UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000011246
Receipt number R000013182
Scientific Title Efficacy of switching therapy to interferon beta plus ribavirin combination therapy for patients with chronic hepatitis C who discontinues triple therapy with protease inhibitor or dual therapy with Peg-IFN plus RBV combination therapy
Date of disclosure of the study information 2013/08/01
Last modified on 2017/07/25 13:34:27

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Basic information

Public title

Efficacy of switching therapy to interferon beta plus ribavirin combination therapy for patients with chronic hepatitis C who discontinues triple therapy with protease inhibitor or dual therapy with Peg-IFN plus RBV combination therapy

Acronym

Efficacy of switching therapy to interferon beta plus ribavirin combination therapy for patients with chronic hepatitis C who discontinues dual therapy with Peg-IFN plus RBV combination therapy

Scientific Title

Efficacy of switching therapy to interferon beta plus ribavirin combination therapy for patients with chronic hepatitis C who discontinues triple therapy with protease inhibitor or dual therapy with Peg-IFN plus RBV combination therapy

Scientific Title:Acronym

Efficacy of switching therapy to interferon beta plus ribavirin combination therapy for patients with chronic hepatitis C who discontinues dual therapy with Peg-IFN plus RBV combination therapy

Region

Japan


Condition

Condition

chronic hepatitis C

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Evaluating the rate of patients completing treatment and the antiviral effect of switching therapy to interferon beta plus ribavirin combination therapy for patients with chronic hepatitis C who discontinues triple therapy with PI, Peg-IFN plus RBV or dual therapy with Peg-IFN plus RBV

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

- The rate of patients completing treatment
-Sustained virological response rate; the rate of undetectable HCV RNA at end of treatment and at 24 weeks after completion of treatment

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

< Regimen for patients who discontinued triple therapy with protease inhibiter, Peg-IFN plus RBV >
- HCV-RNA disappeared within 12 treatment weeks
Interferon beta: 6M IU thrice a week, total of 24weeks
Ribavirin: Body weight; less than 60kg, 600mg/day p.o., total of 24weeks, 60kg - 80kg, 800mg/day p.o., total of 24 weeks, more than 80kg, 1000mg/day p.o., total of 24weeks

- HCV-RNA did not disappear at the point of discontinuation within 12 treatment weeks
Interferon beta: 6M IU/day 2weeks, followed by 6M IU thrice a week, total of 24weeks
Ribavirin: Body weight; less than 60kg, 600mg/day p.o., total of 24weeks, 60kg - 80kg, 800mg/day p.o., total of 24 weeks, more than 80kg, 1000mg/day p.o., total of 24weeks

< Regimen for patients who discontinued dual therapy with Peg-IFN plus RBV >
- HCV-RNA disappeared within 12 treatment weeks
Interferon beta: 6M IU thrice a week, total of 48weeks
Ribavirin: Body weight; less than 60kg, 600mg/day p.o., total of48weeks, 60kg - 80kg, 800mg/day p.o., total of 48weeks, more than 80kg, 1000mg/day p.o., total of 48weeks

- HCV-RNA disappeared during 12 - 36 treatment weeks
Interferon beta: 6M IU/day 2weeks, followed by 6M IU thrice a week, total of 72weeks
Ribavirin: Body weight; less than 60kg, 600mg/day p.o., total of 72weeks, 60kg - 80kg, 800mg/day p.o., total of 72 weeks, more than 80kg, 1000mg/day p.o., total of 72weeks

Interventions/Control_2

Patients without switching therapy to interferon beta plus ribavirin combination therapy for patients with chronic hepatitis C who discontinues triple therapy with protease inhibitor or dual therapy with Peg-IFN plus RBV combination therapy

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients over 20 years old
2) Patients with chronic hepatitis C who discontinues triple therapy with protease inhibitor, Peg-IFN plus RBV or dual therapy with i Peg-IFN plus RBV
3)
- Patients who discontinued triple therapy within 12 treatment weeks
- Patients who discontinued triple therapy with disappearance of HCV-RNA after 12 treatment weeks
4)
- Patients who discontinued dual therapy within 36 treatment weeks regardless of disappearance of HCV-RNA
- Patients who discontinued dual therapy with disappearance of HCV-RNA after 36 treatment weeks
5) Reasons for discontinuing case is as below
1. depression
2. insomnia
3. severe fatigue
4. rash caused by pegylated interferon
5. platelet counts are less than 50,000/microL

Key exclusion criteria

1) Patients with co-infection with hepatitis B virus
2) Patients with co-infection with human immunodeficiency virus
3) Patients with alcoholic liver disorder or autoimmune hepatitis
4) Patients with uncompensated cirrhosis or hepatic failure
5) Patients with multiple organ failure or immunological deficiency
6) Patients with severe depression or past history of psychiatric disorder
7) Patients with chronic renal failure
8) Patients in pregnancy or lactating or patients who expect to become pregnant
9) Patients whose hemoglobin levels are less than 8.5g/dL
10) Patients whose platelet counts are less than 25,000/microL
11) Patients whose neutrophil counts are less than 500 /microL
12) Patients whom investigator disqualified

Target sample size

80


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tetsuo Takehara

Organization

Osaka University Graduate School of Medicine

Division name

Osaka University Graduate School of Medicine

Zip code


Address

2-2 Yamadaoka Suita Osaka Japan

TEL

06-6879-3621

Email

takehara@gh.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Naoki Hiramatsu

Organization

Osaka University Graduate School of Medicine

Division name

The department of Gastroenterology and Hepatology

Zip code


Address

2-2 Yamadaoka Suita Osaka Japa

TEL

06-6879-3621

Homepage URL


Email

hiramatsu@gh.med.osaka-u.ac.jp


Sponsor or person

Institute

The department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

The department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2013 Year 08 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 06 Month 13 Day

Date of IRB


Anticipated trial start date

2013 Year 06 Month 13 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 07 Month 22 Day

Last modified on

2017 Year 07 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000013182