Trial Outcomes & Findings for Multidisciplinary Support Program in Chronic Hepatitis C (NCT NCT01850745)

NCT ID: NCT01850745

Last Updated: 2021-09-20

Results Overview

Adherent patients were defined as those receiving equal or more than 80% of total dose of pegylated interferon (180 microg/week) and ribavirin (1200 mg/d) during equal o more than 80% of duration treatment (48 weeks). Non-adherent patients were defined as those receiving less than 80% of total dose of pegylated interferon (180 microg/week) and ribavirin (1200 mg/d) during less than 80% of duration treatment (48 weeks).

Recruitment status

COMPLETED

Target enrollment

447 participants

Primary outcome timeframe

48 months

Results posted on

2021-09-20

Participant Flow

Participant milestones

Participant milestones
Measure
Control
Retrospective control group. Usual treatment with peginterferon-2a and ribavirin. No multidisciplinary support program
Validation Cohort
Prospective group. Usual treatment with peginterferon-2a and ribavirin. Multidisciplinary support program. Multidisciplinary support program: Multidisciplinary support program that included counselling about relevance of adherence by hepatologist, nurse and pharmacist. Psychologist and psychiatrist support if needed.
Pilot Cohort
Prospective intervention group. Usual pharmacological treatment with peginterferon-2a and ribavirin. Multidisciplinary support program. Multidisciplinary support program: Multidisciplinary support program that included counselling about relevance of adherence by hepatologist, nurse and pharmacist. Psychologist and psychiatrist support if needed.
Overall Study
STARTED
147
169
131
Overall Study
COMPLETED
147
169
131
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Multidisciplinary Support Program in Chronic Hepatitis C

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=147 Participants
Retrospective control group. Usual treatment with peginterferon-2a and ribavirin. No multidisciplinary support program
Validation Cohort
n=169 Participants
Prospective group. Usual treatment with peginterferon-2a and ribavirin. Multidisciplinary support program. Multidisciplinary support program: Multidisciplinary support program that included counselling about relevance of adherence by hepatologist, nurse and pharmacist. Psychologist and psychiatrist support if needed.
Pilot Cohort
n=131 Participants
Prospective intervention group. Usual pharmacological treatment with peginterferon-2a and ribavirin. Multidisciplinary support program. Multidisciplinary support program: Multidisciplinary support program that included counselling about relevance of adherence by hepatologist, nurse and pharmacist. Psychologist and psychiatrist support if needed.
Total
n=447 Participants
Total of all reporting groups
Age, Continuous
43 years
STANDARD_DEVIATION 1 • n=39 Participants
42 years
STANDARD_DEVIATION 1 • n=41 Participants
42 years
STANDARD_DEVIATION 1 • n=35 Participants
42 years
STANDARD_DEVIATION 1 • n=31 Participants
Sex: Female, Male
Female
48 Participants
n=39 Participants
45 Participants
n=41 Participants
46 Participants
n=35 Participants
139 Participants
n=31 Participants
Sex: Female, Male
Male
99 Participants
n=39 Participants
124 Participants
n=41 Participants
85 Participants
n=35 Participants
308 Participants
n=31 Participants

PRIMARY outcome

Timeframe: 48 months

Adherent patients were defined as those receiving equal or more than 80% of total dose of pegylated interferon (180 microg/week) and ribavirin (1200 mg/d) during equal o more than 80% of duration treatment (48 weeks). Non-adherent patients were defined as those receiving less than 80% of total dose of pegylated interferon (180 microg/week) and ribavirin (1200 mg/d) during less than 80% of duration treatment (48 weeks).

Outcome measures

Outcome measures
Measure
Control
n=147 Participants
Retrospective control group. Usual treatment with peginterferon-2a and ribavirin. No multidisciplinary support program
Validation Cohort
n=169 Participants
Prospective group. Usual treatment with peginterferon-2a and ribavirin. Multidisciplinary support program. Multidisciplinary support program: Multidisciplinary support program that included counselling about relevance of adherence by hepatologist, nurse and pharmacist. Psychologist and psychiatrist support if needed.
Pilot Cohort
n=131 Participants
Prospective intervention group. Usual pharmacological treatment with peginterferon-2a and ribavirin. Multidisciplinary support program. Multidisciplinary support program: Multidisciplinary support program that included counselling about relevance of adherence by hepatologist, nurse and pharmacist. Psychologist and psychiatrist support if needed.
Adherence to Treatment
116 participants
155 participants
124 participants

SECONDARY outcome

Timeframe: baseline and 72 weeks

The secondary efficacy end point was to evaluate the sustained virological response (SVR) of antiviral treatment. SVR was defined as undetectable hepatitis C virus viral load (\<15 IU/ml) 24 weeks after treatment completion. Non-SVR was defined as detectable hepatitis C virus viral load (\>15 IU/ml) 24 weeks after treatment completion.

Outcome measures

Outcome data not reported

Adverse Events

Control

Serious events: 2 serious events
Other events: 52 other events
Deaths: 0 deaths

Validation Cohort

Serious events: 2 serious events
Other events: 14 other events
Deaths: 0 deaths

Pilot Cohort

Serious events: 2 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Control
n=147 participants at risk
Retrospective control group. Usual treatment with peginterferon-2a and ribavirin. No multidisciplinary support program
Validation Cohort
n=169 participants at risk
Prospective group. Usual treatment with peginterferon-2a and ribavirin. Multidisciplinary support program. Multidisciplinary support program: Multidisciplinary support program that included counselling about relevance of adherence by hepatologist, nurse and pharmacist. Psychologist and psychiatrist support if needed.
Pilot Cohort
n=131 participants at risk
Prospective intervention group. Usual pharmacological treatment with peginterferon-2a and ribavirin. Multidisciplinary support program. Multidisciplinary support program: Multidisciplinary support program that included counselling about relevance of adherence by hepatologist, nurse and pharmacist. Psychologist and psychiatrist support if needed.
Psychiatric disorders
Depression major
1.4%
2/147 • Number of events 2
1.2%
2/169 • Number of events 2
1.5%
2/131 • Number of events 2

Other adverse events

Other adverse events
Measure
Control
n=147 participants at risk
Retrospective control group. Usual treatment with peginterferon-2a and ribavirin. No multidisciplinary support program
Validation Cohort
n=169 participants at risk
Prospective group. Usual treatment with peginterferon-2a and ribavirin. Multidisciplinary support program. Multidisciplinary support program: Multidisciplinary support program that included counselling about relevance of adherence by hepatologist, nurse and pharmacist. Psychologist and psychiatrist support if needed.
Pilot Cohort
n=131 participants at risk
Prospective intervention group. Usual pharmacological treatment with peginterferon-2a and ribavirin. Multidisciplinary support program. Multidisciplinary support program: Multidisciplinary support program that included counselling about relevance of adherence by hepatologist, nurse and pharmacist. Psychologist and psychiatrist support if needed.
Blood and lymphatic system disorders
Anemia
35.4%
52/147 • Number of events 52
8.3%
14/169 • Number of events 14
3.1%
4/131 • Number of events 4

Additional Information

Professor Ricard Sola

Liver Section. Hospital del Mar

Phone: 0034932483200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place