Antiviral & Antifibrotic Liver Therapy in HCV + Drinkers and Non-Drinkers
Recruitment status was Active, not recruiting
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Purpose
The primary aim of this investigation is to evaluate the effect of a combined antiviral, antifibrotic and antioxidant treatment on the progression of liver disease in patients with hepatitis C who either abstain from alcohol or continue to drink. All subjects are given state-of-the-art antiviral treatment (pegylated interferon + ribavirin), supplemented with either placebo or polyenylphosphatidylcholine (PPC), a purified soybean extract consisting of 95-96% polyunsaturated phosphatidylcholines (PC) and which has both antifibrotic and antioxidant properties. Secondary aims are to verify whether moderate alcohol consumption interferes with the antiviral effect of pegylated interferon + ribavirin on HCV and to validate the reliability of various circulating markers as substitute for liver biopsies to indicate the stage of liver pathology and its propensity for progression.
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatitis C |
Drug: Polyenylphosphatidylcholine (PPC) Drug: Pegylated Interferon Drug: Ribavirin |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Antiviral & Antifibrotic Liver Therapy in HCV + Drinkers and Non-Drinkers |
- To evaluate the effect of a combined antiviral, antifibrotic and antioxidant treatment on the progression of liver disease in patients with hepatitis C who abstain from alcohol or consume it.
- To validate the reliability of various circulating markers as substitute for liver biopsies to indicate the stage of liver pathology and its propensity for progression.
| Estimated Enrollment: | 207 |
| Study Start Date: | June 2000 |
| Estimated Study Completion Date: | December 2005 |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 21 Years to 67 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult patients (up to 67 years old) are eligible for the study if they are positive for HCV RNA on testing with the polymerase chain reaction (quantitative test), or qualitative test positive if quantitative negative, have undergone a liver biopsy within one year before entry, available for analysis (vide infra) and whose results are consistent with a diagnosis of chronic hepatitis with at least moderate inflammation, a fibrosis score of at least 2/6 according to Ishak et al (1995), and excluding complete cirrhosis. In terms of drinking, the men comprise “abstainers” (less than 12 drinks in the past year), those who drink lightly (1-13 drinks per month) or moderately (4-14 drinks per week) (Dufour, 1999). For women below the age of 50 years, these levels are reduced in half. A drink is defined as: 12 ounces of regular beer, 5 ounces of wine or 1.5 ounces of distilled spirits (80 proof) (Nutrition and Your Health, 1990).
Exclusion Criteria:
-
Contacts and Locations| United States, New York | |
| Bronx VA | |
| Bronx, New York, United States, 10468-3922 | |
| Principal Investigator: | Charles S Lieber, MD | Mount Sinai School of Medicine |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00211848 History of Changes |
| Other Study ID Numbers: | AA12867, 99-1097 |
| Study First Received: | September 13, 2005 |
| Last Updated: | April 27, 2007 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Mount Sinai School of Medicine:
|
Chemical Compounds-drugs Human Subjects- adults Gastrointestinal System-liver Pathology |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis C Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections |
Flaviviridae Infections Antiviral Agents Interferons Ribavirin Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Antineoplastic Agents Antimetabolites Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 23, 2013