Safety Study of Recombinant Interferon Variant(PEG-IFN-SA) to Treat HCV Disease (PEG-IFN-SA)
Primary Purpose
Hepatitis C Virus
Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
interferon
Sponsored by

About this trial
This is an interventional treatment trial for Hepatitis C Virus focused on measuring recombinant interferon, tolerated, effective
Eligibility Criteria
Inclusion Criteria:
- enrolled voluntarily, can understand and sign informed consent;
- More than 18 years and less than 65 years;
- body mass index (BMI) is at 18 - 26;
- anti-HCV antibodies and / or HCV RNA positive, and / or other evidence of chronic hepatitis C;
- HCV RNA level ≥ 2000IU/ml (or equal to this viral load);
- Women's urine pregnancy test was negative, and the subjects (male subjects) is willing to have no pregnancy plans at next 18 months. (7) ALT is within 6 times of the upper limit of normal
Exclusion Criteria:
- pregnant women, lactating women or plan to pregnant the next 18 months.
- mental disorder, including history of mental illness (especially the history of depression or depressive tendencies, epilepsy, etc.);
- The patient who received interferon therapy within the past six months or had no response at previous interferon therapy.
- The patient who used a strong immune regulator over two weeks with three months before screening, such as adrenocorticotropic hormone, thymosin of α1, thymus 5 peptide.
- The patient who used hepatotoxic drugs with 6 months before screening, such as dapsone, erythromycin, fluconazole, ketoconazole, rifampin.
- co-infection with other viruses (HAV, HBV, HEV, the HIV, EBV, CMV) .
- patients with a history of hepatocellular carcinoma (HCC), or may had hepatocellular carcinoma evidence, such as imaging of suspicious nodules, or AFP abnormal (AFP> 200ng/mL). FibroScan value greater than or equal to F3 at Screening
- other causes of liver disease: a chronic alcoholic hepatitis, drug-induced hepatitis, autoimmune liver disease, nonalcoholic steatohepatitis.
- autoimmune diseases, including psoriasis, systemic lupus erythematosus, thrombocytopenic purpura, and so on.
- heart and vascular system diseases, a history of myocarditis, hypertension, coronary heart disease, pathological arrhythmia, stroke.
- endocrine system diseases, including thyroid disease, diabetes, etc.
- pulmonary diseases, including invasive pulmonary disease, pneumonia, shortness of breath.
- Eye diseases, including retinopathy, retinopathy.
- chronic infectious disease history (history of tuberculosis).
- chronic kidney disease, serum creatinine level> 1.5 times upper limit of normal at screening, renal insufficiency, renal anemia history.
- anemia (including thalassemia, sickle hemoglobin, anemia), and hemophilia.
- peptic ulcer not controlled, colitis, pancreatitis and others.
- malignancies.
- peripheral blood checking: white blood cell count <3 × 109 / L; neutrophil count <1.5 x 109 / L; platelet count <90 × 109 / L; hemoglobin was less than the normal reference limit.
- serum total bilirubin> 2 times normal maximum reference value (ULN); serum albumin <35g / L; a history of decompensated cirrhosis evidence.
- evidence of drug addiction (including excessive alcohol intake, average alcohol consumption: men> 40g / day; women> 20g / day, equivalent to 50 degrees white wine 100ml / day and 50ml / day) within one year before screening.
- a serious history of drug and food allergy, especially towards the test drug (interferon, ribavirin).
- plans to accept an organ transplant or have organ transplant.
- participated other clinical trials before 3 months at screening
- The researchers judged the patients have other factors which may influence the experiment.
ribavirin exclusion criteria:
- women Hgb <12g/dl or men Hgb <13gdl at screening.
- anemia patients (eg, thalassemia, spherocytosis hyperlipidemia, gastrointestinal bleeding history) or suspected anemia patients.
- patients have a history of coronary artery disease or patients with cerebrovascular disease should not join this study, hemoglobin decline up to 4g/dl (it may be observed in the ribavirin treatment).
Sites / Locations
- Phase One Clinical Trial ward, First Hospital, Jilin University
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
recombinant interferon
Arm Description
PEG-IFN-SA 1.0μg/kg for 12 times, Peginterferon alfa-2a 180 μg for 12 times, PEG-IFN-SA 1.5 μg/kg for 12 times, PEG-IFN-SA 2 μg/kg for 12 times, PEG-IFN-SA 3 μg/kg for 12 times, PEG-IFN-SA 1.5μg/kg + ribavirin 0.45g/bid group for 12 times, Intergen 15μg/48hours for 7 times, ribavirin 0.45g/bid for 10 times
Outcomes
Primary Outcome Measures
The proportions of absence of detectable HCV RNA after the 12th treatment
Secondary Outcome Measures
The proportions of absence of detectable HCV RNA after the 4th and 8th treatment
HCV RNA levels after the 4th, 8th and 12th treatment
The test of Liver function
Liver function test:TBIL,IBIL, ALT, AST;
The test of Kidney function
Kidney function test:BUN, CR;
The test of Peripheral blood
Peripheral blood detection:WBC, RBC, HgB,PLT, neutrophil
Full Information
NCT ID
NCT01605513
First Posted
May 10, 2012
Last Updated
January 23, 2016
Sponsor
The First Hospital of Jilin University
1. Study Identification
Unique Protocol Identification Number
NCT01605513
Brief Title
Safety Study of Recombinant Interferon Variant(PEG-IFN-SA) to Treat HCV Disease
Acronym
PEG-IFN-SA
Official Title
Phase I Clinical Trial of PEG-IFN-SA in HCV Disease: Evidence for Drug Safety, Tolerance, and Antiviral Activity
Study Type
Interventional
2. Study Status
Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
June 2011 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
December 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
The First Hospital of Jilin University
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to determine whether PEG-IFN-SA is safe, tolerant and effective in the treatment of HCV patients.
Detailed Description
Chronic infection with the hepatitis C virus (HCV) is a significant public health problem in china. Progressive liver disease, as a result of chronic HCV infection, usually develops slowly over 20-50 years and may lead to cirrhosis, hepatocellular carcinoma, liver failure and eventual death. Symptoms are typically mild and non-specific but nevertheless can cause a decrease in quality of life. Peginterferon alfa and ribavirin combination therapy is currently used in the china for treatment of chronic HCV. Successful treatment is considered to be attainment of a sustained virological response (SVR), defined as undetectable serum HCV ribonucleic acid (RNA) 6 months after cessation of treatment.
PEG-IFN-SA is a new recombinant interferon variant. Its N-terminus is modified by 20KD molecular weight single-methoxy polyethylene glycol (PEG). It consists of 171 amino acids before modification. PEG-IFN-SA is reorganization, unnatural existence and a new type of interferon (171Arg126Asp171IFN) after modification. The safety, tolerance and antiviral activity of PEG-IFN-SA was tested in adults with HCV infection.
PEG-IFN-SA was injected subcutaneously one times per week for 12 times. Peginterferon alfa-2a (Pegasys) is the positive control drug. 80 patients were randomly assigned to eight groups (PEG-IFN-SA 1.0μg/kg, Peginterferon alfa-2a 180 μg, PEG-IFN-SA 1.5 μg/kg,PEG-IFN-SA 2 μg/kg, PEG-IFN-SA 3 μg/kg,PEG-IFN-SA 1.5μg/kg + ribavirin 0.45g/bid group,Intergen 15μg/48hours for 7 times and ribavirin 0.45g/bid for 10 times).
Clinical and biological adverse effects were recorded every week such as headache, nausea and vomiting. HCV RNA level was tested by COBAS Taqman HCV Test system of Roche. Blood cell counts were tested using an automatic cell counter such as WBC, neutrophil, PLT and HGB. Biochemical indicators were tested by automatic biochemical analysis instrument.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C Virus
Keywords
recombinant interferon, tolerated, effective
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
80 (Actual)
8. Arms, Groups, and Interventions
Arm Title
recombinant interferon
Arm Type
Experimental
Arm Description
PEG-IFN-SA 1.0μg/kg for 12 times, Peginterferon alfa-2a 180 μg for 12 times, PEG-IFN-SA 1.5 μg/kg for 12 times, PEG-IFN-SA 2 μg/kg for 12 times, PEG-IFN-SA 3 μg/kg for 12 times, PEG-IFN-SA 1.5μg/kg + ribavirin 0.45g/bid group for 12 times, Intergen 15μg/48hours for 7 times, ribavirin 0.45g/bid for 10 times
Intervention Type
Drug
Intervention Name(s)
interferon
Intervention Description
PEG-IFN-SA (new interferon) was injected subcutaneously one times per week for 12 times.
Primary Outcome Measure Information:
Title
The proportions of absence of detectable HCV RNA after the 12th treatment
Time Frame
12th week
Secondary Outcome Measure Information:
Title
The proportions of absence of detectable HCV RNA after the 4th and 8th treatment
Time Frame
4th and 8th week
Title
HCV RNA levels after the 4th, 8th and 12th treatment
Time Frame
the 4th, 8th and 12th week
Title
The test of Liver function
Description
Liver function test:TBIL,IBIL, ALT, AST;
Time Frame
the 2th, 4th, 6th, 8th,10th and 12th week
Title
The test of Kidney function
Description
Kidney function test:BUN, CR;
Time Frame
the 2th, 4th, 6th, 8th,10th and 12th week
Title
The test of Peripheral blood
Description
Peripheral blood detection:WBC, RBC, HgB,PLT, neutrophil
Time Frame
the 2th, 4th, 6th, 8th,10th and 12th week
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
enrolled voluntarily, can understand and sign informed consent;
More than 18 years and less than 65 years;
body mass index (BMI) is at 18 - 26;
anti-HCV antibodies and / or HCV RNA positive, and / or other evidence of chronic hepatitis C;
HCV RNA level ≥ 2000IU/ml (or equal to this viral load);
Women's urine pregnancy test was negative, and the subjects (male subjects) is willing to have no pregnancy plans at next 18 months. (7) ALT is within 6 times of the upper limit of normal
Exclusion Criteria:
pregnant women, lactating women or plan to pregnant the next 18 months.
mental disorder, including history of mental illness (especially the history of depression or depressive tendencies, epilepsy, etc.);
The patient who received interferon therapy within the past six months or had no response at previous interferon therapy.
The patient who used a strong immune regulator over two weeks with three months before screening, such as adrenocorticotropic hormone, thymosin of α1, thymus 5 peptide.
The patient who used hepatotoxic drugs with 6 months before screening, such as dapsone, erythromycin, fluconazole, ketoconazole, rifampin.
co-infection with other viruses (HAV, HBV, HEV, the HIV, EBV, CMV) .
patients with a history of hepatocellular carcinoma (HCC), or may had hepatocellular carcinoma evidence, such as imaging of suspicious nodules, or AFP abnormal (AFP> 200ng/mL). FibroScan value greater than or equal to F3 at Screening
other causes of liver disease: a chronic alcoholic hepatitis, drug-induced hepatitis, autoimmune liver disease, nonalcoholic steatohepatitis.
autoimmune diseases, including psoriasis, systemic lupus erythematosus, thrombocytopenic purpura, and so on.
heart and vascular system diseases, a history of myocarditis, hypertension, coronary heart disease, pathological arrhythmia, stroke.
endocrine system diseases, including thyroid disease, diabetes, etc.
pulmonary diseases, including invasive pulmonary disease, pneumonia, shortness of breath.
Eye diseases, including retinopathy, retinopathy.
chronic infectious disease history (history of tuberculosis).
chronic kidney disease, serum creatinine level> 1.5 times upper limit of normal at screening, renal insufficiency, renal anemia history.
anemia (including thalassemia, sickle hemoglobin, anemia), and hemophilia.
peptic ulcer not controlled, colitis, pancreatitis and others.
malignancies.
peripheral blood checking: white blood cell count <3 × 109 / L; neutrophil count <1.5 x 109 / L; platelet count <90 × 109 / L; hemoglobin was less than the normal reference limit.
serum total bilirubin> 2 times normal maximum reference value (ULN); serum albumin <35g / L; a history of decompensated cirrhosis evidence.
evidence of drug addiction (including excessive alcohol intake, average alcohol consumption: men> 40g / day; women> 20g / day, equivalent to 50 degrees white wine 100ml / day and 50ml / day) within one year before screening.
a serious history of drug and food allergy, especially towards the test drug (interferon, ribavirin).
plans to accept an organ transplant or have organ transplant.
participated other clinical trials before 3 months at screening
The researchers judged the patients have other factors which may influence the experiment.
ribavirin exclusion criteria:
women Hgb <12g/dl or men Hgb <13gdl at screening.
anemia patients (eg, thalassemia, spherocytosis hyperlipidemia, gastrointestinal bleeding history) or suspected anemia patients.
patients have a history of coronary artery disease or patients with cerebrovascular disease should not join this study, hemoglobin decline up to 4g/dl (it may be observed in the ribavirin treatment).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
yanhua ding, associate professor
Organizational Affiliation
First Hospital, Jilin University
Official's Role
Study Director
Facility Information:
Facility Name
Phase One Clinical Trial ward, First Hospital, Jilin University
City
Changchun
State/Province
Jilin
ZIP/Postal Code
13021
Country
China
12. IPD Sharing Statement
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Safety Study of Recombinant Interferon Variant(PEG-IFN-SA) to Treat HCV Disease
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