Status:

TERMINATED

Efficacy and Safety of PegIntron Plus Ribavirin for Treatment of Chronic Hepatitis C in HIV-Infected Subjects (Study P04469)(TERMINATED)

Lead Sponsor:

Merck Sharp & Dohme LLC

Conditions:

Hepatitis C, Chronic

Hepacivirus

Eligibility:

All Genders

18-75 years

Phase:

PHASE4

Brief Summary

In this study, adult Indonesian subjects with human immunodeficiency virus (HIV) coinfected with chronic hepatitis C (CHC) will be given peginterferon alfa-2b (PEG-IFN) plus ribavirin (RBV) combinatio...

Eligibility Criteria

Inclusion

  • Previously untreated chronic hepatitis C with HCV-RNA positive in plasma.
  • Must have finished the detoxification phase of a drug rehabilitation program and abstained for at least 6 weeks from using abused substance (alcohol, I.V. drugs and inhaled drugs) before starting therapy.
  • Liver transaminases (alanine aminotransferase \[ALT\]) 1.5-fold above the upper limit of normal.
  • Controlled HIV infection with a viral load \<10,000 copies/mL and a CD4 cell (T-cell) count \>200 x 10\^6 cells/L, in response to a stable antiretroviral treatment (ART) or without ART if it is not required.
  • Compensated liver disease with protocol-specified minimum hematologic, biochemical, and serologic criteria at the Entry visit.
  • Alpha-fetoprotein value within normal limits obtained within one year prior to entry. Results above the upper limit of normal but \<=50 ng/mL require both of the following: Alpha-fetoprotein value \<=50 ng/mL obtained within 3 months prior to entry in the study and Ultrasound obtained within 3 months prior to entry in the study or that is negative for evidence of hepatocellular carcinoma.
  • Liver biopsy (optional) within 12 months prior to study entry with a pathology report confirming that the histologic diagnosis is consistent with chronic hepatitis.
  • Women of childbearing potential must be using an acceptable method of birth control or be surgically sterilized.
  • Reconfirmation that sexually active males must be practicing acceptable methods of contraception during the treatment period and for 6 months after discontinuation of therapy.
  • Subjects must be free of any clinically significant diseases other than hepatitis or HIV infection that would interfere with study evaluations.

Exclusion

  • Suspected hypersensitivity to interferon, PEG-interferon, or ribavirin.
  • HIV therapy using didanosine (ddI) and stavudine (d4T) in their HIV medications, due to the potentiality of the resulting lactic acidosis.
  • Participation in any other clinical trial within 30 days of entry to this protocol.
  • Treatment with any investigational drug within 30 days of entry to this protocol.
  • Subjects with organ transplants other than cornea and hair transplant.
  • Any cause for the liver disease based on subject history and biopsy (where applicable) other than chronic hepatitis C, including but not limited to coinfection with hepatitis B virus (HBV); hemochromatosis (iron deposition \>2+ in liver parenchyma); alpha-1 antitrypsin deficiency; Wilson's disease; autoimmune hepatitis; alcoholic liver disease; obesity-induced liver disease.
  • Hemophilia or any other condition that would prevent the subject from having a liver biopsy, including anticoagulant therapy.
  • Hemoglobinopathies (eg, Thalassemia)
  • Evidence of advanced liver disease such as history or presence of ascites, bleeding varices, and encephalopathy.
  • Any known preexisting medical condition that could interfere with the subject's participation in and completion of the protocol such as preexisting psychiatric condition, especially severe depression, or a history of severe psychiatric disorder.
  • Significant cardiovascular dysfunction within the past 6 months (eg, angina, congestive heart failure, recent myocardial infarction, severe hypertension, or significant arrhythmia). Subjects with electrocardiogram (ECG) showing clinically significant abnormalities.
  • Poorly controlled diabetes mellitus.
  • Chronic pulmonary disease (eg, chronic obstructive pulmonary disease).
  • Immunologically mediated disease.
  • Any medical condition requiring, or likely to require during the course of the study, chronic systemic administration of steroids.
  • Clinical gout.
  • Clinically significant retinal abnormalities.
  • Alcohol consumption of \>20 gr/day.
  • Women who are pregnant or nursing.
  • Subjects who have not observed the designated washout periods for any of the prohibited medications.

Key Trial Info

Start Date :

December 1 2005

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2008

Estimated Enrollment :

11 Patients enrolled

Trial Details

Trial ID

NCT00687544

Start Date

December 1 2005

End Date

September 1 2008

Last Update

April 6 2017

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