The purpose of this study is to explore whether silibinin plus ribavirin with/without peg-interferon can be more effective than the peg-interferon plus ribavirin based standard of care (SoC) in the treatment of patients infected with hepatitis C virus genotype 4.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Silibinin 20 mg/Kg/day
1.5 µg/kg once-weekly
At weight-based dose 800-1400 mg/day (BID, OS)
Al-Manial University Hospital, Kasr El-Aini Faculty Medicine, Cairo University
Cairo, Egypt
Undetectable HCV-RNA at 24 Weeks After the end of the Study Treatment
The primary efficacy endpoint is the proportion of patients with Sustained Virological Response (SVR), i.e. undetectable HCV-RNA level lasting for 24 weeks after the completion of the study treatment course.
Time frame: 24 weeks after the end of treatment (e.g. at week 49 or 73)
Undetectable HCV-RNA
Proportion of patients with Rapid Viral Response (RVR), i.e. undetectable HCV-RNA levels 4 weeks after the beginning of the study treatment course.
Time frame: 4 weeks after the beginning of the study treatment
HCV-RNA decrease ≥ 2 log10 IU/mL
Number and percentage of patients with Early Viral Response (EVR), i.e. HCV-RNA decrease ≥ 2 log10 IU/mL 12 weeks after the beginning of the study treatment course
Time frame: 12 weeks after the beginning of the study treatment
Undetectable HCV-RNA
Proportion of patients with End Of Treatment (EOT) Response, i.e. undetectable HCV-RNA levels at the end of the study treatment (e.g. at the end of treatment at week 25 or 49)
Time frame: At the end of study treatment (e.g. at week 25 or 49)
Normalization of Serum Alanine Aminotransferase
Proportion of patients with a normalization of Serum Alanine Aminotransferase (ALT \<40 U/L) values 4 weeks after the beginning of study treatment, at EOT and at 24 weeks after the completion of the study treatment course;
Time frame: 4 weeks after the beginning of study treatment, at EOT and at 24 weeks after the completion of the study treatment
Number of Participants with adverse events (AEs)
Time frame: Up to 24 weeks after the end of treatment (e.g. up to week 49 or 73)
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