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Hepatitis CNCT01474811

HCV-TARGET- Hepatitis C Therapeutic Registry and Research Network

An observational study of Hepatitis C, run by University of North Carolina, Chapel Hill at 60 sites in 4 countries.

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

The primary purpose of the HCV-TARGET study is to establish a nationwide registry of patients undergoing treatment with antiviral therapies for chronic hepatitis C (HCV) at both academic and community practices. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatitis C
How many people
13,559 participants
Where
60 sitesin 4 countries
Study dates
Nov 2011to 9 Sep 2022
Phase
Observational
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Male and female adult patients: Aged 18 and older with chronic HCV treated with triple therapy (including protease inhibitors).

Who may be able to join

  • All adult patients (age 18 or older) being treated with antiviral HCV treatment regimens that contain telaprevir or boceprevir.

Who cannot join

  • Inability to provide written informed consent.
  • Currently participating in another clinical trial of hepatitis C therapeutics. Studies comparing HCV RNA assays are not considered exclusionary.

Trial locations and contacts

60 sites in 4 countries.

60 sites in 4 countries

United States55 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Metropolitan Liver Diseases and Gastroenterology

    Annandale, Virginia, 22003

  • Asheville Gastroenterology Assoc

    Asheville, North Carolina, 28801

  • Atlanta Medical Center

    Atlanta, Georgia, 30312

  • Emory University

    Atlanta, Georgia, 30322

  • Austin Hepatitis Center

    Austin, Texas, 78758

  • MetaClin Research, Inc

    Austin, Texas, 78758

  • Hudson River Healthcare

    Beacon, New York, 12508

  • Massachussets General Hospital

    Boston, Massachusetts, 02114

  • Harvard University/ Beth Deaconess Medical Center

    Boston, Massachusetts, 02215

  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599

  • Lake Shore Gastroenterology & Liver Disease Inst.

    Chicago, Illinois, 60016

  • Northwestern University

    Chicago, Illinois, 60611

  • University of Chicago

    Chicago, Illinois, 60637

  • University of Cincinnati

    Cincinnati, Ohio, 45267

  • Baylor University Medical Center

    Dallas, Texas, 75246

  • University of Colorado, Denver

    Denver, Colorado, 80045

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • University of Florida

    Gainesville, Florida, 32611

  • Research Specialist of Texas

    Houston, Texas, 77030

  • Indiana University Medical Center

    Indianapolis, Indiana, 46202

  • Scripps

    La Jolla, California, 92037

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, 03756

  • Liver Wellness Center

    Little Rock, Arkansas, 72205

  • John Hopkins University

    Lutherville, Maryland, 21093

  • North Shore Hospital

    Manhasset, New York, 11030

  • University of Miami Miller School of Medicine

    Miami, Florida, 33136

  • Minnesota Gastro

    Minneapolis, Minnesota, 55455

  • University Of Minnesota

    Minneapolis, Minnesota, 55455

  • Yale University Digestive Diseases

    New Haven, Connecticut, 06520

  • Weill Cornell Medical College

    New York, New York, 10021

  • Columbia University Medical Center

    New York, New York, 10032

  • University of Nebraska Medical Ctr

    Omaha, Nebraska, 68105

  • Orlando Immunology Center

    Orlando, Florida, 32803

  • University of Mississippi

    Oxford, Mississippi, 38677

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Thomas Jefferson University

    Philadelphia, Pennsylvania, 19107

  • Mayo Clinic AZ

    Phoenix, Arizona, 85054

  • Bon Secours St. Mary 's Hospital of Richmond (Liver Institute of Virginia)

    Richmond, Virginia, 23226

  • VCU Medical Center

    Richmond, Virginia, 23298

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • PMG Research of Rocky Mount, LLC

    Rocky Mount, North Carolina, 27804

  • UCSD Medical Center

    San Diego, California, 92103

  • UCSF/San Fran General Hospital

    San Francisco, California, 94110

  • Univ of California, San Francisco

    San Francisco, California, 94143

  • Southwest CARE Center

    Santa Fe, New Mexico, 87505

  • Virginia Mason Medical Center

    Seattle, Washington, 98101

  • University of Washington

    Seattle, Washington, 98104

  • Saint Louis University

    St Louis, Missouri, 63104

  • Mountain View Medical Center

    Valatie, New York, 12184

  • Georgetown University

    Washington D.C., District of Columbia, 20007

  • Howard University

    Washington D.C., District of Columbia, 20060

  • Trial Management Associates (TMA)

    Wilmington, North Carolina, 28403

  • University of Massachusetts Medical School

    Worcester, Massachusetts, 01655

Other trials in United States

Germany3 sites
  • RWTH University Hospital

    Aachen

  • J. W. Goethe University Hospital

    Frankfurt, DE-60590

  • Hanover Medical School

    Hanover

Other trials in Germany

Canada1 site
  • Liver Clinic, Toronto Western Hospital, UHN

    Toronto, Ontario, M5T 2S8

Other trials in Canada

Puerto Rico1 site
  • Fundacion de investigacion de Diego

    San Juan, 00927

Other trials in Puerto Rico

About this study

Official title: HCV-TARGET: Hepatitis C Therapeutic Registry and Research Network - A Longitudinal, Observational Study.

The primary purpose of the HCV-TARGET study is to establish a nationwide registry of patients undergoing treatment with antiviral therapies for chronic hepatitis C (HCV) at both academic and community practices.

Read the detailed description

HCV-TARGET is a longitudinal, observational study that will create a carefully maintained research registry of HCV patients treated with antiviral therapies designed to rapidly inform strategies for better management of populations underrepresented in clinical trials, identify and remediate educational gaps relative to treatment guidelines and adverse event management in order to optimize rates of sustained virological response (SVR), and serve as the core resource for important collaborative translational studies utilizing biospecimens and clinical data from diverse patient populations.

HCV-TARGET is a cooperative academic consortium of principal investigators from Clinical and Translational Award (CTSA)-funded academic institutions and community-based sites affiliated with the academic sites in geographic proximity. The Clinical Coordinating Center (CCC) resides at the University of Florida and the Data Coordinating Center (DCC) resides at the University of North Carolina at Chapel Hill.

The HCV-TARGET registry will characterize the population of chronic hepatitis C (HCV) patients who are being treated with antiviral therapies at academic and community sites. Patient characteristics such as age, race, ethnicity, comorbidity, and disease and treatment status will be examined.

HCV-TARGET will also:

  1. Provide baseline and treatment response data that will be used to pre-identify candidates for enrollment in future clinical trials. HCV-TARGET will also develop a well-characterized cohort of protease inhibitor treatment failures to be considered for future trials.
  2. Establish and maintain data, a specimen bank and other resources for ancillary studies of the pathogenesis, diagnosis, natural history and treatment of HCV infection.

This study will investigate various aspects of treatment response to regimens containing direct-acting antiviral agents for the treatment of chronic hepatitis C, including the following:

  • Patients underrepresented in clinical trials of approved antiviral therapies(including African-Americans, patients with cirrhosis, and patients that are considered null responders to treatment.)
  • Treatment persistence
  • Virological breakthrough
  • Impact of viral load measurement on treatment efficacy
  • Adverse Event Management and Surveillance.

The secondary aims for this study will investigate the following:

  • Sustained virological response (SVR) rates and safety in special populations.
  • Surveillance of drug-drug interactions.
  • Treatment and management adherence.
  • Pretreatment Education in HCV patient population.
  • Use of specialty pharmacy for hepatitis C therapy.
Conditions
Hepatitis C
Keywords
Hepatitis, Hepatitis C, HCV-TARGET, HCV, Observational Study
Medical subject headings
Hepatitis C, Hepatitis

What is being measured

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

  1. Sustained virological response (SVR)

    The primary outcome measure is the occurence (yes or no) of SVR, defined as undetectable HCV RNA in serum at least 3 months after stopping therapy. Point estimates and confidence intervals will be calculated to describe the frequency of SVR in various sub-populations enrolled in HCV-TARGET.

    Measured: 24 months

Secondary outcomes (3)
  1. Treatment persistence

    Treatment persistence will be the duration of treatment measured from the first dose of medication until treatment is discontinued. Reasons for premature discontinuation of treatment will be recorded.

    Measured: 24 months

  2. Virological breakthrough

    The occurrence of virological breakthrough defined as an increase of HCV RNA by at least 1-log over nadir or to >100 IU if previously undetectable.

    Measured: 24 months

  3. Management of adverse events

    Specific interventions to manage selected adverse events, such as anemia and skin rash, will be tabulated and described

    Measured: 24 months

Timeline

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

  1. First posted18 Nov 2011 (estimated)
  2. Study startNov 2011
  3. Primary completion9 Sep 2022
  4. Study completion9 Sep 2022

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
13,559 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01474811
Sponsor's protocol ID
11-1991
Status last verified
Feb 2024
First submitted
10 Nov 2011
Last updated
28 Feb 2024
Results posted
No
Data monitoring committee
No

Publications

  • Verna EC, Morelli G, Terrault NA, Lok AS, Lim JK, Di Bisceglie AM, Zeuzem S, Landis CS, Kwo P, Hassan M, Manns MP, Vainorius M, Akushevich L, Nelson DR, Fried MW, Reddy KR. DAA therapy and long-term hepatic function in advanced/decompensated cirrhosis: Real-world experience from HCV-TARGET cohort. J Hepatol. 2020 Sep;73(3):540-548. doi: 10.1016/j.jhep.2020.03.031. Epub 2020 Mar 31.

    PubMed 32243960
  • Reddy KR, Lim JK, Kuo A, Di Bisceglie AM, Galati JS, Morelli G, Everson GT, Kwo PY, Brown RS Jr, Sulkowski MS, Akuschevich L, Lok AS, Pockros PJ, Vainorius M, Terrault NA, Nelson DR, Fried MW, Manns MP; HCV-TARGET Study Group. All-oral direct-acting antiviral therapy in HCV-advanced liver disease is effective in real-world practice: observations through HCV-TARGET database. Aliment Pharmacol Ther. 2017 Jan;45(1):115-126. doi: 10.1111/apt.13823. Epub 2016 Oct 28.

    PubMed 27790729
  • Terrault NA, Zeuzem S, Di Bisceglie AM, Lim JK, Pockros PJ, Frazier LM, Kuo A, Lok AS, Shiffman ML, Ben Ari Z, Akushevich L, Vainorius M, Sulkowski MS, Fried MW, Nelson DR; HCV-TARGET Study Group. Effectiveness of Ledipasvir-Sofosbuvir Combination in Patients With Hepatitis C Virus Infection and Factors Associated With Sustained Virologic Response. Gastroenterology. 2016 Dec;151(6):1131-1140.e5. doi: 10.1053/j.gastro.2016.08.004. Epub 2016 Aug 24.

    PubMed 27565882
  • Welzel TM, Nelson DR, Morelli G, Di Bisceglie A, Reddy RK, Kuo A, Lim JK, Darling J, Pockros P, Galati JS, Frazier LM, Alqahtani S, Sulkowski MS, Vainorius M, Akushevich L, Fried MW, Zeuzem S; HCV-TARGET Study Group. Effectiveness and safety of sofosbuvir plus ribavirin for the treatment of HCV genotype 2 infection: results of the real-world, clinical practice HCV-TARGET study. Gut. 2017 Oct;66(10):1844-1852. doi: 10.1136/gutjnl-2016-311609. Epub 2016 Jul 13.

    PubMed 27418632
  • Saxena V, Koraishy FM, Sise ME, Lim JK, Schmidt M, Chung RT, Liapakis A, Nelson DR, Fried MW, Terrault NA; HCV-TARGET. Safety and efficacy of sofosbuvir-containing regimens in hepatitis C-infected patients with impaired renal function. Liver Int. 2016 Jun;36(6):807-16. doi: 10.1111/liv.13102. Epub 2016 Mar 24.

    PubMed 26923436
  • Sulkowski MS, Vargas HE, Di Bisceglie AM, Kuo A, Reddy KR, Lim JK, Morelli G, Darling JM, Feld JJ, Brown RS, Frazier LM, Stewart TG, Fried MW, Nelson DR, Jacobson IM; HCV-TARGET Study Group. Effectiveness of Simeprevir Plus Sofosbuvir, With or Without Ribavirin, in Real-World Patients With HCV Genotype 1 Infection. Gastroenterology. 2016 Feb;150(2):419-29. doi: 10.1053/j.gastro.2015.10.013. Epub 2015 Oct 21.

    PubMed 26497081
  • Sterling RK, Kuo A, Rustgi VK, Sulkowski MS, Stewart TG, Fenkel JM, El-Genaidi H, Mah'moud MA, Abraham GM, Stewart PW, Akushevich L, Nelson DR, Fried MW, Di Bisceglie AM. Virological outcomes and treatment algorithms utilisation in observational study of patients with chronic hepatitis C treated with boceprevir or telaprevir. Aliment Pharmacol Ther. 2015 Apr;41(7):671-85. doi: 10.1111/apt.13095. Epub 2015 Jan 28.

    PubMed 25627020

Questions about this trial

What is this clinical trial studying?

An observational study of Hepatitis C, run by University of North Carolina, Chapel Hill at 60 sites in 4 countries.

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 1 inclusion and 2 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 28 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in United States, Germany, Canada, Puerto Rico. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Sustained virological response (SVR) (time frame: 24 months). 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 NCT01474811, which also lists 7 linked publications.

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 28 Feb 2024.

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