HCV Infection Clinical Trial
Official title:
Changes in Cognition in HCV Patients After Virus Eradication With Direct Antiviral Agents. Relationship With Clinical and Sociodemographic Variables
Study about the improvement of cognitive, psychopathological and functional abilities in Hepatitis C Virus (HCV) infected patients after eradication of the virus with direct antiviral agents.
The aim of this study is to investigate the effect that the eradication of the HCV has on
cognition, quality of life and psychopathology. At the same time, investigators intend to
study the association between cognitive changes and some clinical variables.
The sample consists of 80 subjects (40 HCV patients and 40 HCV patients coinfected with the
Human Immunodeficiency Virus, HIV). Exclusion criteria: Cirrhosis, presence of minimal
hepatic encephalopathy or active drug consumption.
A neuropsychological assessment is made before the treatment with direct antiviral agents to
evaluate memory, executive functions, processing speed, anxiety, depression and quality of
life. Additionally, the following clinical variables are collected: Viral charge,
immunosuppression (measured with T Cells CD4 (CD4), CD4 nadir and T Cells CD8 (CD8)) and
fibrosis level, HCV genotype and plasma biomarkers: Brain-Derived Neurotrophic Factor (BDNF),
Interleukine 6 (IL6), Tumor Necrosis Factor (TNF-a),Glial fibrillary acidic protein (GFAP),
Soluble CD14 (SCD14), Neuro-specific enolase (NSE).
The second neuropsychological assessment and clinical data collection is carried out after
treatment, concretely 6 months after HCV is undetectable in plasma.
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