Unique ID issued by UMIN | UMIN000035511 |
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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 |
Study of real world efficacy and drug resistance associated substitutions of Sofosbuvir and Velpatasvir treatment for patients with HCV infection
Study of real world efficacy and drug resistance associated substitutions of Sofosbuvir and Velpatasvir treatment
Study of real world efficacy and drug resistance associated substitutions of Sofosbuvir and Velpatasvir treatment for patients with HCV infection
Study of real world efficacy and drug resistance associated substitutions of Sofosbuvir and Velpatasvir treatment
Japan |
Hepatitis C
Hepato-biliary-pancreatic medicine |
Others
NO
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.
Efficacy
Sustained virological response rates :after 12 weeks of end of treatment
Liver function change between before and after treatment. Liver cirrhosis associated events.Presence of resistance-associated substitutions
Observational
20 | years-old | <= |
Not applicable |
Male and Female
Eligible patients were 20 years age <= HCV infected patients.
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.
200
1st name | Kanji |
Middle name | |
Last name | Yamaguchi |
Kyoto Prefectural University of Medicine
Department of Molecular Gastroenterology and Hepatology
6028566
465, Kajii-chou, Kawaramachi, Kamigyou-ku,Kyoto 602-0841, Japan
075-251-5519
ykanji@koto.kpu-m.ac.jp
1st name | HIDEKI |
Middle name | |
Last name | Fujii |
Kyoto Prefectural University of Medicine
Department of Molecular Gastroenterology and Hepatology
6028566
465, Kajii-chou, Kawaramachi, Kamigyou-ku,Kyoto 602-0841, Japan
075-251-5519
http://www.f.kpu-m.ac.jp/k/syokanai/
fuhideki@koto.kpu-m.ac.jp
Kyoto Prefectural University of Medicine, Department of Molecular Gastroenterology and Hepatology
Kyoto Prefectural University of Medicine, Department of Molecular Gastroenterology and Hepatology
Self funding
ethical committee
465, Kajii-chou, Kamigyo-u, Kyoto,
0752515337
rinri@koto.kpu-m.ac.jp
NO
2019 | Year | 01 | Month | 15 | Day |
Unpublished
Enrolling by invitation
2019 | Year | 01 | Month | 10 | Day |
2019 | Year | 02 | Month | 01 | Day |
2019 | Year | 02 | Month | 01 | Day |
2024 | Year | 02 | Month | 01 | Day |
Observation study
2019 | Year | 01 | Month | 10 | Day |
2020 | Year | 01 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000040449
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