Determine the Efficacy and Safety of Harvoni in Genotype 1 Chronic Hepatitis c Infected People Who Are Alcoholics
Study Details
Study Description
Brief Summary
To determine the efficacy and safety of Harvoni in treatment-naïve alcoholic subjects with Genotype 1 HCV infection
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Detailed Description
determine the cure rate of Harvoni in treatment naïve alcoholic subjects with Genotype 1 HCV infection
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Harvoni x 8 or 12 weeks patient will receive 8 or 12 weeks depending on clinical data |
Drug: harvoni
8 or 12 weeks of harvoni therapy with monthly nursing visiting to monitor alcohol and adherence of harvoni therapy
Other Names:
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Outcome Measures
Primary Outcome Measures
- The number of subjects who achieve negative RNA in alcoholics [12 weeks after the end of Harvoni therapy]
determined by blood draw
Eligibility Criteria
Criteria
Inclusion Criteria:
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The subject must be willingly and able to provide written informed consent
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Age 19 years of age or older (The age of consent in Nebraska)
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HCV treatment-naïve, as defined as no prior exposure to any Interferon (IFN), RBV, or other FDA approved or experimental HCV-specific direct-acting antiviral agent
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HCV RNA level at most 6 months prior to the Baseline/Day 1 visit.
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HCV genotyping 1a, 1b, or mixed 1a/ab. Any non-definitive results will exclude the subject from study participation.
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Alcohol misuse as defined by the Alcohol Use Disorders Identification Test (AUDIT) score subjects must score > 8 (associated with harmful or hazardous drinking)
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Cirrhosis determination [up to 20% of study subjects may have cirrhosis]:
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Cirrhosis is defined as any one of the following:
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History of a liver biopsy showing cirrhosis (e.g. Metavir score = 4 or Ishak score > 5)
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Fibroscan showing cirrhosis or results > 12.5 kPa
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FIBRO Spect II index consistent with F3 or F4 AND an AST : platelet ration index (APRI) of > 2 during Screening
- Absence of cirrhosis is defined as any one of the following:
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Liver biopsy within 2 years of Screening showing absence of cirrhosis
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Fibroscan within 6 months of Baseline/Day1 with a result of ≤ 12.5 kPa
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FIBRO Spect II Index consistent with F0- F2 AND APRI of ≤ 1 during Screening
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Liver imaging within 6 months of Baseline/Day 1 to exclude hepatocellular carcinoma HCC) is required
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Subjects must have the following laboratory parameters at screening:
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ALT < 10 x the upper limit of normal (ULN)
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AST < 10 x ULN
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Direct bilirubin < 2.0 x ULN
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Platelets > 50,000
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HbA1c < 8.5%
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Creatinine clearance (CLcr) ≥ 60 mL /min, as calculated by the Cockcroft-Gault equation
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Hemoglobin ≥ 11 g/dL for female subjects; ≥ 12 g/dL for male subjects.
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Albumin ≥ 2.5 g/dL
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INR ≤ 1.5 x ULN unless subject has known hemophilia or is stable on an anticoagulant regimen affecting INR.
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Subject has not been treated with any investigational drug or device within 30 days of the screening visit.
Exclusion Criteria:
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Pregnant women and nursing mothers are ineligible due to the possible risk of adverse effects in the newborn. Eligible patients of reproductive potential should use adequate contraception if sexually active.
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Serious concurrent medical illness which would jeopardize the ability of the subject to receive the therapy as outlined in this protocol with reasonable safety.
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Malignancy diagnosed or treated within 5 years (recent localized treatment of squamous or non-invasive basal cell skin cancers is permitted; cervical carcinoma in situ is allowed if appropriately treated prior to screening); subjects under evaluation for a malignancy are not eligible.
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Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
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Use of any prohibited concomitant medications within 30 days of the Baseline/Day 1 visit.
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Known hypersensitivity to LDV/SOF
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Nebraska | Omaha | Nebraska | United States | 680017 |
Sponsors and Collaborators
- University of Nebraska
Investigators
- Principal Investigator: Mark Mailliard, MD, UNMC
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 121-16