Efficacy and Safety of Viusid in Patients With Hepatic Cirrhosis Secondary to Hepatitis C Virus Infection.
Primary Purpose
Cirrhosis, Chronic Hepatitis C
Status
Completed
Phase
Phase 3
Locations
Cuba
Study Type
Interventional
Intervention
Viusid (nutritional supplement)
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Cirrhosis focused on measuring Chronic hepatitis C, Cirrhosis of the liver, Mortality, Complications, Health-related quality of live, Hepatocellular carcinoma, Nutritional supplement
Eligibility Criteria
Inclusion Criteria:
- Histological or clinical diagnosis of cirrhosis.
- HCV infection confirmed on a positive test for anti-HCV antibody and HCV RNA detectable in serum by Polymerase Chain Reaction.
- Patients who were non-responders to previous treatment with pegylated interferon and ribavirin or naïve patients with decompensated cirrhosis (Child-Pugh score ≥ 7) who had contraindicated the antiviral treatment.
- Presence of compensated or decompensated (Stage A, B or C according to the Child-Pugh Classification).
- Absence of clinical and ultrasonographic evidence of liver cancer, with α-fetoprotein levels ≤ 200 ng/ml.
Exclusion Criteria:
- Age less than 18 or greater than 70 years.
- Presence of uncontrollable clinical or biochemical complications related to severe liver failure (hepatic encephalopathy, hepatorenal syndrome, gastrointestinal bleeding, serum bilirubin level greater than 5 mg/dL, international normalized ratio greater than 2.5).
- Active alcoholism.
- Serum creatinine greater than 2 mg/dL.
- Hepatocellular carcinoma.
- Refusal to participate in the study.
- Concomitant disease with reduced life expectancy.
- Severe psychiatric conditions.
- Co-infection with hepatitis A or B or HIV.
- Drug dependence.
- Pregnancy.
Sites / Locations
- National Institute of Gastroenterology
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
I
2
Arm Description
Viusid, three sachets daily during 96 weeks
Placebo three sachets daily during 96 weeks
Outcomes
Primary Outcome Measures
The mortality secondary to liver failure at 96 weeks.
Secondary Outcome Measures
The complication rates during the treatment. The hepatitis-related quality of live during the treatment. Clinical Activity Index during the treatment. The hepatocellular carcinoma incidence during the treatment.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00502086
Brief Title
Efficacy and Safety of Viusid in Patients With Hepatic Cirrhosis Secondary to Hepatitis C Virus Infection.
Official Title
Efficacy and Safety of Viusid, a Nutritional Supplement, in Patients With Hepatic Cirrhosis Secondary to Hepatitis C Virus Infection. A Randomized, Controlled and Double Blind Study.
Study Type
Interventional
2. Study Status
Record Verification Date
February 2010
Overall Recruitment Status
Completed
Study Start Date
May 2005 (undefined)
Primary Completion Date
July 2009 (Actual)
Study Completion Date
July 2009 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Catalysis SL
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of the study is to evaluate whether Viusid, a nutritional supplement, reduce the mortality and the complications (ascites, spontaneous bacterial peritonitis, hepatorenal syndrome, hepatic encephalopathy, gastrointestinal bleeding, sepsis and hepatocellular carcinoma) of patients with cirrhosis of the liver secondary to HCV infection in comparison with placebo, during 96 weeks of treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cirrhosis, Chronic Hepatitis C
Keywords
Chronic hepatitis C, Cirrhosis of the liver, Mortality, Complications, Health-related quality of live, Hepatocellular carcinoma, Nutritional supplement
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
100 (Actual)
8. Arms, Groups, and Interventions
Arm Title
I
Arm Type
Experimental
Arm Description
Viusid, three sachets daily during 96 weeks
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
Placebo three sachets daily during 96 weeks
Intervention Type
Dietary Supplement
Intervention Name(s)
Viusid (nutritional supplement)
Other Intervention Name(s)
Nutritional supplement
Intervention Description
Viusid three sachets daily during 96 weeks
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo three sachets daily during 96 weeks
Primary Outcome Measure Information:
Title
The mortality secondary to liver failure at 96 weeks.
Time Frame
96 weeks
Secondary Outcome Measure Information:
Title
The complication rates during the treatment. The hepatitis-related quality of live during the treatment. Clinical Activity Index during the treatment. The hepatocellular carcinoma incidence during the treatment.
Time Frame
96 weeks
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:
Histological or clinical diagnosis of cirrhosis.
HCV infection confirmed on a positive test for anti-HCV antibody and HCV RNA detectable in serum by Polymerase Chain Reaction.
Patients who were non-responders to previous treatment with pegylated interferon and ribavirin or naïve patients with decompensated cirrhosis (Child-Pugh score ≥ 7) who had contraindicated the antiviral treatment.
Presence of compensated or decompensated (Stage A, B or C according to the Child-Pugh Classification).
Absence of clinical and ultrasonographic evidence of liver cancer, with α-fetoprotein levels ≤ 200 ng/ml.
Exclusion Criteria:
Age less than 18 or greater than 70 years.
Presence of uncontrollable clinical or biochemical complications related to severe liver failure (hepatic encephalopathy, hepatorenal syndrome, gastrointestinal bleeding, serum bilirubin level greater than 5 mg/dL, international normalized ratio greater than 2.5).
Active alcoholism.
Serum creatinine greater than 2 mg/dL.
Hepatocellular carcinoma.
Refusal to participate in the study.
Concomitant disease with reduced life expectancy.
Severe psychiatric conditions.
Co-infection with hepatitis A or B or HIV.
Drug dependence.
Pregnancy.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eduardo Vilar Gómez, PhD
Organizational Affiliation
National Institute of Gastroenterology, Havana, Cuba
Official's Role
Principal Investigator
Facility Information:
Facility Name
National Institute of Gastroenterology
City
Plaza de la Revolución
State/Province
Havana
ZIP/Postal Code
10400
Country
Cuba
12. IPD Sharing Statement
Citations:
PubMed Identifier
17311621
Citation
Vilar Gomez E, Gra Oramas B, Soler E, Llanio Navarro R, Ruenes Domech C. Viusid, a nutritional supplement, in combination with interferon alpha-2b and ribavirin in patients with chronic hepatitis C. Liver Int. 2007 Mar;27(2):247-59. doi: 10.1111/j.1478-3231.2006.01411.x.
Results Reference
background
PubMed Identifier
22021873
Citation
Vilar Gomez E, Sanchez Rodriguez Y, Torres Gonzalez A, Calzadilla Bertot L, Arus Soler E, Martinez Perez Y, Yasells Garcia A, Abreu Vazquez Mdel R. Viusid, a nutritional supplement, increases survival and reduces disease progression in HCV-related decompensated cirrhosis: a randomised and controlled trial. BMJ Open. 2011 Jan 1;1(2):e000140. doi: 10.1136/bmjopen-2011-000140.
Results Reference
derived
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Efficacy and Safety of Viusid in Patients With Hepatic Cirrhosis Secondary to Hepatitis C Virus Infection.
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