Use of Omega-3 Fatty Acids (Fish Oil) in Patients With Chronic Hepatitis C Infection
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Purpose
Hepatitis C virus infection is the most common blood-borne infection in the United States and is a leading cause of chronic liver disease affecting 130 million people around the world. It is estimated that 1.6% of the US population may be affected by Hepatitis C infection. The only recommended treatment that has been approved for your condition is the use of interferon and ribavirin. In patients with chronic Hepatitis C, there tends to be an accumulation of fat in the liver. Fatty liver has been associated with failure of treatment.
The accumulation of fat in the liver has been blamed on a particular type of fat called triglycerides. Fish oil, by reducing a type of fat called VLDL, can lower the triglyceride concentration by as much as 50 percent or more. This study seeks to determine if the administration of fish oil along with standard treatment to patients with Hepatitis C will increase the treatment response rates.
| Condition | Intervention |
|---|---|
|
Hepatitis C |
Dietary Supplement: Omega-3 Fatty Acids Drug: Placebo comparator |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | The Effect of Omega-3 Fatty Acids (Omacor@) on the Response Rate to Antiviral Therapy in Patients With Chronic Hepatitis C Infection |
- To assess whether omega-3 fatty acids can improve early and sustained viral responses to treatment with interferon in patients with chronic infection. [ Time Frame: To be determined by Hepatits C genotype ]
- To look at the effect of treatment of Hepatitis C on insulin resistance. [ Time Frame: While using Omega-3 Fatty Acid capsules ]
| Estimated Enrollment: | 200 |
| Study Start Date: | June 2009 |
| Study Completion Date: | August 2012 |
| Primary Completion Date: | August 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1.
Omega-3 Fatty Acids 4 grams/day
|
Dietary Supplement: Omega-3 Fatty Acids
Omega-3 Fatty Acids - 4 grams per day
Other Name: Omacor@
|
|
Placebo Comparator: 2.
Placebo comparator along with interferon.
|
Drug: Placebo comparator |
Detailed Description:
Hepatic steatosis may be present in up to 66% of cases of chronic Hepatitis C infection. Previous studies have reported steatosis to be an independent predictor of treatment failure in patients with chronic hepatitis C infection.
The pathogenesis of hepatic steatosis in chronic Hepatitis C infection has not been fully elucidated. Hepatic steatosis is a manifestation of excessive triglyceride accumulation in the liver. Hypertriglyceridemia may benefit from Omega-3 fatty acid (fish oil supplements) which, by reducing VLDL production can lower the serum triglyceride concentration by as much as 50 percent or more.
The treatment of chronic hepatitis C results in an average sustained viral response rate of 54%-63%. We have found response rates of around 50% on treatment of patients. We hypothesize that by giving omega-3 fatty acids along with interferon therapy for patients with Hepatitis C, we may be able to increase the treatment response rates. Thus, the purpose of the study is to look at the effect of omega 3 fatty acids on early and sustained viral response rates in patients with chronic HCV infection.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult patients > 18 years of age
- Patients with chronic hepatitis C infection
- Patients receiving interferon for treatment of hepatitis C
Exclusion Criteria:
- pregnant or lactating patients
- End stage target organ damage in diabetes mellitus: advanced renal failure (serum creatinine >2.0 mg/dl) with or without dialysis, severe neuropathy, advanced peripheral vascular disease.
- Anticipated life expectancy less than 2 years
- Co-existent etiologies for liver disease
- Alcohol consumption more than 30 g per day in men and more than 20 g per day in women.
- Patients on Omega-3 fatty acid supplementation or those patients who report eating oily fish such as salmon, albacore tuna, sardines, etc. twice a week or more frequently.
Contacts and Locations| United States, Missouri | |
| Truman Medical Center | |
| Kansas City, Missouri, United States, 64108 | |
| Saint Luke's Hospital | |
| Kansas City, Missouri, United States, 64111 | |
| Principal Investigator: | Laura M Alba, M.D. | Truman Medical Center |
| Principal Investigator: | Jagdish Nachnani, MD | Truman Medical Center |
More Information
Additional Information:
No publications provided
| Responsible Party: | Truman Medical Center |
| ClinicalTrials.gov Identifier: | NCT00547716 History of Changes |
| Other Study ID Numbers: | 07-48 |
| Study First Received: | October 19, 2007 |
| Last Updated: | August 7, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Truman Medical Center:
|
Hepatitis C Omega 3 fatty acids Omacor Interferon |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis, Chronic Hepatitis C Hepatitis C, Chronic Liver Diseases Digestive System Diseases |
Hepatitis, Viral, Human Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections Flaviviridae Infections |
ClinicalTrials.gov processed this record on May 23, 2013