PK of SOF/LED in HCV - Infected Adolescents With Haematological Disorders
NCT ID: NCT04353986
Last Updated: 2023-03-06
Study Results
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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UNKNOWN
PHASE3
24 participants
INTERVENTIONAL
2018-06-11
2023-12-31
Brief Summary
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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.
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Detailed Description
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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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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Beta thalassemia
HCV infected Beta thalassemia major adolescents
Sofosbuvir and Ledipasvir
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
Sofosbuvir and Ledipasvir
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
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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
* 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.
12 Years
18 Years
ALL
No
Sponsors
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Ain Shams University
OTHER
Responsible Party
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Manal Hamdy El-Sayed
Professor
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
Countries
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Central Contacts
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Facility Contacts
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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.
Other Identifiers
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CL30114
Identifier Type: -
Identifier Source: org_study_id
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