Hepatitis C, Chronic
Conditions
Brief summary
In this randomized, cross-over, open label study the correlation of Pegasys (peginterferon alfa-2a) pharmacokinetics after intravenous (iv) and subcutaneous (sc) administration with viral load and viral kinetics will be investigated in patients with chronic hepatitis C genotype 1 who were non-responders to previous standard combination therapy with pegylated interferon and ribavirin. Patients will be randomized to receive either weekly or twice weekly Pegasys iv or sc for 2 weeks, crossing over to the other mode of administration after a washout period of 6 weeks.
Interventions
sc weekly
iv weekly
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult caucasian patients, 18 - 70 years of age * Hepatitis C, genotype 1 * Non-responder to previous anti-HCV therapy with peginterferon alfa and ribavirin * Compensated liver disease (Child-Pugh class A) for \>/= 24 months before baseline * Positive for anti-HCV for \> 6 months, with detectable serum HCV-RNA
Exclusion criteria
* Treatment-naïve or responder to previous therapy * HCV infection other than genotype 1 * Positive for Hepatitis A, Hepatitis B or HIV infection at screening * Chronic Hepatitis of other than HCV origin * Decompensated liver disease (Child-Pugh class B or C) * Therapy with systemic antiviral, antineoplastic or immunomodulatory agents in the 6 months prior to study * Clinically relevant retina disorder * Pregnant or lactating women and male partners of pregnant women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HCV RNA levels (IU/ml, COBAS TaqMan HCV Test) in correlation with area under the plasma concentration-time curve (AUC) after sc and iv administration | 11 months |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of predictors of response to i.v. treatment | 11 months |
| Effect of waist to hip ratio on pharmacokinetics | 11 months |
| Effect of waist to hip ratio on viral response | 11 months |
| Incidence of adverse events | 11 months |
Countries
Germany