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Comparison of Three Regimens of PEG-Intron plus Ribavirin in the Treatment of Chronic Hepatitis C, Genotype 2 or 3, in Previously Untreated Patients
ISRCTN ISRCTN45169013
ClinicalTrials.gov identifier
Public title Comparison of Three Regimens of PEG-Intron plus Ribavirin in the Treatment of Chronic Hepatitis C, Genotype 2 or 3, in Previously Untreated Patients
Scientific title
Acronym Redd 2-3 Study (Reduction of dose and duration)
Serial number at source 3272
Study hypothesis Non-Inferiority of lower dosage with 1.0 µg/kg PEG-Intron in comparison to the standard treatment with 1.5 µg/kg PEG-Intron and non-inferiority of shorter treatment duration of 16 weeks in comparison to the standard treatment with a duration of 24 weeks.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Germany
Disease/condition/study domain Chronic hepatitis C of genotype 2 or 3
Participants - inclusion criteria Haemoglobin >12 g/kl (females); >13 g/kl (males); Platelet count >100,000/mm^3; Neutrophil count >1500/mm^3; Adult male or female chronic hepatitis C (CHC) patients (HCV-RNA-positive in serum) with compensated liver disease (Child-Pugh Score <7) and indication for treatment according on current consensus guidelines (1. NIH Consensus Conference on the Management of Hepatitis C, 2002; 2. German Consensus Conference on Hepatitis B and C, Z Gastro 2004); >18 to <70 years of age; at least one abnormal ALT value in the last year; HCV genotype 2 or 3; not previously treated with any interferon or ribavirin alone or in combination; TSH level within normal limits; Women of childbearing potential: negative pregnancy test performed at baseline; Sexually active female subjects of childbearing potential: adequate contraception or monogamous relationship with a male partner who has had a vasectomy or is using a condom (+ spermicide) during the treatment period and for seven months after stopping treatment; Sexually active male subjects: acceptable methods of contraception(vasectomy, use of condom + spermicide, monogamous relationship with a female partner who practices an acceptable method of contraception) during the treatment period and for seven months after stopping treatment; written informed consent.
Participants - exclusion criteria Patients younger than 18 years; Patients older than 70 years of age; Anti-human immunodeficiency virus (HIV) positivity; HBsAg-positivity; existence of, or a history of severe psychiatric condition, particularly severe depression, suicidal ideation of suicide attempt; Autoimmune hepatitis; or history of autoimmune disease; patients with severe renal dysfunction or creatinine clearance <50 ml/min; active drug abuse.
Anticipated start date 01/05/2003
Anticipated end date 31/12/2006
Status of trial Completed
Patient information material
Target number of participants 670
Interventions Application of:
a. 1.5 µg/kg Peg-Interferon alpha-2b subcutaneously (sc) + 800-1200 mg ribavirin orally (po) weight adapted for 24 weeks
b. 1.0 µg/kg Peg-Interferon alpha-2b sc + 800-1200 mg ribavirin po weight adapted for 24 weeks
c. 1.5 µg/kg Peg-Interferon alpha-2b sc + 800-1200 mg ribavirin po weight adapted for 16 weeks
Primary outcome measure(s) Sustained HCV-virological response (HCV-RNA negative in serum by a standard HCV-PCR with a detection limit of at least 600 IU/ml) 24 weeks after the end of treatment.
Secondary outcome measure(s) Virological response rates (HCV-RNA negative in serum by a standard HCV-PCR with a detection limit of at least 600 IU/ml) at the end of therapy; biochemical responses as determined by ALT and AST levels at the end of treatment and at the end of follow up; severity and frequency of adverse events; quality of life (assessed by SF-36).
Sources of funding Medical University Hannover (Medizinische Hochschule Hannover)
Trial website http://www.kompetenznetz-hepatitis.de/en/study_house/redd_en.htm
Publications
Contact name Prof  Michael P.  Manns
  Address Medizinische Hochschule Hannover
Director of the Department for Gastroenterology, Hepatology, and Endocrinology
Carl-Neuberg-Str. 1
  City/town Hannover
  Zip/Postcode 30625
  Country Germany
  Tel +49 (0)5115323305
  Fax +49 (0)5115324896
  Email manns.michael@mh-hannover.de
Sponsor Medical University Hannover (Medizinische Hochschule Hannover), Kompetenznetz Hepatitis (Germany)
  Address Department for Gastroenterology, Hepatology, and Endocrinology
Carl-Neuberg-Str. 1
  City/town Hannover
  Zip/Postcode 30625
  Country Germany
  Tel +49 (0)5115326815
  Fax +49 (0)5115326820
  Email hep-net@mh-hannover.de
  Sponsor website: http://www.kompetenznetz-hepatitis.de
Date applied 02/09/2005
Last edited 25/08/2006
Date ISRCTN assigned 26/09/2005
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