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Ombitasvir /Paritaprevir/Ritonavir Plus Ribavirin on HCV GT4

Primary Purpose

Hepatitis C Virus Infection

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
OBV/PTV/r) ± ribavirin (RBV)
Sponsored by
Beni-Suef University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C Virus Infection focused on measuring Ombitasvir, Paritaprevir, Ritonavir, Ribavirin, HCV, Genotype 4, Naïve, Egyptians

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Treatment-naïve patients with HCV GT4 with plasma HCV RNA level >10,000 IU/ml

Exclusion Criteria:

  • Hepatitis of non-HCV cause
  • Coinfection with other than HCV GT4
  • Poorly controlled diabetics (HbA1C >8) patients
  • a history of extra-hepatocellular malignancy in the last 5 years
  • Major severe illness such as congestive heart failure, respiratory failure, evidence of hepatic decompensation.
  • Laboratory and blood picture abnormalities such as anemia (hemoglobin concentration of 10 <g/dl) and thrombocytopenia (platelets <50,000 cells/mm3) and (serum albumin <2.8 g/dL, international normalized ratio (INR) of > 2.3, serum total bilirubin concentration of >3.0 mg/dL.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Other

    Arm Label

    2 DAA (OBV/PTV/r) ± ribavirin (RBV)

    Arm Description

    Administering Ombitasvir/Paritaprevir/Ritonavir/ tablets plus RBV tablets to HCV GT4 in the treatment of Egyptian naïve patients

    Outcomes

    Primary Outcome Measures

    Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)
    SVR12 was defined as hepatitis C virus ribonucleic acid (HCV RNA) level less than 12 IU/mL 12 weeks after the last dose of study drug.
    adverse event (AE)
    An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation observed after administering a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) is an event that results in, death, participant hospitalization, life-threatening, significant disability/incapacity, or a congenital anomaly.

    Secondary Outcome Measures

    Percentage of Participants With Post-treatment Relapse Within 12 Weeks Following End of Treatment
    Post-treatment relapse was defined as defined as confirmed HCV RNA > 12 IU/ml between the end of treatment and 12 weeks after the last dose of study drug among participants who completed treatment with HCV RNA < 12 IU/ml at the end of treatment.

    Full Information

    First Posted
    May 1, 2020
    Last Updated
    May 9, 2020
    Sponsor
    Beni-Suef University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04378608
    Brief Title
    Ombitasvir /Paritaprevir/Ritonavir Plus Ribavirin on HCV GT4
    Official Title
    Efficacy of Ombitasvir With Paritaprevir/Ritonavir Plus Ribavirin on the Treatment naïve Patients With Chronic Hepatitis C Virus Genotype 4
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    January 5, 2017 (Actual)
    Primary Completion Date
    September 8, 2017 (Actual)
    Study Completion Date
    September 8, 2017 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Beni-Suef University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The objective of the investigators was to delineate the efficacy and safety of Ombitasvir, paritaprevir with ritonavir (OBV/PTV/r) plus ribavirin (RBV) on chronic HCV GT4 Egyptian naïve patients
    Detailed Description
    Direct-acting antivirals (DAAs) combination therapies from various mechanisms of action and families have been revolutionized the management landscape of chronic hepatitis C virus (HCV). Ombitasvir, paritaprevir with ritonavir (OBV/PTV/r) ± ribavirin (RBV) are approved to treat HCV genotype 4 (GT4) infection. Here, investigators' objective was to delineate the efficacy and safety of OBV/PTV/r plus RBV of HCV GT4 in the treatment of Egyptian naïve patients. Between 5 January and 8 September 2017, a cohort of 100 Egyptian patients infected with HCV GT4 was allocated and administered orally OBV/PTV/r with RBV, for 12 weeks, which given as oral tablets based on patient tolerability. The primary endpoint of investigators' study was a sustained virological response (HCV RNA < 12 IU/mL) 12 weeks from the cessation of the treatment (SVR12).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hepatitis C Virus Infection
    Keywords
    Ombitasvir, Paritaprevir, Ritonavir, Ribavirin, HCV, Genotype 4, Naïve, Egyptians

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Single Group Assignment
    Model Description
    100 Egyptian naive patients infected with HCV GT4 was allocated and administered orally OBV/PTV/r with RBV which given as oral tablets based on patient tolerability
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    100 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    2 DAA (OBV/PTV/r) ± ribavirin (RBV)
    Arm Type
    Other
    Arm Description
    Administering Ombitasvir/Paritaprevir/Ritonavir/ tablets plus RBV tablets to HCV GT4 in the treatment of Egyptian naïve patients
    Intervention Type
    Drug
    Intervention Name(s)
    OBV/PTV/r) ± ribavirin (RBV)
    Other Intervention Name(s)
    Paritaprevir (ABT-450) is inhibitor of the NS3-4A serine protease Ombitasvir (ABT 267) is an NS5A inhibitor
    Primary Outcome Measure Information:
    Title
    Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)
    Description
    SVR12 was defined as hepatitis C virus ribonucleic acid (HCV RNA) level less than 12 IU/mL 12 weeks after the last dose of study drug.
    Time Frame
    12 weeks after last dose
    Title
    adverse event (AE)
    Description
    An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation observed after administering a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) is an event that results in, death, participant hospitalization, life-threatening, significant disability/incapacity, or a congenital anomaly.
    Time Frame
    Screening up to 30 days after last dose
    Secondary Outcome Measure Information:
    Title
    Percentage of Participants With Post-treatment Relapse Within 12 Weeks Following End of Treatment
    Description
    Post-treatment relapse was defined as defined as confirmed HCV RNA > 12 IU/ml between the end of treatment and 12 weeks after the last dose of study drug among participants who completed treatment with HCV RNA < 12 IU/ml at the end of treatment.
    Time Frame
    Up to 12 weeks after last dose

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Treatment-naïve patients with HCV GT4 with plasma HCV RNA level >10,000 IU/ml Exclusion Criteria: Hepatitis of non-HCV cause Coinfection with other than HCV GT4 Poorly controlled diabetics (HbA1C >8) patients a history of extra-hepatocellular malignancy in the last 5 years Major severe illness such as congestive heart failure, respiratory failure, evidence of hepatic decompensation. Laboratory and blood picture abnormalities such as anemia (hemoglobin concentration of 10 <g/dl) and thrombocytopenia (platelets <50,000 cells/mm3) and (serum albumin <2.8 g/dL, international normalized ratio (INR) of > 2.3, serum total bilirubin concentration of >3.0 mg/dL.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Mohammed Abdel-Gabbar, Ass. Prof
    Organizational Affiliation
    Biochemistry Dep., Faculty of Science, Beni-Suef University, P.O. Box 52621
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    29546644
    Citation
    Abdel-Moneim A, Aboud A, Abdel-Gabbar M, Zanaty M, Ramadan M. Retreatment Efficacy of Sofosbuvir/Ombitasvir/Paritaprevir/Ritonavir + Ribavirin for Hepatitis C Virus Genotype 4 Patients. Dig Dis Sci. 2018 May;63(5):1341-1347. doi: 10.1007/s10620-018-5005-8. Epub 2018 Mar 15.
    Results Reference
    background
    Links:
    URL
    https://doi.org/10.1007/s10620-018-5005-8
    Description
    This link clarify the retreatment efficacy and safety of SOF with OBV/PTV/r + RBV, for chronic HCV GT4-experienced patients who failed treatment with DAA-based regimens

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    Ombitasvir /Paritaprevir/Ritonavir Plus Ribavirin on HCV GT4

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