Chronic Hepatitis C
Conditions
Brief summary
This study evaluated the efficacy and safety of the combination of peginterferon alfa-2a plus ribavirin in treatment-naïve patients with HCV genotype 1b infection, compared with peginterferon alfa-2a monotherapy. Additionally, the study evaluated the efficacy and safety of the combination of peginterferon alfa-2a plus ribavirin in patients with CHC who had failed to respond to previous conventional-interferon based therapy.
Detailed description
Treatment-naïve patients were randomly assigned in a 1:1 ratio to 48 weeks of double-blind treatment with subcutaneous, once-weekly injections of 180 μg of peginterferon alfa-2a (40KD) plus either twice-daily oral ribavirin (600 to 1000mg/day) or placebo. All patients who had received previous treatment with conventional interferon but had failed to respond (no suppression of HCV-RNA below detection limits of a sensitive assay) or had relapsed (reversion to HCV-RNA positive state after suppression) received the combination of peginterferon alfa-2a (40KD) plus ribavirin for 48 weeks at the dosages stated above.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients with quantifiable serum HCV-RNA (≥500 IU/mL)) * elevated serum alanine aminotransferase activity (≥45 IU per liter)within six months of screening * liver biopsy findings consistent with a diagnosis of chronic hepatitis C.
Exclusion criteria
* Patients with neutropenia (fewer than 1,500 neutrophils per cubic millimeter) * leukopenia (fewer than 3,000 white blood cells per cubic millimeter) * thrombocytopenia (fewer than 90,000 platelets per cubic millimeter) * anemia (less than 12 g hemoglobin per deciliter ) * hepatitis B co-infection * decompensated liver disease * organ transplant * creatinine clearance less than 50 milliliters per minute * poorly controlled psychiatric disease * poorly controlled diabetes * malignant neoplastic disease * severe cardiac or chronic pulmonary disease * immunologically mediated disease * retinopathy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sustained virological response, defined as undetectable HCV-RNA (<50IU per milliliter) after 24 weeks of untreated follow-up (week 72). | — |
Secondary
| Measure | Time frame |
|---|---|
| Biochemical response (normalization of serum alanine aminotransferase activity), | — |
| Virological response (HCV-RNA <50IU per milliliter) at the end of therapy. | — |