Clinical trial NCT00854087: Assess the Antifibrotic Activity of Fuzheng Huayu in Chronic Hepatitis C Patients With Hepatic Fibrosis
Official title: A Phase II, Randomized, Placebo-Controlled, Double-Blind, Multi-Center Study to Assess the Antifibrotic Activity of Fuzheng Huayu in Chronic Hepatitis C Patients With Hepatic Fibrosis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Chronic Hepatitis C Infection
Keywords: Hepatitis C Virus
HCV
Herbal treatment
Herbs
San Diego
Non responder
Relapser
Treatment failure
Antifibrotic
Anti-fibrotic
Fibrosis
Failure of previous Interferon based therapy
Refuse Interferon based therapy
Intolerance to Interferon
Male or female 18-70 years of age
Lead sponsor: SCTI Research Foundation
Sponsor class: INDIV
Collaborators: name: Shanghai Sundise Traditional Chinese Medicine Co., Ltd.
First posted: 2009-03-02
Enrollment: 118
Sex: ALL
Minimum age (years): 18
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Current treatment of chronic liver disease relies upon removing the primary insult to the liver (e.g., alcohol) or treating the underlying viral infection (HBV, HCV, etc.). However, in the case of hepatitis C, a significant number of individuals will not clear the virus with current approved standard antiviral therapy, leaving them no options to manage their hepatic fibrosis, which can progress to cirrhosis and ultimately hepatocellular carcinoma (HCC).

Fuzheng Huayu has been used in numerous studies in China and has been found to have a satisfactory prophylaxis effect on the chronic liver injury and formed liver fibrosis in rats and humans. In addition, it enhances the degradation of liver fibrosis and protects hepatocytes from injury and death, manifesting as decreasing of ALT and AST, and enhancement of albumin level. In addition, preliminary studies indicate that the Fuzheng Huayu has a good safety and tolerability profile with promising efficacy.

The number of patients failing Interferon based therapy (i.e. not achieving SVR) is increasing. There are no approved standard of care treatment options for this population nor for patients who are intolerant or unwilling to receive Interferon; thus they are at higher risk for the progression of fibrosis. Moreover, there are no approved therapies to treat hepatic fibrosis, but basic research is exploring the pathophysiological mechanisms. Fuzheng Huayu is easy to administer, with a good safety and efficacy profile against fibrosis. Therefore, the investigators propose to further study the safety and efficacy profile of Fuzheng Huayu in a randomized, placebo-controlled, double blind study in Chronic Hepatitis C patients with hepatic fibrosis who have failed prior anti-HCV therapy or are intolerant or refuse Interferon based therapy.

The primary objective of this study is to establish the safety and efficacy of Fuzheng Huayu treatment in chronic hepatitis C subjects who have failed prior anti-HCV therapy or cannot receive or refused Interferon based therapy in improving liver fibrosis.


Eligibility criteria: Main Inclusion Criteria:

1. Male or female 18-70 years of age.
2. Chronic hepatitis C infection based on documented history of a positive serum anti-HCV antibody test and/or detectable levels of HCV RNA ≥ 50 IU/mL.
3. Failure to achieve sustained Virologic response (SVR) with previous Interferon based therapy or subjects who refuse Interferon based therapy or are intolerant to Interferon.
4. All subjects enrolling in the study and all fertile or potentially fertile sexual partners of subjects must be using two reliable forms of effective contraception during the study unless a study participant/partner is surgically sterile or postmenopausal.

Main Exclusion Criteria:

1. Subjects with any history of decompensated liver disease, including but not restricted to portal hypertension as manifested by gastroesophageal varices, variceal bleeding, ascites, or encephalopathy or a hepatic mass lesion suspicious for hepatocellular carcinoma (HCC).
2. Liver histology consistent with any other co-existing cause of chronic liver disease (apart from fatty liver).
3. Subjects who have been treated for HCV infection within 6 months before Screening.
4. Subjects who have been on any experimental protocol or therapy within 28 days before Screening.
5. Known HIV infection.
6. Chronic hepatitis B infection
7. Uncontrolled diabetes.
8. Unstable or uncontrolled thyroid disease
9. Uncontrolled seizures disorder.
10. History of malignant cancer within the last 5 years with the exception of localized basal or squamous cell carcinoma.
11. Alcohol and/or drug abuse within the past year.
12. Pregnant or lactating women or women who plan to become pregnant during the study.

Primary outcomes:
measure: Safety of Fuzheng Huayu Treatment in Chronic Hepatitis C Subjects Who Have Failed Prior Anti-HCV Therapy or Cannot Receive or Refused Interferon Based Therapy.
timeFrame: Baseline to Week 60
measure: Efficacy of Fuzheng Huayu Treatment in Chronic Hepatitis C Subjects Who Have Failed Prior Anti-HCV Therapy or Cannot Receive or Refused Interferon Based Therapy.
timeFrame: Baseline to Week 48
Secondary outcomes:
Other outcomes:
Locations:
city: Coronado
country: United States
facility: SCTI Research Foundation
state: California
city: Palo Alto
country: United States
facility: VA Palo Alto HCS
state: California
city: Pasadena
country: United States
facility: Huntington Medical Research Institutes
state: California
city: Sacramento
country: United States
facility: UC Davis Health System
state: California
city: San Clemente
country: United States
facility: Southern California Liver Centers
state: California
city: Port Orange
country: United States
facility: Advanced Medical Research Center
state: Florida
city: Houston
country: United States
facility: St. Luke's Advanced Liver Therapies
state: Texas
city: Salt Lake City
country: United States
facility: University of Utah HSC
state: Utah
Study officials:
affiliation: SCTI Research Foundation
name: Tarek Hassanein, MD
role: PRINCIPAL_INVESTIGATOR
References: