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Study of Nitazoxanide Combined With Peginterferon Compared to Peginterferon Monotherapy in the Treatment of Hepatitis C

Primary Purpose

Chronic Hepatitis C

Status
Completed
Phase
Phase 2
Locations
Egypt
Study Type
Interventional
Intervention
Nitazoxanide plus peginterferon alfa-2b
Peginterferon alfa-2b
Sponsored by
Romark Laboratories L.C.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis C

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age ≥18 years.
  • Chronic hepatitis C infection (at least 6 months) evidenced by a positive enzyme immunoassay for anti-HCV-antibodies and a positive quantitative RT-PCR amplification of HCV RNA.
  • Chronic inflammation on liver biopsy compatible with a diagnosis of chronic viral hepatitis.
  • HCV genotype 4.
  • Patients that have not previously received peginterferon.

Exclusion Criteria:

  • Patients unable to take oral medications.
  • Use of ribavirin within 30 days prior to enrollment.
  • Females who are either pregnant, breast-feeding or not using birth control and are sexually active.
  • Any investigational drug therapy within 30 days prior to enrollment other than through Romark study number RM01-3027.
  • Patients with other causes of liver disease.
  • Transplant recipients receiving immune suppression therapy.
  • Patient co-infected with human immunodeficiency virus, hepatitis A virus, hepatitis B virus, or hepatitis D virus based on enzyme immunoassay.
  • Patients with decompensated cirrhosis, thrombocytopenia (platelet count <80,000), neutropenia, history of variceal bleeding, ascites, hepatic encephalopathy or CTP scores >6.
  • Patients with history of alcoholism (unless abstinent for 2 years) or with an alcohol consumption of >20 grams per day.
  • Patients who are clinically unstable.
  • Patients with any concomitant condition that, in the opinion of the investigator would preclude evaluation of response or make it unlikely that the contemplated course of therapy and follow-up could be completed.
  • History of hypersensitivity or intolerance to any of the excipients comprising the nitazoxanide tablets or peginterferon alfa-2b solution for injection.

Sites / Locations

  • Department of Tropical Medicine & Infectious Diseases, Alexandria University
  • Department of Tropical Medicine & Infectious Diseases, Tanta University School of Medicine

Outcomes

Primary Outcome Measures

Virologic response

Secondary Outcome Measures

2 log drop in serum HCV RNA
Change in ALT

Full Information

First Posted
January 3, 2007
Last Updated
January 3, 2007
Sponsor
Romark Laboratories L.C.
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1. Study Identification

Unique Protocol Identification Number
NCT00418054
Brief Title
Study of Nitazoxanide Combined With Peginterferon Compared to Peginterferon Monotherapy in the Treatment of Hepatitis C
Official Title
Phase II, Multi-Center, Randomized, Double-Blind Study of Nitazoxanide Tablets Combined With Peginterferon Compared to Peginterferon Monotherapy in the Treatment of Chronic Hepatitis C
Study Type
Interventional

2. Study Status

Record Verification Date
January 2007
Overall Recruitment Status
Completed
Study Start Date
December 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
July 2006 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Romark Laboratories L.C.

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and efficacy of nitazoxanide-peginterferon alfa-2b combination therapy compared to peginterferon monotherapy in patients that are treatment naive or pre-treated for 24 weeks with nitazoxanide monotherapy in the treatment of chronic hepatitis C.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis C

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
40 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Nitazoxanide plus peginterferon alfa-2b
Intervention Type
Drug
Intervention Name(s)
Peginterferon alfa-2b
Primary Outcome Measure Information:
Title
Virologic response
Secondary Outcome Measure Information:
Title
2 log drop in serum HCV RNA
Title
Change in ALT

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥18 years. Chronic hepatitis C infection (at least 6 months) evidenced by a positive enzyme immunoassay for anti-HCV-antibodies and a positive quantitative RT-PCR amplification of HCV RNA. Chronic inflammation on liver biopsy compatible with a diagnosis of chronic viral hepatitis. HCV genotype 4. Patients that have not previously received peginterferon. Exclusion Criteria: Patients unable to take oral medications. Use of ribavirin within 30 days prior to enrollment. Females who are either pregnant, breast-feeding or not using birth control and are sexually active. Any investigational drug therapy within 30 days prior to enrollment other than through Romark study number RM01-3027. Patients with other causes of liver disease. Transplant recipients receiving immune suppression therapy. Patient co-infected with human immunodeficiency virus, hepatitis A virus, hepatitis B virus, or hepatitis D virus based on enzyme immunoassay. Patients with decompensated cirrhosis, thrombocytopenia (platelet count <80,000), neutropenia, history of variceal bleeding, ascites, hepatic encephalopathy or CTP scores >6. Patients with history of alcoholism (unless abstinent for 2 years) or with an alcohol consumption of >20 grams per day. Patients who are clinically unstable. Patients with any concomitant condition that, in the opinion of the investigator would preclude evaluation of response or make it unlikely that the contemplated course of therapy and follow-up could be completed. History of hypersensitivity or intolerance to any of the excipients comprising the nitazoxanide tablets or peginterferon alfa-2b solution for injection.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yehia El-Gohary, MD
Organizational Affiliation
Department of Tropical Medicine & Infectious Diseases, Alexandria University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Asem Elfert, MD
Organizational Affiliation
Department of Tropical Medicine & Infectious Diseases, Tanta University School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Tropical Medicine & Infectious Diseases, Alexandria University
City
Alexandria
Country
Egypt
Facility Name
Department of Tropical Medicine & Infectious Diseases, Tanta University School of Medicine
City
Tanta
Country
Egypt

12. IPD Sharing Statement

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Study of Nitazoxanide Combined With Peginterferon Compared to Peginterferon Monotherapy in the Treatment of Hepatitis C

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