CClinicalTrials.gg
CompletedNCT00957866PraireUpdated May 16, 2014

Prospective Anti-Hepatitis C Virus (Anti-HCV) Trial of Peg-Interferon and Ribavirin in Subjects of First Nations, Metis and Caucasian Ethnicity

A Phase 4 interventional study of Pegylated Interferons (Peg-IFN) and Ribavirin in Chronic Hepatitis C, sponsored by University of Manitoba. Completed at 3 sites in Canada. Per ClinicalTrials.gov, last updated 2014-05-16.

Sponsored by University of Manitoba · Phase 4, Interventional, and Supportive care

Phase
Phase 4
Study type
Interventional
Enrollment
160
Allocation
Non-randomized
Sex
All
01

Study summary

Background:

According to recent estimates, the prevalence of Chronic Hepatitis C (CHC) in Canada is three times more common in First Nations (FN)and Metis compared to non-FN populations. Moreover, once infected, the progression of CHC to cirrhosis and/or hepatocellular carcinoma is greater in FN patients due to the increased prevalence of alcohol abuse, obesity and diabetes in this segment of the population.

Research Plan:

This research proposal consists of three parts. The objective of Part I is to document the response to anti-viral treatment for CHC among treatment-naïve FN and Metis and Caucasian (hereafter referred to as non-FN) patients residing in three urban Western Canadian centres (Winnipeg, Saskatoon and Regina). Demographic, clinical and response to treatment data in a total of 160 patients (80/group) will be collected at the above centres and transferred to the Section of Hepatology at the University of Manitoba for statistical analyses. In Part II, the applicants will document and compare the immune responses to HCV proteins throughout the course of therapy in FN, Metis and non-FN patients. In the final part, direct economic costs of CHC care in FN, Metis and non-FN patients will be ascertained and future costs predicted.

Hypotheses:

Part I - The rate of sustained virologic response (SVR) to treatment for CHC is higher in FN and Metis compared to non-FN and no Metis patients.

Part II - The immune response to HCV proteins during anti-viral therapy for CHC is enhanced in FN and Metis compared to non-FN and non-Metis patients.

Part III - The direct costs of health care utilization and delivery for CHC are similar among FN and Metis and non-FN and non- Metis patients.

Read the detailed description

Specific Objectives:

  1. To provide detailed information on the demographics and clinical characteristics of treatment-naïve FN and Metis versus non-FN and Non-Metis patients proceeding to treatment for CHC.
  2. To document and compare SVR and sustained biochemical response (SBR) rates, adherence to therapy, side effects, dose adjustments and discontinuation of treatment between FN and Metis and non-FN and Non-Metis patients.
  3. To determine whether the immunologic features associated with SVR (increased NK cell activity and enhanced interferon gamma production by CD4 cells in response to viral antigens) differ in FN and Metis and non-FN and non-Metis patients.
  4. To document and compare the direct costs of health care utilization and delivery for CHC between FN and Metis and non-FN and Non-Metis patients.
  5. Develop a model predicting outcome of therapy, using demographic, clinical and viral characteristics, and test the model with race as one of the explanatory variables.
  6. To forecast future prevalence, mortality and medical costs of CHC care in Canada.
02

Conditions studied

  • Chronic Hepatitis C

Keywords

  • The number of cases in the database thus far (4,477) is clearly sufficient to achieve meaningful results
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 planned enrollment of 160 is above the median of 100 across 1,886 interventional studies indexed under Hepatitis A.

Browse Hepatitis A studies →

Lead sponsor

University of Manitoba is the lead sponsor of 542 studies on the registry; 87 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 5 (42%) have results posted.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

  • Adult patients of FN and metis and non-FN descent referred for treatment at the three centres will be candidates for this study.
05

Study design

Phase
Phase 4
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
160 participants (estimated)

Interventions

  • DrugPegylated Interferons (Peg-IFN) and Ribavirin

    A anti-viral regimen with a combination of pegylated Interferons (Peg-IFN) and Ribavirin

06

What researchers measure

Primary outcomes

  1. SVR is the primary outcome for this study. SVR is defined as a negative serum HCV-RNA by a qualitative test sensitive to <50 IU/ml six months after the completion of therapy14, performed by a Health Canada approved laboratory.

    Time frame: 3years

07

Study locations

3 sites
  • The University of Manitoba
    Winnipeg, Manitoba R3E 0W3, Canada
  • University of Regina
    Regina, Saskatchewan, Canada
  • University of Saskatchewan
    Saskatoon, Saskatchewan, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 16, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00957866
Lead sponsor
University of Manitoba
Collaborators
Roche Pharma AG
First posted
Aug 13, 2009
Start date
May 2009
Primary completion
Oct 2012
Completion
Nov 2012
Last update
May 16, 2014

Study contacts

Minuk Gerald, MD
principal investigator · University of Manitoba, Health Science senter

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2014. You cannot join it, but the record below documents what was studied.

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