Chronic Hepatitis C, Liver Cirrhosis
Conditions
Keywords
CHC with compensated LC
Brief summary
This study evaluated the clinical response of the efficacy and safety of the combination therapy of peginterferon alfa-2a and ribavirin, compared with an antiviral treatment-free group in CHC patients with compensated LC. Additionally, this study evaluated the dosage reactivity and the pharmacokinetic characteristics of the combination therapy of peginterferon alfa-2a and ribavirin in CHC patients with compensated LC.
Interventions
180μg(s.c.)/week for 48 weeks
90μg(s.c.)/week for 48 weeks
600, 800, or 1,000 mg X 2(p.o.)/day
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 20 to 75 years-old with quantifiable serum HCV-RNA (≥ 500 IU/mL), elevated serum alanine aminotransferase activity (≥ 45 IU per liter) within sixty days of screening, and proven CHC with compensated LC (Child-Pugh A) on liver biopsy.
Exclusion criteria
* Patients with neutropenia (fewer than 1,500 neutrophils per cubic millimeter) * Thrombocytopenia (fewer than 75,000 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 hepatitis C virus (HCV)-RNA (< 50 IU per milliliter [IU/mL]) | week 24 from the end of treatment |
Secondary
| Measure | Time frame |
|---|---|
| Biochemical response (normalization of serum alanine aminotransferase activity) | at the end of treatment and week 24 form the end of treatment |
| Virological response (HCV-RNA < 50 IU per milliliter) | at the end of treatment and week 24 form the end of treatment |
Countries
Japan