Hepatitis C, Thalassemia
Conditions
Keywords
Hepatitis C, Thalassemia, Pegasys, Ribavirin
Brief summary
Antiviral treatment of HCV in thalassemia has raised concerns of ribavirin-induced hemolysis and increased iron loading. Blood Transfusion in Thalassemic patients are a known high risk for acquiring hepatitis C. The investigators are trying the PEGASYS (Peginterferon alpha-2a(40 KD)) plus Ribavirin in Thalassemic patients with HCV.
Detailed description
Patients with Thalassemia receive chronic blood transfusions and have an increased prevalence of chronic Hepatitis C virus (HCV) infection, particularly if transfused before HCV serological testing became available. The investigators enrolled 300 patients into the study. The patients received PEGASYS (Peginterferon alpha-2a(40 KD)) 180 microgram per week plus COPEGUS (Ribavirin) 1000 milligram for weight less than or equal 75 kg and 1200 milligram for more than 75 kg for 48 weeks. Follow up period is 6 months after treatment. The patients are visited every 4 weeks with biochemistry lab tests. The patients are checked with quantitative HCV RNA (Ribonucleic Acid) on the third months after initiation of the treatment to assess early virologic response and at the end of the study for complete response rate and on the six month after treatment completion for sustained response rate. The patients with undetectable HCV RNA are considered as responders.
Interventions
PEGASYS: 180 microgram per week (Injection) Plus Ribavirin: \[=\<75 kg: 1000 mg; \>75 kg: 1200 mg per day (PO)\]
Sponsors
Study design
Eligibility
Inclusion criteria
* HCV RNA positive * Age older than 12 years
Exclusion criteria
* Ongoing pregnancy or breast feeding * History (Hx) of Hepatocellular Carcinoma (HCC) * Hx of alcoholic liver disease * Hx of bleeding from esophageal varices * Hx of hemochromatosis * Hx of autoimmune hepatitis * Hx of Suicidal attempt * Hx of cerebrovascular dis * Hx of severe retinopathy * Hx of severe psoriasis * Hx of scleroderma * Hx of metabolic liver disease * Hx of Systemic Lupus Erythematosus (SLE)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Early Virologic Response | After 12 weeks of Treatment |
| End of Treatment Response | 48 Weeks |
| Sustained Virologic Response | 24 weeks after Treatment |
| Rapid Virologic Response | One month after Treatment |
Secondary
| Measure | Time frame |
|---|---|
| Biochemical response (ALT) | End of Treatment AND 24 weeks after Treatment |
| Laboratory Parameters | During Treatment AND End of treatment |
| Tolerability of drugs for whole therapy period | During Treatment |
Countries
Iran