Hepatitis C
Conditions
Keywords
Hepatitis C, metformin, Insulin Resistance
Brief summary
Insulin resistance is known to adversely effect viral response to treatment in hepatitis C patients We are aiming to study the effect of an insulin sensitizer, metformin, in viral response of hepatitis C to treatment with pegylated interferon and ribavirin in a double blind randomized controlled trial
Detailed description
Subjects with hepatitis C will be randomized to receive standard treatment with or without metformin. The results will be compared.
Interventions
500 mg oral three times a day for 6 months
180 micrograms, or 1.5 micrograms/kg body weight weekly SQ injection for 6 or 12 months depending on genotype
800-1200 mg PO given in 2 divided doses for 6 to 12 months depending on weight and genotype
Sponsors
Study design
Eligibility
Inclusion criteria
* chronic hepatitis C * Iranian nationality * Treatment naive
Exclusion criteria
* cirrhosis * diabetes mellitus * HBV/HIV coinfection * contraindications of metformin, interferon, ribavirin * severe medical conditions (e.g. CHF, CRF, psychosis, ...) * not consenting
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sustained viral response, defined as undetectable virus RNA 6 months after end of treatment | 6 months after end of treatment |
Secondary
| Measure | Time frame |
|---|---|
| adverse effects leading to discontinuation of treatment | anytime during the study |
| Rapid viral response, defined as undetectable viral RNA one month after start of treatment | one month after start of treatment |
| Early viral response, defined as undetectable viral RNA or 2 log drop in viral count three month after start of treatment | three months after start of treatment |
Countries
Iran