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    Clinical Trial Results:
    A clinical study to evaluate the biological effects of administering rimantadine in patients with hepatitis C virus (HCV) infection alongside standard combination therapy with pegylated interferon and ribavirin.

    Summary
    EudraCT number
    2011-002781-21
    Trial protocol
    GB  
    Global end of trial date
    10 Jun 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    27 Feb 2020
    First version publication date
    27 Feb 2020
    Other versions
    Summary report(s)
    HepriaCT Final Report

    Trial information

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    Trial identification
    Sponsor protocol code
    CO11/9730
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Leeds Teaching Hospitals NHS Trust
    Sponsor organisation address
    St James University hospital , Leeds, United Kingdom, LS9 7TF
    Public contact
    Lynsey Corless, Leeds Teaching Hospitals, 0775 3682468, lynsey.corless@nhs.net
    Scientific contact
    Lynsey Corless, Leeds Teaching Hospitals, 0775 3682468, lynsey.corless@nhs.net
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    10 Jun 2014
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    10 Jun 2014
    Global end of trial reached?
    Yes
    Global end of trial date
    10 Jun 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary aim of the study is to determine whether rimantadine (a drug developed and used for the treatment of Influenza A infection) has antiviral effects on hepatitis C virus (HCV).
    Protection of trial subjects
    All information collected during the course of the trial will be kept strictly confidential.Information will be held securely for the duration of the study.Patients with HCV attending the Hepatology clinic for assessment who meet the basic trial inclusion criteria will be given a verbal explanation of the trial. Those who express an interest in participating will be provided with a patient information sheet by a clinician. This will include detailed information about the rationale, design and personal implications of the study. Patients who do not have English as a first language will be offered a patient information sheet in their preferred language. Following information provision, patients will have at least 24 hours to consider participation and will be given the opportunity to discuss the trial with their family and healthcare professionals before they are asked whether they would be willing to take part in the trial. During the initial clinic visit, those who have expressed an interest in the trial will be asked to give permission for trial staff to contact them by phone to answer any remaining questions and to enquire if they wish to participate. This process will be clearly documented into the patient’s medical notes.Assenting patients will then be formally assessed for eligibility and invited to provide informed, written consent. The right of the patient to refuse consent without giving reasons will be respected. Further, the patient will remain free to withdraw from the study at any time without giving reasons and without prejudicing any further treatment. A copy of the consent will be given to the patient, one filed in the trial master file, one filed in the hospital notes and a fourth copy sent to the Sponsor.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    09 Jul 2012
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United Kingdom: 8
    Worldwide total number of subjects
    8
    EEA total number of subjects
    8
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    8
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Patients screened as per the recruitment criteria. Assenting patients will then be formally assessed for eligibility and invited to provide informed, written consent. The right of the patient to refuse consent without giving reasons will be respected.

    Pre-assignment
    Screening details
    Patients with HCV attending the Hepatology clinic for assessment who meet the basic trial inclusion criteria will be given a verbal explanation of the trial. Those who express an interest in participating will be provided with a patient information sheet by a clinician.This will include detailed information about the study.

    Period 1
    Period 1 title
    Main Trial Period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    N/A

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Baseline Arm
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    rimantadine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Rimantadine hydrochloride is supplied in 50 mg film-coated tablets, intended for oral administration and tablets are stored at room temperature. Rimantadine will be provided to the Chief Investigators in tablet form by the hospital pharmacy. Labels will indicate the product, lot number and dose.

    Arm title
    End Data
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    rimantadine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Rimantadine hydrochloride is supplied in 50 mg film-coated tablets, intended for oral administration and tablets are stored at room temperature. Rimantadine will be provided to the Chief Investigators in tablet form by the hospital pharmacy. Labels will indicate the product, lot number and dose.

    Number of subjects in period 1
    Baseline Arm End Data
    Started
    1
    7
    Completed
    1
    7

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Main Trial Period
    Reporting group description
    -

    Reporting group values
    Main Trial Period Total
    Number of subjects
    8 8
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    8 8
        From 65-84 years
    0 0
        85 years and over
    0 0
    Gender categorical
    Units: Subjects
        Female
    0 0
        Male
    8 8

    End points

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    End points reporting groups
    Reporting group title
    Baseline Arm
    Reporting group description
    -

    Reporting group title
    End Data
    Reporting group description
    -

    Primary: Detection of genomic sequence alterations in patients receiving rimantadine.

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    End point title
    Detection of genomic sequence alterations in patients receiving rimantadine. [1]
    End point description
    The primary objective of the study is to determine whether the addition of rimantadine therapy leads to alterations in HCV genomic sequences. This would provide evidence that rimantadine exerts a true antiviral effect on HCV and could lead to larger trials, assessing whether rimantadine therapy had a statistically significant effect on treatment response. Improvements in treatment response will correlate with a reduction in the prevalence of chronic HCV infection and a consequent reduction in cases of liver failure and hepatocellular carcinoma.
    End point type
    Primary
    End point timeframe
    Patients exposed to treatment for 48 weeks
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The study is descriptive in nature and is not designed to provide analytical results regarding treatment response. The sample size is based on clinical and regulatory considerations and has no formal statistical basis. Please see attached Summary report
    End point values
    Baseline Arm End Data
    Number of subjects analysed
    1
    7
    Units: Number of Patients with Alterations
    0
    0
    Attachments
    Untitled (Filename: 9730_EndOfTrialSummaryReport_signed_150517.pdf)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    SAEs will be collected for all patients and will be evaluated for duration and intensity. SAEs will be collected for all patients from the first dose of rimantadine until 30 days after the last dose of treatment with rimantadine.
    Adverse event reporting additional description
    Information about AEs, whether volunteered by the patient, discovered by the investigator through questioning or detected through physical examination, laboratory test or other investigation will be collected and recorded in the patient filecard and trial masterfile. A copy of all reported AEs will be sent to the sponsor if requested.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Frequency threshold for reporting non-serious adverse events: 5%
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: Adverse event data can be requested from the scientific contact for the study, if required.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    05 Jul 2012
    Patient information leaflet and Protocol amended to increase recruitment catchment and remove control group from the trial as recruitment was slower than expected.
    29 Oct 2012
    Amendment to the REC to include a patient information flyer, as clinical staff felt entire patient information sheet may be overwhelming to patients as the first introduction to the trial. Protocol Amended to include reference to leaflet

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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