Therapy With Asunaprevir, Daclatasvir, Ribavirin and Pegylated Interferon Alpha-2a in HCV Genotype 4-infected Patients Who Have Failed to a Previous Therapy With Peg-Interferon/Ribavirin (ANRS HC32 QUATTRO)
NCT02107365 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-04-13
Summary
Success rates, after retreatment with Peg-Interferon/Ribavirin bitherapy, in patients infected with HCV (hepatitis C virus) genotype 4 and non-responders to a first standard treatment, are disappointing. The association of Asunaprevir and Daclatasvir in combination with the standard-of-care bitherapy has been shown to increase the efficacy of the treatment in non-responders genotype 1-infected patients.
Given the absence of current solutions and urgent therapeutic needs for HCV genotype 4-infected patients previously treated with pegylated Interferon/Ribavirin, this pilot study aims to evaluate the efficacy and safety of a quadritherapy associating Asunaprevir, Daclatasvir, pegylated Interferon alpha-2a and Ribavirin, in this very difficult to treat population.
60 subjects will be enrolled.
The primary endpoint will be the rate of sustained virological response (SVR), defined by an undetectable HCV RNA, at Week 36 (12 weeks after the end of a 24 weeks quadritherapy).
Conditions
- Hepatitis C Virus Genotype 4 Infection
Interventions
- DRUG
-
Asunaprevir
Asunaprevir 100 mg, 1 capsule twice a day from Day 0 to Week 24
- DRUG
-
Daclatasvir
Daclatasvir 60 mg, 1 tablet once a day from Day 0 to Week 24
- DRUG
-
Ribavirin
Ribavirin tablets or capsules 200 mg, weight-based daily dose ( \<75 kg : 1000 mg ; ≥ 75 kg : 1200 mg), from Day 0 to Week 24
- DRUG
-
Pegylated Interferon alpha-2a
Pegylated Interferon alpha-2a, by subcutaneous injection 180µg / week, from Day 0 to Week 24
Sponsors & Collaborators
- collaborator INDUSTRY
-
ANRS, Emerging Infectious Diseases
lead OTHER_GOV
Principal Investigators
-
Dominique ROULOT, MD, PhD · Bobigny University Hospital
-
Eric BELLISSANT, MD, PhD · Rennes University Hospital
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-11-30
- Primary Completion
- 2015-02-28
- Completion
- 2015-04-30
Countries
- France
Study Locations
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