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NCT01178996·Phase 3·INTERVENTIONAL

Thymosin Alpha-1 in Combination With Peg-Interferon Alfa- 2a and Ribavirin for the Therapy of Chronic Hepatitis C Nonresponsive to the Combination of IFN and Ribavirin.

Status

Completed

Phase

Phase 3

Enrollment

552

Locations

9

Results

Not posted

Publications

1

Study summary

What the protocol is testing.

The purpose of the study was to determine safety and efficacy of 48 weeks treatment with Thymosin alpha 1 (Talpha1) in combination with pegylated interferon (PEGIFN) alpha2a and ribavirin (RBV) in adult patients with chronic hepatitis C (CHC) already treated with, and not responding to previous courses of PEGIFN alpha plus RBV combination therapy, in comparison with a concurrent group treated with PEG IFN alpha2a in combination with RBV and placebo.

Interventions

Treatment arms and agents.

BIOLOGICAL

Thymosin alpha 1

Thymosin alpha 1 (Zadaxin) 1.6 mg/day, two times weekly in the morning, by subcutaneous injection for 48 weeks.

DRUG

Ribavirin

Ribavirin 1000 mg (\<75 kg) or 1200 mg (\>75 kg) daily with food divided in two doses orally for 48 weeks

BIOLOGICAL

PEGinterferon alfa2a

180 mcg, once weekly in the evening, by subcutaneous injection for 48 weeks

DRUG

Placebo

Placebo

Timeline

From registration to results.

  1. First posted

    Aug 10, 2010

  2. Study start

    Dec 2004

  3. Primary completion

    May 2008

  4. Study completion

    Jul 2009

  5. Results posted

    Not reported

  6. Registry updated

    Aug 10, 2010

Outcomes

What the study measures.

Primary outcomes

Sustained Virological Response (SVR)

Time frame · Week 72

The proportion of patients who were HCV RNA negative at the end of observation period.

Secondary outcomes

Sustained Biochemical Response (SBR)

Time frame · Week 72

The proportion of patients with normal serum ALT at the end of observation period.

End of Treatment Biochemical Response (EBR)

Time frame · Week 48

The proportion of patients with normal serum ALT at the end of treatment period.

End of Treatment Virological Response [EVR]

Time frame · Week 48

The proportion of patients who were HCV RNA negative at the end of treatment period.

Safety

Time frame · During the treatment period (up to 48 weeks) and the follow-up period (up to 24 weeks)

Safety and tolerability were evaluated by AEs recording, laboratory (hematology and chemistry), ECG, and vital signs evaluations. All laboratory tests were centralized.

Eligibility

Who can take part.

Minimum age
18 Years
Maximum age
70 Years
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: 1. Signed written informed consent 2. Age 18 3. Presence of HCV RNA measured by quantitative PCR 4. Non responder to previous approved doses of therapy with PEGinterferon alpha plus ribavirin. Patients must have been treated for at least 12 weeks with documented HCV RNA quantitative not showing major of 2 log10 HCV RNA reduction or patients treated for at least 24 weeks with documented HCV RNA qualitative not showing a virological response (viral RNA clearance) 5. Liver biopsy consistent with a diagnosis of chronic hepatitis C or histological cirrhosis. Biopsy will not be required if the patient can produce a biopsy performed within the year preceding the randomization day and was performed at least 6 months after the end of the latter course of therapy 6. Wash-out period of at least 6 months from previous therapy with PEGinterferon alpha plus ribavirin 7. Negative pregnancy test prior (no more than 24 hours) to first study medication dose Exclusion Criteria: 1. Use of systemic corticosteroids within 6 months of entry 2. More than one previous course of therapy with PEGinterferon alpha plus ribavirin 3. Any other liver disease 4. Decompensated liver disease based on a history of hepatic encephalopathy, bleeding oesophageal varices, or ascites 5. Decompensate or advanced liver cirrhosis (ChildPugh B or C) 6. HIV infection diagnosed by HIV seropositivity and confirmed by Western blot 7. Insulin-dependent Diabetes Mellitus 8. Severe haemoglobinopathy 9. Positive liver and kidney microsomal auto antibodies 10. Positive anti thyroid antibodies 11. Pregnancy as documented by a urine pregnancy test 12. Alcohol or intravenous drug abuse within the previous 1 year 13. Patients who are in poor medical or psychiatric conditions, 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 study protocol 14. Any indication that the patient would not comply with the conditions of the study protocol 15. Previous treatment with thymosin alpha 1 16. Patients with known hypersensitivity to any PEGinterferon and or ribavirin 17. Patients with a history of severe depression that required either hospitalization or electroshock therapy or depression associated with suicide attempt 18. Simultaneous participation in another investigational drug study or participation in any clinical trial involving investigational drugs within 3 months before study entry 19. Presence of serious pulmonary or cardiovascular disorders

Study locations

9 registered sites.

France · Germany · Greece · Italy · Spain. Showing up to 24 locations stored in the fast local snapshot.

Hôpital Necker

Paris, France

Universitätsklinikum Tübingen

Tübingen, Germany

University Hospital of Ioannina

Ioannina, Greece

Ospedale Casa Sollievo della Sofferenza

San Giovanni Rotondo, Foggia, Italy

Policlinico S.Orsola-Malpighi

Bologna, Italy

Ospedale Cardarelli

Naples, Italy

Università Cattolica del Sacro Cuore

Rome, Italy

Dipartimento Medico Chirurgico delle Malattie dell'Apparato Digerente e della Nutrizione, Azienda Ospedaliera S Giovanni Battista

Turin, Italy

Hospital del Mar

Barcelona, Spain

Related trials

More studies on Thymosin Alpha-1.

Related PeptideStat pages

Put the record in context.

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