Hepatitis C Genotype 4
Conditions
Brief summary
This is an open, uncontrolled pilot study of thirty chronic HCV infected patients carried out at Yassin Abdel Ghaffar Charity Center for Liver Disease and Research. The aim of this study is to investigate the safety & efficacy of combined therapy sofosbuvir (SOF) and daclatasvir (DCV) for treating HCV Genotype 4 in children aged 8 to 18. Due to previous positive results in other clinical studies of this drug it is expected that the drug will have high safety and high efficacy. Safety will be measured by checking for adverse effects, while efficacy will be measured by Real-Time Quantitative Polymerase Chain Reaction (qPCR) detecting viral nucleic acids in blood samples.
Interventions
1 whole or half tablet sofosbuvir and 1 whole or half tablet daclatasvir per day SOF dosage: 400 mg/day for greater than 45 kg weight patients; 200 mg/day for 17 kg to 45 kg patients DCV dosage: 60 mg/day for greater than 45 kg weight patients; 30 mg for 17 kg to 45 kg patients
Sponsors
Study design
Intervention model description
All of the participants will be receiving combined therapy of sofosbuvir and daclatasvir for 12 weeks.
Eligibility
Inclusion criteria
1. Age: 8-18 years 2. Sex: both sexes 3. Naïve patients, with chronic HCV infection
Exclusion criteria
1. Co-infection with Hepatitis B virus (HBV) 2. Other associated chronic liver illness 3. Cirrhotic patients (as indicated by biopsy, fibroscan(F4) 4. Patients with history of hematemesis (non cirrhotic portal hypertension) 5. Patients on drugs known to interact unfavorably with SOF (Amiodarone,..)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Treatment Emergent Adverse Events | During the 12 weeks of treatment. | The presence of any adverse effects will be used to characterize this outcome measure. |
| Sustained Viral Clearance | At Week 12 after end of treatment. | HCV RNA qPCR will be used to determine if the target of viral clearance has been established. Detection limit of the kit is 12 IU/ml. |
Countries
Egypt