DAA Therapy in Pediatric Patients With Chronic Hepatitis C

NCT ID: NCT03481036

Last Updated: 2019-06-17

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

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-18

Study Completion Date

2020-12-31

Brief Summary

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The Mukh-Mantri Punjab Hepatitis C Relief Fund (MMPHCRF) is a public health initiative for prevention and control of hepatitis C in the Punjab state, India. The efficacy of decentralised public health services and safety of 12- or 24-weeks of sofosbuvir (SOF) + ledipasvir (LDV) or SOF + daclatasvir (DCV) with or without ribavirin (RBV) in the treatment of pediatric chronic hepatitis C will be assessed

Detailed Description

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Consecutive chronic hepatitis C (HCV) infected children \[age: ≥12 to \<18 years; both treatment-naïve (TN) and treatment-experienced, (TE)\] are being enrolled.

Genotyping is not recommended for non-cirrhotic or TN patients and are treated with SOF+DCV for 12-weeks, while genotyping is recommended for patients with cirrhosis and TE patients.

Patients with liver cirrhosis or TE and genotype (GT)-3 are being treated with SOF+DCV for 24 weeks,

while non-GT-3 patients are being treated with SOF+LDV for 24-weeks. Patients \< 35 kg are being given half doses of medications and patients ≥35 kg are being given adult dosages of SOF (400 mg), LDV (90 mg) and DCV (60 mg) per day.

Conditions

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Chronic Hepatitis c

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Non cirrhotic

Sofosbuvir (SOF)+Daclatasvir (DCV) for 12 weeks Patients \< 35 kg will be given half doses of medications and patients ≥35 kg will be given adult dosages of SOF (400 mg), LDV (90 mg) and DCV (60 mg) per day

Group Type ACTIVE_COMPARATOR

Direct Acting Antivirals

Intervention Type DRUG

Sofosbuvir and Daclatasvir

Genotype 1,4,5 and 6 with cirrhosis

Sofosbuvir (SOF)+ Ledipasvir (LDV) for 12-weeks + weight based Ribavirin Patients \< 35 kg will be given half doses of medications and patients ≥35 kg will be given adult dosages of SOF (400 mg) and LDV (90 mg) per day

Group Type ACTIVE_COMPARATOR

DAAs in Cirrhotics Genotye 1,4,5,6

Intervention Type DRUG

Sofosbuvir and Ledipasvir with weight based ribavirin

Genotype 2 and 3 with Cirrhosis

Sofosbuvir (SOF)+Daclatasvir (DCV) for 12 weeks+ weight based Ribavirin Patients \< 35 kg will be given half doses of medications and patients ≥35 kg will be given adult dosages of SOF (400 mg) and DCV (60 mg) per day

Group Type ACTIVE_COMPARATOR

DAAs in Cirrhotics Genotype 2/3

Intervention Type DRUG

Sofosbuvir and Daclatasvir with weight based ribavirin

Interventions

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Direct Acting Antivirals

Sofosbuvir and Daclatasvir

Intervention Type DRUG

DAAs in Cirrhotics Genotype 2/3

Sofosbuvir and Daclatasvir with weight based ribavirin

Intervention Type DRUG

DAAs in Cirrhotics Genotye 1,4,5,6

Sofosbuvir and Ledipasvir with weight based ribavirin

Intervention Type DRUG

Other Intervention Names

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DAAs in Non Cirrhotics

Eligibility Criteria

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Inclusion Criteria

* Chronic hepatitis C, all genotypes
* Ages eligible for study: ≥12 to \<18 years (Child)
* Gender eligible for study: either
* Treatment-naive or treatment-experienced: either

Exclusion Criteria

* Chronic liver disease of a non-HCV etiology
* serum creatinine \>1.5 mg/dL
* Evidence of hepatocellular carcinoma or other malignancy
* Co-infection with hepatitis B virus, or HIV
* Significant cardiovascular, pulmonary, or neurological disease
* Evidence of a malabsorption syndrome that could interfere with absorption of orally administered medications
* History of solid organ or bone marrow transplantation.
Minimum Eligible Age

12 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Directorate of Health and Family Welfare, Punjab

OTHER

Sponsor Role collaborator

Post Graduate Institute of Medical Education and Research, Chandigarh

OTHER

Sponsor Role lead

Responsible Party

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Radha K Dhiman

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Post Graduate Institute of Medical Education and Research

Chandigarh, , India

Site Status RECRUITING

Countries

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India

Central Contacts

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Radha K Dhiman, DM

Role: CONTACT

911722756335

Facility Contacts

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Radha K Dhiman, DM

Role: primary

911722756335

References

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Dhiman RK, Grover GS, Premkumar M, Taneja S, Duseja A, Rathi S, Satsangi S. Direct-acting antiviral Therapy Is Safe and Effective in Pediatric Chronic Hepatitis C: The Public Health Perspective. J Pediatr Gastroenterol Nutr. 2019 Jan;68(1):74-80. doi: 10.1097/MPG.0000000000002139.

Reference Type DERIVED
PMID: 30211847 (View on PubMed)

Other Identifiers

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IEC/2018/000323

Identifier Type: -

Identifier Source: org_study_id

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