Hepatitis C, Chronic
Conditions
Keywords
Hepatitis C, Chronic, irbesartan
Brief summary
The purpose of this study is to examine the efficacy of irbesartan on the progression of liver fibrosis in adult patients with chronic hepatitis C. The expected total enrollment is 200 patients. Patients who meet the study criteria and accept to participate at this study will take by day one tablet of 150 mg of treatment (irbesartan or placebo) during two years. The assessment of efficacy will be make by evaluation of area of liver fibrosis and blood markers of liver fibrosis
Detailed description
The results of several studies suggests than the AT1 receptor antagonists of angiotensin II have inhibitory effects on TGF-beta 1 production and can limit the progression of liver fibrosis. Therefore, the angiotensin II could be another mediator of the synthesis of the extra-cellular matrix at the hepatic level, opening new perspectives with the antagonists of angiotensin II receptors drugs (ARA2/sartans). This study is a randomized, double blind, multi-center, parallel assignment, and efficacy study.
Interventions
one tablet of 150 mg/d during 2 years
one tablet per day during 2 years
Sponsors
Study design
Eligibility
Inclusion criteria
* age between 18 and 75 years * liver biopsy performed (less 18 month before inclusion), fibrosis score F2,F3 or F3+ in Metavir classification, * patients without antiviral therapy * contraindication to anti viral treatment * non responders or relapsers patients to past antiviral treatment
Exclusion criteria
* hepatocellular carcinoma * HIV * alcool abuser * cirrhosis * anti-fibrotic treatment * pregnancy or breast feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of liver fibrosis changes by measurement of area of porto-septal fibrosis (morphometry)at M24 | at M24 |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of liver fibrosis changes at M24 by non-invasive tests ((blood test mainly and also elastometry) | at M24 |
Countries
France
Contacts
CHU Angers, Service d'hépato-gastroentérologie, 49933 Angers Cedex 09
Inserm U707 France