Effects of Genotypes on Interferon Signaling in Chronic Hepatitis C
Study Details
Study Description
Brief Summary
The objective of this pilot project is to investigate the prognostic criteria for sensitivity of Chronic Hepatitis C (CHC) Genotype 1, patients to IFNa treatment. Signal transduction in peripheral blood mononuclear cell (PBMC) of control groups will be compared with that of CHC patients. For this study, 20 patients with Hepatitis C virus (HCV) infection who are to undergo standard antiviral therapy and 10 healthy donors (significant others of the HCV subject) will be enrolled. Signal transduction will be studied in peripheral blood of CHC subjects before the treatment, after 1 and 3 months of treatment, and 4-6 months following the completion of treatment.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
In addition, the mechanism of non-responsiveness of HCV patients to IFNa will be studied. For this purpose, formation of complexes between STAT1 and its negative regulator, PIAS1 (immunoprecipitation, Western blot) will be examined. In comparing subjects on standard therapy vs the addition of betaine, (under separate studies) we will assess whether the formation of STAT1-PIAS1 complexes is due to impaired methylation on STAT1 on arginine residues which may be over come by the addition of betaine.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Patients 20 patients with genotype 1, chronic hepatitis C who are to undergo standard antiviral therapy |
Procedure: Blood sampling of peripheral blood mononuclear cells
Group 1, (Patients): PMBC (20 ml blood) to be drawn at baseline, weeks 4 and 12 during antiviral therapy and 24 weeks following the end of antiviral therapy
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control Group 2, (control): 10 healthy family members or significant others of patients who are to undergo standard antiviral therapy |
Procedure: Blood draw, 20ml peripheral blood mononuclear cells
One time blood draw of 20 ml
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Outcome Measures
Primary Outcome Measures
- To investigate the prognostic criteria for sensitivity of Chronic Hepatitis C patients to interferon alpha treatment [3 years]
Secondary Outcome Measures
- To determine the effects of antiviral treatment on interferon gene signaling in peripheral blood mononuclear cells [3 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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19 years of age or older, of either gender.
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History of chronic hepatitis C as documented by HCVRNA.
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. Documented genotype 1.
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Subject prescribed antiviral therapy
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Able to give informed consent.
Controls:
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Greater than 19 years of age.
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Subject reports good general health.
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Subject denies chronic hepatitis C infection.
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Able to give informed consent.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of Nebraska Medical Center | Omaha | Nebraska | United States | 68198 |
Sponsors and Collaborators
- University of Nebraska
Investigators
- Principal Investigator: Mark E Mailliard, MD, University of Nebraska
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 143-09-EP