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Thymosin Plus PEG-Interferon in Non-Cirrhotic Hepatitis C Patients Who Did Not Respond to Interferon or Interferon Plus Ribavirin



Thymosin Plus PEG-Interferon in Non-Cirrhotic Hepatitis C Patients Who Did Not Respond to Interferon or Interferon Plus Ribavirin

For Condition: Hepatitis C, Chronic,Hepatitis C
Status: No longer recruiting
Sponsor(s): SciClone Pharmaceuticals ,
Synopsis: Chronic hepatitis C infection is one of the leading causes of chronic liver disease in the United States. Approximately one-third of patients with hepatitis C infection develop cirrhosis of the liver, which can lead to liver failure or liver cancer. The current treatment for hepatitis C infection in previously untreated patients is successful in only about half of patients. There is no established therapy for non-responders. This is a randomized, double-blinded, multicenter trial to determine the effectiveness of thymosin alpha 1 (thymalfasin) 1.6 mg twice weekly plus PEGinterferon alfa-2a 180 ug/wk compared to placebo plus PEGinterferon alfa-2a in adults with chronic hepatitis C without cirrhosis who are non-responders to previous treatment with interferon or interferon plus ribavirin. The definition of non-response requires a positive HCV RNA test at the end of a course of at least 12 weeks of therapy. Patients will receive treatment for 12 months, and will be followed-up for a further 6 months after the end of therapy.
Details:
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion criteria: - Signed written informed consent. - Age over 18 years old. - Presence of HCV RNA measured by qualitative PCR. - Nonresponder to a previous course of therapy with either IFN alone or IFN plus ribavirin. The patient must have been treated for at least 12 weeks. - Washout period of at least 6 months from previous therapy with IFN alone or IFN plus Ribavirin. - Liver biopsy consistent with chronic hepatitis C within the last 12 months before treatment starts, and at least 6 months after the end of the prior failed therapy. - No clinical or histological evidence of cirrhosis (METAVIR fibrosis score 0 to 3). - Compensated liver disease with prothrombin time prolonged less than 3 seconds over control, serum albumin stable and within normal limits, total bilirubin < 2 mg/dl, and no history of hepatic encephalopathy, esophageal varices or ascites. - Ultrasound, CT scan, or MRI of the liver within 3 months of entry negative for HCC. - Hematocrit > 30%, platelet count > 100 x 109/L, WBC > 3 x 109/L, and polymorphonuclear white cell count > 1.5 x 109/L. - Adequate renal function as demonstrated by serum creatinine level < 2.0 mg/dL. - Normal TSH or adequately controlled thyroid function. - If the patient is a woman, she is using a definitive method of birth control in consultation with her physician, or is surgically sterile or post-menopausal. Exclusion criteria: - Use of systemic corticosteroids within 6 months of entry. - Current use of any drug known to be hepatotoxic, any drug (other than the study drugs) known to have or suspected of having therapeutic activity in hepatitis C or of any immunosuppressive drug (including corticosteroids). - Any other liver disease including hepatitis B, hepatitis delta, alcoholic liver disease, drug-induced liver injury, primary biliary cirrhosis, sclerosing cholangitis, autoimmune hepatitis, hemochromatosis, alpha 1-antitrypsin deficiency, or Wilson's disease. - Alpha-fetoprotein > 200 ng/mL. - Current or past diagnosis of cirrhosis. - Evidence of portal hypertension either by Doppler ultrasonography or gastrointestinal endoscopy. - Decompensated liver disease based on a history of hepatic encephalopathy, esophageal varices, or ascites. - HIV infection diagnosed by HIV seropositivity and confirmed by Western blot. - Concomitant or prior history of malignancy other than curatively treated skin cancer or surgically cured in situ carcinoma of the cervix. - Active infectious process other than HCV that is not of a self-limited nature (eg. TB or AIDS). - Rheumatoid arthritis or other autoimmune disease (serum ANA > 1:160). - Pregnancy as documented by a urine pregnancy test. - Alcohol or intravenous drug abuse within the previous 1 year. - Chronic use of methadone. - Patients who are poor medical risk or who have any non-malignant systemic disease that, in the opinion of the investigator, would make it unlikely that the patient could complete the protocol. - Patients with a history of severe depression that required either hospitalization or electroshock therapy; or depression associated with suicide attempt. - Patients with significant pre-existing cardiac or pulmonary disease. - Any indication that the patient would not comply with the conditions of the study protocol. - Previous treatment with thymosin alpha 1. - Patients with known hypersensitivity to IFNa. - Simultaneous participation in another investigational drug study, or participation in any clinical trial involving investigational drugs with 3 months before study entry. - Family history of intracerebral hemorrhage.
Total Enrollment: 500

Location and Contact Information:

Metro Health Medical Center, GI Division
Cleveland,  Ohio, 
United States
 

Ponce School of Medicine
Ponce,  , 
Puerto Rico
 

University of Florida
Gainesville,  Florida, 
United States
 

Hepatitis C Treatment Centers, Inc.
Louisville,  Kentucky, 
United States
 

Atlanta Gastroenterology Associates
Atlanta,  Georgia, 
United States
 

Saint Louis University Hospital
St. Louis,  Missouri, 
United States
 

NY VAMC
New York City,  New York, 
United States
 

University of Tennessee Gastroenterology
Memphis,  Tennessee, 
United States
 

GI Center MidSouth
Memphis,  Tennessee, 
United States
 

Washington Hospital Center
Washington D.C.,  District of Columbia, 
United States
 

Duke University Medical Center
Durham,  North Carolina, 
United States
 

Fundacion de Investigacion de Diego
Santurce,  , 
Puerto Rico
 

University of Alabama - Knollwood Physician's Group Bldg.
Mobile,  Alabama, 
United States
 

Mayo Clinic
Scottsdale,  Arizona, 
United States
 

University of Miami Center for Liver Diseases
Miami,  Florida, 
United States
 

University of Chicago Hospital & Clinic
Chicago,  Illinois, 
United States
 

William Beaumont Hospital
Royal Oak,  Michigan, 
United States
 

University of Pennsylvania Hospital
Philadelphia,  Pennsylvania, 
United States
 

McGuire Research Institute
Richmond,  Virginia, 
United States
 

Baylor University Medical Center
Dallas,  Texas, 
United States
 

VAMC
Kansas City,  Missouri, 
United States
 

California Pacific Medical Center
San Francisco,  California, 
United States
 

Walter Reed Army Medical Center
Washington D.C.,  District of Columbia, 
United States
 

Bronx VA Medical Center
New York City,  New York, 
United States
 

New England Medical Center
Boston,  Massachusetts, 
United States
 

Chevy Chase Clinical Research
Chevy Chase,  Maryland, 
United States
 

Idaho Gastroenterology Associates
Meridian,  Idaho, 
United States
 

Wisconsin Center for Advanced Research
Milwaukee,  Wisconsin, 
United States
 

Scripps Clinic
La Jolla,  California, 
United States
 

North Shore University Hospital
Manhasset,  New York, 
United States
 

Cedars-Sinai Medical Center
Los Angeles,  California, 
United States
 

University of Texas Southwestern Medical Center
Dallas,  Texas, 
United States
 

Center for Digestive and Liver Health
Savannah,  Georgia, 
United States
 

Roger Williams Medical Center
Providence,  Rhode Island, 
United States
 

Louisiana State University Healthcare Network
New Orleans,  Louisiana, 
United States
 

Oregon Health Sciences University
Portland,  Oregon, 
United States
 

Metropolitan Research
Fairfax,  Virginia, 
United States
 

Carolinas Center for Liver Diseases
Charlotte,  North Carolina, 
United States
 

University of Massachusetts Memorial Medical Center
Worcester,  Massachusetts, 
United States
 

Mississippi Gastrointestinal Associates
Jackson,  Mississippi, 
United States
 

Baylor, VAMC
Houston,  Texas, 
United States
 

Veterans Administration Medical Center GI Section (111B)
San Francisco,  California, 
United States
 

Gastroenterology Associates of East Bay Medical Group
Berkeley,  California, 
United States
 

Mayo Clinic
Jacksonville,  Florida, 
United States
 

University of Cincinnati - College of Medicine
Cincinnati,  Ohio, 
United States
 

Liver Research Center - University of Louisville
Louisville,  Kentucky, 
United States
 

Johns Hopkins University
Baltimore,  Maryland, 
United States
 

NYU Hospitals Center
New York City,  New York, 
United States
 


Additional Information:
Study ID Numbers:
  Ta1-CHC-2K0803a; 
Study Start Date: April 2002
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00040027

Other Hepatitis C, Chronic Studies:
1. ISIS 14803-CS2, Treatment with ISIS 14803, Administered IV in Patients with Chronic Hepatitis C Virus Infections

2. Thymosin Plus PEG-Interferon in Hepatitis C Patients with Cirrhosis Who Did Not Respond to Interferon or Interferon Plus Ribavirin

3. IdB 1016 Treatment for Hepatitis C Disease

4. Thymosin Plus PEG-Interferon in Non-Cirrhotic Hepatitis C Patients Who Did Not Respond to Interferon or Interferon Plus Ribavirin

5. Addition of ISIS 14803 to therapy with peginterferon and ribavirin for chronic HCV patients not responding adequately to the two drugs.

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Thymosin Plus PEG-Interferon in Non-Cirrhotic Hepatitis C Patients Who Did Not Respond to Interferon or Interferon Plus Ribavirin

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