HCV Infection, Hepatitis C, Chronic
Conditions
Keywords
Hepatitis C, chronic, HCV infection, Treatment failure, PEG Interferon, (Interferons/therapeutic use, Interferon Alfa-2a/adverse effects), ribavirin, (Ribavirin/therapeutic use, Ribavirin/adverse effects), Amantadine, Drug Therapy, Combination
Brief summary
Response to a second-line anti-HCV treatment in non responder patients to a first-line dual therapy remains very poor. Preliminary studies of amantadine suggest that this drug could be potentially effective to treat hepatitis C.
Detailed description
Background : Response to a second-line anti-HCV treatment in non responder patients to a first-line dual therapy remains very poor. Preliminary studies of amantadine suggest that this drug could be potentially effective to treat hepatitis C. Design : randomized, double-blind, multicenter trial. Interventions compared : Peg-interferon alfa 2A + ribavirin + amantadine versus Peg-interferon alfa 2A + ribavirin + Placebo Eligibility criteria : Chronic hepatitis C, previously treated with combination of interferon plus ribavirin for at least 24 weeks,detectable HCV RNA. primary outcome : sustained virological response, defined as an undetectable HCV RNA level 24 weeks after the end of anti HCV treatment.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic hepatitis C * Previously treated with a combination of interferon plus ribavirin for at least 24 weeks * Detectable HCV RNA (i.e. non responders) * Signed informed consent
Exclusion criteria
* Evidence of another cause of liver disease * Liver cirrhosis (child-Pugh stage BMC) * Alcohol consumption \> 30g/day for women or \> 40g/day for men ; drug abuse * Other serious relevant disorders : psychiatric condition (especially depression), cardio-vascular disease, renal decompensation, seizure history, hemoglobinopathy, auto-immune disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| sustained virological response, defined as an undetectable HCV RNA level 24 weeks after the end of anti HCV treatment (i.e. overall 72 weeks after randomization) | 24 weeks after the end of antiHCV treatment |
Secondary
| Measure | Time frame |
|---|---|
| ALT < upper limit of normal values, | 24 weeks after the end of anti-HCV treatment |
| histological response according to METAVIR score | 24 weeks after the end of anti-HCV treatment |
| adverse effects | — |
| quality of life assessed | at week 72 |
Countries
France