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Therapeutic vaccination in patients with chronic hepatitis C genotype 1 using four courses of 8 + 6 + 6 + 6 intramuscular injections of 50 µg E1y at 3 week intervals: a multicenter, 3:1 randomized, double-blind, placebo-controlled, parallel-group study over 157 weeks in 122 patients
ISRCTN ISRCTN71794661
ClinicalTrials.gov identifier
Public title Therapeutic vaccination in patients with chronic hepatitis C genotype 1 using four courses of 8 + 6 + 6 + 6 intramuscular injections of 50 µg E1y at 3 week intervals: a multicenter, 3:1 randomized, double-blind, placebo-controlled, parallel-group study over 157 weeks in 122 patients
Scientific title
Acronym N/A
Serial number at source T2S-918-HCV
Study hypothesis The following hypothesis will be tested: Null hypothesis: mean difference from baseline in liver histology (Ishak score) for the E1y treated patients = mean difference from baseline in liver histology (Ishak score) for the patients who received placebo.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Belgium
Disease/condition/study domain Chronic hepatitis C (genotype 1).
Participants - inclusion criteria 1. Male and female patients 18 to 70 years old with compensated chronic hepatitis C genotype 1 infection
2. Female patients of childbearing potential should use an efficient method of contraception
3. Patients should either have failed to respond to interferon (IFN)-based therapy or have contraindications to IFN-based therapy or have decided not to start IFN-based treatment (after having been well informed)
Participants - exclusion criteria 1. Prior (within last 3 months) or planned concomitant use of other hepatitis C treatment, immunosuppressive, or hepatotoxic treatment
2. Malnutrition or severe medical conditions or medical conditions associated with immunosuppression, including end stage renal failure or cancer
3. Severe symptomatic cryoglobulinemia, active autoimmune hepatitis, uncontrolled diabetes, or uncontrolled thyroid disease
4. HIV infection, active hepatitis B infection
5. Alcohol or intravenous drug abuse during the last year
6. Ongoing medical condition associated with chronic liver disease other than hepatitis C
Anticipated start date 09/01/2004
Anticipated end date 31/05/2007
Status of trial Completed
Patient information material
Target number of participants 122
Interventions This is a prospective, 3:1 randomized, multicenter, double-blind, placebo-controlled, parallel-group study of four courses of 8 + 6 + 6 + 6 IM injections of 50 µg E1y over 157 weeks in 122 genotype 1 chronic hepatitis C patients.

E1y or placebo treatment was allocated 3:1 using a central randomization procedure. Approximately 90 patients will receive a first course of eight injections of E1y at 3-week intervals, followed by three courses of six injections of E1y at 3-week intervals. Approximately 30 patients will receive a first course of eight injections of placebo at 3-week intervals, followed by three courses of six injections of placebo at 3-week intervals. Four weeks after the last study drug injection an end-of-study liver biopsy will be performed.
Primary outcome measure(s) Liver histology (Ishak score) difference from baseline.
Secondary outcome measure(s) 1. Other histology assessments
2. Virological, immunological, and biochemical responses
3. Quality of life
4. Safety evaluation
Sources of funding Innogenetics NV (Belgium)
Trial website
Publications
Contact name Prof  Yves  Horsmans
  Address UCL St Luc
Dept Gastroenterology
Avenue Hippocrate 10
  City/town Brussels
  Zip/Postcode 1200
  Country Belgium
  Tel +32 2 764 2837
  Fax +32 2 764 8927
  Email horsmans@gaen.ucl.ac.be
Sponsor Innogenetics NV (Belgium)
  Address Technologiepark 6
  City/town Zwijnaarde
  Zip/Postcode 9052
  Country Belgium
  Tel +32 9 324 2025
  Fax +32 9 324 2028
  Email info@innogenetics.com
  Sponsor website: http://www.innogenetics.be
Date applied 09/09/2005
Last edited 15/09/2009
Date ISRCTN assigned 30/09/2005
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