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Hepatitis A clinical trials

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NCT ID: NCT00275938 Completed - Chronic Hepatitis B Clinical Trials

Interferon Alpha 2b Plus Ribavirin for Chronic Hepatitis B

Start date: October 1998
Phase: Phase 2/Phase 3
Study type: Interventional

Hepatitis B virus (HBV) causes a wide spectrum of liver diseases, such as fulminant or acute hepatitis, chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma. The number of individuals infected with this virus has been estimated to be as high as 350 million. Thus, in addition to global hepatitis B vaccination, effective treatment of chronic hepatitis B is also needed. Currently, there are no effective antiviral treatments to cure HBV infection in patients with chronic hepatitis B. Five drugs have been approved for the treatment of chronic hepatitis B at present: conventional interferon (IFN) alpha, lamivudine, adefovir dipivoxil, pegylated IFN alpha and recently entecavir. Overall, satisfactory virologic and serologic responses could be achieved using pegylated IFN alpha alone in around 20-44% of these patients. Nevertheless, better treatment options are still needed for the remaining >50% non-responders. Although the best treatment choice for chronic hepatitis B is not clarified yet, certain therapeutic concepts could be derived from the experience of treating patients with chronic hepatitis C. A major advancement in treating hepatitis C virus (HCV) infection has been the development of combination therapy with IFN and ribavirin. IFN monotherapy is limited by poor sustained virologic responses, even when higher doses of IFN are used. IFN plus ribavirin combination therapy, in contrast, results in much improved treatment outcomes. In our previous study and others, sustained remission rate after cessation of therapy were significantly higher in patients receiving combination therapy than those receiving IFN alone. Therefore, combination therapy with IFN and ribavirin has been recommended as the standard treatment regimen for chronic hepatitis C. Furthermore, we have used ribavirin and IFN combination for the treatment of dual chronic hepatitis B and C, and the results also revealed that the efficacy of clearing HCV RNA was not affected by the presence of HBV infection. Interestingly, after a little more than 2-year post-treatment follow-up, we found that a significant portion (21%) of the responsive patients also cleared HBsAg. These findings imply that this combination regimen might be also effective for the control of chronic hepatitis B. We thus conducted a randomized, multi-center, placebo-controlled study in patients with HBeAg-positive chronic hepatitis B.

NCT ID: NCT00275652 Completed - Hepatitis B Clinical Trials

A Comparison of the Drug Telbivudine (LdT) and Lamivudine in Adults With Decompensated Chronic Hepatitis B and Evidence of Cirrhosis.

Start date: June 2004
Phase: Phase 3
Study type: Interventional

This trial is being done to see if the investigational drug, LdT (Telbivudine), is safe and effective in the treatment of hepatitis B infection. In addition to this, we will be looking at the comparison of the effects (good and bad) of LdT and lamivudine.

NCT ID: NCT00275548 Completed - Hepatitis C Clinical Trials

Safety and Effectiveness Using Pegasys and Copegus in Recipients of Liver Transplantation With Hepatitis C

Start date: July 2004
Phase: Phase 4
Study type: Interventional

The study is being done to study the impact of prophylactic administration of antiviral therapy as compared to initiation of antiviral therapy at the time of clinical recurrence of hepatitis C infection in liver transplant recipients.

NCT ID: NCT00265642 Completed - Clinical trials for Hepatitis C, Chronic

Evaluation of Irbesartan on Hepatic Fibrosis in Chronic Hepatitis C

Fibrosar
Start date: October 2006
Phase: Phase 3
Study type: Interventional

The purpose of this study is to examine the efficacy of irbesartan on the progression of liver fibrosis in adult patients with chronic hepatitis C. The expected total enrollment is 200 patients. Patients who meet the study criteria and accept to participate at this study will take by day one tablet of 150 mg of treatment (irbesartan or placebo) during two years. The assessment of efficacy will be make by evaluation of area of liver fibrosis and blood markers of liver fibrosis

NCT ID: NCT00265395 Completed - Clinical trials for Hepatitis C, Chronic

Extended Treatment With PEG-Intron® and Rebetol® in Patients With Genotype 1 Chronic Hepatitis C and Slow Virologic Response (Study P03685)

Start date: December 2004
Phase: Phase 3
Study type: Interventional

This is a controlled, randomized, parallel-groups, open-label, multinational study designed to evaluate the efficacy and safety of PEG-Intron® (pegylated interferon alfa-2b) plus Rebetol® (ribavirin) in subjects with chronic hepatitis C. It is designed to evaluate whether 72 weeks of treatment with PEG-Intron plus Rebetol is more effective than 48 weeks of treatment in subjects with Genotype 1 chronic hepatitis C who exhibit a slow response to treatment.

NCT ID: NCT00262483 Completed - Hepatitis C Clinical Trials

Phase 2 Study of VX-950, Pegasys and Copegus in Hepatitis C

Start date: December 2005
Phase: Phase 2
Study type: Interventional

To assess the safety of the combination of VX-950, Pegasys and Copegus in subjects with hepatitis C.

NCT ID: NCT00262379 Completed - Chronic Hepatitis C Clinical Trials

Use or Non-use of Epoetin Beta in Patients Infected by Chronic Hepatitis C

Start date: December 2005
Phase: Phase 3
Study type: Interventional

The purpose is to demonstrate a correction of anemia in hepatitis C virus treatment with peginterferon plus ribavirin.

NCT ID: NCT00255177 Completed - Clinical trials for Hepatitis C Virus Infection

Antiviral Activity and Safety of 3 Different Doses of Mifepristone in Hepatitis C Infected Patients

Start date: November 2005
Phase: Phase 2
Study type: Interventional

Hepatitis C virus (HCV) infects approximately 170 million people worldwide. The current standard- of- care therapy of chronic HCV infection is a regimen of subcutaneously administered (pegylated)-interferon-α and ribavirin for 24 weeks (for genotypes 2 and 3) to 48 weeks (for genotype 1). The sustained viral response rates (SVR) in patients infected with genotypes 2 and 3 are ~80% but remain <50% in patients infected with genotype 1. The treatment is quite toxic with approximately 30% of patients experiencing adverse events (i.e. depression, fever, anemia, fatigue) requiring dose reduction or discontinuation of therapy. This regimen is contraindicated in women who are pregnant and in patients with decompensated liver disease. The absence of acceptable therapies for many patients with HCV infections makes new therapies desirable for this disease.

NCT ID: NCT00252642 Completed - Hepatitis C Clinical Trials

Peginterferon Alpha-2a Maintenance Therapy for Portal Hypertension in Patients With Hepatitis C

Start date: November 2005
Phase: N/A
Study type: Interventional

The primary purpose of this study is to determine if peginterferon alpha-2a maintenance therapy (90 mcg/week) will lower portal pressure in patients with hepatitis C virus infections and advanced fibrosis or cirrhosis.

NCT ID: NCT00251199 Completed - Hepatitis C Clinical Trials

VX-950 and Peginterferon for Hepatitis C

Start date: October 2005
Phase: Phase 1
Study type: Interventional

VX-950 is an investigational drug , which is being tested in combination with a known treatment for hepatitis C, peginterferon.