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CompletedNCT00821587Updated Jun 1, 2023Results posted

Cyclosporine in Hepatitis C Infection Viral Clearance Following Liver Transplantation

A Phase 4 interventional study of Cyclosporine and Tacrolimus in Hepatitis C, sponsored by University of Florida. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-06-01.

Sponsored by University of Florida · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
39
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the effect of cyclosporine, an anti-rejection drug, on the clearance of the hepatitis C virus in liver transplant subjects being treated with peg-interferon and ribavirin.

Read the detailed description

This is a randomized, single-center controlled study comparing two different immunosuppression regimens (CsA and TAC) in patients with recurrent HCV after LT undergoing antiviral therapy for HCV.

02

Conditions studied

  • Hepatitis C

Keywords

  • Hepatitis C Post Liver Transplant
03

In context

Hepatitis A

2,709 studies on the registry are indexed under Hepatitis A; 142 are open to participants now.

This study's enrollment of 39 is below the median of 100 across 1,886 interventional studies indexed under Hepatitis A.

Browse Hepatitis A studies →

Lead sponsor

University of Florida is the lead sponsor of 1,254 studies on the registry; 201 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 136 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Males and females age 18 years and older
  • HCV RNA positive by PCR after liver transplantation
  • Elevated ALT at any time point after liver transplantation
  • Protocol liver biopsy (standard of care) consistent with Stage greater than or equal to 2 of Ishak fibrosis score after liver transplantation
  • Able to provide written informed consent
  • Willing to practice acceptable birth control during the study period.

Exclusion criteria

Exclusion Criteria:

  • Decompensated Cirrhosis
  • hemoglobin \< 12 g/dl
  • WBC \< 3,500/cubic mm
  • Platelets \< 75,000/cubic mm
  • Human immunodeficiency virus infection
  • Pregnancy
  • Positive HbsAg
  • History of coronary artery disease, history of seizure disorder, poorly controlled autoimmune conditions, thyroid dysfunction, diabetes mellitus, major psychosis, intolerance to previous interferon-based therapy other than anemia or neutropenia
  • History of suicidal ideation or suicidal attempts
  • Creatinine > 2.0 mg/dl
  • Severe non-hepatic illnesses
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
39 participants (actual)

Study arms

  • Active comparator
    Tacrolimus

    Tacrolimus

    Drug: Tacrolimus

  • Active comparator
    Cyclosporine

    Cyclosporine

    Drug: Cyclosporine

Interventions

  • DrugCyclosporine

    Patients randomized to CsA had TAC discontinued and were treated with CsA at a dose of 2.0-4.0 mg/kg/day orally in two divided doses with target trough whole blood concentrations of 150-200 ng/ml.

    Also known as: Gengraf

  • DrugTacrolimus

    Patients receiving TAC were treated with a dose of 0.08-0.12 mg/kg/day orally in two divided doses with target trough whole blood concentrations of 10-15 ng/ml for the first month post-transplant followed by 5-10 ng/ml thereafter. Immunosuppression was typically tapered to monotherapy (TAC alone) within 4-6 months of transplantation.

    Also known as: Prograf

06

What researchers measure

Primary outcomes

  1. Number of Participants With Less Than 100 Hepatitis C Virus RNA Copies/mL

    Number of Participants with Undetectable or Less than 100 copies/ml Hepatitis C Viral Level --defined as SVR -Sustained Virologic Response

    Time frame: 6 months after completion of interferon based therapy

07

Results

Posted Dec 8, 2011

Participant flow

The study was conducted at the University of Florida in Gainesville between July 2004 and April 2008. Patients attended clinic visits at the time of randomization (baseline) and at 12-week intervals for 72 weeks.

Participant flow — Overall Study
MilestoneTacrolimusCyclosporine
Started2019
Completed2018
Not completed01
Withdrew: Physician decision01

Outcome measures

PrimaryNumber of Participants With Less Than 100 Hepatitis C Virus RNA Copies/mL

Number of Participants with Undetectable or Less than 100 copies/ml Hepatitis C Viral Level --defined as SVR -Sustained Virologic Response

Time frame:
6 months after completion of interferon based therapy
Reported as:
Count of participants · Participants
Number of Participants With Less Than 100 Hepatitis C Virus RNA Copies/mL
ParticipantsTacrolimus (TAC)Cyclosporine (CsA)
Number of Participants With Less Than 100 Hepatitis C Virus RNA Copies/mL77
Statistical analysis
  • Tacrolimus (TAC) vs Cyclosporine (CsA) · Chi-squared · p = <0.05 (We hypothesize that subjects on CsA are more likely to achieve undetectable viral level in patients receiving antiviral therapy for recurrent HCV after Liver Transplant)

Adverse events

Collected over 72 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tacrolimus—0/20 (0%)16/20 (80%)
Cyclosporine—1/19 (5.3%)17/19 (89.5%)
Most frequent serious events
Most frequent serious events
EventTacrolimusCyclosporine
DeathImmune system disorders0/201/19
Most frequent other events
Most frequent other events
EventTacrolimusCyclosporine
AnemiaBlood and lymphatic system disorders16/2016/19
ThrombocytopeniaBlood and lymphatic system disorders11/2010/19
DepressionPsychiatric disorders8/209/19
InsomniaGeneral disorders6/209/19
NeutropeniaBlood and lymphatic system disorders8/203/19
NauseaGastrointestinal disorders5/205/19
FeverGeneral disorders4/204/19
IrritabilityPsychiatric disorders2/203/19

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)TacrolimusCyclosporineTotal
<=18 years000
Between 18 and 65 years201939
>=65 years000
Age, Continuous
Age, Continuous(years)TacrolimusCyclosporineTotal
Mean54.4 ± 5.452.2 ± 6.453.3 ± 5.9
Sex: Female, Male
Sex: Female, Male(Participants)TacrolimusCyclosporineTotal
Female257
Male181432
Region of Enrollment
Region of Enrollment(participants)TacrolimusCyclosporineTotal
United States201939
08

Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00821587
Lead sponsor
University of Florida
Collaborators
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Jan 13, 2009
Start date
Jun 2004
Primary completion
May 2008
Completion
May 2008
Results posted
Dec 8, 2011
Last update
Jun 1, 2023

Study contacts

Roberto J Firpi-Morell, MD
principal investigator · University of Florida

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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