Chronic Hepatitis C
Conditions
Keywords
SVR, VITAMIN D, Hepatitis C, Genotype 2,3, Naive, RVR
Brief summary
Standard therapy for chronic hepatitis C virus (HCV) is (Peg/RBV) combination therapy obtaining sustained virologic response (SVR) in 80% of naïve patients with genotype 2,3. Studies rarely address the issues of improving host factors. The current study examines 1. Does 3 months therapy with Vitamin D+ Peg + Ribavirin could improve viral response and shorten treatment duration (from 24 weeks to 12 weeks) 2. whether Vitamin D levels predicts negative treatment outcome.
Detailed description
Standard therapy for chronic hepatitis C virus (HCV) is (Peg/RBV) combination therapy obtaining sustained virologic response (SVR) in 80% of naïve patients with genotype 2, 3. Studies rarely address the issues of improving host factors. The current study examines whether adding vitamin D, a potent immunomodulator, for 3 months therapy could improve viral response. The working hypothesis is that 3 months therapy with Vitamin D + Peg + Ribavirin significantly improves RVR, EVR, and SVR.
Interventions
Peg+ Vitamin D+ Ribavirin for 3 months
Peg+ Ribavirin for 6 months
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 to 65 years of age * chronic genotype 2,3 HCV infection * treatment Naive negative sero for HBV, HDV and HIV viral infections * absolute neutrophil count of \>1500 per cubic millimeter * a platelet count of \>90,000 per cubic millimeter normal hemoglobin level
Exclusion criteria
* decompensated liver disease (cirrhosis with CP score \>9) * another cause of clinically significant liver disease hepato cellular carcinoma * psychiatric Disorder * chronic heart failure * pregnant women * uncontrolled diabetes with retinopathy Arrhythmia Active CAD * positive sero for HBV, HDV and HIV viral infections or other autoimmune liver disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| sustained virologic response (SVR)rate | 24 weeks | the SVR rate data will be collected and compared for 2 groups |
Countries
Israel