Hepatitis C Clinical Trial
Official title:
Impact of Interferon-free Treatment for Hepatitis C Virus (HCV) on Blood Cells and Factors in Blood
Verified date | January 2018 |
Source | Icahn School of Medicine at Mount Sinai |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The objectives of the study are to determine the impact of interferon-free treatment for the hepatitis C virus (HCV) on peripheral blood immune cell phenotype and soluble immune-related proteins in blood, while controlling for genetic polymorphisms known to impact HCV-related immune responses, and to determine the impact of the therapy on the emergence of drug-resistant HCV. The study design is informed by the researchers recent investigations of patients receiving HCV treatment. About 4% of patients who had not undergone liver transplantation experienced hepatic decompensating or another serious event. There were several cases of bacterial infection and two cases with elevated markers of autoimmune processes. These events suggest that treatment altered immune responses. About 25% of patients who had undergone liver transplantation experienced hepatic decompensating or another serious adverse event. The long term goal is to understand the pathophysiology of these complications and determine whether HCV treatment can cause an immune reconstitution syndrome in susceptible patients, while improving antimicrobial defenses in others
Status | Completed |
Enrollment | 74 |
Est. completion date | December 11, 2017 |
Est. primary completion date | December 11, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion for non-LT patients: - Adult - Not pregnant - Positive test for HCV RNA and planning to start interferon-free treatment soon - Not HIV infected - Able and willing to travel to Mount Sinai at the time points need for blood draws--prior to the start of treatment (within one month of the actual start date), at the 4th week of treatments (plus or minus two weeks), at the 12th week of treatment (plus or minus two weeks). - Must understand and speak English - Medically stable - Willing to sign informed consent and participate Inclusion criteria for LT patients: - All of the above - At least 6 months post-LT - On stable immunosuppressive medications for at least 3 months LT only (no other organ transplant, such as kidney) |
Country | Name | City | State |
---|---|---|---|
United States | Icahn School of Medicine at Mount Sinai | New York | New York |
Lead Sponsor | Collaborator |
---|---|
Icahn School of Medicine at Mount Sinai |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | cytometry time of flight (CyTOF) | the profile of immune cells in blood as assessed by cytometry time of flight (CyTOF) multiparameter analysis | up to week 14 | |
Secondary | CD8 T cells | Change in the percentage of CD8 Tcells level | Baseline and week 14 | |
Secondary | HCV resistance mutations | Incidence of emergence of HCV resistance mutations | up to week 14 |
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