Chronic Hepatitis C
Conditions
Brief summary
The purpose of this study is to investigate the efficacy and effectiveness of peginterferon alfa-2a and ribavirin therapy in Korean chronic hepatitis C patients.
Detailed description
A retrospective analysis of a prospective, multicenter, industry-sponsored, open-label, uncontrolled, community-based clinical trial of combination of peginterferon alfa-2a and ribavirin (Pegasys Expanded Access Program) conducted at 6 tertiary referral centers in Korea between 2003 and 2004 and a cohort of hepatitis C patients who were treated in a single tertiary referral hospital (Asan Medical Center, Seoul, Korea) between 2004 and 2008
Interventions
Patients with genotype 1: treatment with peginterferon α-2a (Roche, Basel, Switzerland) 180 μg/week and daily ribavirin dose of 1,000 mg (for patients with body weight \<75kg) or 1,200 mg (for patients with body weight ≥75kg) for 48 weeks.
Patients with genotype 2 or 3: treatment with peginterferon α-2a 180 μg/week and daily ribavirin dose of 800 mg for 24 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
all of below * adults aged 18-70 years * serum anti-HCV antibody (+) * HCV RNA detectable by PCR * compensated liver disease (Child-Pugh class A)
Exclusion criteria
any of below * HCV genotype other than 1, 2, or 3 * acute hepatitis C * decompensated cirrhosis or hepatocellular carcinoma * other liver disease such as hepatitis A or B, or autoimmune hepatitis * HIV Ab(+) * severe depression or other psychiatric disease * previous organ transplantation * absolute neutrophil count (ANC) \< 1,000 cells/mm3 or platelet count \< 75,000 cells/mm3, or hemoglobin (Hb) \< 13 g/dL for men, \<12 g/dL for women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The proportion of patients achieving sustained virological response (SVR) | at 24 weeks after cessation of treatment | SVR is defined as a documented undetectable serum HCV RNA by PCR at 24 weeks after cessation of treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The proportion of patients achieving early virological response (EVR) | at 12 weeks of treatment | EVR is defined as reduction of HCV RNA level by 2 log or more at 12 weeks of treatment |
| the proportion of patients achieving complete EVR (cEVR) | at 12 weeks of treatment | cEVR is defined as HCV RNA undetectable by PCR at 12 weeks of treatment |
| The proportion of patients achieving end-of-treatment response (ETR) | at week 48 for HCV genotype 1 and at week 24 for HCV genotype 2/3 | ETR is defined as HCV RNA undetectable at the end of treatment. |
Countries
South Korea