PK of SOF/LED in HCV - Infected Adolescents With Haematological Disorders

NCT ID: NCT04353986

Last Updated: 2023-03-06

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

PHASE3

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-11

Study Completion Date

2023-12-31

Brief Summary

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This is a prospective, controlled, open-label, pharmacokinetic study. This study aims at studying the PK of sofosbuvir, ledipasvir and sofosbuvir metabolite (GS-331007) in HCV infected children with hematological Disorders. to develop predictive pharmacokinetic model for the 3 moieties in the studied population.

In this study, patients in both treatment groups will receive 12 weeks of treatment with a fixed-dose combination tablet containing 400 mg of sofosbuvir and 90 mg of ledipasvir(SOF/LED) orally, once daily with food.

Detailed Description

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In this study, patients in both treatment groups will receive 12 weeks of treatment with a fixed-dose combination tablet containing 400 mg of sofosbuvir and 90 mg of ledipasvir(SOF/LED) orally, once daily with food, as prescribed by the attending physician. Twelve eligible HCV-infected patients with hematological disorder and 12 matching HCV control patients without haematological disorder or comorbidities will be enrolled in the study. At baseline, careful history of the recruited patients including demographic characteristics (age, height, weight, and gender), comorbidities, medication history, familial history, social history, blood transfusion history, and baseline laboratory tests will be documented.

The baseline laboratory tests will include renal function tests (serum creatinine), liver function tests (bilirubin, albumin, AST, and ALT), international normalised ratio (INR), alpha fetoprotein (AFP), complete blood count (CBC), degree of liver fibrosis by Fibroscan,viral load by PCR and HCV genotype Follow-up will be done for all participants at baseline, after 10 days of treatment for the evaluation of the steady state PK parameters of SOF/LED in those patients, after 12 weeks of treatment, and after 12 weeks from the end of treatment. For a total of 4 follow-up visits.

Conditions

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HCV Infection Beta Thalassemia Major

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

This is a prospective, interventional, controlled, open-label, pharmacokinetic study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Beta thalassemia

HCV infected Beta thalassemia major adolescents

Group Type EXPERIMENTAL

Sofosbuvir and Ledipasvir

Intervention Type DRUG

fixed dose tablet containing 400 mg sofosbuvir and 90 mg ledipasvir

Control

HCV infected, otherwise healthy, sex and age matched to the thalassemia group serving as control group

Group Type ACTIVE_COMPARATOR

Sofosbuvir and Ledipasvir

Intervention Type DRUG

fixed dose tablet containing 400 mg sofosbuvir and 90 mg ledipasvir

Interventions

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Sofosbuvir and Ledipasvir

fixed dose tablet containing 400 mg sofosbuvir and 90 mg ledipasvir

Intervention Type DRUG

Other Intervention Names

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SOF/LED

Eligibility Criteria

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Inclusion Criteria

* Adolescents (ages 12-18 years) and/ or weight more than 35 Kg
* Diagnosed with beta-thalassemia major and receiving regular blood transfusion
* spleenectomised
* Chronic HCV infection (defined as more than 6 months history of the disease)
* Naïve non-cirrhotic population with FIB Score: F0 to F3 as measured by Fibroscan
* Screening laboratory values of the beta-thalassemia group within the following thresholds (absolute neutrophil count \> 1500/mm3, platelets \> 7500 cells/mm3 , Serum creatinine \< 1.2 mg/dl, creatinine clearance \> 40 mL/min, albumin \>3.5 gm/dl, and aspartate transaminase (AST) and alanine transaminase (ALT) level less than 5 fold of the normal limit). Control group should have normal biochemical profile.
* Assent of the patients and consent of their legal guardians are required

Exclusion Criteria

* Previous treatment for HCV.
* History of clinically significant illness or any other medical disorder that may interfere with individual's treatment, assessment or compliance with the protocol or affect the pharmacokinetics of the study drugs. Such as,

* Ongoing or untreated cancer including haematologic and hepatic cancers
* Co-infection with human immunodeficiency virus (HIV), acute hepatitis A virus or hepatitis B virus
* Clincal hepatic decompensation (i.e., ascites, encephalopathy or variceal haemorrhage)
* Renal dysfunction
* Active infection (any infection showing clinical manifestation at time of sampling)
* Known hypersensitivity to study medications
* Ongoing treatment with cyclosporine, rifampin, phenytoin, carbamazepine, phenobarbital, or amiodarone.
Minimum Eligible Age

12 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Manal Hamdy El-Sayed

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Manal H El-Sayed, M.D

Role: PRINCIPAL_INVESTIGATOR

Director of MARSI-CRC

Locations

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Masri-Crc

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Manal H El-Sayed, M.D.

Role: CONTACT

01227461120 ext. 002

Fatma S Ebeid, M.D.

Role: CONTACT

01095569596 ext. 002

Facility Contacts

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Manal H El-Sayed, M.D.

Role: primary

01227461120 ext. 002

Fatma S Ebeid, M.D.

Role: backup

01095569596 ext. 002

References

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El-Baraky IA, Abbassi MM, Ebeid FS, Hassany M, Sabry NA, El-Sayed MH. Beta-thalassemia major alters sofosbuvir/ledipasvir exposure in Hepatitis C virus infected adolescent patients. Clin Res Hepatol Gastroenterol. 2021 Sep;45(5):101747. doi: 10.1016/j.clinre.2021.101747. Epub 2021 Jun 26.

Reference Type DERIVED
PMID: 34186262 (View on PubMed)

Other Identifiers

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CL30114

Identifier Type: -

Identifier Source: org_study_id

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