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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in Brazil

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.

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 groups in NCT01280656
Study groupRoleWhat they receive
Conventional Interferon Plus 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).
Receives: Drug: Conventional Interferon; Drug: Ribavirin
Peginterferon Alfa-2a Plus 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).
Receives: Drug: Peginterferon Alfa-2a; Drug: Ribavirin
Peginterferon Alfa-2b Plus 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).
Receives: Drug: Peginterferon Alfa-2b; Drug: Ribavirin

What is being measured

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

  1. 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)
  1. 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

  2. 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

  3. 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

  4. 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)

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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.

  1. First posted21 Jan 2011 (estimated)
  2. Study startJan 2010
  3. Primary completionNov 2012
  4. Study completionJun 2013

Resources

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)
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

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.

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