Telaprevir in Combination With Standard of Care in Hepatitis C Genotype 1 Infection in Patients With Hepatocellular Carcinoma Awaiting Liver Transplantation
Pegylated Interferon Alfa 2a
+ Ribavirin
+ Telaprevir
Blood-Borne Infections+17
+ Adenocarcinoma
+ Carcinoma
Treatment Study
Summary
Study start date: April 1, 2013
Actual date on which the first participant was enrolled.Study Drug Administration: If you are found to be eligible to take part in this study, you will take telaprevir 3 times a day. You will take RVB by mouth 2 times a day. You will receive PEGIFN alfa-2a by an injection under the skin 1 time a week. Study Visits: On the first day you take the study drug: You will have an eye exam performed by the study doctor. You will have a physical exam, including measurement of your vital signs (blood pressure, heart rate, temperature, and breathing rate). Blood (about 2 teaspoons) will be drawn for routine tests and to check for the hepatitis virus. You will be asked about any drugs you are taking or side effects you may be having. Every Week while you are on study: You will have a physical exam, including measurement of your vital signs. Blood (about 2 teaspoons) will be drawn for routine tests and to check for the hepatitis C virus. If part of the blood sample is left over after the Hepatitis C testing, it will be stored in the laboratory as a back-up sample, in case the original samples get lost. This sample may also be used to check if the Hepatitis C virus has become resistant to the study drug. No extra blood will be drawn for this storage. You will be asked about any drugs you are taking or side effects you may be having. At Weeks 12, 24, 36, and 42, urine will be collected to check for infection and any other side effects to the drugs. If you can become pregnant, you will have a urine pregnancy test every 4 weeks Length of Treatment: You may continue receiving the antiviral therapy for up to 48 weeks, as long as the doctor thinks it is in your best interest. You will no longer be able to take the study drug if the disease gets worse, if intolerable side effects occur, or if you are unable to follow study directions. Your participation on the study will be over after the follow-up visits. Follow-Up Visits: Beginning the day after you stop taking antiviral therapy (or the day of transplantation, whichever comes first), you will have up to 24 weeks of follow-up testing performed. About 4 and 20 weeks after your last dose: You will have a physical exam, including measurement of your vital signs. Blood (about 2 teaspoons) will be drawn for routine tests and to check for the hepatitis C virus. You will be asked about any side effects you may be having. At week 4 only, urine will be collected to check for infection and any other side effects to the drugs. This is an investigational study. Telaprevir, PegIFN alfa-2a, and RBV are all FDA approved and commercially available for the treatment of HCV infection. The use of these drugs in preventing the HCV infection is investigational. Up to 40 patients will take part in this study. All will be enrolled at MD Anderson.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.1 patient to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.From 18 to 69 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
Inclusion Criteria: Males or females aged ≥ 18 and ≤ 70 years Detectable Hepatitis C Virus ribonucleic acid (HCV-RNA) in serum HCV genotype 1 infection Child-Pugh-Turcotte (CPT) score < 7 and Model for End-Stage Liver Disease (MELD) score < 18 PegIFN alfa-2a/RBV-naïve or previously treated patients (partial responders, null responders and relapsers) Hepatocellular carcinoma within transplant criteria in the United Network for Organ Sharing (UNOS) Region IV: Single lesion up to 6 cm, or Two or three lesions with largest no greater than 5 cm and the total tumor diameter no greater than 9 cm Listed for liver transplantation Willingness to give written consent and agree to double contraception Exclusion Criteria: Decompensated cirrhosis Baseline platelet count less than 35,000/µL Baseline hemoglobin level less than 10 g/dL Baseline absolute neutrophil count less than 750/mm3 Baseline creatinine clearance < 50 mL per min. Women with a positive pregnancy test at baseline or men whose female partners are pregnant or are contemplating pregnancy Intolerance or contraindications to PegIFN alfa-2a/RBV use per standard treatment guidelines
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.One single intervention group is designated in this study
This study does not include a placebo group
Treatment Groups
Group I
ExperimentalStudy Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 1 location
University of Texas MD Anderson Cancer Center
Houston, United StatesOpen University of Texas MD Anderson Cancer Center in Google Maps