This study is designed to evaluate the safety of biological active dose of a new experimental drug, IL-7, in combination with standard bi-therapy in Asiatic patients with Hepatitis C chronic infection identified as non responders to the standard bi-therapy alone.
This is a Phase I/IIa inter-patient dose-escalation study assessing weekly doses of Interleukin-7 (CYT107) in Asiatic adult patients infected by virus of genotype 1 of Hepatitis C and resistant to standard treatment with Peg-Interferon and Ribavirin (bi-therapy). The dose escalation is aimed at establishing the safety of a biologically active doses of CYT107 added to the combination therapy of pegylated interferon-alpha and ribavirin. At each dose level, study patients will receive one subcutaneous administration of CYT107 per week for a total of 4. Groups of 3 to 6 patients will be entered at each dose level of CYT107. Three dose levels are planned. Eligible patients initially receive bi-therapy for 6-10 weeks. Thereafter, CYT107 is added for a cycle of four weekly injections at a defined dose level while standard bi-therapy continues for 9 weeks after CYT107 treatment discontinuation. The patients are then followed on a regular basis until reaching 48 weeks after the CYT107 treatment. The duration of study is approximatively 60 weeks with 20-25 weeks of bi-therapy. Participants will have 1 overnight hospitalization and 15 clinic visit on a period of 60 weeks. During the visits the following may be done: * medical history, physical examination, blood tests * electrocardiograms (ECG) * chest X-Ray * liver/spleen imaging * urine tests
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
3 dose levels: 3, 10 \& 20 µg/kg. 4 administrations, 1 per week
Kaohsiung Medical University Hospital
Kaohsiung City, Taiwan
Chi Mei Medical Center
Tainan, Taiwan
Cathay General Hospital
Taipei, Taiwan
Chang Gung Memorial Hospital
Taipei, Taiwan
safety of biologically active doses of CYT107 added to a combination therapy by pegylated interferon-alpha and ribavirin in Asian patients with a chronic infection by a genotype 1 HCV not responding to this combination therapy
Time frame: 12 weeks after start of CYT107
Pharmacokinetics and pharmacodynamics of CYT107 in this patients population.
Time frame: At short and mid terms follow-ups
potential anti-viral effect of CYT107
Time frame: 4 weeks and 12 weeks after start of CYT107
long-term safety and viral load variations
Time frame: 24 and 48 weeks after the start of CYT107
immune specific response to HCV
Time frame: 8 and 12 weeks after start of CYT107
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