Chronic Hepatitis C Clinical Trial
Official title:
A Phase 1 Study of Quercetin in Patients With Hepatitis C
The goal of this study is to translate laboratory findings that Quercetin, a bioflavonoid, is safe and has antiviral activity in people with hepatitis C.
Chronic hepatitis C (HCV) is a serious chronic condition in the United States affecting
millions of people and is the cause of rates of hepatocellular carcinoma recently doubling
in the US. Treatment of hepatitis C is proven to be an effective secondary prevention of
liver cancer. Current standard antiviral treatments exclude 70-80% of hepatitis C patients
from therapies due to intolerable side effects. Our laboratory efforts identified a
potential novel approach to hepatitis C treatment and hepatocellular carcinoma prevention
with Quercetin, a heat shock protein inhibitor.
This is a Phase I study evaluating the safety and tolerability of Quercetin in hepatitis C
patients who have contraindications to standard antiviral treatment (both treatment naïve
patients who decline standard therapy, patients who previously had standard treatments with
relapse, as well as those who had intolerable side effects previously). The investigators
recently demonstrated that the flavonoid Quercetin inhibits hepatitis C viral production in
tissue culture, at least partially through its inhibition of heat shock protein expression.
This represents a novel mechanism for treating hepatitis C infection. Quercetin also has low
toxicity. These promising characteristics motivate the proposed Phase I study. Patients will
be recruited through the UCLA Pfleger Liver Institute and treated on an outpatient basis.
Toxicity will be closely monitored and reported. Viral load response will be evaluated as a
secondary endpoint. The anticipated total number of patients enrolled in the trial will be
20. All patients will be followed for 8 months after taking this first dose of study
medication. Patients exhibiting a viral load response will have extended follow-up, ranging
from a total follow-up of 12-24 months, to determine persistence of this response.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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