Effect of Hepatitis C Clearance on Insulin Resistance

NCT ID: NCT04457050

Last Updated: 2020-07-07

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-30

Study Completion Date

2019-12-30

Brief Summary

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Chronic hepatitis C infection has been linked to insulin resistance, which is the essential component of metabolic syndrome and type 2 diabetes mellitus. Resistin; an adipokine, has been demonstrated to stimulate the secretion of several inflammatory factors known to play a role in the induction of insulin resistance. we investigated the changes in insulin resistance after hepatitis C clearance in the era of direct antivirals.

Detailed Description

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the link between hepatitis C infection and insulin resistance has been established. Insuli resistance has been linked to poor response to interferon based therapy. recently, direct acting antiviral drugs are approved for hepatitis C elimination with high potency and safety. The aim of the study is to: 1. Determine the prevalence of insulin resistance among non-diabetic patients with chronic HCV infection. 2. Explore the impact of treatment with DAAs on insulin resistance among chronic HCV infected patients. 3. Investigate the role of insulin resistance as a potential prognostic factor for the response to DAAs. 4. Explore the utility of resistin as a potential biomarker IR among HCV infected patients.

Conditions

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Insulin Resistance Hepatitis C

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Non-Diabetic Hepatitis C infected patients

1. clinical examination,
2. measurement of weight (Kg), height (meter), and waist circumference (cm).
3. Calculation of the body mass index.
4. Ultrasound abdominal examination.
5. Laboratory Investigations including Complete blood count, Serum aspartate and alanine aminotransferases, serum albumin, serum bilirubin, serum gamma-glutamyl transpeptidase, and international normalization ratio. HCV-RNA quantification before treatment and 12 weeks after the end of therapy.. Serum lipid profile, fasting and post-prandial blood sugar, glycated hemoglobin A1c also included.
6. Treatment of all patients with the available generic direct antivirals in Egypt (sofosbuvir/ledipasvir ± ribavirin or sofosbuvir plus daclatasvir ± ribavirin).
7. Evaluation of insulin resistance using the homeostasis model assessment of insulin resistance before and 12 weeks after end of treatment.
8. measurement of serum levels of resistin before and at 12 weeks after treatment.

Group Type EXPERIMENTAL

Sofosbuvir 400 milligram

Intervention Type DRUG

single daily dose of 400 milligrams

Daclatasvir 60 milligram

Intervention Type DRUG

single daily dose of 60 milligrams for 12 weeks

Ribavirin 400 milligram

Intervention Type DRUG

weight based dose, 1200 mg for weight \> 75 kilogram, and 1000 milligram if weight \< 75 kilograms for 12 weeks

Ledipasvir 90milligram/Sofosbuvir 400 milligram Tab

Intervention Type DRUG

single daily dose for 12 weeks

Interventions

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Sofosbuvir 400 milligram

single daily dose of 400 milligrams

Intervention Type DRUG

Daclatasvir 60 milligram

single daily dose of 60 milligrams for 12 weeks

Intervention Type DRUG

Ribavirin 400 milligram

weight based dose, 1200 mg for weight \> 75 kilogram, and 1000 milligram if weight \< 75 kilograms for 12 weeks

Intervention Type DRUG

Ledipasvir 90milligram/Sofosbuvir 400 milligram Tab

single daily dose for 12 weeks

Intervention Type DRUG

Other Intervention Names

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Soflanork 400 milligram Gratisovir 400 milligram Daklanork 60 milligram Daktavira 60 milligram Riba 400 milligram HARVONI Soflanork plus

Eligibility Criteria

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Inclusion Criteria

* Hepatitis C treatment-naïve;
* Non-diabetic patients.

Exclusion Criteria

* Seropositivity for hepatitis B virus infection;
* Diabetes mellitus;
* Bbody mass index ≥ 30 Kg/M\*2;
* History of alcohol consumption;
* Endocrinopathies that may affect the glycemic homeostasis;
* Other known causes of chronic liver disease; Hepatic decompensation \[defined as history of gastrointestinal bleeding (melena and /or hematemesis), jaundice, coagulopathy, hepatic encephalopathy, and/or ascites\]; bleeding diathesis;
* Connective tissue diseases;
* Autoimmune diseases;
* Cardiac, respiratory or renal disease.
* Patient receiving immuno-modulatory therapy or drugs that affect the blood glucose levels such as steroids or beta-blockers.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexandria University

OTHER

Sponsor Role lead

Responsible Party

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Sameh A. Lashen

Associate Professor of Internal Medicine.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of Medicine

Alexandria, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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020966

Identifier Type: -

Identifier Source: org_study_id

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