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This study is a 24-week multicenter, randomized, double-blind control trial with ursodeoxycholic acid (UDCA) in patients with chronic hepatitis C in Japan. The primary objectives of this study are to verify the superiority of efficacy of UDCA 600 or 900mg/day to that of 150mg/day and the safety of UDCA treatment.
This study is a 24-week multicenter, randomized, double-blind control trial with ursodeoxycholic acid (UDCA) in patients with chronic hepatitis C in Japan. The primary objectives of this study are to verify the superiority of efficacy of UDCA 600 or 900mg/day to that of 150mg/day and the safety of UDCA treatment. The primary endpoint was percent changes of serum alanine aminotransferase(ALT) levels at 24-week of administration compared to pre-administration levels and secondary endpoints, serum aspartate aminotransferase(AST) and gamma-glutamyltranspeptidase(gamma-GTP) levels. Further, changes of bile acid composition and HCV-RNA levels at 24-week of administration were examined.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ursodeoxycholic acid 150mg / day | Experimental |
| |
| Ursodeoxycholic acid 600mg / day | Experimental |
| |
| Ursodeoxycholic acid 900mg / day | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ursodeoxycholic acid 150mg / day | Drug | Ursodeoxycholic acid, 150mg/ day, three times a day at meals |
|
| Measure | Description | Time Frame |
|---|---|---|
| Alanine Aminotransferase at Baseline | 0 week | |
| Percentage Change of Alanine Aminotransferase From Baseline at Week 24 | Percentage change=[(measured value at Week 24 - measured value at baseline)/measured value at baseline]*100 | 24 weeks (from baseline to Week 24) |
| Measure | Description | Time Frame |
|---|---|---|
| Aspartate Aminotransferase at Baseline | 0 week | |
| Percentage Change of Aspartate Aminotransferase From Baseline at Week 24 | Percentage change=[(measured value at Week 24 - measured value at baseline)/measured value at baseline]*100 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Masao Omata, MD | Department of Gastroenterology, University of Tokyo | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Gastroenterology, University of Tokyo | Hongo, Bunkyo-ku, Tokyo | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17573387 | Result | Omata M, Yoshida H, Toyota J, Tomita E, Nishiguchi S, Hayashi N, Iino S, Makino I, Okita K, Toda G, Tanikawa K, Kumada H; Japanese C-Viral Hepatitis Network. A large-scale, multicentre, double-blind trial of ursodeoxycholic acid in patients with chronic hepatitis C. Gut. 2007 Dec;56(12):1747-53. doi: 10.1136/gut.2007.120956. Epub 2007 Jun 15. |
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| ID | Title | Description |
|---|---|---|
| FG000 | 150mg / Day | ursodeoxycholic acid, 150mg/day, three times a day at meals |
| FG001 | 600mg / Day | ursodeoxycholic acid, 600mg/day, three times a day at meals |
| FG002 | 900mg / Day | ursodeoxycholic acid, 900mg/day, three times a day at meals |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | 150mg / Day | ursodeoxycholic acid, 150mg/day, three times a day at meals |
| BG001 | 600mg / Day | ursodeoxycholic acid, 600mg/day, three times a day at meals |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | 10 patients were excluded from analysis population due to luck of sufficient data. |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Alanine Aminotransferase at Baseline | 10 patients were excluded from analysis population due to luck of sufficient data. | Posted | Mean | Standard Deviation | IU/L | 0 week |
|
The reported adverse event data were collected for 24 weeks.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | 150mg / Day | ursodeoxycholic acid, 150mg/day, three times a day at meals |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Colonic polyp | Gastrointestinal disorders | MedDRA ver.6.0 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal distention | Gastrointestinal disorders | MedDRA ver.6.0 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trials, Information Desk | Tanabe Pharma Corporation | cti-inq-ml.JP@ml.tanabe-pharma.com |
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| ID | Term |
|---|---|
| D019698 | Hepatitis C, Chronic |
| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D014580 | Ursodeoxycholic Acid |
| ID | Term |
|---|---|
| D003840 | Deoxycholic Acid |
| D002793 | Cholic Acids |
| D001647 | Bile Acids and Salts |
| D013256 | Steroids |
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| Ursodeoxycholic acid 600mg / day | Drug | Ursodeoxycholic acid, 600mg/ day, three times a day at meals |
|
| Ursodeoxycholic acid 900mg / day | Drug | Ursodeoxycholic acid, 900mg/ day, three times a day at meals |
|
| 24 weeks (from baseline to Week 24) |
| Gamma-glutamyl Transpeptidase at Baseline | 0 week |
| Percentage Change of Gamma-glutamyl Transpeptidase From Baseline at Week 24 | Percentage change=[(measured value at Week 24 - measured value at baseline)/measured value at baseline]*100 | 24 weeks (from baseline to Week 24) |
| BG002 | 900mg / Day | ursodeoxycholic acid, 900mg/day, three times a day at meals |
| BG003 | Total | Total of all reporting groups |
| Mean |
| Standard Deviation |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
|
|
| Secondary | Aspartate Aminotransferase at Baseline | Posted | Mean | Standard Deviation | IU/L | 0 week |
|
|
|
| Secondary | Percentage Change of Aspartate Aminotransferase From Baseline at Week 24 | Percentage change=[(measured value at Week 24 - measured value at baseline)/measured value at baseline]*100 | Posted | Median | Full Range | Percentage of change | 24 weeks (from baseline to Week 24) |
|
|
|
| Secondary | Gamma-glutamyl Transpeptidase at Baseline | Posted | Mean | Standard Deviation | IU/L | 0 week |
|
|
|
| Primary | Percentage Change of Alanine Aminotransferase From Baseline at Week 24 | Percentage change=[(measured value at Week 24 - measured value at baseline)/measured value at baseline]*100 | percentage change=[(measured value at Week 24 - measured value at baseline)/measured value at baseline]*100 | Posted | Median | Full Range | Percentage of change | 24 weeks (from baseline to Week 24) |
|
|
|
| Secondary | Percentage Change of Gamma-glutamyl Transpeptidase From Baseline at Week 24 | Percentage change=[(measured value at Week 24 - measured value at baseline)/measured value at baseline]*100 | percentage change=[(measured value at Week 24 - measured value at baseline)/measured value at baseline]*100 | Posted | Median | Full Range | Percentage of change | 24 weeks (from baseline to Week 24) |
|
|
|
| 9 |
| 199 |
| 130 |
| 199 |
| EG001 | 600mg / Day | ursodeoxycholic acid, 600mg/day, three times a day at meals | 8 | 200 | 122 | 200 |
| EG002 | 900mg / Day | ursodeoxycholic acid, 900mg/day, three times a day at meals | 9 | 197 | 119 | 197 |
| Diverticulum intestinal haemorrhagic | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Oesophageal varices haemorrhage | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Appendicitis perforated | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Enterocolitis | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Pancreatitis chronic | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Inguinal hernia NOS | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Pyrexia | General disorders | MedDRA ver.6.0 |
|
| Hepatic cirrhosis NOS | Hepatobiliary disorders | MedDRA ver.6.0 |
|
| Cellulitis | Infections and infestations | MedDRA ver.6.0 |
|
| Nasopharyngitis | Infections and infestations | MedDRA ver.6.0 |
|
| Sternal fracture | Injury, poisoning and procedural complications | MedDRA ver.6.0 |
|
| Anorexia | Metabolism and nutrition disorders | MedDRA ver.6.0 |
|
| Hepatic neoplasm malignant NOS | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA ver.6.0 |
|
| Renal neoplasm NOS | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA ver.6.0 |
|
| Lung cancer stage unspecified (excl metastatic tumours to lung) | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA ver.6.0 |
|
| Subarachnoid haemorrhage NOS | Nervous system disorders | MedDRA ver.6.0 |
|
| Cerebral infarction | Nervous system disorders | MedDRA ver.6.0 |
|
| Lumbar spinal stenosis | Nervous system disorders | MedDRA ver.6.0 |
|
| Calculus ureteric | Renal and urinary disorders | MedDRA ver.6.0 |
|
| Abdominal pain NOS | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Constipation | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Diarrhoea NOS | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Loose stools | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Nausea | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Stomach discomfort | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Stomatitis | Gastrointestinal disorders | MedDRA ver.6.0 |
|
| Chest discomfort | General disorders | MedDRA ver.6.0 |
|
| Malaise | General disorders | MedDRA ver.6.0 |
|
| Oedema peripheral | General disorders | MedDRA ver.6.0 |
|
| Nasopharyngitis | Infections and infestations | MedDRA ver.6.0 |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA ver.6.0 |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA ver.6.0 |
|
| Hepatic neoplasm malignant NOS | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA ver.6.0 |
|
| Dizziness | Nervous system disorders | MedDRA ver.6.0 |
|
| Headache | Nervous system disorders | MedDRA ver.6.0 |
|
| Insomnia | Psychiatric disorders | MedDRA ver.6.0 |
|
| Cystitis NOS | Renal and urinary disorders | MedDRA ver.6.0 |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA ver.6.0 |
|
| Pharyngolaryngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA ver.6.0 |
|
| Upper respiratory tract inflammation | Respiratory, thoracic and mediastinal disorders | MedDRA ver.6.0 |
|
| Eczema | Skin and subcutaneous tissue disorders | MedDRA ver.6.0 |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA ver.6.0 |
|
| Rash NOS | Skin and subcutaneous tissue disorders | MedDRA ver.6.0 |
|
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| D006525 |
| Hepatitis, Viral, Human |
| D014777 | Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006521 | Hepatitis, Chronic |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000072473 |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D002757 | Cholanes |