Title

Efficacy and Safety Study of Ursodeoxycholic Acid to Treat Chronic Hepatitis C
A 24-week Multicenter Double-blind Control Trial With Ursodeoxycholic Acid in Patients With Chronic Hepatitis C
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Intervention/Treatment

    ursodeoxycholic acid ...
  • Study Participants

    596
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.
Study Started
Jul 31
2002
Study Completion
Dec 31
2004
Results Posted
Nov 06
2011
Estimate
Last Update
Mar 12
2012
Estimate

Drug Ursodeoxycholic acid 150mg / day

Ursodeoxycholic acid, 150mg/ day, three times a day at meals

Drug Ursodeoxycholic acid 600mg / day

Ursodeoxycholic acid, 600mg/ day, three times a day at meals

Drug Ursodeoxycholic acid 900mg / day

Ursodeoxycholic acid, 900mg/ day, three times a day at meals

Ursodeoxycholic acid 150mg / day Experimental

Ursodeoxycholic acid 600mg / day Experimental

Ursodeoxycholic acid 900mg / day Experimental

Criteria

Inclusion Criteria:

Subject must have a clinical diagnosis to apply the conservative medication for chronic hepatitis C.
Serum alanine aminotransferase levels measured at 4-week before the initiation of treatment must be over 61 IU/mL.
Subject's age must be 20 years or older.

Exclusion Criteria:

Subject who received a treatment of antiviral agents (interferon) within 20 weeks before the start of 8-week observation period
Subject who received a treatment of corticosteroids, immunosuppressive drugs, glycyrrhizic acid, cholestyramine or other drugs which could interfere with hepatic function during 8-week observation period.
Subject with decompensated cirrhosis
Subject infecting with other hepatic virus
Subject receiving a treatment for autoimmune disease, alcohol or drug-induced hepatic disorder, neoplasia, hepato-cholangiolar disease, fulminant hepatitis or peptic ulcer
Subject who require hospitalization for complications of the heart, kidney or pancreas
Pregnancy
Alcoholics
Alcohol intake more than 27 ml/day
Subject who involved in other clinical trial within 4 weeks before the start of observation period
Subject with a history of sensitivity to ursodeoxycholic acid or bile acid-products

Summary

150mg / Day

600mg / Day

900mg / Day

All Events

Event Type Organ System Event Term 150mg / Day 600mg / Day 900mg / Day

Alanine Aminotransferase at Baseline

150mg / Day

109.2
IU/L (Mean)
Standard Deviation: 49.7

600mg / Day

106.3
IU/L (Mean)
Standard Deviation: 59.4

900mg / Day

110.6
IU/L (Mean)
Standard Deviation: 57.3

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

150mg / Day

-15.3
Percentage of change (Median)
Full Range: -80.7 to 375.9

600mg / Day

-29.2
Percentage of change (Median)
Full Range: -88.3 to 95.2

900mg / Day

-36.2
Percentage of change (Median)
Full Range: -81.4 to 1696.9

Aspartate Aminotransferase at Baseline

150mg / Day

84.0
IU/L (Mean)
Standard Deviation: 39.1

600mg / Day

82.4
IU/L (Mean)
Standard Deviation: 41.8

900mg / Day

85.2
IU/L (Mean)
Standard Deviation: 45.0

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

150mg / Day

-13.6
Percentage of change (Median)
Full Range: -74.2 to 347.2

600mg / Day

-25.0
Percentage of change (Median)
Full Range: -82.7 to 72.5

900mg / Day

-29.8
Percentage of change (Median)
Full Range: -79.0 to 1026.1

Gamma-glutamyl Transpeptidase at Baseline

150mg / Day

87.5
IU/L (Mean)
Standard Deviation: 73.0

600mg / Day

82.4
IU/L (Mean)
Standard Deviation: 62.2

900mg / Day

85.9
IU/L (Mean)
Standard Deviation: 66.3

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

150mg / Day

-22.4
Percentage of change (Median)
Full Range: -74.6 to 145.9

600mg / Day

-41.0
Percentage of change (Median)
Full Range: -81.1 to 153.1

900mg / Day

-50.0
Percentage of change (Median)
Full Range: -80.1 to 213.9

Total

586
Participants

Age Continuous

58.4
years (Mean)
Standard Deviation: 11.5

Sex: Female, Male

Overall Study

150mg / Day

600mg / Day

900mg / Day