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| Name | Class |
|---|---|
| Shanghai Sundise Traditional Chinese Medicine Co., Ltd. | INDUSTRY |
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Current treatment of chronic liver disease relies upon removing the primary insult to the liver (e.g., alcohol) or treating the underlying viral infection (HBV, HCV, etc.). However, in the case of hepatitis C, a significant number of individuals will not clear the virus with current approved standard antiviral therapy, leaving them no options to manage their hepatic fibrosis, which can progress to cirrhosis and ultimately hepatocellular carcinoma (HCC).
Fuzheng Huayu has been used in numerous studies in China and has been found to have a satisfactory prophylaxis effect on the chronic liver injury and formed liver fibrosis in rats and humans. In addition, it enhances the degradation of liver fibrosis and protects hepatocytes from injury and death, manifesting as decreasing of ALT and AST, and enhancement of albumin level. In addition, preliminary studies indicate that the Fuzheng Huayu has a good safety and tolerability profile with promising efficacy.
The number of patients failing Interferon based therapy (i.e. not achieving SVR) is increasing. There are no approved standard of care treatment options for this population nor for patients who are intolerant or unwilling to receive Interferon; thus they are at higher risk for the progression of fibrosis. Moreover, there are no approved therapies to treat hepatic fibrosis, but basic research is exploring the pathophysiological mechanisms. Fuzheng Huayu is easy to administer, with a good safety and efficacy profile against fibrosis. Therefore, the investigators propose to further study the safety and efficacy profile of Fuzheng Huayu in a randomized, placebo-controlled, double blind study in Chronic Hepatitis C patients with hepatic fibrosis who have failed prior anti-HCV therapy or are intolerant or refuse Interferon based therapy.
The primary objective of this study is to establish the safety and efficacy of Fuzheng Huayu treatment in chronic hepatitis C subjects who have failed prior anti-HCV therapy or cannot receive or refused Interferon based therapy in improving liver fibrosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fuzheng Huayu | Active Comparator | Pill with Fuzheng Huayu |
|
| Placebo | Placebo Comparator | Pill without Fuzheng Huayu (sugar pill) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fuzheng Huayu | Drug | The subjects will be taking 2 tablets three times a day for 48 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety of Fuzheng Huayu Treatment in Chronic Hepatitis C Subjects Who Have Failed Prior Anti-HCV Therapy or Cannot Receive or Refused Interferon Based Therapy. | Safety will be evaluated through the changes in vital signs, physical examinations, adverse events, concomitant medication assessments as well as laboratory tests. | Baseline to Week 60 |
| Efficacy of Fuzheng Huayu Treatment in Chronic Hepatitis C Subjects Who Have Failed Prior Anti-HCV Therapy or Cannot Receive or Refused Interferon Based Therapy. | Efficacy of Fuzheng Huayu treatment was assessed through the change in liver fibrosis stage from the assessment before (pre) and after (post) study drug. The liver fibrosis staging system used was the Ishak scale. The Ishak liver fibrosis score ranges from 0 indicating no fibrosis to 6 indicating cirrhosis. "Fibrosis improved" was defined as a lower post study drug Ishak score, by at least 1 point, from pre-study drug assessment of the liver fibrosis e.g. if a pre study drug Ishak score of 4 and then a post study drug Ishak score of 3 or lower. "Fibrosis did not change" was defined as having the same Ishak score before and after study drug assessments e.g. if a pre study drug Ishak score of 4 and then a post study drug Ishak score of 4. "Fibrosis worsened" was defined as a higher post study drug Ishak score, by at least 1 point, from pre-study drug assessment of the liver fibrosis e.g. if a pre study drug Ishak score of 4 and then a post study drug Ishak score of 5 or higher. | Baseline to Week 48 |
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Main Inclusion Criteria:
Main Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tarek Hassanein, MD | SCTI Research Foundation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| SCTI Research Foundation | Coronado | California | 92118 | United States | ||
| VA Palo Alto HCS |
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| ID | Title | Description |
|---|---|---|
| FG000 | Fuzheng Huayu | Pill with Fuzheng Huayu Fuzheng Huayu: The subjects will be taking 2 tablets three times a day for 48 weeks. |
| FG001 | Placebo | Pill without Fuzheng Huayu (sugar pill) Placebo: The subjects will be taking 2 tablets three times a day for 48 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Placebo | Drug | The subjects will be taking 2 tablets three times a day for 48 weeks. |
|
| Palo Alto |
| California |
| 94304 |
| United States |
| Huntington Medical Research Institutes | Pasadena | California | 91105 | United States |
| UC Davis Health System | Sacramento | California | 95817 | United States |
| Southern California Liver Centers | San Clemente | California | 92673 | United States |
| Advanced Medical Research Center | Port Orange | Florida | 32127 | United States |
| St. Luke's Advanced Liver Therapies | Houston | Texas | 77030 | United States |
| University of Utah HSC | Salt Lake City | Utah | 84132 | United States |
| COMPLETED |
|
| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Fuzheng Huayu | Pill with Fuzheng Huayu Fuzheng Huayu: The subjects will be taking 2 tablets three times a day for 48 weeks. |
| BG001 | Placebo | Pill without Fuzheng Huayu (sugar pill) Placebo: The subjects will be taking 2 tablets three times a day for 48 weeks. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| HCV Genotypes | Number | participants |
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| 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 | Safety of Fuzheng Huayu Treatment in Chronic Hepatitis C Subjects Who Have Failed Prior Anti-HCV Therapy or Cannot Receive or Refused Interferon Based Therapy. | Safety will be evaluated through the changes in vital signs, physical examinations, adverse events, concomitant medication assessments as well as laboratory tests. | Number of participants randomized and who received at least one dose of Fuzheng Huayu or Placebo. | Posted | Count of Participants | Participants | Baseline to Week 60 |
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| Primary | Efficacy of Fuzheng Huayu Treatment in Chronic Hepatitis C Subjects Who Have Failed Prior Anti-HCV Therapy or Cannot Receive or Refused Interferon Based Therapy. | Efficacy of Fuzheng Huayu treatment was assessed through the change in liver fibrosis stage from the assessment before (pre) and after (post) study drug. The liver fibrosis staging system used was the Ishak scale. The Ishak liver fibrosis score ranges from 0 indicating no fibrosis to 6 indicating cirrhosis. "Fibrosis improved" was defined as a lower post study drug Ishak score, by at least 1 point, from pre-study drug assessment of the liver fibrosis e.g. if a pre study drug Ishak score of 4 and then a post study drug Ishak score of 3 or lower. "Fibrosis did not change" was defined as having the same Ishak score before and after study drug assessments e.g. if a pre study drug Ishak score of 4 and then a post study drug Ishak score of 4. "Fibrosis worsened" was defined as a higher post study drug Ishak score, by at least 1 point, from pre-study drug assessment of the liver fibrosis e.g. if a pre study drug Ishak score of 4 and then a post study drug Ishak score of 5 or higher. | Participants who at least took one dose of study drug (Fuzheng Huayu or Placebo), were more than 80% compliant with study drug and had a pre and post study drug biopsy with an evaluable Ishak fibrosis score. Participants had ALT <300 and a BMI <40. | Posted | Number | participants | Baseline to Week 48 |
|
Study duration (screening through last study visit)
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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 | Fuzheng Huayu | Pill with Fuzheng Huayu Fuzheng Huayu: The subjects will be taking 2 tablets three times a day for 48 weeks. | 7 | 59 | 55 | 59 | ||
| EG001 | Placebo | Pill without Fuzheng Huayu (sugar pill) Placebo: The subjects will be taking 2 tablets three times a day for 48 weeks. | 10 | 59 | 55 | 59 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Sinus Infection | Respiratory, thoracic and mediastinal disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Pneumonia | Respiratory, thoracic and mediastinal disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Bowel Obstruction | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Abdominal Pain | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Alcohol Rehabilitation | Social circumstances | MedDRA (10.0) | Systematic Assessment |
| |
| Atypical Chest Pain | General disorders | MedDRA (10.0) | Systematic Assessment |
| |
| T-12 Compression | Injury, poisoning and procedural complications | MedDRA (10.0) | Systematic Assessment |
| |
| Opiod Overdose | Injury, poisoning and procedural complications | MedDRA (10.0) | Systematic Assessment |
| |
| Pleomorphic Rhabdomyosarcoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (10.0) | Systematic Assessment |
| |
| Cholecystitis | Hepatobiliary disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Transverse Myelilitis | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Ovarian Adenoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (10.0) | Systematic Assessment |
| |
| Acute Hepatitis | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
| |
| Hypokalemia/Hyponatremia/Nausea/Vomiting | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gastrointestinal disorders such as nausea | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
| |
| General disorders such as fatigue | General disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Infections such as urinary tract infection | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
| |
| Respiratory such as cough | Respiratory, thoracic and mediastinal disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Nervous system disorders such as headache | Nervous system disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Psychiatric disorders such as depression | Psychiatric disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Skin and subcutaneous system disorders such as rash | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Injury, posioning and procedural complications such as muscle strain | Injury, poisoning and procedural complications | MedDRA (10.0) | Systematic Assessment |
| |
| Investigations such as liver biopsy | Investigations | MedDRA (10.0) | Systematic Assessment |
| |
| Surgical and medical procedures such as knee surgery | Surgical and medical procedures | MedDRA (10.0) | Systematic Assessment |
| |
| Metabolism and nutrition disorders such as decreased appetite | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Renal and urinary disorders such as nocturia | Renal and urinary disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Vascular disorders such as hypertension | Vascular disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Cardiac disorders such as tachycardia | Cardiac disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Eye disorders such as dry eye | Eye disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Immune system disorders such as rhinitis allergy | Immune system disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Ear disorders such as vertigo | Ear and labyrinth disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Neoplasms such as ovarian cysts | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (10.0) | Systematic Assessment |
| |
| Reproductive system disorders such as erectile dysfunction | Reproductive system and breast disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Endocrine disorders (hypothyroidism) | Endocrine disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Hepatobiliary disorders (acute cholecistitis) | Hepatobiliary disorders | MedDRA (10.0) | Systematic Assessment |
| |
| Social circumstances (alcohol rehabilitation) | Social circumstances | MedDRA (10.0) | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Tarek Hassanein | SCTI Research Foundation | 6195220330 | thassanein@livercenters.com |
| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| D005355 | Fibrosis |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
| D014777 | Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C532829 | fuzheng huayu |
| C572236 | ping gan |
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| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| 2 |
|
| 3 |
|
| 4 |
|
| Other |
|
| Number of participants who experienced at least one serious adverse event |
|
| Number of participants who experienced at least one serious adverse event related to study drug |
|
| Number of participants who had worsening of white blood cell count from baseline to week 48 |
|
| Number of participants who had worsening of Platelets count from baseline to week 48 |
|
| Number of participants who had worsening of liver enzymes from baseline to week 48 |
|
| Placebo |
Pill without Fuzheng Huayu (sugar pill) Placebo: The subjects will be taking 2 tablets three times a day for 48 weeks. |
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