Pharmacological Action Clinical Trial
Official title:
Safety and Efficacy of Gratisovir (Sofosbuvir)- Ribavirin Daul Therapy in Egyptian Pediatric Patients With Chronic Hepatitis C Infection. A Prospective, Randomized, Multicenter Study
Evaluation of Safety and Efficacy of Gratisovir (Sofosbuvir)- Ribavirin Therapy in Egyptian Pediatric Patients With Chronic Hepatitis C Infection aged 10- 18 years old.
Male or female child ≥ 10 years and ≤ 18 years of age chronically infected with hepatitis C
virus, willing and able to complete all study visits and procedures. Acceptance from the
parents will be recruited for giving a verbal and written informed consent. Patient with
childs Pugh class B or C, compensated cirrhosis may be enrolled. Patient with cirrhosis with
their alpha fetoprotein is more than 100 ng/ml and patient with coinfection of Hepatitis B
virus or HIV will be excluded. Participation in the study procedures is anticipated to last
up to 40 weeks including a screening and eligibility assessment phase (4 weeks duration), a
24- week treatment phase, and 12- week post treatment follow up phase.
A detailed treatment log of the returned investigational product will be established with
the investigator (or the pharmacist) and countersigned by the investigator and the
monitoring team.
Compliance is assessed by counting the number of returned tablets at each visit.
A discontinuation is defined as a period with at least seven consecutive days without study
drug intake.
Safety and efficacy will be compared between cirrhotic versus non-cirrhotic subjects in
multivariate model to test the impact of this pretreatment characteristic on safety,
tolerability and efficacy endpoints.
Safety analysis:clinical adverse events will be displayed by body system (soc) for each
study subject and by treatment group, using MedDRA coding. Summary of statistics of safety
and efficacy endpoints will be displayed by stratification parameters.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Treatment
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