NCT01684787

Brief Summary

In the current practice patients with normal levels of ALT were not treated. However, a percentage of patients will present an advanced grade of fibrosis and cirrhosis. Another reason to treat is the similar response to the treatment than elevated ALT patients published recently in mono-infected patients. The investigators have not data concerning the evolution and response to the treatment in co-infected patients with normal ALT. In the story of treatment chronic hepatitis C of co-infected patients HCV/HIV, sometimes, it assumes a behavior similar between mono and co-infected patients and the results are different. In the case of normal ALT the investigators do not know if the natural history in co-infected patients is similar than the mono-infected patients, and also the response of the treatment. This study prospective and controls is the answer of this question. The main hypothesis is if the response of treatment in co-infected patients is not inferior than mono-infected patients. The objective is to evaluate the efficacy and safety of peginterferon alfa-2a and ribavirin in HIV positive patients with chronic hepatitis and persistently normal ALT. Every CASE (patient with normal ALT) will have a CONTROL (patient with elevated ALT), concerning genotype, gender and hospital.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
80

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Sep 2006

Longer than P75 for phase_4

Geographic Reach
1 country

18 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

September 1, 2006

Completed
3.8 years until next milestone

First Submitted

Initial submission to the registry

June 11, 2010

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2011

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2011

Completed
1.3 years until next milestone

First Posted

Study publicly available on registry

September 13, 2012

Completed
Last Updated

September 13, 2012

Status Verified

September 1, 2012

Enrollment Period

4.7 years

First QC Date

June 11, 2010

Last Update Submit

September 12, 2012

Conditions

Keywords

chronic hepatitis Cnormal ALTHIV/HCV patients

Outcome Measures

Primary Outcomes (1)

  • % patients with RNA-HCV negative

    24 weeks after treatment

Study Arms (2)

1

EXPERIMENTAL

Peginterferon alfa-2a + ribavirin in normal ALT

Drug: Peginterferon alfa-2a + ribavirin in normal ALT

2

ACTIVE COMPARATOR

peginterferon alfa-2a + ribavirin in elevated ALT

Drug: Peginterferon alfa-2a + ribavirin in elevated ALT

Interventions

peginterferon alfa-2a 180 mcg/weekly ribavirin 1000-1200 mg/daily

Also known as: Pegasys + ribavirin
1

peginterferon alfa-2a 180 mcg/weekly ribavirin 1000-1200 mg/daily

Also known as: Pegasys + ribavirin
2

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients over 18 years old
  • Hepatitis C co infected with stable HIV-1 and normal ALT (CASE) or elevated levels of ALT (CONTROL)
  • CD4 \> 200 cel/mL
  • Negative contraception test
  • Informed consent signed

You may not qualify if:

  • Pregnancy
  • Any previous treatment for CHC
  • Cirrhosis grade B or C (Child-Pugh)
  • Treatment with colony-stimulating factors, didanosine or zidovudine, immunomodulator therapy, isoniazid, rifampicin, …
  • Hepatic cancer
  • Severe psychiatric illness background
  • Serum creatinin \> 1,5 times the upper normal limit
  • Background of Pulmonary or Cardiovascular disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Hospital de Txagorritxu

Vitoria-Gasteiz, Alava, 01009, Spain

Location

Hospital del Mar

Barcelona, Barcelona, 08003, Spain

Location

Hospital Santa Creu i Sant Pau

Barcelona, Barcelona, 08025, Spain

Location

Hospital Clinic

Barcelona, Barcelona, 08036, Spain

Location

Consorci Sanitari Integral

Hospitalet, Barcelona, 08907, Spain

Location

Hospital Universitari of Bellvitge

Hospitalet, Barcelona, 08907, Spain

Location

Hospital General de Mataró

Mataró, Barcelona, 08304, Spain

Location

Consorci Sanitari de Terrassa

Terrassa, Barcelona, 08227, Spain

Location

Hospital de Donostia

San Sebastián, Guipúzcoa, 20014, Spain

Location

Hospital San Jorge

Huesca, Huesca, 22004, Spain

Location

Hospital de la Princesa

Madrid, Madrid, 28006, Spain

Location

Hospital Ramón y Cajal

Madrid, Madrid, 28034, Spain

Location

Hospital Clínico San Carlos

Madrid, Madrid, 28040, Spain

Location

Hospital 12 de Octubre

Madrid, Madrid, 28041, Spain

Location

Hospital Xeral-Cíes

Vigo, Pontevedra, 36204, Spain

Location

Hospital Joan XXIII

Tarragona, Tarragona, 43007, Spain

Location

Hospital de Cruces

Barakaldo, Vizcaya, 48903, Spain

Location

Hospital Clínico Lozano Blesa

Zaragoza, Zaragoza, 50009, Spain

Location

MeSH Terms

Conditions

Hepatitis C, Chronic

Interventions

peginterferon alfa-2aRibavirin

Condition Hierarchy (Ancestors)

Hepatitis CBlood-Borne InfectionsCommunicable DiseasesInfectionsHepatitis, Viral, HumanVirus DiseasesFlaviviridae InfectionsRNA Virus InfectionsHepatitis, ChronicHepatitisLiver DiseasesDigestive System DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

RibonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Study Officials

  • Miguel Santin, Dr

    Hospital Universitari of Bellvitge

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Dr

Study Record Dates

First Submitted

June 11, 2010

First Posted

September 13, 2012

Study Start

September 1, 2006

Primary Completion

May 1, 2011

Study Completion

June 1, 2011

Last Updated

September 13, 2012

Record last verified: 2012-09

Locations