Switch From Tacrolimus to Cyclosporin in the Treatment of Recurrent Hepatitis C After Liver Transplantation
Prospective, Open-label, Single Arm Pilot Study Evaluating the Effect on Virological Response of the Switch From Tacrolimus to Cyclosporin Associated With a Peginterferon Alfa-2a / Ribavirin Bitherapy, in Non-responder or With Recurrent VHC+ Disease Liver Transplanted Patients.
This date has not been verified as actual or estimated.
Primary Completion
October 2008
Actual (reported)
Study Completion
December 2009
Actual (reported)
Brief Summary
In France, 50% of hepatitis C virus carriers develop chronic clinical hepatitis, which may lead to cirrhosis and liver transplantation. Transplant infection by hepatitis C virus is constant after transplantation and recurrence causes chronic liver disease in 50 to 80% of cases. The aim of this study is to assess the efficacy of cyclosporin on C virological response. Patients included in the Transpeg 1 study and non-responder or with a recurrent disease will be switched from their tacrolimus therapy to cyclosporin, in association with a 1 year peginterferon alfa-2a / ribavirin bitherapy. Efficacy will be assessed by the percentage of patients with a negative qualitative PCR after 19 months of cyclosporin treatment.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
terminated
Actual enrollment (reported)
11 participants
Study completion date
December 2009
Actual (reported)
Listed locations
1 countries · 13 sites
Trial Relationships
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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
June 2006
Date type not reported
This date has not been verified as actual or estimated.
ciclosporin administered orally twice a day, at the initial dosing of 2.5 mg/kg/d, adjusted to obtain a C2 concentration of 600 ng/ml associated with the usual ribavirin and PEGinterferon bitherapy.
Non-responders after a three month peginterferon alfa-2a / ribavirin bitherapy or with a recurrent disease during the Transpeg 1 maintenance phase, whatever the randomization group (ribavirin or placebo),
Having given a written informed consent.
You may not qualify if:
Severe hepatocellular failure or decompensated cirrhosis,
Treatment with a mTOR inhibitor or with another investigational immunosuppressive drug,
Positive serology for HIV or HBV,
Cancer (or history of other malignancy during the last 5 years) except patients transplanted for hepatocellular carcinoma and basocellular or excised spinocellular carcinoma,
Serious concomitant disease or acute or chronic disorder, other than the current transplant, treated with steroids,
Serious cardiac pathology within the last 6 months,
Inability to cooperate or to communicate with the investigator,
Contraindications to ribavirin, peginterferon alfa-2a or cyclosporin.
Contact the study team to confirm eligibility.
Montpellier, 34295, France
Chirurgie Viscérale et Digestive - Hôpital de l'Archet
Nice, 06200, France
Service de Chirurgie Générale - Hôpital Cochin
Paris, 75679, France
Service des Maladies du Foie - Hôpital Pontchaillou
Rennes, 35033, France
Service de Chirurgie Générale et Transplantation Multi-organe - Hôpital de la Hautepierre
Strasbourg, 67098, France
Service d'Hépato-gastro-entérologie - Hôpital de Rangueil
Toulouse, 31403, France
Centre Hépato-Biliaire - Hôpital Paul Brousse
Villejuif, 94804, France
Chronic Disease
Disease Attributes
Pathologic Processes
Pathological Conditions, Signs and Symptoms
Intervention Hierarchy (Ancestors)
CyclosporinsPeptides, CyclicMacrocyclic CompoundsPolycyclic CompoundsPeptidesAmino Acids, Peptides, and Proteins
Primary Completion
October 2008
Actual (reported)
Study Completion
December 2009
Actual (reported)
Last Updated
March 2, 2012
Record last verified: 2012-03
Source record
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Source: ClinicalTrials.gov.
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