Effect Of DAAs For Treatment Of HCV On Normal Kidney

NCT ID: NCT03296930

Last Updated: 2017-09-29

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

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-01

Study Completion Date

2018-10-31

Brief Summary

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The aim of the study is to determine the effect of different direct acting antiviral drugs used for treatment of chronic HCV infected patients on normal kidney.

Detailed Description

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Hepatitis C virus (HCV) infection is a major health problem. The World Health Organization (WHO) estimated that at least 150-170 million people, approximately 3% of the world's population, are chronically infected. These patients are known to be at risk of developing liver complications, i.e., cirrhosis and liver cancer, with an estimated liver-related mortality of 350,000 people/year. However, the risks of morbidity and mortality are underestimated because they do not take into account the extra-hepatic consequences of HCV infection. Numerous extra-hepatic manifestations (HCV-EHMs) have been reported. In some large cohort studies, up to 74% of patients experienced HCV-EHMs of different severity, from perceived to disabling conditions.

Treatment of HCV infection has a long history. It began with interferon (IFN) mono-therapy, with less than 20% sustained virological response (SVR). Milestones include the addition of ribavirin (RBV) to the treatment protocol and providing pegylated-IFN (PegIFN) as an alternative treatment.

Treatment with PegIFN/RBV was the standard of care for about 10 years. The success rate of treatment with this regimen is very dependent on patient characteristics, including age, body mass index, ethnicity, and genetic factors.

Viral factors, especially HCV genotype, also affect the response to HCV treatment, and there are always additional factors that should be taken into account in each treatment approach, including treatment success rate, duration, cost, and side effects.

In light of these concerns, attempts have continued to introduce better therapeutic regimens.

Treatment of chronic HCV infection has been revolutionized in recent years. The FDA has approved different IFN-free direct acting antiviral regimens (DAAs) including: Sofosbuvir (SOF) in combination with Ledipasvir (LDV), combination of Ombitasvir/Paritaprevir/ Dasabuvir (a three direct acting antiviral, or 3D), combination therapy with Grazoprevir/Elbasvir (GZR/EBR), Simeprevir (SMV) and Daclatasvir (DCV) also in combination with SOF.

More than 95% of patients have a sustained viral response (SVR) using DAA. The recent Cohort studies have demonstrated that the new regimens of DAAs may be associated with renal side effects, especially when using SOF combinations. So, to aid in the correct use of DAAs in treatment of HCV patients, their potential renal toxicity must be known.

The close monitoring of renal function is required. Although, new DAAs were well tolerated, recent real-life studies have demonstrated some nephrotoxic effect in Frail populations treated with SOF based regimens.

The use of direct acting antiviral agents (DAAs) in HCV patients might be expected to result in improved outcomes in hepatic functions even in end stage liver disease. But, the effect of DAAs on the kidney still needing a specific study.

Conditions

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Antiviral Drug Adverse Reaction

Keywords

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Direct Acting Antiviral Agents (DAAs)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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first drug group

Sofosbuvir 400 MG Oral Tablet

Group Type ACTIVE_COMPARATOR

Sofosbuvir 400 MG Oral Tablet,

Intervention Type DRUG

Interferon free direct acting antiviral drugs used for treatment of HCV.

second drug group

Ombitasvir/paritaprevir/ritonavir

Group Type ACTIVE_COMPARATOR

Ombitasvir/paritaprevir/ritonavir

Intervention Type DRUG

Interferon free direct acting antiviral drugs used for treatment of HCV.

Interventions

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Sofosbuvir 400 MG Oral Tablet,

Interferon free direct acting antiviral drugs used for treatment of HCV.

Intervention Type DRUG

Ombitasvir/paritaprevir/ritonavir

Interferon free direct acting antiviral drugs used for treatment of HCV.

Intervention Type DRUG

Other Intervention Names

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daclatasvir ribavirin ribavirin

Eligibility Criteria

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Inclusion Criteria

* Both male and female patients with age above 18 years presented with chronic HCV infection (diagnosed by HCV RNA positive) with normal kidney functions, i.e.:

* Normal S.creatinine
* Normal urine analysis (without proteinuria, haematuria or abnormal casts).
* Normal renal sonography.
* and candidate for direct acting antiviral drugs.

Exclusion Criteria

* Any chronic HCV patient with known renal disease.
* Patients with abnormal kidney functions, i.e.:

* Abnormal S.creatinine.
* Abnormal urine analysis (with proteinuria, haematuria or abnormal casts).
* Abnormal renal US
* Any other known renal disease (lupus nephritis, diabetic nephropathy).
* Severe co-morbidity as severe heart failure or malignancy.
* Other liver disease (autoimmune hepatitis, HBV, Wilson, ……).
* Decompansated liver disease (ascites, hepatic encephalopathy, …).
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Hazem shoman

principle investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zainelabdeen A Sayed, MD

Role: STUDY_CHAIR

Assistant Professor of Internal Medicine

Mohammed M Abdallah, MD

Role: STUDY_CHAIR

Professor of Internal Medicine

Central Contacts

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Hazem Y Shouman, M.B.B.Ch

Role: CONTACT

Phone: +201111114746

Email: [email protected]

References

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Other Identifiers

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DAAs on Normal Kidney

Identifier Type: -

Identifier Source: org_study_id