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Hepatitis C, ChronicPhase 4NCT03003338

MHH-HCV-NPM-Neuropsychiatric Manifestations of HCV-infection During and After Treatment With OBV/PTV/r and DSV

A Phase 4 study testing OBV/PTV/r and DSV in people with Hepatitis C, Chronic, run by Hannover Medical School at 1 site in Germany.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a 1:1 randomized double-blind Placebo-controlled moncenter Phase IV study to investigate whether a successful interferon-free treatment of HCV-infection with ombitasvir/paritaprevir/ritonavir (OBV/PTV/r) in combination with dasabuvir (DSV) improves the patients' attention ability as compared to placebo as… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatitis C, Chronic
What is being tested?
OBV/PTV/r and DSV
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
5 participants
Where
1 siteGermany
Study dates
24 Oct 2017to 22 Oct 2018
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Willing and able to provide written informed consent
  • Male or female, age ≥18 years
  • Chronic hepatitis C virus infection
  • Fatigue Impact Scale Score (FIS) >45 and a sum score (Att Test Sum Score) >0.4 in the battery of attention tests applied.
  • Female who is:
  • practicing total abstinence from sexual intercourse (minimum 1 complete menstrual cycle)
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  • sexually active with female partners only
  • not of childbearing potential, defined as:
  • postmenopausal for at least 2 years (defined as amenorrheic for longer than 2 years, age appropriate, and confirmed by a follicle-stimulating hormone [FSH] level indicating a postmenopausal state), or
  • surgically sterile (defined as bilateral tubal ligation, bilateral oophorectomy or hysterectomy), or has a vasectomized partner (s);
  • of childbearing potential and sexually active with male partner(s):
  • currently using an effective method of birth control at the time of screening and
  • agree to practice highly effective methods of birth control while receiving study drugs and at least one effective method of birth control during the follow-up period (see section 4.3). (Note: Ethinylestradiol-containing hormonal contraceptives, including oral, injectable, implantable, patch and ring varieties, may not be used during study drug treatment.)
  • Females of childbearing potential must have negative results for pregnancy tests performed:
  • at Screening on a serum specimen obtained within 28 days prior to initial study drug administration, and
  • on a urine sample obtained on Study Day 1 (prior to dosing).
  • Males who are not surgically sterile and who are sexually active with female partner(s) of childbearing potential must agree to practice an effective form of birth control (see section 4.3) throughout the course of the study, starting with Study Day 1 and for 30 days after stopping study drug.
  • Subject must be able to comply with the dosing instructions for study drug administration and be able to complete the study schedule of assessments.
  • Body Mass Index (BMI) is > 17 to < 40 kg/m2. BMI is calculated as weight measured in kg divided by the square of height measured in meters (m).
  • Confirmation of chronic genotype 1b HCV infection documented by the following:
  • Positive for anti-HCV antibody or HCV RNA at least 6 months before Screening, and positive for HCV RNA and anti-HCV antibody at the time of Screening
  • Per local standard practice, documented results of:
  • Index (APRI) ≤ 2 at Screening, or
  • FibroScan® result of < 12 kPa at Screening or
  • The absence of cirrhosis based on a liver biopsy within the last 36 months.
  • HCV > RNA 1000 IU/ml at Screening
  • Subject must be of generally good health as determined by the Investigator.
  • Subject has not been treated with any investigational drug or device or any commercially available anti-HCV agents within 42 days of the Screening visit.

Who cannot join

  • Any previous exposure to HCV protease inhibitors, HCV NS5A inhibitors or HCV polymerase inhibitors
  • History of severe, life threatening or other significant sensitivity to any drug.
  • Pregnant or nursing female or male with pregnant female partner
  • Recent (within 6-months prior to study drug administration) history of drug or alcohol abuse that could preclude adherence to the protocol.
  • Infection with hepatitis B virus (HBV; defined as HBsAg-positive) or human immunodeficiency virus (HIV)
  • Use of any medication that are contraindicated for use with OBV/PTV/r and DSV within 2 weeks prior to study drug administration or 10 half-lives of the medication whichever is longer (see SmPC of OBV/PTV/r and DSV and section 4.4).
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  • Clinically-significant illness (other than HCV) or any other major medical disorder that, in the opinion of the investigator, may interfere with subject treatment, assessment or compliance with the protocol; subjects currently under evaluation for a potentially clinically-significant illness (other than HCV) are also excluded.
  • Positive result of a urine drug screen at the Screening Visit for opiates, barbiturates, amphetamines, cocaine, benzodiazepines, phencyclidine, and propoxyphene.
  • History of uncontrolled seizures, cancer (except basal cell carcinoma of the skin), or uncontrolled diabetes, as defined by a hemoglobin A1C level > 8.0% or other systemic diseases that affect directly the CNS and brain metabolites.
  • Gastrointestinal disorder or post operative condition that could interfere with the absorption of the study drug (for example, gastric bypass or severe ulcerative colitis).
  • Chronic liver disease of a non-HCV etiology (e.g., hemochromatosis, autoimmune hepatitis, alcoholic liver disease, Wilson's disease, α1 antitrypsin deficiency, cholangitis)
  • Difficulty with blood collection and/or poor venous access for the purposes of phlebotomy.
  • Clinical hepatic decompensation (i.e., clinical ascites, encephalopathy or variceal hemorrhage).
  • Solid organ transplantation.
  • Significant pulmonary disease or significant cardiac disease.
  • Significant drug allergy (such as anaphylaxis or hepatotoxicity).
  • Contraindications for MRI study
  • Screening laboratory analyses show any of the following abnormal laboratory results:
  • Alanine aminotransferase (ALT) > 10 × upper limit of normal (ULN)
  • Aspartate aminotransferase (AST) > 10 × ULN
  • Calculated creatinine clearance (using CKD-EPI equal) < 30 mL/min
  • Albumin < lower limit of normal (LLN)
  • INR > 1.5
  • Hemoglobin < LLN
  • Platelets < 90,000 cells per mm3
  • Total bilirubin > 2.0 mg/dL
  • HCV RNA levels that are above the upper level of assay quantification
  • Screening ECG with clinically significant abnormalities
  • Consideration by the Investigator, for any reason, that the subject is an unsuitable candidate to receive the study medication
  • Donation or loss of more than 400 ml blood within 2 months prior to Baseline/Day 1

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Hannover Medical School

    Hanover, 30625

Other trials in Germany

About this study

Official title: A Monocenter Randomized Double-blind Placebo-controlled Study to Investigate Neuropsychiatric Manifestations of HCV-infection During and After Treatment With Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir

This is a 1:1 randomized double-blind Placebo-controlled moncenter Phase IV study to investigate whether a successful interferon-free treatment of HCV-infection with ombitasvir/paritaprevir/ritonavir (OBV/PTV/r) in combination with dasabuvir (DSV) improves the patients' attention ability as compared to placebo as measured with the Att Test Sum Score change from baseline to week 12. A total of 30 patients with non-cirrhotic genotype 1b HCV infection will be randomly assigned to receive 12 weeks verum followed by 12 weeks Placebo (arm A) versus 12 weeks Placebo followed by 12 weeks verum (arm B). Patients will be followed up for 48 weeks.

Being tested
OBV/PTV/r and DSV, Placebo to match OBV/PTV/r and DSV
Keywords
chronic HCV Genotype 1b infection, HCV RNA, OBV/PTV/r in combination with DSV, neuropsychiatric manifestations
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.

  • OBV/PTV/r and DSVDrug

    Also called Viekirax and Exviera

    OBV/PTV/r (12.5 mg/ 75 mg/ 50 mg) in combination with DSV (250 mg): Two tablets of OBV/PTV/r in the morning and one tablet of DSV in the morning and one tablet of DSV in the evening orally with a meal without regard to fat or calorie content.

  • Placebo to match OBV/PTV/r and DSVDrug

    Placebo to match OBV/PTV/r and DSV

Study groups in NCT03003338
Study groupRoleWhat they receive
OBV/PTV/r with DSV followed by placeboExperimentalOBV/PTV/r in combination with DSV for 12 weeks followed by 12 weeks matching placebo.
Receives: Drug: OBV/PTV/r and DSV; Drug: Placebo to match OBV/PTV/r and DSV
Placebo followed by OBV/PTV/r with DSVExperimentalMatching placebo for 12 weeks followed by 12 weeks OBV/PTV/r in combination with DSV.
Receives: Drug: OBV/PTV/r and DSV; Drug: Placebo to match OBV/PTV/r and DSV

What is being measured

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

  1. Change in the Attention Test Battery Sum Score (Att Test Sum Score) at week 12 (12 weeks minus baseline)

    To investigate whether a successful interferon-free treatment of HCV-infection with ombitasvir/paritaprevir/ritonavir (OBV/PTV/r) in combination with dasabuvir (DSV) improves the patients' attention ability as compared to placebo as measured with the Att Test Sum Score change from baseline to week 12.

    Measured: 12 weeks

Secondary outcomes (30)
  1. Efficacy of treatment with OBV/PTV/r in combination with DSV for 12w in patients with chronic genotype 1b HCV infection as measured by the proportion of subjects with sustained viral response at FU 12 after discontinuation of therapy

    To investigate whether a treatment with OBV/PTV/r in combination with DSV for 12 wk in patients with chronic genotype 1b HCV infection is safe and effective in patients with chronic fatigue and impaired neuropsychiatric function

    Measured: Baseline and FU12

  2. Efficacy of treatment with OBV/PTV/r in combination with DSV for 12w in patients with chronic genotype 1b HCV infection as measured by the proportion of subjects with sustained viral response at FU 24 after discontinuation of therapy

    To investigate whether a treatment with OBV/PTV/r in combination with DSV for 12 wk in patients with chronic genotype 1b HCV infection is safe and effective in patients with chronic fatigue and impaired neuropsychiatric function

    Measured: Baseline and FU 24

  3. Efficacy of treatment with OBV/PTV/r in combination with DSV for 12w in patients with chronic genotype 1b HCV infection as measured by the proportion of subjects with sustained viral response at FU48 after discontinuation of therapy

    To investigate whether a treatment with OBV/PTV/r in combination with DSV for 12 wk in patients with chronic genotype 1b HCV infection is safe and effective in patients with chronic fatigue and impaired neuropsychiatric function

    Measured: Baseline and FU 48

  4. Change in FIS at Treatment week 12 after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves FIS.

    Measured: Baseline and week 12

  5. Change in FIS at Treatment at 12 weeks of follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves FIS.

    Measured: Baseline and 12 weeks of follow-up

  6. Change in FIS at Treatment at 24 weeks of follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves FIS.

    Measured: Baseline and 24 weeks of follow-up

  7. Change in FIS at Treatment at 48 weeks of follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves FIS.

    Measured: Baseline and 48 weeks of follow-up

  8. Change in Repeatable Battery for the Assessment of Neuropsychological Function (RBANS) total score at Treatment week 12 after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves Repeatable Battery for the Assessment of Neuropsychological Function (RBANS) score.

    Measured: Baseline and 12 weeks

  9. Change in Repeatable Battery for the Assessment of Neuropsychological Function (RBANS) total score at 12 weeks follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves Repeatable Battery for the Assessment of Neuropsychological Function (RBANS) score.

    Measured: Baseline and 12 weeks follow-up

  10. Change in Repeatable Battery for the Assessment of Neuropsychological Function (RBANS) total score at 24 weeks follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves Repeatable Battery for the Assessment of Neuropsychological Function (RBANS) score.

    Measured: Baseline and 24 weeks follow-up

  11. Change in Repeatable Battery for the Assessment of Neuropsychological Function (RBANS) total score at 48 weeks follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves Repeatable Battery for the Assessment of Neuropsychological Function (RBANS) score.

    Measured: Baseline and 48 weeks follow-up

  12. Change in TAP Attention test scores at Treatment week 12 after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves TAP Attention test scores.

    Measured: Baseline and 12 weeks

  13. Change in TAP Attention test scores at 12 weeks of follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves TAP Attention test scores.

    Measured: Baseline and 12 weeks follow-up

  14. Change in TAP Attention test scores at 24 weeks of follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves TAP Attention test scores.

    Measured: Baseline and 24 weeks follow-up

  15. Change in TAP Attention test scores at 48 weeks of follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves TAP Attention test scores.

    Measured: Baseline and 48 weeks follow-up

  16. Change in word-figure Memory test scores for verbal and figural Memory function at Treatment week 12 after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves word-figure Memory test scores for verbal and figural Memory function.

    Measured: Baseline and 12 weeks

  17. Change in word-figure Memory test scores for verbal and figural Memory function at 12 weeks of follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves word-figure Memory test scores for verbal and figural Memory function.

    Measured: Baseline and 12 weeks follow-up

  18. Change in word-figure Memory test scores for verbal and figural Memory function at 24 weeks of follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves word-figure Memory test scores for verbal and figural Memory function.

    Measured: Baseline and 24 weeks follow-up

  19. Change in word-figure Memory test scores for verbal and figural Memory function at 48 weeks of follow-up after Treatment discontinuation

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves word-figure Memory test scores for verbal and figural Memory function.

    Measured: Baseline and 48 weeks follow-up

  20. Change in brain metabolite Levels after anti-viral Treatment

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection results in changes of the cerebral metabolites N-acetyl-aspartate, total creatine, choline, Glutamin/Glutamate, and myo-inositol.

    Measured: Baseline and 12 weeks

  21. Change in brain metabolite Levels after 12 weeks follow-up

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection results in changes of the cerebral metabolites N-acetyl-aspartate, total creatine, choline, Glutamin/Glutamate, and myo-inositol.

    Measured: Baseline and 12 weeks follow-up

  22. Change in brain metabolite Levels after 24 weeks follow-up

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection results in changes of the cerebral metabolites N-acetyl-aspartate, total creatine, choline, Glutamin/Glutamate, and myo-inositol.

    Measured: Baseline and 24 weeks follow-up

  23. Change in brain metabolite Levels after 48 weeks follow-up

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection results in changes of the cerebral metabolites N-acetyl-aspartate, total creatine, choline, Glutamin/Glutamate, and myo-inositol.

    Measured: Baseline and 48 weeks follow-up

  24. Change in the patients mood at Treatment week 12

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves the patients mood as measured with the Hospital Anxiety and Depression Score.

    Measured: Baseline and week 12

  25. Change in the patients mood at 12 weeks follow-up

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves the patients mood as measured with the Hospital Anxiety and Depression Score.

    Measured: Baseline and 12 weeks follow-up

  26. Change in the patients mood at 24 weeks follow-up

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves the patients mood as measured with the Hospital Anxiety and Depression Score.

    Measured: Baseline and 24 weeks follow-up

  27. Change in the patients mood at 48 weeks follow-up

    To investigate whether treatment with OBV/PTV/r in combination with DSV for 12 weeks in patients with chronic genotype 1b HCV infection improves the patients mood as measured with the Hospital Anxiety and Depression Score.

    Measured: Baseline and 24 weeks follow-up

  28. Change in the Att Test Sum Score at 12 weeks of follow-up

    Measured: Baseline and 12 weeks follow-up

  29. Change in the Att Test Sum Score at 24 weeks of follow-up

    Measured: Baseline and 24 weeks follow-up

  30. Change in the Att Test Sum Score at 48 weeks of follow-up

    Measured: Baseline and 48 weeks follow-up

Timeline

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

  1. First posted28 Dec 2016 (estimated)
  2. Study start24 Oct 2017
  3. Primary completion22 Oct 2018
  4. Study completion22 Oct 2018

Why it stopped: The recruitment was stopped prematurely by the sponsor in accordance with the principal investigator because of the difficulties to recruit patients and to achieve the planned numbers of patients within a reasonable time frame.

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
Crossover
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
5 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03003338
Sponsor's protocol ID
MHH-HCV-NPM
Other IDs
2015-004556-22, 2015
Status last verified
Aug 2023
First submitted
15 Jul 2016
Last updated
14 Aug 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing OBV/PTV/r and DSV in people with Hepatitis C, Chronic, run by Hannover Medical School at 1 site in Germany.

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 28 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: stopped early, as of the sponsor's last update on 14 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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?

The study was stopped early (reason given: The recruitment was stopped prematurely by the sponsor in accordance with the principal investigator because of the difficulties to recruit patients and to achieve the planned numbers of patients within a reasonable time frame.). Results are not available in the source record.

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?

Change in the Attention Test Battery Sum Score (Att Test Sum Score) at week 12 (12 weeks minus baseline) (time frame: 12 weeks). 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 14 Aug 2023.

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