Hepatitis C, ChronicNCT01280656
A Retrospective Study to Assess the Impact of the Use of Interferon in Patients With Chronic Hepatitis C (DECISION)
An observational study of Hepatitis C, Chronic, run by Hoffmann-La Roche at 37 sites in Brazil.
Trial summary
This retrospective study will assess the sustained virologic response and the safety of two different interferons (pegylated or conventional) in patients with chronic hepatitis C. Data will be collected for 24 weeks. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Hepatitis C, Chronic
- What is being tested?
- Conventional Interferon, Peginterferon Alfa-2a and Peginterferon Alfa-2b
- How many people
- 660 participants
- Where
- 37 sitesBrazil
- Study dates
- Jan 2010to Jun 2013
- Phase
- Observational
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Hepatitis C patients that received interferon (pegylated or conventional) during the period stipulated (from 01-Sep-2007 to 31-Aug-2008)
Who may be able to join
- Adult patients, >/=18 years and <70 years of age
- Diagnosis of hepatitis C
- Assessment of viral load prior to treatment (mandatory for genotype 1 only)
- Liver biopsy
- Co-morbidities data
- Use of interferon (pegylated or conventional) and ribavirin to treat hepatitis C infection genotype 2 and 3 and pegylated interferon plus ribavirin to treat hepatitis C infection genotype 1
- Above mentioned treatment started between 01-Sep-2007 and 31-Aug-2008
Who cannot join
- Co-infection with human immunodeficiency virus
- Co-infection with hepatitis B virus
- Presence of hepatocarcinoma
- Patients submitted to hemodialysis
- Organ transplant patients
Trial locations and contacts
37 sites in 1 country.
37 sites in 1 country
Brazil37 sites
Study site
Aracaju, Sergipe, 49060-100
Study site
Belém, Pará, 66050-380
Study site
Botucatu, São Paulo, 18600-400
Study site
Campinas, São Paulo, 13060-803
Study site
Campo Grande - MS, Mato Grosso do Sul, 79034-000
Study site
Curitiba, Paraná, 80060-900
Study site
Curitiba, Paraná, 80810-040
Study site
Goiânia, Goiás, 74535170
Study site
Manaus, Amazonas, 69040-000
Study site
Niterói, Rio de Janeiro, 24033-900
Study site
Nova Iguaçu, Rio de Janeiro, 26030-380
Study site
Porto Alegre, Rio Grande do Sul, 90035-003
Study site
Porto Alegre, Rio Grande do Sul, 90610-000
Study site
Porto Velho, Rondônia, 78812-329
Study site
Pouso Alegre, Minas Gerais, 37550-000
Study site
Recife, Pernambuco, 50100-130
Study site
Recife, Pernambuco, 50670-420
Study site
Ribeirão Preto, São Paulo, 14049-900
Study site
Ribeirão Preto, São Paulo, 14085-410
Study site
Rio Branco, Acre, 69908-210
Study site
Rio de Janeiro, Rio de Janeiro, 20270-004
Study site
Rio Grande, Rio Grande do Sul, 96200-310
Study site
Salvador, Estado de Bahia, 41110-170
Study site
Santo André, São Paulo, 09060-650
Study site
Santos, São Paulo, 11015470
Study site
Sao Jose Do Rio Preto, Santa Catarina, 15090-000
Study site
São Luís, Maranhão, 65020560
Study site
São Paulo, São Paulo, 01246-000
Study site
São Paulo, São Paulo, 01323-020
Study site
São Paulo, São Paulo, 04039-004
Study site
São Paulo, São Paulo, 04040-002
Study site
São Paulo, São Paulo, 04040-003
Study site
São Paulo, São Paulo, 05403-000
Study site
São Paulo, São Paulo, 05403-010
Study site
Sorocaba, São Paulo, 18047-600
Study site
Uberaba, Minas Gerais, 38025-180
Study site
Vitória, Espírito Santo, 29043-260
About this study
Official title: Retrospective Study to Evaluate the Impact of Using Interferon (Pegylated or Not) in the Treatment of Patients With Chronic Hepatitis C in Brazil (DECISION)
This retrospective study will assess the sustained virologic response and the safety of two different interferons (pegylated or conventional) in patients with chronic hepatitis C. Data will be collected for 24 weeks.
- Conditions
- Hepatitis C, Chronic
- Being tested
- Conventional Interferon, Peginterferon Alfa-2a, Peginterferon Alfa-2b, Ribavirin
- 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.
Conventional InterferonDrug
Conventional interferon according to the standard of care and aligned with the local prescription instructions
Peginterferon Alfa-2aDrug
Peginterferon alfa-2a according to the standard of care and aligned with the local prescription instructions
Peginterferon Alfa-2bDrug
Peginterferon alfa-2b according to the standard of care and aligned with the local prescription instructions
RibavirinDrug
Ribavirin according to the standard of care and aligned with the local prescription instructions
| Study group | Role | What they receive |
|---|---|---|
| Conventional Interferon Plus Ribavirin | Eligible participants who will receive conventional interferon plus ribavirin for Chronic Hepatitis C (CHC) according to the standard of care and aligned with the local prescription instructions will be observed during treatment period (48 weeks) and follow up period (24 weeks). Receives: Drug: Conventional Interferon; Drug: Ribavirin | |
| Peginterferon Alfa-2a Plus Ribavirin | Eligible participants who will receive peginterferon alfa-2a plus ribavirin for CHC according to the standard of care and aligned with the local prescription instructions will be observed during treatment period (48 weeks) and follow up period (24 weeks). Receives: Drug: Peginterferon Alfa-2a; Drug: Ribavirin | |
| Peginterferon Alfa-2b Plus Ribavirin | Eligible participants who will receive peginterferon alfa-2b plus ribavirin for CHC according to the standard of care and aligned with the local prescription instructions will be observed during treatment period (48 weeks) and follow up period (24 weeks). Receives: Drug: Peginterferon Alfa-2b; Drug: Ribavirin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Sustained Virologic Response at 12 Weeks After End of Treatment
Sustained virological response (SVR) was defined as virological response at 12 weeks after end of treatment (EOT). Virologic response was either defined as having undetectable (that is, no hepatitis C virus Ribonucleic acid [HCV RNA] was detected in the participants' plasma samples) or less than 50 international units/milliliter (IU/mL) HCV RNA (that is, the participants' plasma samples contained traces of HCV RNA at a concentration below the limit of quantification of the viral load assay or no HCV RNA was detected in the samples). EOT= Week 48. Participants who did not have viral load assessment at Week 12 were considered treatment failures, except in the specific case where the lack of assessment was not due to treatment shortening in function of response guided therapy.
Measured: At Week 60
Secondary outcomes (12)
Percentage of Participants With Sustained Virologic Response at 24 Weeks After End of Treatment
SVR was defined as virological response at 24 weeks after EOT, EOT= Week 48. Virologic response was either defined as having undetectable (that is, no hepatitis C virus Ribonucleic acid [HCV RNA] was detected in the participants' plasma samples) or less than 50 IU/mL HCV RNA (that is, the participants' plasma samples contained traces of HCV RNA at a concentration below the limit of quantification of the viral load assay or no HCV RNA was detected in the samples). Participants who did not have viral load assessment at Week 12 were considered treatment failures, except in the specific case where the lack of assessment was not due to treatment shortening in function of response guided therapy.
Measured: At Week 72
Number of Participants With Interferon Dose Reduction Rates in Function of the Interferon Type Being Used
The number of participants with Interferon dose reduction rates in function of the interferon type being used are reported
Measured: At Week 24
Percentage of Participants With Early Virologic Response at Week 12
An early virologic response (EVR) was defined as a HCV-RNA decrease of at least two logarithmic scales (2 Log) or 100 times the pretreatment value or non-detection at Week 12 of treatment period.
Measured: At Week 12
Percentage of Participants With Sustained Virologic Response Treated at Interferon Application Centers and Treated at Home
The percentage of participants with SVR-12 and SVR-24 treated at interferon application centers (IAC) and treated at home are presented.
Measured: At Week 60 (SVR 12) and Week 72 (SVR 24)
Percentage of Participants Who Were Treated at Interferon Application Centers and at Home and Discontinued Treatment
The percentage of participants who were treated at interferon application centers and at home and who discontinued treatment is presented. Participants who did not have viral load assessment at Week 12 were considered treatment failures, except in the specific case where the lack of assessment was not due to treatment shortening in function of response guided therapy.
Measured: Up to Week 48
Mean Percentage Reduction of Hemoglobin in Treatment Responders and Treatment Non-Responders
The average percentage reduction of hemoglobin (Hb) in treatment responders and treatment non-responders between the conventional group, peginterferon alfa-2a plus and peginterferon alfa-2b is presented. Participants with undetectable HCV RNA at specified time points (Weeks 4/12/18/24/48) were considered as treatment responders. Participants with positive viral load (detectable HCV RNA) at end of treatment regardless of the treatment duration were considered as treatment non-responders.
Measured: Up to Week 72
Percentage of Participants With Rapid Virologic Response at Week 4
Rapid virologic response was defined as qualitative or quantitative HCV-RNA (viral load) undetectable (below the lower limit of detection) at Week 4 of treatment period.
Measured: At Week 4
Percentage of Participants With Virologic Response at End of Treatment
Virologic response at EOT was defined as undetectable HCV-RNA at EOT (regardless in which week treatment was concluded). EOT = Week 48.
Measured: At Week 48
Percentage of Participants With Virologic Relapse up to Week 72
Virologic relapse was defined as undetectable HCV-RNA at end of treatment and detectable HCV-RNA at the last follow-up assessment available. If the participant was a responder at end of treatment and was not submitted to any viral load assessment during the follow-up period, he was considered a relapser.
Measured: Up to Week 72
Percentage of Participants With Null Response or No Responder at End of Treatment
Null response or no responders were defined as those participants presenting positive viral load at EOT (regardless of the treatment duration). EOT= Week 48.
Measured: At Week 48
Percentage of Participants Who Discontinued Treatment Due to Adverse Events
The percentage of participants with treatment discontinuation rates due to adverse events (AE) between conventional group, peginterferon alfa-2a and peginterferon alfa-2b is presented.
Measured: Up to Week 48
Number of Participants With Any Adverse Events and Any Serious Adverse Events
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event in the investigator's judgment or requires intervention to prevent one or other of these outcomes.
Measured: Up to Week 72
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jan 2011 (estimated)
- Study startJan 2010
- Primary completionNov 2012
- Study completionJun 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Hepatitis C, ChronicStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 660 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01280656
- Sponsor's protocol ID
- ML22995
- Status last verified
- Oct 2016
- First submitted
- 20 Jan 2011
- Last updated
- 29 Nov 2016
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 29 Nov 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Retrospective Study to Evaluate the Impact of Using Interferon (Pegylated or Not) in the Treatment of Patients With Chronic Hepatitis C in Brazil (DECISION)
- ClinicalTrials.gov ID
- NCT01280656
- Acronym / sponsor ID
- ML22995
- Conditions
- Hepatitis C, Chronic
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 660 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Jan 2010
- Primary completion
- Nov 2012 (actual)
- Study completion
- Jun 2013 (actual)
- First posted
- 21 Jan 2011 (estimated)
- Results
- Posted 26 Sep 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This retrospective study will assess the sustained virologic response and the safety of two different interferons (pegylated or conventional) in patients with chronic hepatitis C. Data will be collected for 24 weeks.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Conventional Interferon Plus Ribavirin | – | Drug: Conventional Interferon, Drug: RibavirinEligible participants who will receive conventional interferon plus ribavirin for Chronic Hepatitis C (CHC) according to the standard of care and aligned with the local prescription instructions will be observed during treatment period (48 weeks) and follow up period (24 weeks). |
| Peginterferon Alfa-2a Plus Ribavirin | – | Drug: Peginterferon Alfa-2a, Drug: RibavirinEligible participants who will receive peginterferon alfa-2a plus ribavirin for CHC according to the standard of care and aligned with the local prescription instructions will be observed during treatment period (48 weeks) and follow up period (24 weeks). |
| Peginterferon Alfa-2b Plus Ribavirin | – | Drug: Peginterferon Alfa-2b, Drug: RibavirinEligible participants who will receive peginterferon alfa-2b plus ribavirin for CHC according to the standard of care and aligned with the local prescription instructions will be observed during treatment period (48 weeks) and follow up period (24 weeks). |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Hepatitis C patients that received interferon (pegylated or conventional) during the period stipulated (from 01-Sep-2007 to 31-Aug-2008)
Key inclusion criteria (7 listed)
- Adult patients, >/=18 years and <70 years of age
- Diagnosis of hepatitis C
- Assessment of viral load prior to treatment (mandatory for genotype 1 only)
- Liver biopsy
- Co-morbidities data
Key exclusion criteria (5 listed)
- Co-infection with human immunodeficiency virus
- Co-infection with hepatitis B virus
- Presence of hepatocarcinoma
- Patients submitted to hemodialysis
- Organ transplant patients
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Conventional InterferonConventional interferon according to the standard of care and aligned with the local prescription instructions | Drug | Conventional Interferon Plus Ribavirin |
| Peginterferon Alfa-2aPeginterferon alfa-2a according to the standard of care and aligned with the local prescription instructions | Drug | Peginterferon Alfa-2a Plus Ribavirin |
| Peginterferon Alfa-2bPeginterferon alfa-2b according to the standard of care and aligned with the local prescription instructions | Drug | Peginterferon Alfa-2b Plus Ribavirin |
| RibavirinRibavirin according to the standard of care and aligned with the local prescription instructions | Drug | Conventional Interferon Plus Ribavirin, Peginterferon Alfa-2a Plus Ribavirin, Peginterferon Alfa-2b Plus Ribavirin |
Primary outcome
Percentage of Participants With Sustained Virologic Response at 12 Weeks After End of Treatment
Time frame: At Week 60
Sustained virological response (SVR) was defined as virological response at 12 weeks after end of treatment (EOT). Virologic response was either defined as having undetectable (that is, no hepatitis C virus Ribonucleic acid [HCV RNA] was detected in the participants' plasma samples) or less than 50 international units/milliliter (IU/mL) HCV RNA (that is, the participants' plasma samples contained traces of HCV RNA at a concentration below the limit of quantification of the viral load assay or no HCV RNA was detected in the samples). EOT= Week 48. Participants who did not have viral load assessment at Week 12 were considered treatment failures, except in the specific case where the lack of assessment was not due to treatment shortening in function of response guided therapy.
12 secondary outcomes
Percentage of Participants With Sustained Virologic Response at 24 Weeks After End of Treatment
Time frame: At Week 72
Number of Participants With Interferon Dose Reduction Rates in Function of the Interferon Type Being Used
Time frame: At Week 24
Percentage of Participants With Early Virologic Response at Week 12
Time frame: At Week 12
Percentage of Participants With Sustained Virologic Response Treated at Interferon Application Centers and Treated at Home
Time frame: At Week 60 (SVR 12) and Week 72 (SVR 24)
Percentage of Participants Who Were Treated at Interferon Application Centers and at Home and Discontinued Treatment
Time frame: Up to Week 48
Mean Percentage Reduction of Hemoglobin in Treatment Responders and Treatment Non-Responders
Time frame: Up to Week 72
Percentage of Participants With Rapid Virologic Response at Week 4
Time frame: At Week 4
Percentage of Participants With Virologic Response at End of Treatment
Time frame: At Week 48
Percentage of Participants With Virologic Relapse up to Week 72
Time frame: Up to Week 72
Percentage of Participants With Null Response or No Responder at End of Treatment
Time frame: At Week 48
Percentage of Participants Who Discontinued Treatment Due to Adverse Events
Time frame: Up to Week 48
Number of Participants With Any Adverse Events and Any Serious Adverse Events
Time frame: Up to Week 72
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Nov 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
37 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Hepatitis C, Chronic, run by Hoffmann-La Roche at 37 sites in Brazil.
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 7 inclusion and 5 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: finished, as of the sponsor's last update on 29 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 37 sites in Brazil. 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.
Are results available for this study?
Yes. Results are posted in the registry (first posted 26 Sep 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Sustained Virologic Response at 12 Weeks After End of Treatment (time frame: At Week 60). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 Nov 2016.