Chronic Hepatitis c
Conditions
Keywords
Mukh Mantri Punjab Hepatitis C Relief Fund,MMPHCRF, Direct acting antiviral agents (DAA), Chronic Hepatitis C, Pediatric population, Adolescent Chronic Hepatitis C
Brief summary
The Mukh-Mantri Punjab Hepatitis C Relief Fund (MMPHCRF) is a public health initiative for prevention and control of hepatitis C in the Punjab state, India. The efficacy of decentralised public health services and safety of 12- or 24-weeks of sofosbuvir (SOF) + ledipasvir (LDV) or SOF + daclatasvir (DCV) with or without ribavirin (RBV) in the treatment of pediatric chronic hepatitis C will be assessed
Detailed description
Consecutive chronic hepatitis C (HCV) infected children \[age: ≥12 to \<18 years; both treatment-naïve (TN) and treatment-experienced, (TE)\] are being enrolled. Genotyping is not recommended for non-cirrhotic or TN patients and are treated with SOF+DCV for 12-weeks, while genotyping is recommended for patients with cirrhosis and TE patients. Patients with liver cirrhosis or TE and genotype (GT)-3 are being treated with SOF+DCV for 24 weeks, while non-GT-3 patients are being treated with SOF+LDV for 24-weeks. Patients \< 35 kg are being given half doses of medications and patients ≥35 kg are being given adult dosages of SOF (400 mg), LDV (90 mg) and DCV (60 mg) per day.
Interventions
Sofosbuvir and Daclatasvir
Sofosbuvir and Daclatasvir with weight based ribavirin
Sofosbuvir and Ledipasvir with weight based ribavirin
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic hepatitis C, all genotypes * Ages eligible for study: ≥12 to \<18 years (Child) * Gender eligible for study: either * Treatment-naive or treatment-experienced: either
Exclusion criteria
* Chronic liver disease of a non-HCV etiology * serum creatinine \>1.5 mg/dL * Evidence of hepatocellular carcinoma or other malignancy * Co-infection with hepatitis B virus, or HIV * Significant cardiovascular, pulmonary, or neurological disease * Evidence of a malabsorption syndrome that could interfere with absorption of orally administered medications * History of solid organ or bone marrow transplantation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sustained Virological Response (SVR 12) | 12 weeks after completion of therapy | HCV RNA undetectable by quantitative Real time Polymerase Chain Reaction (PCR) |
Countries
India