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Management of Hepatitis C in HIV Infected Injection Drug Users (IDUs)

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ClinicalTrials.gov Identifier: NCT01448915
Recruitment Status : Active, not recruiting
First Posted : October 7, 2011
Last Update Posted : August 21, 2017
Sponsor:
Collaborator:
National Institute on Drug Abuse (NIDA)
Information provided by (Responsible Party):
Johns Hopkins University

Study Description
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Brief Summary:
The principal goal of this research project is to evaluate the natural history of HCV and liver disease and its treatment in HIV-infected persons who use drugs. Research procedures will focus on determining liver disease prevalence and severity within this population. This is an observational study without study specific interventions.

Condition or disease
HIV Infection Hepatitis C

Detailed Description:
The principal goal of this research project is to evaluate the natural history of HCV and liver disease and its treatment in HIV-infected persons who use drugs. The recent availability of a novel, non-invasive method of measuring HCV disease stage makes it possible to test the relationship of HCV disease stage and the management of coinfected IDUs with adequate precision. The investigators will apply the innovative technology, elastography (FibroScan®) to ask whether the marked differences in the final disease outcome, end-stage liver disease (ESLD), can be explained by a measure of liver stiffness as assessed by elastography (FibroScan®). While advances in non-invasive disease assessment are critical to HCV management, the greatest challenge to improving HCV treatment effectiveness in coinfected persons remains low rates of treatment uptake and adherence, even when freely accessible. In response to this glaring disparity, the investigators will test potent behavioral reinforcement interventions to improve the management of HCV disease by adapting a rigorously studied contingent behavioral incentives program to the treatment to coinfected IDUs. Hepatitis C Treatment Eligibility: To determine the population prevalence of significant liver disease in coinfected IDUs using an innovative, non-invasive methodology (transient elastography, FibroScan®) to measure liver stiffness. Liver Disease Staging: To test the hypothesis that liver stiffness, assessed by a novel, non-invasive methodology, is predictive of the development of ESLD, defined as hepatic decompensation, hepatocellular cancer, and liver-related death, in coinfected IDUs.

Study Design
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Study Type : Observational
Estimated Enrollment : 1000 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Management of Hepatitis C in HIV Infected IDUs
Study Start Date : September 2009
Estimated Primary Completion Date : March 2019
Estimated Study Completion Date : March 2019

Resource links provided by the National Library of Medicine


Groups and Cohorts
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Group/Cohort
Persons with HIV and HCV coinfection
Persons with HIV and HCV coinfection who receive medical care for HIV infection at Johns Hopkins Hospital


Outcome Measures
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Primary Outcome Measures :
  1. Hepatitis C Treatment Uptake and HCV cure [ Time Frame: 5 years ]
    The proportion of persons with HIV and HCV coinfection who achieve HCV cure


Secondary Outcome Measures :
  1. Incidence of clinical outcomes in persons with HIV/HCV coinfection with or without HCV cure [ Time Frame: 5 years ]
    Clinical events including liver failure and liver cancer

  2. Liver stiffness measurement by elastography in persons with HIV infection [ Time Frame: 5 years ]
    Change in liver stiffness following HCV cure


Biospecimen Retention:   Samples Without DNA
Serum and plasma specimens are collected at regular intervals

Eligibility Criteria
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Ages Eligible for Study:   18 Years to 90 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
This is a prospective observational cohort of HIV-infected persons receiving medical care at the Johns Hopkins Hospital. Participants are eligible if they are HCV antibody positive and use or have used drugs.
Criteria

Inclusion Criteria:

  • Current or prior drug use
  • Reactive HCV antibody
  • Reactive HIV antibody

Exclusion Criteria:

  • Women may not undergo FibroScan while pregnant
  • Persons with implanted cardiac devices may not undergo FibroScan
Contacts and Locations
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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): NCT01448915


Locations
United States, Maryland
Johns Hopkins Hospital
Baltimore, Maryland, United States, 21287
Sponsors and Collaborators
Johns Hopkins University
National Institute on Drug Abuse (NIDA)
Investigators
Principal Investigator: Mark S. Sulkowski, MD Johns Hopkins University
More Information
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Publications of Results:

Other Publications:

Responsible Party: Johns Hopkins University
ClinicalTrials.gov Identifier: NCT01448915     History of Changes
Obsolete Identifiers: NCT00496912
Other Study ID Numbers: NA00029706
R01DA016065 ( U.S. NIH Grant/Contract )
First Posted: October 7, 2011    Key Record Dates
Last Update Posted: August 21, 2017
Last Verified: August 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Johns Hopkins University:
HIV
Human immunodeficiency virus
Acquired Immune Deficiency Syndrome Virus
AIDS virus
Immunodeficiency Virus, Human
Virus, Human Immunodeficiency
 Hepatitis C
Hepatitis C, chronic
Hepatitis C virus
Hepatitis C antibodies
Hepatitis C antigens

Additional relevant MeSH terms:
Hepatitis
Hepatitis A
Hepatitis C
HIV Infections
Liver Diseases
Digestive System Diseases
Hepatitis, Viral, Human
Virus Diseases
Enterovirus Infections
 Picornaviridae Infections
RNA Virus Infections
Flaviviridae Infections
Lentivirus Infections
Retroviridae Infections
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases