CClinicalTrials.gg
CompletedNCT01474811Updated Feb 28, 2024

HCV-TARGET- Hepatitis C Therapeutic Registry and Research Network

An observational study in Hepatitis C, sponsored by University of North Carolina, Chapel Hill. Completed at 60 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-28.

Sponsored by University of North Carolina, Chapel Hill · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
13,559
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of the HCV-TARGET study is to establish a nationwide registry of patients undergoing treatment with antiviral therapies for chronic hepatitis C (HCV) at both academic and community practices.

Read the detailed description

HCV-TARGET is a longitudinal, observational study that will create a carefully maintained research registry of HCV patients treated with antiviral therapies designed to rapidly inform strategies for better management of populations underrepresented in clinical trials, identify and remediate educational gaps relative to treatment guidelines and adverse event management in order to optimize rates of sustained virological response (SVR), and serve as the core resource for important collaborative translational studies utilizing biospecimens and clinical data from diverse patient populations.

HCV-TARGET is a cooperative academic consortium of principal investigators from Clinical and Translational Award (CTSA)-funded academic institutions and community-based sites affiliated with the academic sites in geographic proximity. The Clinical Coordinating Center (CCC) resides at the University of Florida and the Data Coordinating Center (DCC) resides at the University of North Carolina at Chapel Hill.

The HCV-TARGET registry will characterize the population of chronic hepatitis C (HCV) patients who are being treated with antiviral therapies at academic and community sites. Patient characteristics such as age, race, ethnicity, comorbidity, and disease and treatment status will be examined.

HCV-TARGET will also:

  1. Provide baseline and treatment response data that will be used to pre-identify candidates for enrollment in future clinical trials. HCV-TARGET will also develop a well-characterized cohort of protease inhibitor treatment failures to be considered for future trials.
  2. Establish and maintain data, a specimen bank and other resources for ancillary studies of the pathogenesis, diagnosis, natural history and treatment of HCV infection.

This study will investigate various aspects of treatment response to regimens containing direct-acting antiviral agents for the treatment of chronic hepatitis C, including the following:

  • Patients underrepresented in clinical trials of approved antiviral therapies(including African-Americans, patients with cirrhosis, and patients that are considered null responders to treatment.)
  • Treatment persistence
  • Virological breakthrough
  • Impact of viral load measurement on treatment efficacy
  • Adverse Event Management and Surveillance.

The secondary aims for this study will investigate the following:

  • Sustained virological response (SVR) rates and safety in special populations.
  • Surveillance of drug-drug interactions.
  • Treatment and management adherence.
  • Pretreatment Education in HCV patient population.
  • Use of specialty pharmacy for hepatitis C therapy.
02

Conditions studied

  • Hepatitis C

Keywords

  • Hepatitis
  • Hepatitis C
  • HCV-TARGET
  • HCV
  • Observational Study
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 13,559 is above the median of 250 across 687 observational studies indexed under Hepatitis A.

Browse Hepatitis A studies →

Lead sponsor

University of North Carolina, Chapel Hill is the lead sponsor of 1,340 studies on the registry; 133 are open to participants now.

Of its 155 completed or terminated interventional studies of FDA-regulated products, 136 (88%) 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
Sampling method
Non-probability sample

Study population

Male and female adult patients: Aged 18 and older with chronic HCV treated with triple therapy (including protease inhibitors).

Inclusion criteria

  • All adult patients (age 18 or older) being treated with antiviral HCV treatment regimens that contain telaprevir or boceprevir.

Exclusion criteria

Exclusion Criteria:

  • Inability to provide written informed consent.
  • Currently participating in another clinical trial of hepatitis C therapeutics. Studies comparing HCV RNA assays are not considered exclusionary.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
13,559 participants (actual)
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Sustained virological response (SVR)

    The primary outcome measure is the occurence (yes or no) of SVR, defined as undetectable HCV RNA in serum at least 3 months after stopping therapy. Point estimates and confidence intervals will be calculated to describe the frequency of SVR in various sub-populations enrolled in HCV-TARGET.

    Time frame: 24 months

Secondary outcomes

  1. Treatment persistence

    Treatment persistence will be the duration of treatment measured from the first dose of medication until treatment is discontinued. Reasons for premature discontinuation of treatment will be recorded.

    Time frame: 24 months

  2. Virological breakthrough

    The occurrence of virological breakthrough defined as an increase of HCV RNA by at least 1-log over nadir or to \>100 IU if previously undetectable.

    Time frame: 24 months

  3. Management of adverse events

    Specific interventions to manage selected adverse events, such as anemia and skin rash, will be tabulated and described

    Time frame: 24 months

07

Study locations

60 sites
  • Mayo Clinic AZ
    Phoenix, Arizona 85054, United States
  • Liver Wellness Center
    Little Rock, Arkansas 72205, United States
  • Scripps
    La Jolla, California 92037, United States
  • UCSD Medical Center
    San Diego, California 92103, United States
  • UCSF/San Fran General Hospital
    San Francisco, California 94110, United States
  • Univ of California, San Francisco
    San Francisco, California 94143, United States
  • University of Colorado, Denver
    Denver, Colorado 80045, United States
  • Yale University Digestive Diseases
    New Haven, Connecticut 06520, United States
  • Georgetown University
    Washington, District of Columbia 20007, United States
  • Howard University
    Washington, District of Columbia 20060, United States
  • University of Florida
    Gainesville, Florida 32611, United States
  • University of Miami Miller School of Medicine
    Miami, Florida 33136, United States
  • Orlando Immunology Center
    Orlando, Florida 32803, United States
  • Atlanta Medical Center
    Atlanta, Georgia 30312, United States
  • Emory University
    Atlanta, Georgia 30322, United States
  • Lake Shore Gastroenterology & Liver Disease Inst.
    Chicago, Illinois 60016, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • University of Chicago
    Chicago, Illinois 60637, United States
  • Indiana University Medical Center
    Indianapolis, Indiana 46202, United States
  • John Hopkins University
    Lutherville, Maryland 21093, United States
  • Massachussets General Hospital
    Boston, Massachusetts 02114, United States
  • Harvard University/ Beth Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • University of Massachusetts Medical School
    Worcester, Massachusetts 01655, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Minnesota Gastro
    Minneapolis, Minnesota 55455, United States
  • University Of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • University of Mississippi
    Oxford, Mississippi 38677, United States
  • Saint Louis University
    Saint Louis, Missouri 63104, United States
  • University of Nebraska Medical Ctr
    Omaha, Nebraska 68105, United States
  • Dartmouth-Hitchcock Medical Center
    Lebanon, New Hampshire 03756, United States
  • Southwest CARE Center
    Santa Fe, New Mexico 87505, United States
  • Hudson River Healthcare
    Beacon, New York 12508, United States
  • North Shore Hospital
    Manhasset, New York 11030, United States
  • Weill Cornell Medical College
    New York, New York 10021, United States
  • Columbia University Medical Center
    New York, New York 10032, United States
  • Mountain View Medical Center
    Valatie, New York 12184, United States
  • Asheville Gastroenterology Assoc
    Asheville, North Carolina 28801, United States
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • PMG Research of Rocky Mount, LLC
    Rocky Mount, North Carolina 27804, United States
  • Trial Management Associates (TMA)
    Wilmington, North Carolina 28403, United States
  • University of Cincinnati
    Cincinnati, Ohio 45267, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
  • Austin Hepatitis Center
    Austin, Texas 78758, United States
  • MetaClin Research, Inc
    Austin, Texas 78758, United States
  • Baylor University Medical Center
    Dallas, Texas 75246, United States
  • Research Specialist of Texas
    Houston, Texas 77030, United States
  • Metropolitan Liver Diseases and Gastroenterology
    Annandale, Virginia 22003, United States
  • Bon Secours St. Mary 's Hospital of Richmond (Liver Institute of Virginia)
    Richmond, Virginia 23226, United States
  • VCU Medical Center
    Richmond, Virginia 23298, United States
  • Virginia Mason Medical Center
    Seattle, Washington 98101, United States
  • University of Washington
    Seattle, Washington 98104, United States
  • Liver Clinic, Toronto Western Hospital, UHN
    Toronto, Ontario M5T 2S8, Canada
  • RWTH University Hospital
    Aachen, Germany
  • J. W. Goethe University Hospital
    Frankfurt, DE-60590, Germany
  • Hanover Medical School
    Hanover, Germany
  • Fundacion de investigacion de Diego
    San Juan, 00927, Puerto Rico
08

References and documents

Publications

  • Verna EC, Morelli G, Terrault NA, Lok AS, Lim JK, Di Bisceglie AM, Zeuzem S, Landis CS, Kwo P, Hassan M, Manns MP, Vainorius M, Akushevich L, Nelson DR, Fried MW, Reddy KR. DAA therapy and long-term hepatic function in advanced/decompensated cirrhosis: Real-world experience from HCV-TARGET cohort. J Hepatol. 2020 Sep;73(3):540-548. doi: 10.1016/j.jhep.2020.03.031. Epub 2020 Mar 31. PubMed 32243960 ↗
  • Reddy KR, Lim JK, Kuo A, Di Bisceglie AM, Galati JS, Morelli G, Everson GT, Kwo PY, Brown RS Jr, Sulkowski MS, Akuschevich L, Lok AS, Pockros PJ, Vainorius M, Terrault NA, Nelson DR, Fried MW, Manns MP; HCV-TARGET Study Group. All-oral direct-acting antiviral therapy in HCV-advanced liver disease is effective in real-world practice: observations through HCV-TARGET database. Aliment Pharmacol Ther. 2017 Jan;45(1):115-126. doi: 10.1111/apt.13823. Epub 2016 Oct 28. PubMed 27790729 ↗
  • Terrault NA, Zeuzem S, Di Bisceglie AM, Lim JK, Pockros PJ, Frazier LM, Kuo A, Lok AS, Shiffman ML, Ben Ari Z, Akushevich L, Vainorius M, Sulkowski MS, Fried MW, Nelson DR; HCV-TARGET Study Group. Effectiveness of Ledipasvir-Sofosbuvir Combination in Patients With Hepatitis C Virus Infection and Factors Associated With Sustained Virologic Response. Gastroenterology. 2016 Dec;151(6):1131-1140.e5. doi: 10.1053/j.gastro.2016.08.004. Epub 2016 Aug 24. PubMed 27565882 ↗
  • Welzel TM, Nelson DR, Morelli G, Di Bisceglie A, Reddy RK, Kuo A, Lim JK, Darling J, Pockros P, Galati JS, Frazier LM, Alqahtani S, Sulkowski MS, Vainorius M, Akushevich L, Fried MW, Zeuzem S; HCV-TARGET Study Group. Effectiveness and safety of sofosbuvir plus ribavirin for the treatment of HCV genotype 2 infection: results of the real-world, clinical practice HCV-TARGET study. Gut. 2017 Oct;66(10):1844-1852. doi: 10.1136/gutjnl-2016-311609. Epub 2016 Jul 13. PubMed 27418632 ↗
  • Saxena V, Koraishy FM, Sise ME, Lim JK, Schmidt M, Chung RT, Liapakis A, Nelson DR, Fried MW, Terrault NA; HCV-TARGET. Safety and efficacy of sofosbuvir-containing regimens in hepatitis C-infected patients with impaired renal function. Liver Int. 2016 Jun;36(6):807-16. doi: 10.1111/liv.13102. Epub 2016 Mar 24. PubMed 26923436 ↗
  • Sulkowski MS, Vargas HE, Di Bisceglie AM, Kuo A, Reddy KR, Lim JK, Morelli G, Darling JM, Feld JJ, Brown RS, Frazier LM, Stewart TG, Fried MW, Nelson DR, Jacobson IM; HCV-TARGET Study Group. Effectiveness of Simeprevir Plus Sofosbuvir, With or Without Ribavirin, in Real-World Patients With HCV Genotype 1 Infection. Gastroenterology. 2016 Feb;150(2):419-29. doi: 10.1053/j.gastro.2015.10.013. Epub 2015 Oct 21. PubMed 26497081 ↗
  • Sterling RK, Kuo A, Rustgi VK, Sulkowski MS, Stewart TG, Fenkel JM, El-Genaidi H, Mah'moud MA, Abraham GM, Stewart PW, Akushevich L, Nelson DR, Fried MW, Di Bisceglie AM. Virological outcomes and treatment algorithms utilisation in observational study of patients with chronic hepatitis C treated with boceprevir or telaprevir. Aliment Pharmacol Ther. 2015 Apr;41(7):671-85. doi: 10.1111/apt.13095. Epub 2015 Jan 28. PubMed 25627020 ↗

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 28, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01474811
Lead sponsor
University of North Carolina, Chapel Hill
Collaborators
University of Florida
Responsible party
Sponsor
First posted
Nov 18, 2011
Start date
Nov 2011
Primary completion
Sep 9, 2022
Completion
Sep 9, 2022
Last update
Feb 28, 2024

Study contacts

Michael W. Fried, M.D.
principal investigator · University of North Carolina, Chapel Hill
David R. Nelson, M.D.
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 Feb 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion