ClinicalTrials.gg
Not yet recruitingNCT07770984HCV/CKDUpdated Aug 20, 2026

Treatment of CKD Patients With HCV

A Phase 2/3 interventional study of SOF+DCV and OBV/PTV/r) ± ribavirin (RBV) in HCV Infection ( Genotype 4) in CKD Patients, sponsored by Tanta University. Not yet recruiting at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Tanta University · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
50
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the optimal drug therapy of HCV in CKD Patients different stages with or without compensated cirrhosis. The main questions it aims to answer are:

outcome measure 1: Efficacy of the treatment by the assessment of sustained virological response (SVR12) following 12 weeks after the last dose HCV RNA drop to undetectable levels.

outcome measure 2: Safety of the treatment by comparing the biochemical parameters before and after treatment.

If there is a comparison group: Researchers will compare biochemical parameters of the participants before and after treatment to see if there is any decline in the general health.

Participants will be divided to two groups according to their kidney status depending on their GFR, Group 1: 25 CKD Patients with eGFR more than 30ml/min with HCV infection and will receive Sofosbuvir and Daclatasvir regimen for 12 weeks, Group 2: 25 CKD Patients with eGFR less than 30ml/min with HCV infection and will receive Paritaprevir, Ombitasvir, Ritonavir and Ribavirin for 12 weeks.

Read the detailed description

The study will be conducted on HCV patients with CKD in Tanta University Hospitals (Tanta University, Internal Medicine Department, Nephrology and Dialysis Unite and Viral Committee). The duration of the study will be at least 6 months for treatment and follow up.

A total number of fifty (50) chronic renal disease patients with HCV infection to be treated with the DAAs will be selected to be adjusted for age, sex, comorbid conditions, serum albumin, phosphorus and creatinine clearance and divided in two groups.

Group 1: 25 CKD Patients with eGFR more than 30ml/min with HCV infection and will receive Sofosbuvir and Daclatasvir regimen for 12 weeks. Group 2: 25 CKD Patients with eGFR less than 30ml/min with HCV infection and will receive Paritaprevir, Ombitasvir, Ritonavir and Ribavirin for 12 weeks.

Blood samples will be collected at enrollment and periodically to evaluate the serum levels of:

  1. Liver Function Tests: • ALT, AST, Serum Albumin \& Serum Bilirubin.
  2. Kidney Function Tests: • Serum Creatinine \& Urea
  3. Serum Electrolytes: • Serum Calcium, Serum Potassium \& Serum Phosphorus.
  4. HCV RNA quantitative PCR.
  5. AFP for Cirrhotic Patients.
  6. INR.
  7. Parathormone (PTH) for HD Patients.
  8. Blood Sugar for Diabetic Patients
  9. CBC. Health-related quality of life measures will be assessed using KDQOL 36 survey.

Study design:

  • This clinical study is non randomized, interventional, prospective and open label study groups.
  • HCV status will be determined based on an established diagnosis of HCV infection or positive HCV serology at study enrollment.
  • Group 1: 25 CKD Patients with eGFR˃30ml/min with HCV infection and will receive Sofosbuvir 400mg/day and Daclatasvir 60mg/day for 12 weeks.
  • Group 2: 25 CKD Patients with eGFR≤30ml/min with HCV infection and will receive Paritaprevir 150mg, Ombitasvir 25mg, Ritonavir 100mg (2 Tablets Qurevo®/day) and Ribavirin 200mg for 12 weeks.
  • Qurevo® will be given for Group B (on the day of dialysis, it will be given after dialysis session for the HD patients).
  • Ribavirin will be given for Group B (on the day of dialysis, it will be given 4 hrs. before dialysis session for the HD patients).
  • Health-related quality of life measures will be assessed using specific survey.
02

Conditions studied

  • HCV Infection ( Genotype 4) in CKD Patients

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Keywords

  • CKD/HCV
03

In context

Hepatitis C

1,743 studies on the registry are indexed under Hepatitis C; 97 are open to participants now.

This study's planned enrollment of 50 is below the median of 72 across 1,223 interventional studies indexed under Hepatitis C.

Browse Hepatitis C studies →

Lead sponsor

Tanta University is the lead sponsor of 1,010 studies on the registry; 321 are open to participants now.

Of its 15 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 and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Both male and female.
  2. Adults more than 18 years.
  3. Patients with CKD different stages stable on treatment with or without HD.
  4. HD Patients should be stable for at least 6 months under regular hemodialysis.
  5. Clinically stable condition as outpatients.
  6. Patients with infections (serum positive for HCV GT4 with HCV RNA>1000 IU/ml by PCR).
  7. White blood cells count more than 2500/mm3.
  8. count more than 7500/mm3.

Exclusion criteria

Exclusion Criteria:

  1. Confirmed pregnancy.
  2. - co infection.
  3. -HCV co infection.
  4. Unstable CKD patients.
  5. Patients who are recently stabilized on HD (less than 6 months).
  6. Patients on peritoneal dialysis.
  7. For patients without cirrhosis, Patients will be excluded if or AST more than five times the .
  8. For patients with cirrhosis, Patients will be excluded if ALT or AST are higher than seven times the upper limit of normal.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    HCV patients with GFR more than 30ml/min

    25 CKD Patients with eGFR˃30ml/min with HCV infection and will receive one oral tablet of Sofosbuvir 400mg/day and one oral tablet of Daclatasvir 60mg/day for 12 weeks.

    Drug: SOF+DCV

  • Active comparator
    HCV patients withGFR less than 30ml/min

    25 CKD Patients with eGFR≤30ml/min with HCV infection and will receive 2 oral tablets Qurevo®/day (Paritaprevir 150mg, Ombitasvir 25mg, Ritonavir 100mg ) and one oral capsule of Ribavirin 200mg for 12 weeks.

    Drug: OBV/PTV/r) ± ribavirin (RBV)

Interventions

  • DrugSOF+DCV

    Drug page: Daclatasvir

    25 CKD Patients with eGFR˃30ml/min with HCV infection and will receive one oral tablet of Sofosbuvir 400mg/day and one oral tablet of Daclatasvir 60mg/day for 12 weeks.

  • DrugOBV/PTV/r) ± ribavirin (RBV)

    25 CKD Patients with eGFR≤30ml/min with HCV infection and will receive 2 oral tablets Qurevo®/day (Paritaprevir 150mg, Ombitasvir 25mg, Ritonavir 100mg ) and one oral capsule of Ribavirin 200mg for 12 weeks.

06

What researchers measure

Primary outcomes

  1. Treatment efficacy

    HCV eradication expressed as sustained virological response (SVR12) following 12 weeks after the last dose HvV RNA drop to undetectable levels.

    Time frame: 12 weeks

Secondary outcomes

  1. Treatment safety

    Safety of the treatment by recording the side effects appear on the patients after treatment.

    Time frame: 12 weeks

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Nov 2026, 2 months later.

Of 14 phase 2/3 interventional studies under Hepatitis C, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 51. This study's planned 2 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 13, 2026
First posted
Aug 18, 2026
StartEst.
Sep 15, 2026
Primary completionEst.
Nov 15, 2026
CompletionEst.
May 15, 2027
Last update
Aug 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07770984
Lead sponsor
Tanta University
Responsible party
Ahmed Gamal Mohamed El Gammalh (Principal investigator, Tanta University) — Principal investigator
First posted
Aug 18, 2026
Start date
Sep 15, 2026 (estimated)
Primary completion
Nov 15, 2026 (estimated)
Completion
May 15, 2027 (estimated)
Last update
Aug 20, 2026

Study contacts

Ahmed El Gammalh, Bsc in pharmaceutical sciences
Contact
dr_ahmed_k658@yahoo.com
+201128907433

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Daclatasvir

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