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Assessment of the Antiviral Effect of Atorvastatin on Hepatitis C Virus

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00403533
First Posted: November 23, 2006
Last Update Posted: November 23, 2006
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by:
Massachusetts General Hospital
  Purpose

We hypothesize that atorvastatin will decrease HCV viral load in patients taking the medication.

Cholesterol is needed for HCV virion production. Cell culture studies have shown that atorvastatin (an HMG-CoA reductase inhibitor) decreases HCV viral replication. As atorvastatin has been proven to decrease heart attack and stroke in patients with high cholesterol, this medication is indicated for the treatment of elevated cholesterol in at risk individuals. Therefore we propose to study the effect atorvastatin has on the viral load of patients initiated on atorvastatin therapy for their elevated cholesterol.


Condition Intervention Phase
Hepatitis C Drug: 20 mg of atorvastatin daily Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Assessment of the Antiviral Effect of Atorvastatin on Hepatitis C Virus

Resource links provided by NLM:


Further study details as provided by Massachusetts General Hospital:

Primary Outcome Measures:
  • Paired comparison of pretreatment viral load to post-treatment 12 week viral load

Secondary Outcome Measures:
  • Paired comparison of pretreatment viral load to post-treatment 4 week viral load

Estimated Enrollment: 10
Study Start Date: February 2006
Estimated Study Completion Date: July 2006
Detailed Description:

Men and women ages 30 to 80 infected with HCV viremia whose physician has determined need cholesterol lowering medication will be recruited by the study investigators from Massachusetts General Hospital.

The study investigators will approach the potential subject after the referring doctor has ascertained that the potential subject is interested in meeting with the investigator.

Each subject who consents will undergo phlebotomy of 10 cc of blood three times. Once prior to the initiation of atorvastatin to measure the patients viral load. In addition, patients will undergo phlebotomy 4 and 12 weeks after the initiation of atorvastatin. The week 12 phlebotomy is required in all patients started on atorvastatin to monitor for side effects. Therefore patients who enroll in this study will undergo one additional phlebotomy. As part of our study an extra 10 cc of blood will be taken at these times to measure the patients HCV viral load.

  Eligibility

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Ages Eligible for Study:   30 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with chronic HCV.
  • Patients who need treatment for their elevated cholesterol:

    • Total cholesterol >240 or
    • LDL >160 without cardiac risk factors or
    • LDL >130 with two cardiac risk factors (hypertension, smoker, family history of heart attach, or HDL <40 for men or <50 for women) or
    • LDL >100 with diabetes or known coronary artery disease

Exclusion Criteria:

  • Impaired mental ability preventing a subject from understanding the protocol or from completing the entire study.
  • HCC
  • A history of an adverse reaction to any HMG CoA reductase inhibitor.
  • Patients who are on HCV treatment, who plan to initiate HCV treatment within 3 months, or who discontinued HCV treatment within the last 3 months.
  • Patients whose aminotransferases are > 5 times the upper limit of normal.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00403533


Locations
United States, Massachusetts
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
Sponsors and Collaborators
Massachusetts General Hospital
Investigators
Principal Investigator: Raymond T Chung, MD Massachusetts General Hospital
  More Information

Publications:
ClinicalTrials.gov Identifier: NCT00403533     History of Changes
Other Study ID Numbers: 2006-P-000138/1
AASLD advanced hepato. grant
First Submitted: November 21, 2006
First Posted: November 23, 2006
Last Update Posted: November 23, 2006
Last Verified: November 2006

Keywords provided by Massachusetts General Hospital:
Hepatitis C
viral load
antiviral therapy
cholesterol
atorvastatin

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
Atorvastatin Calcium
Antiviral Agents
Anticholesteremic Agents
Hypolipidemic Agents
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Lipid Regulating Agents
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Enzyme Inhibitors
Anti-Infective Agents