Hepatitis C Infection Clinical Trial
Official title:
Response Guided Therapy (RGT) for Boceprevir Combined With Peginterferon Alpha-2b Plus Ribavirin in Naïve Hispanic Patients With Genotype 1 Hepatitis C Infection
Hypothesis Response guided therapy improves significantly the overall SVR in Hispanics compared to historical control. There is no difference in SVR between patients with an undetectable HCV RNA at week 8 and week 28 who received a 4 week lead-in of PR plus 24 weeks of PR+BOC based treatment and patients with detectable HCV RNA at week 8 and undetectable HCV RNA at week 24 who received a lead-in of PR plus 32 weeks PR+BOC followed by based therapy and 12 weeks of PR.
STUDY DESIGN AND ENROLLMENT Open label single arm pilot study enrolling Hispanic patients
with HCV genotype 1 and naive to pegylated interferon and BOC treatment.
Definition of BOC RGT:
All patients will receive 4 weeks of PR (lead-in), and BOC will be added at the beginning of
week 5. Patients who have an undetectable HCV RNA at week 8 and week 24 will receive 24 weeks
of PR and BOC (28 weeks total treatment); patients who have a detectable HCV RNA at week 8,
but an undetectable HCV RNA at week 24, will receive an additional 32 weeks of PR and BOC,
followed by 12 weeks of PR (48 weeks total treatment).
Patients with cirrhosis or bridging fibrosis (Stage 4 fibrosis) will receive 4 weeks of lead
in followed by 44 weeks of BOC and PR (total 48 weeks).
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