HIV Infections, Hepatitis C, Chronic, Treatment Failure
Conditions
Keywords
Hepatitis C, Chronic, HCV infection, HIV infection, Treatment Failure, PEG interferon, Interferons/therapeutic use, Interferon Alfa-2a/adverse effects, Ribavirin/therapeutic use, Ribavirin/adverse effects, Drug Therapy, Combination, Treatment Experienced, Treatment Naive
Brief summary
Combination of PEG interferon and ribavirin is the standard treatment of chronic hepatitis C. Efficacy of this treatment has never been evaluated in HCV-HIV infected patients, who have previously been treated with a first line anti-HCV treatment. The purpose of the study is to evaluate the combination PEG interferon alfa2a-ribavirin in HIV-infected patients with chronic hepatitis C pretreated with interferon alone or interferon combined with ribavirin. The patients receive a dose of 180 µg of PEGASYS once a week and 800 to 1200 mg/day of ribavirin (according to weight) for 48 weeks. Primary outcome of the study is a 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 : Detectable HCV RNA, Previously treated with interferon or interferon combined with ribavirin, Elevated ALT level * HIV infection (CD4\>250/µL, HIV RNA\<10 000 copies/ml) treated or not with antiretroviral therapy * Signed informed consent
Exclusion criteria
* Chronic hepatitis B * Alcohol consumption\>40g/day * Evidence of decompensated liver disease * Hepatocellular carcinoma * Other relevant disorders: organ transplantation, psychiatric or cardiovascular disease, poorly controlled diabetes, seizure disorders, hemoglobinopathy, autoimmune disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients with a sustained virological response, defined as an undetectable HCV RNA level | 24 weeks after the end of anti-HCV treatment |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of patients with a virological response | at weeks 24 and 48 |
| Safety of treatment | — |
| Influence of anti-HCV treatment on CD4 count and HIV RNA | — |
| Proportion of patients with histological response 24 weeks after the end of anti-HCV treatment | — |
Countries
France