Hepatitis C Clinical Trial
Official title:
A Randomized, Partially Blinded, Pilot Study of the Effects of Pioglitazone on HCV RNA in Overweight Subjects With Chronic HCV Genotypes 1 or 4 Infection.
Patients with chronic hepatitis C viral infection (HCV) and with a BMI greater than 25Kg/m2
are refractory to medical treatment. Also, HCV replication seems to be affected when modeling
insulin resistance in replicon cell culture systems.
PPARg -agonist (Pioglitazone) is effective in controlling liver inflammation in obese
subjects with non-alcoholic steatohepatitis (NASH) and also improving insulin sensitivity.
Therefore, we hypothesize that improving insulin resistance and /or inflammation may affect
HCV replication and viral kinetics. Independently of PPARg pathways, Prednisone may increase
HCV viral kinetics. .
This is a randomized, two arm clinical trial. The investigators performing the primary and
secondary endpoints are blinded to subject identifiers and arm identifiers.
Subject's screening for HCV Genotype 4 started in Agouza Hospital in July 2010 and ended in
February, 2011. No recruitment has occurred for HCV Genotype 1.
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