Overview

Interferon and Ribavirin Treatment in Patients With Hemoglobinopathies

Status:
Unknown status
Trial end date:
2013-12-01
Target enrollment:
0
Participant gender:
All
Summary
Worldwide, several studies report that 4.4% to 85.4% of thalassemia patients were positive for anti hepatitis C antibodies. Recently, three different studies reported the efficacy and the safety of combination therapy with pegylated interferon and ribavirin in thalassemic patients. This study is carried ahead to assess the impact of combination therapy with pegylated-interferon and ribavirin in a large cohort of italian patients with beta thalassemia major - transfused and not transfused, sickle cell disease and sickle/beta-thalassemia.
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Azienda Ospedaliera V. Cervello
Treatments:
Interferon alpha-2
Interferon-alfa-1b
Interferon-alpha
Interferons
Peginterferon alfa-2a
Peginterferon alfa-2b
Ribavirin
Criteria
Inclusion Criteria:

- Thalassemia Major or Sickle Cell Disease or Sickle/Beta Thalassemia patients

- Regularly transfused (hemoglobin ≥ 9.5 gr/dl) or not transfused, under or not iron
chelation regimen

- With positivity to HCV-RNA and chronic liver disease with or without cirrhosis, naïve
or non-responder or relapser after interferon mono-therapy

Exclusion Criteria:

- Thalassemia Major or Sickle Cell Disease or Sickle/Beta Thalassemia patients with not
compensated liver failure or heart failure

- Low white blood cells (neutrophils < 1.500/mmc and/or white blood cells < 3.000/mmc)

- Low platelets count (< 100.000/mmc)

- Significant positivity to Coombs test with clinical and serologic evidence of immune
hemolytic anemia, severe endocrinopathy, detection of high titre autoantibodies,
co-infection with HBV (HbsAg positive)