NCT04244383

Brief Summary

Hepatitis C virus has been identified a quarter of a decade ago as a leading cause of chronic viral hepatitis that can lead to cirrhosis and hepatocellular carcinoma. Only a minority of patients can clear the virus spontaneously during acute infection. Elimination of HCV during acute infection correlates with a rapid induction of innate and a delayed induction of adaptive immune responses. The majority of patients is unable to clear the virus and develops viral persistence despite the ongoing innate and adaptive immune response. The virus usually develops several strategies to escape these immune responses.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Jan 2020

Shorter than P25 for phase_4

Status
unknown

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, 2020

Completed
21 days until next milestone

First Submitted

Initial submission to the registry

January 22, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

January 28, 2020

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2020

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2020

Completed
Last Updated

January 28, 2020

Status Verified

January 1, 2020

Enrollment Period

5 months

First QC Date

January 22, 2020

Last Update Submit

January 24, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • changes in the exprssion level of inflammasomes

    observe the changes in the exprssion level of inflammasomes in the selected chronic HCV patients before treatment with Sofosbuvir 400 mg and Daclatasvir 60 mg daily for 12 weeks and after sustained virological response at 12 weeks following the end of treatment (SVR12).

    6 monthes

Study Arms (2)

chronic hepatitis C virus patients

EXPERIMENTAL

50 chronic hepatitis C virus patients taking will be trated with direct acting antiviral treatment with three months regimen (Sofosbuvir + Daclatasvir).

Diagnostic Test: interleukin IL-1beta and interleukin IL-18

treated chronic hepatitis C virus patients

EXPERIMENTAL

the selected 50 chronic hepatitis C virus patients received direct acting antivirals: Sofosbuvir 400 mg and Daclatasvir 60 mg daily for 12 weeks and were assessed for sustained virological response at 12 weeks following the end of treatment (SVR12).

Diagnostic Test: interleukin IL-1beta and interleukin IL-18

Interventions

pro-inflammatory cytokines measured in the serum

chronic hepatitis C virus patientstreated chronic hepatitis C virus patients

Eligibility Criteria

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

You may qualify if:

  • Chronic hepatitis C virus patients.
  • Patients do not start treatment protocol.

You may not qualify if:

  • Pregnant women.
  • Hepato-cellular carcinoma patients.
  • Autoimmune disease patients.
  • Patients with liver cirrhosis.
  • Patients who refuse to participate in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (5)

  • Chen H, He G, Chen Y, Zhang X, Wu S. Differential Activation of NLRP3, AIM2, and IFI16 Inflammasomes in Humans with Acute and Chronic Hepatitis B. Viral Immunol. 2018 Nov;31(9):639-645. doi: 10.1089/vim.2018.0058. Epub 2018 Sep 15.

    PMID: 30222506BACKGROUND
  • Kanneganti TD. Central roles of NLRs and inflammasomes in viral infection. Nat Rev Immunol. 2010 Oct;10(10):688-98. doi: 10.1038/nri2851. Epub 2010 Sep 17.

    PMID: 20847744BACKGROUND
  • YingLi H, Shumei L, Qian Y, Tianyan C, Yingren Z, Wei C. Proapoptotic IL-18 in patients with chronic hepatitis C treated with pegylated interferon-alpha. Clin Exp Med. 2009 Jun;9(2):173-8. doi: 10.1007/s10238-009-0041-5. Epub 2009 Feb 24.

    PMID: 19238512BACKGROUND
  • Burchill MA, Roby JA, Crochet N, Wind-Rotolo M, Stone AE, Edwards MG, Dran RJ, Kriss MS, Gale M Jr, Rosen HR. Rapid reversal of innate immune dysregulation in blood of patients and livers of humanized mice with HCV following DAA therapy. PLoS One. 2017 Oct 17;12(10):e0186213. doi: 10.1371/journal.pone.0186213. eCollection 2017.

    PMID: 29040318BACKGROUND
  • Shi J, Li Y, Chang W, Zhang X, Wang FS. Current progress in host innate and adaptive immunity against hepatitis C virus infection. Hepatol Int. 2017 Jul;11(4):374-383. doi: 10.1007/s12072-017-9805-2. Epub 2017 Jun 22.

    PMID: 28643186BACKGROUND

MeSH Terms

Conditions

Hepatitis C

Condition Hierarchy (Ancestors)

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

Study Officials

  • Asmaa Salah El-dien Gaber, lecturer

    participator in the research

    PRINCIPAL INVESTIGATOR
  • Mohamed Ahmed Medhat, lecturer

    participator in the research

    PRINCIPAL INVESTIGATOR
  • Sara Fergany Abd El-hamid, student

    participator in the research

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Khaled Mohammed Hassanein, professor

CONTACT

Helal Foad Hetta, lecturer

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
FACTORIAL
Model Details: chronic hepatitis C virus patients
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
princible inverstigator

Study Record Dates

First Submitted

January 22, 2020

First Posted

January 28, 2020

Study Start

January 1, 2020

Primary Completion

June 1, 2020

Study Completion

July 1, 2020

Last Updated

January 28, 2020

Record last verified: 2020-01