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Trial registered on ANZCTR
Registration number
ACTRN12611001188921
Ethics application status
Approved
Date submitted
11/11/2011
Date registered
16/11/2011
Date last updated
11/03/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Is hepcidin a possible contributor to impaired iron mobilization and anaemia in hepatitis C patients treated with pegylated interferon alpha and ribavirin therapy? A pilot study
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Scientific title
In hepatitis C patients treated with interferon and ribavirin, does hepcidin contribute to treatment induced anaemia?
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Secondary ID [1]
273364
0
nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hepatitis C
279141
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Anaemia
279153
0
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Condition category
Condition code
Infection
279330
279330
0
0
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Other infectious diseases
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Blood
279342
279342
0
0
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Anaemia
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Oral and Gastrointestinal
279343
279343
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Subcutaneous weekly pegylated interferon alpha containing regimens as per standard treatment. The dosages for interferon and ribavirin are as per therapeutic guidelines and are based on weight, genotype and previous treatments. Patients will be observed during their Hep C treatment for up to 24 weeks.
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Intervention code [1]
283706
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Not applicable
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Comparator / control treatment
Single group trial
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
279936
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To measure changes in serum hepcidin levels during pegylated interferon alpha and ribavirin therapy in subjects with chronic hepatitis C infection.
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Assessment method [1]
279936
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Timepoint [1]
279936
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Measured at -2 weeks, start of treatment and week 3,4,8, 12 and 24.
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Secondary outcome [1]
294806
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To measure changes in iron metabolism (reticulocyte haemoglobin, serum iron, transferrin saturation and ferritin levels) during pegylated interferon alpha and ribavirin therapy in subjects with chronic hepatitis C infection.
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Assessment method [1]
294806
0
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Timepoint [1]
294806
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Measured at -2 weeks, start of treatment and week 3,4,8, 12 and 24.
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Secondary outcome [2]
294817
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To detect ribavirin induced heamolysis by measuring serum haptoglobin and free haemoglobin during pegylated interferon alpha and ribavirin therapy in subjects with chronic hepatitis C infection.
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Assessment method [2]
294817
0
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Timepoint [2]
294817
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Measured at -2 weeks, start of treatment and week 3,4,8, 12 and 24.
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Secondary outcome [3]
294818
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To measure the effect of inosine triphosphatase genetic variants on anemia during pegylated interferon alpha and ribavirin therapy in subjects with chronic hepatitis C infection.
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Assessment method [3]
294818
0
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Timepoint [3]
294818
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at the start of treatment
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Secondary outcome [4]
294819
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To measure the level of erythropoiesis (IL1, IL6, erythropoietin and reticulocyte) during pegylated interferon alpha and ribavirin therapy in subjects with chronic hepatitis C infection.
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Assessment method [4]
294819
0
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Timepoint [4]
294819
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Measured at -2 weeks, start of treatment and week 3,4,8, 12 and 24.
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Eligibility
Key inclusion criteria
We will prospectively study 30 consecutive patients with Hepatitis C infection that are being treated with interferon alpha and ribavirin at Fremantle hospital.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
participation in other clinical trials.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/01/2012
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Actual
1/11/2012
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
731
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Fremantle Hospital and Health Service - Fremantle
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Funding & Sponsors
Funding source category [1]
284184
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Commercial sector/Industry
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Name [1]
284184
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MSD Australia
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Address [1]
284184
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Level 4, 66 Waterloo Road
North Ryde NSW 2113
Australia
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Country [1]
284184
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Australia
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Primary sponsor type
Individual
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Name
Prof John Olynyk
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Address
Fremantle Hospital
Alma St
Fremantle WA 6120
Australia
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Country
Australia
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Secondary sponsor category [1]
269140
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Individual
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Name [1]
269140
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Dr Marius van Rijnsoever
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Address [1]
269140
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Fremantle Hospital
Alma St
Fremantle WA 6120
Australia
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Country [1]
269140
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286151
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South Metropolitan Area Health Service Human Research Ethics Committee
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Ethics committee address [1]
286151
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Fremantle Hospital Alma St Fremantle WA 6120
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Ethics committee country [1]
286151
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Australia
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Date submitted for ethics approval [1]
286151
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25/05/2011
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Approval date [1]
286151
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16/08/2011
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Ethics approval number [1]
286151
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1/11/0225
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Summary
Brief summary
The standard treatment of chronic hepatitis C infection is pegylated interferon alpha combined with ribavirin. Anaemia is a common complication occurring in up to 30% of subjects. Unfortunately, side effects of interferon and ribavirin therapy can require dose reductions, reducing the likelihood of sustained viral response. Recent data shows that interferon alpha may increase hepcidin (a key iron regulator) production, resulting in impaired iron availability for production of red blood cells. In this study, we will evaluate hepcidin levels in 30 patients with Hepatitis C who are treated with interferon alpha containing regimens as per standard of care treatment. If hepcidin plays a role in interferon-induced anaemia, cheap and readily available oral hepcidin inhibitors could be trialled to potentially reduce the impact of interferon alpha induced anaemia.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
33377
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Dr Marius van Rijnsoever
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Address
33377
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Fremantle Hospital Alma St Fremantle WA 6120
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Country
33377
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Australia
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Phone
33377
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+61 8 94313333
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Fax
33377
0
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Email
33377
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[email protected]
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Contact person for public queries
Name
16624
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Marius van Rijnsoever
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Address
16624
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Fremantle Hospital
Alma St
Fremantle WA 6120
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Country
16624
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Australia
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Phone
16624
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+61 8 94313333
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Fax
16624
0
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Email
16624
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[email protected]
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Contact person for scientific queries
Name
7552
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Marius van Rijnsoever
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Address
7552
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Fremantle Hospital
Alma St
Fremantle WA 6120
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Country
7552
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Australia
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Phone
7552
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+61 8 94313333
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Fax
7552
0
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Email
7552
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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