UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000035511
Receipt number R000040449
Scientific Title Study of real world efficacy and drug resistance associated substitutions of Sofosbuvir and Velpatasvir treatment for patients with HCV infection
Date of disclosure of the study information 2019/01/15
Last modified on 2020/01/13 23:45:22

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Basic information

Public title

Study of real world efficacy and drug resistance associated substitutions of Sofosbuvir and Velpatasvir treatment for patients with HCV infection

Acronym

Study of real world efficacy and drug resistance associated substitutions of Sofosbuvir and Velpatasvir treatment

Scientific Title

Study of real world efficacy and drug resistance associated substitutions of Sofosbuvir and Velpatasvir treatment for patients with HCV infection

Scientific Title:Acronym

Study of real world efficacy and drug resistance associated substitutions of Sofosbuvir and Velpatasvir treatment

Region

Japan


Condition

Condition

Hepatitis C

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Recently, direct-acting antiviral agents (DAAs) which specifically effect for HCV virus is developed. The first generation treatment of Daclatasvir/Asunaprevir were available to HCV infected patients with chronic hepatitis or compensated cirrhosis from 2014 in Japan. After that, several regimens were approved, like Sofosbuvir (SOF)/ Ledipasvir, Ombitasvir/Paritaprevir/ritonavir, Elbasvir/Grazoprevir, Ombitasvir/Paritaprevir/ritonavir/Ribavirin, and Glecaprevir/Pibrentasvir. Progress in these treatment lead to eradicate HCV for many patients. Though sustained virological response(SVR) rates were over 95%, a small number of patients could not achieved SVR.
Drug resistance virus due to resistance-associated substitutions (RASs) closely involved the efficacy of DAAs. (Pawlotsky JM et al. Gastroenterology. 151; 70-86: 2016). These resistance virus was induced in patients who could not achieved SVR. They resistant to the re-treatment of DAAs. Moreover, decompensated cirrhosis patients were not approved by DAAs treatments.
SOF/Velpatasvir regimen is approved for patients of re-treatment or decompensated cirrhosis patients. SVR 12 rates were 97% for DAA failure and 92% for decompensated cirrhosis patients. (GS-US-342-3921study, GS-US-342-4019study)
But it has not been reported on the real world efficacy and association between RASs and efficacy. We plane multicenter study.
1. Real world efficacy of SOF/Velpatasvir regimen
2. Association between RASs and efficacy.
It is important to clarify these clinical question for DAAs treated patients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Sustained virological response rates :after 12 weeks of end of treatment

Key secondary outcomes

Liver function change between before and after treatment. Liver cirrhosis associated events.Presence of resistance-associated substitutions


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

Eligible patients were 20 years age <= HCV infected patients.

Key exclusion criteria

Patients with coinfection with hepatitis B virus or human immunodeficiency virus, autoimmune hepatitis, primary biliary cirrhosis, hemochromatosis or Wilson's disease were excluded. Patients with uncontrollable hypertension or diabetes mellitus and those with a history of alcohol abuse were also excluded.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Kanji
Middle name
Last name Yamaguchi

Organization

Kyoto Prefectural University of Medicine

Division name

Department of Molecular Gastroenterology and Hepatology

Zip code

6028566

Address

465, Kajii-chou, Kawaramachi, Kamigyou-ku,Kyoto 602-0841, Japan

TEL

075-251-5519

Email

ykanji@koto.kpu-m.ac.jp


Public contact

Name of contact person

1st name HIDEKI
Middle name
Last name Fujii

Organization

Kyoto Prefectural University of Medicine

Division name

Department of Molecular Gastroenterology and Hepatology

Zip code

6028566

Address

465, Kajii-chou, Kawaramachi, Kamigyou-ku,Kyoto 602-0841, Japan

TEL

075-251-5519

Homepage URL

http://www.f.kpu-m.ac.jp/k/syokanai/

Email

fuhideki@koto.kpu-m.ac.jp


Sponsor or person

Institute

Kyoto Prefectural University of Medicine, Department of Molecular Gastroenterology and Hepatology

Institute

Department

Personal name



Funding Source

Organization

Kyoto Prefectural University of Medicine, Department of Molecular Gastroenterology and Hepatology

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

ethical committee

Address

465, Kajii-chou, Kamigyo-u, Kyoto,

Tel

0752515337

Email

rinri@koto.kpu-m.ac.jp


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

2019 Year 01 Month 15 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

Enrolling by invitation

Date of protocol fixation

2019 Year 01 Month 10 Day

Date of IRB

2019 Year 02 Month 01 Day

Anticipated trial start date

2019 Year 02 Month 01 Day

Last follow-up date

2024 Year 02 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Observation study


Management information

Registered date

2019 Year 01 Month 10 Day

Last modified on

2020 Year 01 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000040449


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name