UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000011248
Receipt number R000013183
Scientific Title The evaluation of liver fibrosis by acoustic radiation force impulse (ARFI) in hemodialysis patients with chronic hepatitis C
Date of disclosure of the study information 2013/08/01
Last modified on 2018/01/24 16:36:56

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Basic information

Public title

The evaluation of liver fibrosis by acoustic radiation force impulse (ARFI) in hemodialysis patients with chronic hepatitis C

Acronym

The accuracy of ARFI in assessing liver fibrosis of hemodialysis patients with chronic hepatitis C

Scientific Title

The evaluation of liver fibrosis by acoustic radiation force impulse (ARFI) in hemodialysis patients with chronic hepatitis C

Scientific Title:Acronym

The accuracy of ARFI in assessing liver fibrosis of hemodialysis patients with chronic hepatitis C

Region

Japan


Condition

Condition

chronic hepatitis C

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is assessment of the usefulness of acoustic radiation force impulse (ARFI) in evaluation of liver fibrosis in hemodialysis patients with chronic hepatitis C (CH-C).
First, assessment of the evaluation of liver fibrosis is compared between histological diagnosis by liver biopsy and ARFI value in hemodialysis patients with CH-C.
Second, regular examination of liver fibrosis is conducted by ARFI and liver fibrosis marker.
Next, among patients without anti-viral therapy, progression rate of liver fibrosis and cumulative incidence of HCC are compared between CH-C patients with or without hemodialysis. Among patients with anti-viral therapy, the regression rate of liver fibrosis as anti-viral effect is compared between CH-C patients with or without hemodialysis.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

- The accuracy of ARFI for evaluation of liver fibrosis in hemodialysis patients with chronic hepatitis C
- Comparison of the degree of liver fibrosis between hemodialysis patients with CH-C, non-hemodialysis patients with CH-C and hemodialysis patients without HCV infection
- Comparison for progression rate of fibrosis by ARFI between CH-C patients with or without hemodialysis
- Comparison for cumulative incidence of HCC by ARFI between CH-C patients with or without hemodialysis
- Investigating sustained virological response rate (the rate of undetectable HCV RNA at end of treatment and at 24 weeks after completion of treatment) of Peg-IFN alpha mono-therapy in CH-C patients with hemodialysis
- Comparison of regression rate of liver fibrosis and suppressive effect on HCC incidence of Peg-IFN alpha mono-therapy in CH-C patients with hemodialysis between CH-C patients with or without HD and HD patients without HCV infection

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

- Hemodialysis patients with chronic hepatitis C (HCV antibody positive, HCV-RNA positive)
- Non-hemodialysis patients with chronic hepatitis C (HCV antibody positive, HCV-RNA positive)
- Hemodialysis patients without HCV (HCV antibody negative)

Key exclusion criteria

1) Patients under 20 years old
2) Patients with co-infection with hepatitis B virus
3) Patients with co-infection with human immunodeficiency virus
4) Patients with alcoholic liver disorder or autoimmune hepatitis
5) Patients with uncompensated cirrhosis or hepatic failure
6) Patients with multiple organ failure or immunological deficiency
7) Patients with severe depression or past history of psychiatric disorder
8) Patients in pregnancy or lactating or patients who expect to become pregnant
9) Patients whose hemoglobin levels are less than 8.5g/dL
10) Patients whose platelet counts are less than 25,000/microL
11) Patients whose neutrophil counts are less than 500 /microL
12) Patients whom investigator disqualified

Target sample size

160


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tetsuo Takehara

Organization

Osaka University Graduate School of Medicine

Division name

Department of Gastroenterology and Hepatology

Zip code


Address

2-2 Yamadaoka Suita Osaka Japan

TEL

06-6879-5111

Email

yuki.tahata@gh.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yuki Tahata

Organization

2-2 Yamadaoka Suita Osaka Japan

Division name

Gastroenterology and Hepatology

Zip code


Address

2-2 Yamadaoka Suita Osaka Japan

TEL

06-6879-5111

Homepage URL


Email

yuki.tahata@gh.med.osaka-u.ac.jp


Sponsor or person

Institute

Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2013 Year 08 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 06 Month 19 Day

Date of IRB


Anticipated trial start date

2013 Year 06 Month 19 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

- Among CH-C patients with or without hemodialysis CH-C who meet the selection criteria, liver biopsy, ARFI, fibrosis markers and imaging test are performed at the start of observation in order to evaluate the degree of liver fibrosis. Among hemodialysis patients without HCV infection, ARFI, fibrosis markers and imaging test are performed (Liver biopsy is not performed).
- CH-C patients with Hemodialysis are treated with pegylated interferon alpa 2a mono-therapy. CHC-patients without hemodialysis are treated with usual anti-viral therapy.
- Evaluation of the degree of liver fibrosis by ARFI and liver fibrosis markers is performed every 6 months after first evaluation. Surveillance of HCC are also performed at the same time.


Management information

Registered date

2013 Year 07 Month 22 Day

Last modified on

2018 Year 01 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000013183


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name