To Study the Efficacy and Safety of Renessans in Chronic HCV Patients
Information source: MTI Medical Private Limited, Pakistan
ClinicalTrials.gov processed this data on August 23, 2015 Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Hepatitis C, Chronic
Intervention: RENESSANS , INTERFERON ALPHA 2b, Ribavirin (Biological); Interferon Alfa-2b AND RIBAVIRIN (Drug); RENESSANS (Biological)
Phase: Phase 3
Status: Active, not recruiting
Sponsored by: MTI Medical Private Limited, Pakistan Official(s) and/or principal investigator(s): GHIAS UN NABI, FCPS,MRCP, Principal Investigator, Affiliation: PROFESSOR OF MEDICINE
Summary
Chronic HCV infection is one of the common causes of the chronic liver disease.
Approximately 6-10% of the general public is expected to be suffering from this infection.
In case that these patients are not treated at an appropriate time, these patients develop
the sequelae of the chronic liver disease e. g. cirrhosis of liver, Ascites, and
Hepatocellular carinoma. Interferon alpha 2 a or alpha 2b injections and Ribavirin
combination is the treatment of choice for people suffering from Chronic HCV infection and
this combination need to be administered for 6-12 months. Interferons are biological agents
and are to be administered parenterally. Interferons are expensive and are associated with
number of minor and major adverse effects. Ribavirin is also associated with significant
adverse effects. These compounds cannot be considered as one of the ideal forms of the
treatment.
In the past, quite a few natural products have been tested to assess their hepatoprotective
activity and possibly anti viral activity as well. These include Vitamin C (Ascorbic acid),
Vitamin E, Zinc, Silymarin, Red beet roots, crushed licorice and etc. etc.
Rationale Iodine , Potassium iodide and Ascorbic acid are natural products used in the
management of Thyroiditis and chronic cutaneous fungal infections. This combination of
iodine compounds along with ascorbic acid is being used for the management of chronic
hepatitis B & C in the central Asian states e. g. Kazakhstan etc.
The investigators have conducted a feasibility study in which oral Iodine Compound
{RENESSANS} was given to patients suffering HCV related Chronic Active Hepatitis and
anti-viral activity and safety has been analyzed. In this study, RENESSANS containing
regimen has been well tolerated by all the patients and has shown some antiviral activity.
In this study the investigators will assess whether the administration of RENESSANS {oral }
improves the antiviral activity in patients receiving standard interferon therapy.
Clinical Details
Official title: An Open Labelled, Active Controlled, Three Arm, Parallel- Group Study of the Safety and Efficacy of Renessans Administered Alone and in Combination With Standard Interferon Therapy in Patients Chronic HCV Hepatitis
Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Primary outcome: Efficacy of Renessans based triple therapy versus dual therapy
Secondary outcome: Assess the safety and tolerability of Renessans in patients with chronic HCV patients
Detailed description:
1. Primary
The primary objective of this study is to assess the efficacy of combination therapy
comprising of RENESSANS, INTERFERONS and RIBAVIRIN in the management of treatment naïve
HCV related Chronic Active Hepatitis patients.
2. Secondary
The secondary objectives of this study are:
1. Determine the biochemical or virological improvement in patients suffering from
HCV related Chronic Active Hepatitis.
2. Determine the safety and tolerability of Renessans {oral} when administered as a
part of antiviral activity outlined in this protocol.
3. ENDPOINTS
The primary endpoint will be the number of subjects achieving
1. Virological response as evident by Rapid Viral Response(RVR), Early Viral
Response(EVR) and Sustained Viral Response(SVR).
2. Biochemical response as evident by normalization of ALT.
The secondary endpoint will be
a. Assessment of the safety and tolerability of RENESSANS through: routine physical
examination, routine clinical laboratory tests, clinical monitoring and adverse events
reporting.
4. INVESTIGATIONAL PLAN
Study Design.
This is an open labeled, active controlled, three arm, parallel-group study of the
safety and efficacy of the oral formulation of natural iodine compound (Renessans)
administered alone and in combination with standard interferon therapy in patient
suffering from chronic HCV hepatitis.
The enrolled patients will be tested for following base line laboratory tests
VISIT 1:
CBC including platelet count and ESR Liver function tests including albumin and total
proteins. Creatinine Serum electrolytes Thyroid Function tests HBsAg, HIV antibody
Urinalysis ANA, RA factor and serum ferritin levels USG of abdomen HCV RNA (PCR by
amplicor, roche) qualitative analysis, if positive then quantitative analysis (Real
time) and genotype as well.
Pregnancy test in case of females Informed consent shall be obtained and each
individual patient's treatment risk shall be covered under a certified health insurance
plan.
Renessans will be administered in eligible patients as follows:
Study Arm Dosing Schema Group I ORAL RENESSANS 5gm. Thrice Daily{active iodine 300mg}
for 6months Group II a ORAL RENESSANS 5gm. Twice Daily +INTERFERON ALPHA 2b 3 Million
Units s/c +RIBAVIRIN 15mg/kg Group II b INTERFERON ALPHA 2b 3 Million Units s/c
+RIBAVIRIN 15mg/kg Blood samples shall be collected and stored for post - hoc analysis
of HCV RNA at day 1, 7 and 15(visit 2,3 & 4).
Patients will be reviewed for the hepatoprotection, anti viral activity and any adverse
event every four weeks with following clinical and lab work.
VISIT 5 Detailed history and physical examination Following lab. Investigations at week
4. CBC including platelet count and ESR Liver function tests including albumin and
total proteins. Creatinine Serum electrolytes Thyroid Function tests Ferritin HCV RNA
(PCR) quantitative analysis VISIT 6 Detailed history and physical examination Following
lab. Investigations at week 8. CBC including platelet count and ESR Liver function
tests including albumin and total proteins. Creatinine Serum electrolytes
VISIT 7 Detailed history and physical examination Following lab. Investigations at week
12. CBC including platelet count and ESR Liver function tests including albumin and
total proteins. Creatinine Serum electrolytes Thyroid Function tests Ferritin HCV RNA
(PCR) quantitative analysis
VISIT 8 Detailed history and physical examination Following lab. Investigations at week
16. CBC including platelet count and ESR Liver function tests including albumin and
total proteins. Creatinine Serum electrolytes VISIT 9 Detailed history and physical
examination Following lab. Investigations at week 20. CBC including platelet count and
ESR Liver function tests including albumin and total proteins. Creatinine Serum
electrolytes VISIT 10 Detailed history and physical examination Following lab.
Investigations at week 24. CBC including platelet count and ESR Liver function tests
including albumin and total proteins. Creatinine Serum electrolytes VISIT 11 Detailed
history and physical examination Following lab. Investigations at week 28. CBC
including platelet count and ESR Liver function tests including albumin and total
proteins. Creatinine Serum electrolytes VISIT 12 Detailed history and physical
examination Following lab. Investigations at week 32. CBC including platelet count and
ESR Liver function tests including albumin and total proteins. Creatinine Serum
electrolytes VISIT 13 Detailed history and physical examination Following lab.
Investigations at week 36. CBC including platelet count and ESR Liver function tests
including albumin and total proteins. Creatinine Serum electrolytes VISIT 14 Detailed
history and physical examination Following lab. Investigations at week 40. CBC
including platelet count and ESR Liver function tests including albumin and total
proteins. Creatinine Serum electrolytes VISIT 15 Detailed history and physical
examination Following lab. Investigations at week 44. CBC including platelet count and
ESR Liver function tests including albumin and total proteins. Creatinine Serum
electrolytes VISIT 16 Detailed history and physical examination Following lab.
Investigations at week 48. CBC including platelet count and ESR Liver function tests
including albumin and total proteins. Creatinine Serum electrolytes VISIT 15 Detailed
history and physical examination Following lab. Investigations at week 52. CBC
including platelet count and ESR Liver function tests including albumin and total
proteins. Creatinine Serum electrolytes VISIT 15 Detailed history and physical
examination Following lab. Investigations at week 60. CBC including platelet count and
ESR Liver function tests including albumin and total proteins. Creatinine Serum
electrolytes
VISIT 16 Detailed history and physical examination Following lab. Investigations at
week 72. CBC including platelet count and ESR Liver function tests including albumin
and total proteins. Creatinine Serum electrolytes Thyroid Function tests Ferritin HCV
RNA (PCR) quantitative analysis
Eligibility
Minimum age: 18 Years.
Maximum age: 55 Years.
Gender(s): Both.
Criteria:
Inclusion Criteria:
- Following groups of the people will be enrolled for the study.
- Patients suffering from chronic HCV infection as evident with a positive
serology for Anti HCV antibody and raised ALT.
- Both males and females
- Age group: 18 - 55 years
- Informed consent
Exclusion Criteria:
- Following groups of people will be excluded from the study
- Pregnant females
- Body mass index more than 25
- Uncontrolled Diabetes Mellitus, Hypertension, Ischemic heart disease, Renal
failure, Respiratory failure, Chronic infections, gall stone disease or renal
stone disease.
- Patients known to have hypersensitivity to Iodine compounds in the past.
- Psychiatric disorders except mild anxiety disorders.
- Patients suffering from auto immune diseases e. g. Rheumatoid Arthritis, SLE, or
thyroid diseases.
- Patients suffering from concomitant HBV infection, HIV infection or any other
chronic liver disease.
- Bilirubin more than 2mg/dl, Albumin less than 3. 0 gms/dl, INR more than 1. 5, Hb.
less than 10 gms /dl, absolute neutrophil count less than 1500/cmm and platelet
count less than 100,000/cmm
- Serum sodium less than 130mmol/l.
- Patients who have received the interferon treatment in the past.
Locations and Contacts
Medical Unit 1,Lahore General Hospital,Postgraduate Medical Institute, Lahore, Punjab 42200, Pakistan
Additional Information
Starting date: June 2010
Last updated: November 21, 2011
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