NCT00241618

Brief Summary

Spontaneous resolution of acute hepatitis C infection cannot be predicted and the majority of cases persist and become chronic. This randomized trial assesses the efficacy and safety of peginterferon alfa-2b. The investigators hypothesize that therapy strategies could prevent the development of chronic hepatitis.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
180

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Jan 2002

Longer than P75 for phase_4

Geographic Reach
1 country

3 active sites

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

January 1, 2002

Completed
3.8 years until next milestone

First Submitted

Initial submission to the registry

October 18, 2005

Completed
1 day until next milestone

First Posted

Study publicly available on registry

October 19, 2005

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2006

Completed
Last Updated

September 11, 2006

Status Verified

September 1, 2006

First QC Date

October 18, 2005

Last Update Submit

September 7, 2006

Conditions

Hepatitis C

Keywords

Clinical trialRandomizedTreatmentProspectiveParallel AssignmentEfficacy Safety Study

Outcome Measures

Primary Outcomes (1)

  • Sustained viral response rate in treatment group versus control

Secondary Outcomes (3)

  • End of treatment virologic response

  • Early virologic response at week 4

  • Quality of life

Interventions

Pegylated interferon alpha 2DRUG
RibavirinDRUG

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Age: 18-50 years, with or without symptoms
  • Diagnosis of acute hepatitis C: elevated serum alanine aminotransferase (ALT) \> 10 times the upper limit of normal (ULN)
  • Seroconversion from negative to positive anti-HCV antibody status (third-generation enzyme-linked immunosorbent assay)
  • Conversion from negative to positive polymerase chain reaction (PCR) for HCV-RNA, ruling out other causes of hepatitis by history and appropriate serologic and virologic studies.

You may not qualify if:

  • Decompensated liver disease
  • Coinfection with human immunodeficiency virus (HIV) or Schistosoma mansoni
  • Marked anemia (hemoglobin level ≤ 120 g/L in women and ≤ 130 g/L in men)
  • Neutropenia (\< 1,500/mm3)
  • Thrombocytopenia (\< 90,000/mm3)
  • A creatinine concentration \> 1.5 times ULN
  • Serum alpha-fetoprotein \> 25 ng/ml
  • An organ transplant
  • Neoplastic disease
  • Severe cardiac or pulmonary disease
  • Unstable thyroid dysfunction
  • A psychiatric disorder
  • Seizure disorder
  • Severe retinopathy
  • A current pregnancy or were breast feeding or unwillingness to practice contraception
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

ASU Specialized Hospital

Cairo, Cairo Governorate, 11351, Egypt

Location

ASU

Cairo, 03316, Egypt

Location

Shebin Liver Center

Cairo, 11351, Egypt

Location

Related Publications (9)

  • Kamal SM, Ismail A, Graham CS, He Q, Rasenack JW, Peters T, Tawil AA, Fehr JJ, Khalifa Kel S, Madwar MM, Koziel MJ. Pegylated interferon alpha therapy in acute hepatitis C: relation to hepatitis C virus-specific T cell response kinetics. Hepatology. 2004 Jun;39(6):1721-31. doi: 10.1002/hep.20266.

    PMID: 15185314BACKGROUND

  • Gerlach JT, Diepolder HM, Zachoval R, Gruener NH, Jung MC, Ulsenheimer A, Schraut WW, Schirren CA, Waechtler M, Backmund M, Pape GR. Acute hepatitis C: high rate of both spontaneous and treatment-induced viral clearance. Gastroenterology. 2003 Jul;125(1):80-8. doi: 10.1016/s0016-5085(03)00668-1.

    PMID: 12851873BACKGROUND

  • Nomura H, Sou S, Tanimoto H, Nagahama T, Kimura Y, Hayashi J, Ishibashi H, Kashiwagi S. Short-term interferon-alfa therapy for acute hepatitis C: a randomized controlled trial. Hepatology. 2004 May;39(5):1213-9. doi: 10.1002/hep.20196.

    PMID: 15122749BACKGROUND

  • Kamal SM, Rasenack JW, Bianchi L, Al Tawil A, El Sayed Khalifa K, Peter T, Mansour H, Ezzat W, Koziel M. Acute hepatitis C without and with schistosomiasis: correlation with hepatitis C-specific CD4(+) T-cell and cytokine response. Gastroenterology. 2001 Sep;121(3):646-56. doi: 10.1053/gast.2001.27024.

    PMID: 11522749BACKGROUND

  • Santantonio T, Sinisi E, Guastadisegni A, Casalino C, Mazzola M, Gentile A, Leandro G, Pastore G. Natural course of acute hepatitis C: a long-term prospective study. Dig Liver Dis. 2003 Feb;35(2):104-13. doi: 10.1016/s1590-8658(03)00007-0.

    PMID: 12747629BACKGROUND

  • Wiegand J, Jackel E, Cornberg M, Hinrichsen H, Dietrich M, Kroeger J, Fritsch WP, Kubitschke A, Aslan N, Tillmann HL, Manns MP, Wedemeyer H. Long-term follow-up after successful interferon therapy of acute hepatitis C. Hepatology. 2004 Jul;40(1):98-107. doi: 10.1002/hep.20291.

    PMID: 15239091BACKGROUND

  • Kamal SM, El Tawil AA, Nakano T, He Q, Rasenack J, Hakam SA, Saleh WA, Ismail A, Aziz AA, Madwar MA. Peginterferon alpha-2b and ribavirin therapy in chronic hepatitis C genotype 4: impact of treatment duration and viral kinetics on sustained virological response. Gut. 2005 Jun;54(6):858-66. doi: 10.1136/gut.2004.057182.

    PMID: 15888797BACKGROUND

  • Jaeckel E, Cornberg M, Wedemeyer H, Santantonio T, Mayer J, Zankel M, Pastore G, Dietrich M, Trautwein C, Manns MP; German Acute Hepatitis C Therapy Group. Treatment of acute hepatitis C with interferon alfa-2b. N Engl J Med. 2001 Nov 15;345(20):1452-7. doi: 10.1056/NEJMoa011232.

    PMID: 11794193BACKGROUND

  • Larghi A, Zuin M, Crosignani A, Ribero ML, Pipia C, Battezzati PM, Binelli G, Donato F, Zanetti AR, Podda M, Tagger A. Outcome of an outbreak of acute hepatitis C among healthy volunteers participating in pharmacokinetics studies. Hepatology. 2002 Oct;36(4 Pt 1):993-1000. doi: 10.1053/jhep.2002.36129.

    PMID: 12297849BACKGROUND

MeSH Terms

Conditions

Hepatitis C

Interventions

Ribavirin

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

RibonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Study Officials

  • Alaa Ismail, M.D.

    Ain Shams University

    STUDY CHAIR

  • Sanaa M Kamal, M.D.

    Ain Shams University

    PRINCIPAL INVESTIGATOR

  • Nezam H Afdhal, M.D.

    Harvard Medical School (HMS and HSDM)

    PRINCIPAL INVESTIGATOR

  • Manal El Sayed, M.D.

    ASU

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

October 18, 2005

First Posted

October 19, 2005

Study Start

January 1, 2002

Study Completion

January 1, 2006

Last Updated

September 11, 2006

Record last verified: 2006-09

Locations

EG(3)