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CompletedNCT03659058fib-reversalUpdated Nov 27, 2018

Impact of Ursodeoxycholic Acid, Silymarin, Antioxidants and Colchicine on Fibrosis Regression in HCV After SVR

An interventional study of silymarin and Ursodeoxycholic Acid in Fibrosis, Liver, sponsored by Zagazig University. Completed. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2018-11-27.

Sponsored by Zagazig University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 5 months after the study started (first participant enrolled Mar 2016, registered Aug 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

with the introduction of Direct-acting antiviral agents in the management of HCV, the scope of inclusion criteria had been widened to include patients with compensated cirrhosis and even in special situations patients with decompensated liver disease; a chance that was not offered by the limited and strict inclusion criteria needed for treatment by pegylated interferon-based regimen. this made the number of patients with progressive liver fibrosis of cirrhosis had been inv=creased even after achieving SVR. the debate about the impact of SVR on halting fibrosis progression had risen; some studies postulated that patients benefit from an SVR through reduction of mortality, morbidity, and improved quality of life ; however, some patients may maintain their level of fibrosis or even progress to cirrhosis despite achieving SVR and the risk for HCC remains even after virologic eradication.

02

Conditions studied

  • Fibrosis, Liver

Keywords

  • fibrosis
  • HCV
  • Reversal
  • sustained virological response
03

In context

Liver Cirrhosis

1,642 studies on the registry are indexed under Liver Cirrhosis; 358 are open to participants now.

This study's enrollment of 400 is above the median of 72 across 995 interventional studies indexed under Liver Cirrhosis.

Browse Liver Cirrhosis studies →

Lead sponsor

Zagazig University is the lead sponsor of 447 studies on the registry; 75 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • chronic HCV
  • compensated liver disease (Child class A-B)
  • sustained virological response
  • liver stiffness by fibroscan >12.5 kPa denotes cirrhosis

Exclusion criteria

Exclusion Criteria:

  • decompensated liver disease
  • chronic active HCV
  • hepatocellular carcinoma
  • other liver diseases as alcoholic liver disease, autoimmune liver disease, drug-induced liver disease
  • pregnancy
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
400 participants (actual)

Study arms

  • Active comparator
    study group

    200 patients with compensated liver cirrhosis (F4) by fibroscan; Child Turcotte Pugh score A, after achieving sustained virological response will be treated by anti-fibrotic agents

    Drug: silymarin · Drug: Ursodeoxycholic Acid · Drug: Antioxidants · Drug: Colchicine · Other: FOLLOW UP

  • Placebo comparator
    control group

    200 patients with compensated liver cirrhosis (F4) by fibroscan; Child Turcotte Pugh score A, after achieving sustained virological response will be followed up without any intervention

    Other: FOLLOW UP

Interventions

  • Drugsilymarin

    silymarin 140 three times daily

    Also known as: silymarin 140

  • DrugUrsodeoxycholic Acid

    Ursodeoxycholic Acid 500

    Also known as: ursofalk

  • DrugAntioxidants

    Beta Carotene - 6Mg Vitamin C - 200Mg Vitamin E - 50Mg

    Also known as: antox

  • DrugColchicine

    Colchicine 0.6

  • OtherFOLLOW UP

    follow up by abdominal ultrasound and fibroscan every 6 month for 1 year

    Also known as: ultrasound and fibroscan

06

What researchers measure

Primary outcomes

  1. Improvement in liver stiffness measurement by Fibroscan

    Liver stiffness assessment by Fibroscan every 6 months

    Time frame: 1 year

  2. Improved portal hypertension parameters

    Assessment of portal vein diameter, splenic vein diameter, portal vein congestive index by ultrasound and Doppler every 6 months

    Time frame: 1 year

  3. Improved splenic stiffness measurement

    assessment by ultrasound and fibroscan

    Time frame: 1 year

07

Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 27, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03659058
Lead sponsor
Zagazig University
Responsible party
Amr Shaaban Hanafy (Assistant professor of medicine, Zagazig University) — Principal investigator
First posted
Sep 6, 2018
Start date
Mar 2, 2016
Primary completion
Aug 2018
Completion
Aug 1, 2018
Last update
Nov 27, 2018

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2018. You cannot join it, but the record below documents what was studied.

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