Safety and Effectiveness of PRI-724 for Hepatitis C or B Virus Derived Liver Cirrhosis
Hepatitis C, Hepatitis B, Liver Cirrhoses
About this trial
This is an interventional treatment trial for Hepatitis C focused on measuring Hepatitis C virus, Hepatitis B virus, liver Cirrhosis
Eligibility Criteria
Inclusion Criteria:
Patients with liver cirrhosis caused by HCV or HBV that satisfies the following (1) or (2) and satisfies (3)
- Patients with serum HCV-RNA positive or HCV antibody positive
- Patients with serum HBV-DNA positive or HBs antigen positive
- confirmed liver cirrhosis by liver biopsy performed in the screening period patients who received diagnosis
- Patients with Child-Pugh classification in A or B status
Patients who satisfy HCV cirrhosis from (1) to (3), HBV cirrhosis (4) In the case of HCV cirrhosis;
- Patients who have not reached SVR * with DAA therapy
- Patients who are difficult to implement DAA therapy
- Patients who have been over 24 weeks after achieving SVR * with DAA therapy In case of HBV cirrhosis;
- Patients who have been at least 24 weeks since the start of administration of Nucleotide analogue * SVR is SVR 12 (sustained virological response at 12 weeks after the end of administration).
- Patients with Performance Status 0 to 2
- Patients aged 20 years or over and under 75 when acquiring informed consent
- Regarding participation in this trial (including liver biopsy), patients who obtained informed consent by their own voluntary intention
Exclusion Criteria:
- Patients with HCV and HBV co-infection, patients who came to cirrhosis due to causes other than HCV or HBV, or patients whose cause of cirrhosis is unknown
- Patients with esophageal gastric varices determined to be treated by endoscopic examination at screening
- Patients with complication or previous history of primary liver cancer (excluding those who have had more than one year of hepatocarcinoma resection / radiofrequency ablation)
- Merger of malignant tumor or past patients (within 3 years before screening). However, the following diseases are excluded: treated basal cell carcinoma, treated lung intraepithelial carcinoma, treated cervical carcinoma, or control superficial (not invasive) bladder carcinoma
- Patients who can not be denied HIV, HTLV-1 or syphilis
- Serum creatinine value: Patients with more than 1.5 times the upper limit of the facility reference value
- Patients with poor control of diabetes, hypertension or heart failure
- Patients with psychiatric diseases judged to have the potential to influence the implementation of clinical trials
- Patients who have severe allergy to or contrast media
Patients with HCV who have not passed the following period after treatment for HCV cirrhosis at registration.
- 12 weeks after the final administration of interferon
- 16 weeks after final administration of Ribavirin
- 16 weeks after final administration of DAA
- Patients whose dosage regimen was changed within 12 weeks prior to enrollment
- Patients who have history of drug or alcohol intoxication within 5 years before acquiring informed consent or who have history of drug or alcohol abuse within the past year
- Patients who participated in other clinical trials and clinical trials within 30 days prior to acquisition of consent, patients who used investigational drugs or investigational equipment
- Patients who received liver transplantation or other organ transplantation (including bone marrow transplantation) and patients who are difficult to intravenously administer
- Patients whose liver biopsy is expected to be difficult to perform
- Patients who are pregnant or nursing, or who are likely to become pregnant
- Male patients who do not obtain consent to contraception from the time of acquiring informed consent until the end of 12 weeks after the administration of investigational drug
- In addition, patients investigated by investigators or clinical trial doctors as judged unsuitable for this trial
Sites / Locations
- Kohnodai Hospital, National Center for Global Health and Medicine
- Tokyo Metropolitan Komagome Hospital
- Kyushu University Hospital
Arms of the Study
Arm 1
Experimental
PRI-724
Dose: 140, 280, 380 mg / m 2/4 hr Administration method: 【Phase I Phase】 (Level 1) 140 mg / m 2/4 hr (Level 2) 280 mg / m 2/4 hr (Level 3) 380 mg / m 2/4 hr Twice weekly, continuous 4-hour intravenous administration (tolerance of administration time: ± 15 minutes). This is one cycle and 12 cycles (12 weeks in total) are carried out. However, in Phase I phase, single dose is administered on Day - 7 (tolerance: - 7 days). 【Phase IIa phase】 Continuous intravenous administration for 4 hours twice a week at the recommended dose determined in Phase I. This is one cycle and 12 cycles (12 weeks in total) are carried out.