Determine the Efficacy and Safety of Harvoni in Genotype 1 Chronic Hepatitis c Infected People Who Are Alcoholics
A Phase IV, Single Arm, Open-Label Study to Determine the Efficacy and Safety of Ledipasvir/Sofosbuvir (LDV/SOF) in Treatment-Naive Alcoholic Subjects With Chronic Genotype 1 Hepatitis C Infection
1 other identifier
interventional
16
1 country
1
Brief Summary
To determine the efficacy and safety of Harvoni in treatment-naïve alcoholic subjects with Genotype 1 HCV infection
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Aug 2016
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 26, 2016
CompletedFirst Posted
Study publicly available on registry
May 3, 2016
CompletedStudy Start
First participant enrolled
August 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2020
CompletedResults Posted
Study results publicly available
February 23, 2023
CompletedDecember 29, 2023
December 1, 2023
4 years
April 26, 2016
December 27, 2022
December 27, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
The Number of Subjects Who Achieve Negative RNA in Alcoholics
Sustained viral response in treatment -naive heavy alcohol drinking patients.
12 weeks after the end of Harvoni therapy
Secondary Outcomes (1)
Number of Subjects With Advanced Fibrosis Score of F3/F4 Who Achieve SVR
12 weeks after the end of Harvoni therapy
Study Arms (1)
Harvoni x 8 or 12 weeks
EXPERIMENTALpatient will receive 8 or 12 weeks depending on clinical data
Interventions
8 or 12 weeks of harvoni therapy with monthly nursing visiting to monitor alcohol and adherence of harvoni therapy
Eligibility Criteria
You may qualify if:
- The subject must be willingly and able to provide written informed consent
- Age 19 years of age or older (The age of consent in Nebraska)
- HCV treatment-naïve, as defined as no prior exposure to any Interferon (IFN), RBV, or other FDA approved or experimental HCV-specific direct-acting antiviral agent
- HCV RNA level at most 6 months prior to the Baseline/Day 1 visit.
- HCV genotyping 1a, 1b, or mixed 1a/ab. Any non-definitive results will exclude the subject from study participation.
- Alcohol misuse as defined by the Alcohol Use Disorders Identification Test (AUDIT) score subjects must score \> 8 (associated with harmful or hazardous drinking)
- Cirrhosis determination \[up to 20% of study subjects may have cirrhosis\]:
- Cirrhosis is defined as any one of the following:
- History of a liver biopsy showing cirrhosis (e.g. Metavir score = 4 or Ishak score \> 5)
- Fibroscan showing cirrhosis or results \> 12.5 kPa
- FIBRO Spect II index consistent with F3 or F4 AND an AST : platelet ration index (APRI) of \> 2 during Screening
- Absence of cirrhosis is defined as any one of the following:
- Liver biopsy within 2 years of Screening showing absence of cirrhosis
- Fibroscan within 6 months of Baseline/Day1 with a result of ≤ 12.5 kPa
- FIBRO Spect II Index consistent with F0- F2 AND APRI of ≤ 1 during Screening
- +12 more criteria
You may not qualify if:
- Pregnant women and nursing mothers are ineligible due to the possible risk of adverse effects in the newborn. Eligible patients of reproductive potential should use adequate contraception if sexually active.
- Serious concurrent medical illness which would jeopardize the ability of the subject to receive the therapy as outlined in this protocol with reasonable safety.
- Malignancy diagnosed or treated within 5 years (recent localized treatment of squamous or non-invasive basal cell skin cancers is permitted; cervical carcinoma in situ is allowed if appropriately treated prior to screening); subjects under evaluation for a malignancy are not eligible.
- Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
- Use of any prohibited concomitant medications within 30 days of the Baseline/Day 1 visit.
- Known hypersensitivity to LDV/SOF
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Nebraska
Omaha, Nebraska, 680017, United States
MeSH Terms
Interventions
Results Point of Contact
- Title
- Mark Mailliard
- Organization
- University of Nebraska Medical Center
Study Officials
- PRINCIPAL INVESTIGATOR
Mark Mailliard, MD
UNMC
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 26, 2016
First Posted
May 3, 2016
Study Start
August 1, 2016
Primary Completion
August 1, 2020
Study Completion
October 1, 2020
Last Updated
December 29, 2023
Results First Posted
February 23, 2023
Record last verified: 2023-12
Data Sharing
- IPD Sharing
- Will not share