Pegylated Interferon Alone or in Combination With Ezetimibe for Patients With Chronic Hepatitis D
Primary Purpose
Hepatitis D, Chronic
Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Pegylated interferon alfa
Ezetimibe
Sponsored by
About this trial
This is an interventional treatment trial for Hepatitis D, Chronic focused on measuring Hepatitis D, Ezetimibe, Pegylated interferon
Eligibility Criteria
Inclusion Criteria:
- Presence of anti-HDV in serum
- Presence of quantifiable HDV RNA in serum
- Elevated ALT > ULN
Exclusion Criteria:
- Decompensated liver disease
- Patients with ALT levels greater than 10 times ULN (400 U/L)
- Pregnancy or inability to practice adequate contraception.
- Significant systemic or major illnesses other than liver disease, including, but not limited to, congestive heart failure, renal failure (eGFR <50 ml/min), organ transplantation, serious psychiatric disease or depression and active coronary artery disease.
- Systemic immunosuppressive therapy
- Evidence of another form of liver disease in addition to viral hepatitis
- Active substance abuse, such as alcohol or injection drugs
- Hepatocellular carcinoma
- Concurrent hepatitis C infection or HIV coinfection
- Diagnosis of malignancy in the five years
- Concurrent usage of statins
- Concurrent use of any other drug known to inhibit NTCP
- Inability to understand or sign informed consent
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
Pegylated interferon
Pegylated interferon with ezetimibe
Arm Description
Pegylated interferon alfa alone 180 microgram subcutaneous weekly for 24 weeks
Pegylated interferon alfa 180 micro-gram subcutaneous weekly for 24 weeks and Ezetimibe 10 mg orally for 24 weeks
Outcomes
Primary Outcome Measures
Change in HDV RNA quantitative measurements of >2 logs from baseline
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03105310
Brief Title
Pegylated Interferon Alone or in Combination With Ezetimibe for Patients With Chronic Hepatitis D
Official Title
Pegylated Interferon Alone or in Combination With Ezetimibe for Patients With Chronic Hepatitis D
Study Type
Interventional
2. Study Status
Record Verification Date
March 2017
Overall Recruitment Status
Unknown status
Study Start Date
January 2016 (Actual)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
June 2017 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Aga Khan University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Ezetimibe possesses pharmacophore features to inhibit NTCP, the receptor required for HBV and HDV hepatocyte entry, that include two hydrophobes and one hydrogen bond acceptor.
The aim of the study io evaluate the utility of Ezetimibe in combination with pegylated interferon in patients with chronic HDV infection.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis D, Chronic
Keywords
Hepatitis D, Ezetimibe, Pegylated interferon
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
20 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Pegylated interferon
Arm Type
Active Comparator
Arm Description
Pegylated interferon alfa alone 180 microgram subcutaneous weekly for 24 weeks
Arm Title
Pegylated interferon with ezetimibe
Arm Type
Experimental
Arm Description
Pegylated interferon alfa 180 micro-gram subcutaneous weekly for 24 weeks and Ezetimibe 10 mg orally for 24 weeks
Intervention Type
Drug
Intervention Name(s)
Pegylated interferon alfa
Intervention Description
Pegylated interferon alfa
Intervention Type
Drug
Intervention Name(s)
Ezetimibe
Intervention Description
Ezetimibe
Primary Outcome Measure Information:
Title
Change in HDV RNA quantitative measurements of >2 logs from baseline
Time Frame
24 weeks of therapy
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Presence of anti-HDV in serum
Presence of quantifiable HDV RNA in serum
Elevated ALT > ULN
Exclusion Criteria:
Decompensated liver disease
Patients with ALT levels greater than 10 times ULN (400 U/L)
Pregnancy or inability to practice adequate contraception.
Significant systemic or major illnesses other than liver disease, including, but not limited to, congestive heart failure, renal failure (eGFR <50 ml/min), organ transplantation, serious psychiatric disease or depression and active coronary artery disease.
Systemic immunosuppressive therapy
Evidence of another form of liver disease in addition to viral hepatitis
Active substance abuse, such as alcohol or injection drugs
Hepatocellular carcinoma
Concurrent hepatitis C infection or HIV coinfection
Diagnosis of malignancy in the five years
Concurrent usage of statins
Concurrent use of any other drug known to inhibit NTCP
Inability to understand or sign informed consent
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Pegylated Interferon Alone or in Combination With Ezetimibe for Patients With Chronic Hepatitis D
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