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Study Profile:
Pilot study to evaluate a multidisciplinary treatment and support program to treat Hepatitis C virus (HCV) in patients coinfected with Human Immunodeficiency Virus (HIV)

Revised:

December 12, 2006

Study Site:

The Miriam Hospital/Brown University School of Medicine

Study Name:

Pilot study to evaluate a multidisciplinary treatment and support program to treat Hepatitis C virus (HCV) in patients coinfected with Human Immunodeficiency Virus (HIV)

Study Status:

Completed

Principal Investigator:

Lynn E. Taylor, MD

Years of Funding:

2002 – 2003

Study Aims:

The purpose of the project:

  1. To pilot and determine the feasibility of treating HCV in HIV/HCV coinfected patients with a history of psychiatric illness and/or addiction, with support of an intensive multidisciplinary team

  2. To pilot and determine the efficacy of a multidisciplinary treatment and support program to identify, monitor and treat side effects of pegylated interferon/ribavirin in HIV/HCV coinfected patients

  3. To evaluate the efficacy, safety, and tolerability of pegylated interferon/ribavirin in HIV/HCV coinfected patients who have a history of mood disorder and/or addiction

Study or Clinic Location

The Miriam Hospital

# of Participants:

Goal:

10 – 15 patients

Enrolled:

17 patients

Inclusion Criteria:

HIV and HCV co-infection and meets eligibility for HCV treatment

Exclusion Criteria:

Definition of Drug Use

Use of the following in the past month (as well as frequency of use in the past month): Marijuana; smoked crack, cocaine, or rock; snorted cocaine; injected cocaine; injected cocaine and heroin together (speedballing); snorted heroin; injected heroin; street methadone; alcohol (beer, wine, hard liquor); other drugs smoked, sniffed, ingested, or injected

Participant Characteristics:

% Female:

53%

% HIV+

100%

% DU (IDU or non-IDU)

Approximately 94%

Study Domains:

Questionnaire:

  • Program compliance and retention
  • Side effects of treatment, tolerability
  • Mood and affect, depression
  • Quality of life
  • Drug use/addiction status

Lab tests: (collected at baseline and intermittently through 72 weeks of follow-up)

  • HCV RNA quantitative
  • HCV geno
  • CBC with differential
  • PT/PTT/INR, UHCG, CD4, HIV PVL, ALT, AST, Alk Phos, Tbili, TSH, chem. 7, ferritin/TIBC/Fe, cholesterol/trig/LDL/HDL
  • For cirrhotics: AFP/ultrasound

Data collection instruments:

In addition to above, available resources include the following:

  • General clinic database: demographics, attendance, Liver biopsy results
  • Clinic charts: psychiatric history, addiction history, genotype, ALT, CD4, PVL, HCV RNA, HBV sAg+, Extended LFTs
  • Lab reports: IFN dose, Riba dose, growth factor (epo, neupogen, neumega) dose, HCV RNA quantitative, LFTs, TSH, Iron studies, CBC with differential, PT/PTT/INR, Chem 7, lipids, AFP (if cirrhotic)
  • Immunology hepatitis database

 

   
 

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