Chronic hepatitis C patients with genotype 1 and high viral load (>
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Chronic hepatitis C with HCV genotype 1 and high viral load (HCV RNA >= 5 Log IU/mL). 2. Concurrent with chronic gastritis. 3. No signs of cirrhosis based on histological, imaging, or hematological parameters. 4. No detectable hepatocellular carcinoma by imaging modalities.
Exclusion criteria
Exclusion criteria: 1. Allergic to peginterferon alpha-2b or other interferon preparations. 2. Allergic to vaccine or biological preparations. 3. Allergic to ribavirin or other nucleoside preparations. 4. Pregnant or under breast feeding. 5. Uncontrolled cardiovascular diseases. 6. Abnormal hemoglobinemia. 7. Chronic renal failure or creatinine clearance value less than 50 mL/min. 8. Severe depression or psychiatric disorders including a history of a suicide attempt. 9. Sever or decompensated liver disease or obstruction of biliary tract. 10. Vascular diseases of central nervous system. 11. Concomitant herbal medication such as Sho-saiko-to. 12. Autoimmune liver diseases. 13. Chronic liver diseases other than hepatitis C virus such as hepatitis B virus and excessive alcohol intake. 14. Other conditions considered inappropriate by attending physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Negative result of qualitative HCV RNA test 24 weeks after terminating therapy. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Negative results of qualitative HCV RNA test at weeks 4, 8, 12, 24, and 48 during treatment and at terminating therapy. 2. The incidence rates of completion of therapy, dose reduction, and discontinuation of therapy. 3. Normalization of alanine aminotransferase levels at weeks 24 and 48 during treatment and 24 weeks after terminating therapy. 4. HCV Core and NS5A ISDR amino acid replacement and virological response. 5. Adverse events and laboratory abnormalities (changes in neutrophil count, platelet count, and hemoglobin concentration). | — |
Countries
Japan
Contacts
Okayama University Hospital Department of Gastroenterology and Hepatology