Hepatitis C
Conditions
Keywords
Direct acting antiviral treatment, sCD163, Portal hypertension, Metabolic liver function, Cirrhosis
Brief summary
Investigation of the effects of the new Abbvie direct acting anti-viral (DAA) treatment of chronic viral hepatitis C infection on the macrophage specific activation marker soluble CD163, portal hypertension determined by the hepatic venous pressure gradient (HVPG), and metabolic liver function determined by the galactose elimination capacity (GEC) test and the functional hepatic nitrogen clearance (FHNC).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic hepatitis C genotype 1 or 4 patients initiating the new AbbVie treatment (paritaprevir, ritonavir, ombitasvir og dasabuvir sammen med ribavirin) * Child-Pugh A liver cirrhosis
Exclusion criteria
* Severe liver dysfunction - Child-Pugh klasse B-C * Life expectancy less than 6 months * planned liver transplantation or TIPS procedure within 6 months * non-compliance to treatment or study procedures * allergy to the DAA drugs used (paritaprevir, ritonavir, ombitasvir, dasabuvir, and ribavirin) * pregnancy or expected pregnancy during the study (anti-conception has to be used) * breast feeding * portal vein thrombosis * liver cancer or other malignancies * alcohol consumption
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in the hepatic venous pressure gradient determined by liver vein catheterization from baseline to 12 weeks | 12 weeks |
| Change in the hepatic venous pressure gradient determined by liver vein catheterization from baseline to 1 year | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Changes in the levels of the macrophage specific activation marker sCD163 | Before, during and after treatment - 60 weeks |
| Changes in metabolic liver function determined by the galactose elimination capacity (GEC) test | After 12 weeks treatment |
| Changes in the functional hepatic nitrogen clearance (FHNC) | After 12 weeks treatment |
Countries
Denmark