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Chronic Hepatitis CPhase 4PERICONCT00526448

Phase IV Study to Evaluate the Efficacy/Safety to Extend Treatment and High Dose of Ribavirin in co-Infected Patients

A Phase 4 study testing ribavirin, Peginterferon alfa-2a and epoetin beta in people with Chronic Hepatitis C, run by Hospital Carlos III, Madrid at 40 sites in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

To compare the sustained virological response (SVR = ribonucleic acid (RNA) - hepatitis C virus (HCV) undetectable at week 24 before end the treatment) in chronic hepatitis C patients genotype 1-4 co-infected with HIV-HCV, treated with Peginterferón alfa-2a (40 KD) 180 µg/week and Ribavirin (2000 mg/day during 4… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Chronic Hepatitis C
What is being tested?
ribavirin, Peginterferon alfa-2a and epoetin beta
Could I receive a placebo?
No, everyone receives an active treatment
How many people
384 participants
Where
40 sitesSpain
Study dates
Jun 2007to Feb 2010
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female patients > 18 years of age
  • Serologic evidence of anti-HCV
  • Detectable plasma HCV-RNA
  • Serologic evidence of HIV-1 infection
  • CD4 cell count >/= 250 cell/mm3
  • Stable status of HIV-1 infection in the opinion of the investigator
Show all 10Show fewer
  • Patients on stable antiretroviral therapy (HAART) for at least 6 weeks prior to baseline whose HAART regimen (drugs and dosage) is expected to remain unaltered for the first 6 weeks of this study
  • Patients who have not been on HAART for at least 6 weeks prior to randomization who are willing to delay initiation of HAART therapy for at least 6 weeks
  • Negative urine or blood pregnancy test (for women of childbearing potential) documented within the 24-hour period prior to the first dose of study drug
  • Willingness to give written informed consent

Who cannot join

  • Women with ongoing pregnancy or breast feeding
  • Male partners of women who are pregnant
  • IFN/ribavirin therapy at any previous time
  • Child Pugh > 6 (Child Pugh B or C)
  • History or conditions consistent with decompensated liver disease
  • Any investigational drug 6 weeks prior to the first dose of study drug (expanded access programs for HIV treatment are allowed)
Show all 30Show fewer
  • Patients treated with didanosine and/or zidovudine
  • Positive test at anti-HAV IgM Ab, HBsAg, anti-HBc IgM Ab, HBeAg
  • History or other evidence of a medical condition associated with chronic liver disease other than HCV
  • Hepatocarcinoma observed in the liver ecography
  • Serum concentrations of ceruloplasmin or alfa1-antitrypsin at screening consistent with an increased risk of metabolic liver disease
  • Active HIV-related opportunistic infection and/or malignancy requiring acute systemic therapy
  • Absolute neutrophil count (ANC) < 1500 cells/mm3
  • Hgb < 11 g/dL in women or 12 g/dL in men or any patient for whom anemia would be medically problematic
  • Hemoglobinopathy or any other cause of or tendency for hemolysis
  • Platelet count < 50,000 cells/mm3
  • History of G-CSF, GM-CSF or epo treatment during 3 months prior to the first dose of study drug
  • Serum creatinine level > 1.5 times the upper limit of normal at screening
  • History of severe psychiatric disease, especially depression
  • History of a severe seizure disorder or current anticonvulsant use
  • History of immunologically mediated disease
  • History or other evidence of chronic pulmonary disease associated with functional limitation
  • History of significant cardiac disease that could be worsened by acute anemia
  • History of thyroid disease poorly controlled on prescribed medications
  • Evidence of severe retinopathy
  • History of major organ transplantation with an existing functional graft
  • History or other evidence of severe illness, malignancy or any other conditions which would make the patient, in the opinion of the investigator, unsuitable for the study
  • History of any systemic anti-neoplastic or immunomodulatory treatment 6 months prior to the first dose of study drug or the expectation that such treatment will be needed at any time during the study
  • Concomitant medication with rifampin/rifampicin, rifabutin, pyrazinamide, isoniazid, gancyclovir, thalidomide, oxymetholone, immunomodulatory treatments and systemic antiviral agents as adjuvant therapy for CHC
  • Drug use within 6 months of 1st dose and excessive alcohol consumption

Trial locations and contacts

40 sites in 1 country.

Vicente Soriano, Dr contact

+34914532500

vsoriano@dragonet.es

Pablo Barreiro, Dr contact

+34914532500

pbarreiro@v4066.drago.net

40 sites in 1 country

Spain40 sites, 40 recruiting
  • Hospital Juan Canalejo

    A Coruña, A Coruña, 15006

    Angeles Castro, Dr., miriamca@udc.es

    Jose Domingo Pedreira, Dr., MInternaB@canalejo.org

    Not yet recruiting
  • Hospital de Albacete

    Albacete, Albacete, 02006

    Elisa Martínez Alfaro, Dr., +34967 597 253, emartineza@ono.es

    Elisa Martínez Alfaro, Dr.

    Not yet recruiting
  • Hospital de Alcorcon

    Alcorcón, Madrid, 28922

    Juan Emilio Losa, Dr., +3491 6219400, jelosa@fhalcorcon.es

    Juan Emilio Losa, Dr.

    Not yet recruiting
  • Hospital de Cruces

    Barakaldo, Vizcaya, 48913

    Koldo Aguirrebengoa, Dr, +34946006379, kaguirrebengoa@hcru.osakidetza.net

    Koldo Aguirrebengoa, Dr

    Recruiting
  • Hospital Santa Creu y Sant Pau

    Barcelona, Barcelona, 08025

    Josep Cadafalch, Dr., +3493 556 56 24, jcadafalch@hsp.santpau.es

    Josep Maria Guardiola, Dr., +3493 556 56 24, jguardiola@hsp.santpau.es

    Recruiting
  • Hospital General de Elche

    Elche, Alicante, 03203

    Clara Maria Escolano, Dr., +34966 679 154, cescolanoh@coma.es

    Clara Maria Escolano, Dr.

    Not yet recruiting
  • Hospital Arquitecto Marcide

    Ferrol, La Coruña, 15405

    Ana Mariño, Dr, +34981334000, ana.marino.callejo@sergas.es

    Ana Mariño, Dr

    Not yet recruiting
  • Hospital Clínico san Cecilio

    Granada, Granada, 18012

    Jose Hernandez Quero, Dr., +34958 249 079, jhquero@ugr.es

    José Hernandez Quero, Dr.

    Not yet recruiting
  • Hospital San Jorge

    Huesca, Huesca, 22004

    Miguel Angel Berdú, Dr, +34974247000, med001689@saludalia.com

    Miguel Angel Berdú, Dr

    Not yet recruiting
  • Hospital General de Jerez de la Frontera

    Jerez de la Frontera, Cadiz, 11407

    Alberto Terrón, +34 956 032 062, jaterron@hotmail.com

    Alberto Terrón, Dr.

    Not yet recruiting
  • Hospital General de la Palma

    la palma, Santa Cruz de Tenerife, 38713

    Vicente Pueyo, Dr., +34922185372, vpueyo@hotmail.com

    Vicente Pueyo, Dr.

    Not yet recruiting
  • Hospital Doctor Negrín

    Las Palmas de Gran Canarias, Gran Canaria, 35020

    Rafael Granados, Dr., +34928 450 683, rafagramon@wanadoo.es

    Miguel Angel Cardenas, Dr., mcarsa2@hotmail.com

    Not yet recruiting
  • Hospital Severo Ochoa

    Leganés, Madrid, 28911

    Rafael Rodriguez-Rosado, Dr., rafael.rrosado@gmail.com

    Rafael Rodriguez-Rosado, Dr.

    Not yet recruiting
  • Hospital Xeral-Caldé

    Lugo, Lugo, 27004

    Juan Carlos Corredoira, Dr., +34982 29 62 60, juan.corredoira.sanchez@sergas.es

    Maria José Lopez, Dr., +34982 29 62 60, mariajose.lopez.alvarez@sergas.es

    Not yet recruiting
  • Hospital de la Princesa

    Madrid, Madrid, 28006

    Ignacio Santos, Dr., +3491 5202236, isantosg@hotmail.com

    Ignacio Santos, Dr.

    Not yet recruiting
  • Hospital Gregorio Marañón

    Madrid, Madrid, 28007

    Pilar Miralles, Dr., pmiralles.hgugm@salud.madrid.org

    Pilar Miralles, Dr.

    Not yet recruiting
  • Hospital Carlos III

    Madrid, Madrid, 28029

    Vicente Soriano, Dr, +34914532500, vsoriano@dragonet.es

    Pablo Barreiro, Dr, +34914532500, pbarreiro@v4066.drago.net

    Recruiting
  • Hospital Clínico San Carlos

    Madrid, Madrid, 28040

    Maria Jesús Téllez, Dr., +3491 3303538, mjtellezm@hotmail.com

    Maria Jesús Téllez, Dr.

    Not yet recruiting
  • Hospital 12 de Octubre

    Madrid, Madrid, 28041

    Rafael Rubio, Dr., +3491 390 80 28, rrubiog@saludalia.com

    Rafael Rubio, Dr.

    Not yet recruiting
  • Hospital Clínico Virgen de la Victoria

    Málaga, Málaga, 29010

    Mercedes González, Dr., +34952 649 393, med006801@saludalia.com

    Mercedes Gonzalez, Dr.

    Recruiting
  • Hospital Santa Maria del Rosell

    Murcia, Murcia, 30203

    Jose Adolfo Garcia Henarejos, Dr., +34968325226

    Jose Adolfo Garcia Henarejos, Dr.

    Not yet recruiting
  • Hospital Central de Asturias

    Oviedo, Principality of Asturias, 33006

    Victor Asensi, Dr., +34985108000, vasensia@medynet.com

    Victor Asensi, Dr.

    Not yet recruiting
  • Hospital Son Dureta

    Palma de Mallorca, Balearic Islands, 07014

    Lucia Bonet, Dr., +34971175000, lbonet@hsd.es

    Lucia Bonet, Dr.

    Not yet recruiting
  • Hospital General de Fuerteventura

    Puerto del Rosario, Fuerteventura, 35600

    Jesús Flores, Dr., jfmagad@terra.es

    Jesús Flores, Dr.

    Not yet recruiting
  • Hospital Parc Taulí

    Sabadell, Barcelona, 08208

    Manuel Cervantes, Dr., +34937231010, mcervantes@cspt.es

    Manuel Cervantes, Dr.

    Not yet recruiting
  • Hospital Clínico de Salamanca

    Salamanca, Salamanca, 37007

    Alicia Iglesias, Gómez, +34923291100, a_iglesias74@yahoo.es

    Miguel Cordero, Dr., +34923291100, magnus@usal.es

    Not yet recruiting
  • Hospital Universitario de Canarias

    San Cristóbal de La Laguna, Santa Cruz de Tenerife, 38320

    Remedios Alemán, Dr., +34922678000, mraleman@comtf.es

    Juan Luis Gómez, Dr., +34922678000, infecciones@huc.canarias.org

    Not yet recruiting
  • Hospital de la Candelaria

    Santa Cruz de Tenerife, Santa Cruz de Tenerife, 38010

    Marcelino Hayek, Dr., +34922 60 20 21, ihayper@gobiernodecanarias.org

    Marcelino Hayek, Dr.

    Not yet recruiting
  • Hospital Marqués de Valdecilla

    Santander, Cantabria, 39008

    Santiago Echevarria, Dr., +34942202669, mirevs@humv.es

    Carmen Fariña, Dr., +34942203375, mirfac@humv.es

    Not yet recruiting
  • Hospital Clínico Universitario

    Santiago, La Coruña, 15706

    Elena Losada, Dr, +34981195266, elena.losada.arias@sergas.es

    Arturo Prieto, Dr, +34981195266, arturo.prieto.martinez@sergas.es

    Not yet recruiting
  • Hospital Virgen de la Macarena

    Seville, Sevilla, 41009

    Maria José Rios, Dr., +34955 008 520, MJRIOSVILLEGAS@terra.es

    Maria José Rios, Dr.

    Not yet recruiting
  • Hospital de Valme

    Seville, Sevilla, 41014

    Juan Antonio Pineda, Dr., +34955 015 887, japineda@telefonica.net

    Juan Antonio Pineda, Dr.

    Not yet recruiting
  • Hospital Universitario la Fé

    Valencia, Valencia, 46009

    José La Cruz, Dr., +3496 386 27 00 ext. 40352, lacruz_jos@gva.es

    José La Cruz, Dr.

    Not yet recruiting
  • Hospial Clinico Universitario de Valencia

    Valencia, Valencia, 46010

    Maria José Galindo, Dr., +34963862600, pepagal@hotmail.com

    Maria José Galindo, Dr.

    Not yet recruiting
  • Hospital Clínico de Valladolid

    Valladolid, Valladolid, 47011

    Miguel Angel del Pozo, Dr., +34983420000 ext. 343, "mdelpozo@med.uva.es mdelpozo@med.uva.es

    Isabel González Gilabert, Dr., +34983420000 ext. 343, isabel46@ono.com

    Not yet recruiting
  • Hospital Xeral-Cíes

    Vigo, Pontevedra, 36204

    Celia Miralles, Dr, +34986816000 ext. 16104, maria.celia.miralles.alvarez@sergas.es

    Antonio Ocampo, Dr, +34986816000 ext. 16104, aocampo@arrakis.es

    Recruiting
  • Hospital do Meixoeiro

    Vigo, Pontevedra, 36214

    Luis Morano, Dr., +34986 81 11 11 ext. 11386, luis.morano.amado@sergas.es

    Luis Morano, Dr.

    Not yet recruiting
  • Hospital Txagorritxu

    Vitoria-Gasteiz, Alava, 01009

    Joseba Portu, Dr., +3494 5007000 ext. 5326, jportu@htxa.osakidetza.net

    Joseba Portu, Dr.

    Not yet recruiting
  • Hospital Clínico Universitario Lozano Blesa

    Zaragoza, Zaragoza, 50009

    Isabel Sanjoaquín, Dr., +34976 556400 ext. 2664, isanjoaquin@able.es

    Santiago Letona, Dr., santiagoletona@yahoo.es

    Not yet recruiting
  • Hospital Miguel Servet

    Zaragoza, Zaragoza, 50009

    Carlos Ramos, Dr., cramosp@salud.aragon.es

    Carlos Ramos, Dr.

    Not yet recruiting

Other trials in Spain

About this study

Official title: Open, Multicentre,Randomized Phase IV Trial to Evaluate Efficacy/Safety to Extend Treatment Duration With Peginterferon Alfa-2a+High Dose of Ribavirin Supporting Epo β in Treatment of CHC in HIV-HCV Patients Who Not Clear Virus at Week 4

To compare the sustained virological response (SVR = ribonucleic acid (RNA) - hepatitis C virus (HCV) undetectable at week 24 before end the treatment) in chronic hepatitis C patients genotype 1-4 co-infected with HIV-HCV, treated with Peginterferón alfa-2a (40 KD) 180 µg/week and Ribavirin (2000 mg/day during 4 weeks, follow of 1000-1200 mg/day, according to body weight); versus Peginterferón alfa-2a (40 KD) 180 μg/week and Ribavirin (1000-1200 mg/day, according to body weight).

To evaluate the impact to extend the treatment with Peginterferon alfa-2a and Ribavirin to week 72, in SVR of these patients with genotypes 1-4 without rapid virological response (RVR = RNA - HCV undetectable at 4 week).

Read the detailed description

The PRESCO study (ribavirin dose 1000-1200 mg/day) emphasized that optimal ribavirin exposure seems to be crucial to maximize sustained virological response and minimize the incidence of relapses after treatment discontinuations.

Recent reports showed that it is beneficial to extend the treatment duration in patients without rapid virological response at 4 weeks (RNA-HCV < 50 UI/ml).

Being tested
ribavirin, Peginterferon alfa-2a, epoetin beta
Keywords
high dose of ribavirin, extend treatment duration, tailoring treatment
Medical subject headings
Hepatitis C, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ribavirinDrug

    2000 mg/day

  • ribavirinDrug

    1000-1200 mg/day

  • Peginterferon alfa-2aDrug

    Peginterferon alfa-2a 180 mcg/week

  • epoetin betaDrug

    epoetin beta 450 UI/week

Study groups in NCT00526448
Study groupRoleWhat they receive
1ExperimentalPeginterferon alfa-2a 180 mcg/week + ribavirin 2000 mg/day + epoetin beta 450 UI/week
Receives: Drug: ribavirin; Drug: Peginterferon alfa-2a; Drug: epoetin beta
2Active comparatorPeginterferon alfa-2a 180 mcg/week + ribavirin 1000-1200 mg/day
Receives: Drug: ribavirin; Drug: Peginterferon alfa-2a

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. % patients with RNA-HCV < 50 UI/ml

    Measured: 24 weeks after the end of treatment

Secondary outcomes (1)
  1. % patients with RNA-HCV < 50 UI/ml

    Measured: 4 weeks on treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Sep 2007 (estimated)
  2. Study startJun 2007
  3. Study completionFeb 2010 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
384 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00526448
Sponsor's protocol ID
2006-005940-99
Acronym
PERICO
Status last verified
Jan 2009
First submitted
5 Sep 2007
Last updated
29 Jan 2009
Results posted
No
Data monitoring committee
Yes

Publications

  • Vispo E, Labarga P, Guardiola JM, Barreiro P, Miralles C, Rubio R, Miralles P, Aguirrebengoa K, Portu J, Morello J, Rodriguez-Novoa S, Soriano V; PERICO Study Group. Preemptive erythropoietin plus high ribavirin doses to increase rapid virological responses in HIV patients treated for chronic hepatitis C. AIDS Res Hum Retroviruses. 2010 Apr;26(4):419-24. doi: 10.1089/aid.2009.0120.

    PubMed 20377423

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing ribavirin, Peginterferon alfa-2a and epoetin beta in people with Chronic Hepatitis C, run by Hospital Carlos III, Madrid at 40 sites in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 30 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 29 Jan 2009. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Vicente Soriano, Dr (+34914532500, vsoriano@dragonet.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

% patients with RNA-HCV < 50 UI/ml (time frame: 24 weeks after the end of treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00526448, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jan 2009.

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