Interest of Ribavirin in the Maintenance Treatment of Liver Fibrosis Using Low Dose Pegylated Interferon alpha2b in Patients With Chronic Hepatitis C Non Responders to Previous Antiviral Therapy.
Randomized, Double-blind, Placebo-controlled Multicenter Study Evaluating the Interest of a Long-term (3 Years) Treatment With Peginterferon Alfa-2b and Ribavirin on Liver Fibrosis in Non-responder Chronic Hepatitis C Patients.
This date has not been verified as actual or estimated.
Primary Completion
February 2013
Actual (reported)
Study Completion
March 2013
Actual (reported)
Brief Summary
Patients with chronic hepatitis C who did not respond to previous antiviral treatment develop liver fibrosis leading to cirrhosis. Maintenance low dose pegylated interferon therapy of fibrosis is currently under investigation in large multicenter trials. The aim of our study is to assess if peginterferon alpha2b plus ribavirin is more efficient than peginterferon alpha2b alone. 454 patients will be randomized between the 2 arms and the efficacy will be assessed, after 3 years of treatment, on Metavir liver fibrosis score improvement.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
372 participants
Study completion date
March 2013
Actual (reported)
Listed locations
2 countries · 45 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
May 2006
Date type not reported
This date has not been verified as actual or estimated.
Rate of patients with at least a one point improvement in Metavir fibrosis score between the inclusion and the end-of-study liver biopsies.
Screen visit and M36
Secondary Outcomes (9)
Distribution of the Metavir scoring on the end-of-study biopsy
M36
Distribution of the Chevallier fibrosis score
Screen visit and M36
Evolution of the area of fibrosis between the inclusion and the end-of -study biopsies
Screen visit and M36
Fibrosis serum markers
Screen, day0, M6, M12, M24, M36
Liver elasticity before and after treatment
Screen,M12, M24, M36
+4 more secondary outcomes
Study Arms (2)
Randomised PegIFN alfa 2b + ribavirin (RBV) arm
EXPERIMENTAL
Combination of ribavirin capsules 200 mg, weight-based daily dose ( \<75 kg : 1000 mg ; ≥ 75 kg : 1200 mg), and low-dose PegIFN alfa 2b by subcutaneous injection 0.5 μg / kg / week, from day 0 to M36
Biological: Peginterferon alfa-2bDrug: Ribavirin
Randomised PegIFN alfa 2b + ribavirin-placebo arm
PLACEBO COMPARATOR
Combination of ribavirin-placebo capsules 200 mg, weight-based daily dose ( \<75 kg : 1000 mg ; ≥ 75 kg : 1200 mg), and low-dose PegIFN alfa 2b by subcutaneous injection 0.5 μg / kg / week, from day 0 to M36
Ribavirin-placebo in addition to PegIFN alfa 2b, from day 0 to M36
Randomised PegIFN alfa 2b + ribavirin-placebo arm
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Not responders to a previous antiviral treatment using the interferon plus ribavirin combination
With a wash-out of treatment for at least 6 months
With an active chronic hepatitis C and a Metavir fibrosis score ≥ 2
Accepting to undergo a liver biopsy at the end of the study
Negative pregnancy test for women
With a social security cover
Written informed consent
You may not qualify if:
History of hepatic complications
History of transplantation
History of severe seizures
History of severe psychiatric disorders
Drug addiction within the last 12 months
Associated condition susceptible to be responsible for liver fibrosis
Hepatocellular carcinoma
Cardiovascular disease unstable under treatment
Uncontrolled diabetes
Retinopathy
Thyroid disease unstable under treatment
Epilepsy and/or central nervous system functional disorders
Autoimmune disease
Regular alcohol consumption
Pregnancy, breast-feeding or absence of contraception
+9 more criteria
Contact the study team to confirm eligibility.
Industrycollaborator
Service d'Hépatogastroentérologie - Hôpital Nord
Amiens, 80054, France
Service d'Hépatologie - Gastroentérologie - Cancérologie digestive - CHU Angers
Angers, 49100, France
Centre Hospitalier Victor Dupouy
Argenteuil, 95100, France
Service d'Hépatogastroentérologie - Hôpital Avicenne
Bobigny, 93009, France
Service d' Hépatogastroentérologie - Hôpital Jean Verdier
Bondy, 93143, France
Service d'Hépatogastroentérologie et d'Assistance nutritive - Hôpital Haut-Lévêque
Bordeaux Pessac, 33604, France
CH Pierre OUDOT
Bourgoin, 38317, France
Service d'Hépatogastroentérologie - Hôpital de la Cavale Blanche
Brest, 29200, France
Service d'Hépatologie - Gastroentérologie - Nutrition -Hôpital de la Côte de Nacre
Caen, 14000, France
Centre Hospitalier
Châteauroux, 36000, France
Service d'Hépatogastroentérologie - CHU d'ESTAING
Clermont-Ferrand, 63003, France
Service d'Hépatogastroentérologie - Hôpital Beaujon
Clichy, 92110, France
Service d'Hépatogastroentérologie - CH Sud Francilien
Corbeil-Essonnes, 91106, France
Service d'Hépatogastroentérologie - Hôpital du Bocage
Dijon, 21079, France
Hôpital Nord
Grenoble, 38043, France
Service d'Hépatogastroentérologie - CH La Roche sur Yon
La Roche-sur-Yon, 85925, France
Service des Maladies du Foie et de l'appareil Digestif - Hôpital de Bicêtre
Le Kremlin-Bicêtre, 94275, France
Département d'Hépatogastroentérologie - CH Le Mans
Le Mans, 72037, France
Service d'Hépatogastroentérologie - CHRU - Hôpital Claude Huriez
Lille, 59000, France
Service d'Hépatogastroentérologie - Hotel de la Croix Rousse
Lyon, 69004, France
Service d'Hépatogastroentérologie - Hôpital Saint Joseph
Marseille, 13285, France
Service d'Hépatogastroentérologie - CH Montauban
Montauban, 82000, France
Service d'Hépatogastroentérologie - CH Montélimar
Montélimar, 26200, France
Service d'Hépatogastroentérologie - Hôpital Saint Eloi
Montpellier, 34295, France
Service d'Hépatogastroentérologie - Hôtel Dieu
Nantes, 44093, France
Hôpital de l'Archet
Nice, 06202, France
Service d'Hépatogastroentérologie - Hôpital de la Source
Orléans, 45067, France
Service d'Hépatogastroentérologie - Hôpital La Pitié Salpétrière
Paris, 75013, France
Service d'Hépatogastroentérologie - Hôpital Tenon
Paris, 75020, France
Service d'Hépatogastroentérologie - Hôpital Pontchaillou
Rennes, 35033, France
Service d'Hépatogastroentérologie - CHU Rouen
Rouen, 76031, France
Centre Hospitalier
Saint-Quentin, 02321, France
Service d'Hépatogastroentérologie, Clinique médicale B - Hôpital Civil
Strasbourg, 67000, France
Hôpital Purpan
Toulouse, 31059, France
Service d'Hépatogastroentérologie - Hôpital Purpan
Toulouse, 31059, France
Service d'Hépatogastroentérologie - Hôpital Trousseau
Tours, 37044, France
Service d'Hépatogastroentérologie - Hôpital Brabois
Vandœuvre-lès-Nancy, 54500, France
Hôpita Paul Brousse
Villejuif, 94804, France
Liver Diseases
Digestive System Diseases
Chronic Disease
Disease Attributes
Pathologic Processes
Pathological Conditions, Signs and Symptoms
Fibrosis
Intervention Hierarchy (Ancestors)
RibonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides
Primary Completion
February 2013
Actual (reported)
Study Completion
March 2013
Actual (reported)
Last Updated
September 4, 2014
Record last verified: 2014-08
Source record
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Source: ClinicalTrials.gov.
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