NCT00158522

Brief Summary

Acute hepatitis C is a liver disease related to a virus: hepatitis C virus (HCV). The type of Hepatitis C Virus present in Egypt (genotype 4), has the reputation to respond poorly to treatment at the chronic hepatitis stage. Without treatment, 85% of patients with acute hepatitis C become chronically HCV infected which means that the virus stays present in the body. Pegylated Interferon is a new form of Interferon that stays in the body for longer time and allows the patient to take less injection per week. It has also proved to be more effective than standard Interferon in treatment of chronic hepatitis C.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
31

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Feb 2003

Longer than P75 for phase_3

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2003

Completed
2.6 years until next milestone

First Submitted

Initial submission to the registry

September 8, 2005

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 12, 2005

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2007

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2007

Completed
Last Updated

February 8, 2008

Status Verified

February 1, 2008

Enrollment Period

4.8 years

First QC Date

September 8, 2005

Last Update Submit

February 6, 2008

Conditions

Keywords

Acute hepatitis CGenotype 4Pegylated InterferonEgypt

Outcome Measures

Primary Outcomes (1)

  • Disappearance of HCV RNA by qualitative PCR 24 weeks after the end of treatment

Secondary Outcomes (3)

  • Changes in HCV RNA load

  • Normalization of ALT during treatment and 24 weeks after the end of treatment

  • Study of side effects

Study Arms (1)

1

EXPERIMENTAL
Drug: pegylated interferon alpha2a

Interventions

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Acute hepatitis C:(1)ALT over 3x normal values ; IgM anti-HAV, IgM anti-HBc negative antibody ; negative HCV antibodies (3rd generation ELISA) and positive HCV PCR at first presentation, or, (2)ALT over 4x normal values ; IgM anti-HAV, IgM anti-HBc, CMV, EBV and toxoplasmoses negative antibody and negative HEV PCR ; Positive HCV antibodies (3rd generation ELISA) and positive HCV PCR at first presentation ; a clear history of exposure within 2 months prior the time of diagnosis ; no exposure to hepatotoxic drug or pesticide within 2 weeks prior the time of diagnosis
  • Patients without chronic liver disease
  • HBsAg negative
  • Hemoglobin over or equal to 11g/dl
  • Leucocytes over or equal to 3000/mm3
  • Polynuclear neutrophils over or equal to 1500/mm3
  • Platelets over or equal to 100 000/mm3
  • Blood creatinin less or equal to 150 micromol/l
  • Blood uric acid within the normal limits of the investigating center
  • Normal TSH
  • Antinuclear antibodies \< 1/160
  • Fasting blood sugar 70-115 mg/dl ; if glucose intolerance or diabetes, HbA1C less or equal to 8,5%
  • Normal ophthalmologic examination for all patients
  • Effective contraception during the treatment period.
  • No breastfeeding during the study period
  • +1 more criteria

You may not qualify if:

  • Co-infection with hepatitis B (positive HBs antigen)
  • Hemochromatosis
  • Alpha-1 anti-trypsin deficiency
  • Wilson disease
  • Alcoholism-related liver disease
  • Gilbert disease
  • Liver cirrhosis
  • Hepatocellular carcinoma.
  • Alcohol intake over 50g/day for males and 40 g/day for females
  • Intravenous drug use
  • Psychiatric disease: history of severe nervous breakdown or severe psychiatric diseases such as major psychosis, suicidal ideas, suicide attempts…
  • Epilepsy
  • Auto-immune disease
  • Heart disease in the six months preceding enrolment - patients with significant changes at EKG
  • Uncontrolled diabetes
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Hepatology and Tropical Medicine Research Institute

Cairo, Egypt

Location

Related Publications (2)

  • Bakr I, Rekacewicz C, El Hosseiny M, Ismail S, El Daly M, El-Kafrawy S, Esmat G, Hamid MA, Mohamed MK, Fontanet A. Higher clearance of hepatitis C virus infection in females compared with males. Gut. 2006 Aug;55(8):1183-7. doi: 10.1136/gut.2005.078147. Epub 2006 Jan 24.

    PMID: 16434426BACKGROUND
  • El Gaafary MM, Rekacewicz C, Abdel-Rahman AG, Allam MF, El Hosseiny M, Hamid MA, Colombani F, Sultan Y, El-Aidy S, Fontanet A, Mohamed MK. Surveillance of acute hepatitis C in Cairo, Egypt. J Med Virol. 2005 Aug;76(4):520-5. doi: 10.1002/jmv.20392.

    PMID: 15977225BACKGROUND

Related Links

MeSH Terms

Conditions

Hepatitis C

Interventions

peginterferon alfa-2a

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsHepatitis, Viral, HumanVirus DiseasesFlaviviridae InfectionsRNA Virus InfectionsHepatitisLiver DiseasesDigestive System Diseases

Study Officials

  • Mostafa K Mohamed

    National Hepatology and Tropical Medicine Research Institute

    PRINCIPAL INVESTIGATOR
  • Fontanet Arnaud

    Institut Pasteur de Paris

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER GOV

Study Record Dates

First Submitted

September 8, 2005

First Posted

September 12, 2005

Study Start

February 1, 2003

Primary Completion

December 1, 2007

Study Completion

December 1, 2007

Last Updated

February 8, 2008

Record last verified: 2008-02

Locations