CONTACT

82-32-621-5071

Facility Contacts

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SaeHwan Lee, Professor

Role: primary

Young Kul Jung, Professor

Role: primary

Sang Gyune Kim, Professor

Role: primary

82-32-621-5079

Jin-Woo Lee, Professor

Role: primary

Oh Sang Kwon, Professor

Role: primary

Jun Yong Park, Professor

Role: primary

Jae Young Jang, Professor

Role: primary

Dae Won Jun, Professor

Role: primary

Tae Hun Kim, Professor

Role: primary

Moon young Kim, Professor

Role: primary

References

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Ziol M, Handra-Luca A, Kettaneh A, Christidis C, Mal F, Kazemi F, de Ledinghen V, Marcellin P, Dhumeaux D, Trinchet JC, Beaugrand M. Noninvasive assessment of liver fibrosis by measurement of stiffness in patients with chronic hepatitis C. Hepatology. 2005 Jan;41(1):48-54. doi: 10.1002/hep.20506.

Reference Type BACKGROUND
PMID: 15690481 (View on PubMed)

Hezode C, Castera L, Roudot-Thoraval F, Bouvier-Alias M, Rosa I, Roulot D, Leroy V, Mallat A, Pawlotsky JM. Liver stiffness diminishes with antiviral response in chronic hepatitis C. Aliment Pharmacol Ther. 2011 Sep;34(6):656-63. doi: 10.1111/j.1365-2036.2011.04765.x. Epub 2011 Jul 13.

Reference Type BACKGROUND
PMID: 21752038 (View on PubMed)

Arima Y, Kawabe N, Hashimoto S, Harata M, Nitta Y, Murao M, Nakano T, Shimazaki H, Kobayashi K, Ichino N, Osakabe K, Nishikawa T, Okumura A, Ishikawa T, Yoshioka K. Reduction of liver stiffness by interferon treatment in the patients with chronic hepatitis C. Hepatol Res. 2010 Apr;40(4):383-92. doi: 10.1111/j.1872-034X.2009.00618.x. Epub 2010 Mar 4.

Reference Type BACKGROUND
PMID: 20236358 (View on PubMed)

Wang JH, Changchien CS, Hung CH, Tung WC, Kee KM, Chen CH, Hu TH, Lee CM, Lu SN. Liver stiffness decrease after effective antiviral therapy in patients with chronic hepatitis C: Longitudinal study using FibroScan. J Gastroenterol Hepatol. 2010 May;25(5):964-9. doi: 10.1111/j.1440-1746.2009.06194.x.

Reference Type BACKGROUND
PMID: 20546451 (View on PubMed)

Crisan D, Radu C, Grigorescu MD, Lupsor M, Feier D, Grigorescu M. Prospective non-invasive follow-up of liver fibrosis in patients with chronic hepatitis C. J Gastrointestin Liver Dis. 2012 Dec;21(4):375-82.

Reference Type BACKGROUND
PMID: 23256120 (View on PubMed)

Bourliere, Marc, et al.

Reference Type BACKGROUND

Yoo HW, Park JY, Kim SG, Jung YK, Lee SH, Kim MY, Jun DW, Jang JY, Lee JW, Kwon OS. Regression of liver fibrosis and hepatocellular carcinoma development after HCV eradication with oral antiviral agents. Sci Rep. 2022 Jan 7;12(1):193. doi: 10.1038/s41598-021-03272-1.

Reference Type DERIVED
PMID: 34996920 (View on PubMed)

Other Identifiers

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AI444-392

Identifier Type: -

Identifier Source: org_study_id

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