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NCT03781726: MYTHIC

Multi-center Study to Transplant Hepatitis-C Infected Kidneys

Completed Phase 4 Results posted Last updated 26 January 2022
What this trial tests

Phase 4 trial testing glecaprevir/pibrentasvir treatment in Renal Failure Chronic in 30 participants. Completed in 31 December 2021.

Timeline
10 April 2019
Primary endpoint
20 March 2020
31 December 2021

Quick facts

Lead sponsorRaymond Chung
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeprevention
Enrollment30
Start date10 April 2019
Primary completion20 March 2020
Estimated completion31 December 2021
Sites7 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Raymond Chung — full company profile →

Who can join

Adults 21 to 65, any sex, with Renal Failure Chronic or Hepatitis C. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Undetectable HCV Primary · 12 weeks post treatment

HCV RNA \< LLOQ 12 weeks after the last actual dose of G/P

GroupValue95% CI
NAT+ Kidney Transplant Treatment With Glecaprevir/Pibrentasvir Fixed Dose Combination (Arm 1)30
Percentage of Subjects With On-treatment Virologic Failure Secondary · During 8 week treatment course

HCV RNA \> LLOQ during G/P treatment

GroupValue95% CI
NAT+ Kidney Transplant Treatment With Glecaprevir/Pibrentasvir Fixed Dose Combination (Arm 1)12
Percentage of Subjects With Post-treatment Virologic Relapse Secondary · During 12 week post treatment follow-up

HCV RNA \> LLOQ after completion of G/P treatment and prior HCV RNA \< LLOQ while on treatment

GroupValue95% CI
NAT+ Kidney Transplant Treatment With Glecaprevir/Pibrentasvir Fixed Dose Combination (Arm 1)0

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline (day of transplant) to one year post transplant (1 year total). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

NAT+ Kidney Transplant Treatment With Glecaprevir/Pibrentasvir Fixed Dose Combination (Arm 1)
Serious: 20/30 (67%)
Deaths: 2/30

Serious adverse events (27 terms)

ReactionSystemNAT+ Kidney Transplant Tre…
neutrophil count decreasedBlood and lymphatic system disorders
acute cellular rejectionImmune system disorders
hypotensionRespiratory, thoracic and mediastinal disorders
gastritisGastrointestinal disorders
febrile neutropeniaBlood and lymphatic system disorders
postoperative hemorrhageInjury, poisoning and procedural complications
acute kidney injuryRenal and urinary disorders
drug toxicity due to accidental overdosageInjury, poisoning and procedural complications
heart failureCardiac disorders
strokeNervous system disorders
vomitingGastrointestinal disorders
hemorrhoidal hemorrhageBlood and lymphatic system disorders
small intestinal obstructionGastrointestinal disorders
ileusGastrointestinal disorders
renal calculiRenal and urinary disorders
abdominal infectionGastrointestinal disorders
coronavirus infectionInfections and infestations
post procedural urine leakRenal and urinary disorders
feverInfections and infestations
renal graft function delayedRenal and urinary disorders
dysuriaRenal and urinary disorders
cytomegalovirus infection reactivationInfections and infestations
sepsisInfections and infestations
constipationGastrointestinal disorders
syncopeRespiratory, thoracic and mediastinal disorders
Other adverse events (32 terms — click to expand)

ReactionSystemNAT+ Kidney Transplant Tre…
dizzinessNervous system disorders
abdominal painGastrointestinal disorders
hyperglycemiaEndocrine disorders
hypertensionVascular disorders
hypotensionVascular disorders
tremorNervous system disorders
hyperkalemiaRenal and urinary disorders
white blood cell count decreasedBlood and lymphatic system disorders
creatinine increasedRenal and urinary disorders
dyspneaRespiratory, thoracic and mediastinal disorders
edema limbsVascular disorders
fatigueGeneral disorders
gastritisGastrointestinal disorders
headacheNervous system disorders
nauseaGeneral disorders
urinary retentionRenal and urinary disorders
urinary tract infectionRenal and urinary disorders
vomitingGastrointestinal disorders
acute cellular rejectionImmune system disorders
acute kidney injuryRenal and urinary disorders
anemiaBlood and lymphatic system disorders
anxietyPsychiatric disorders
bladder spasmRenal and urinary disorders
chillsGeneral disorders
constipationGastrointestinal disorders
cytomegalovirus infection reactivationInfections and infestations
gastroesophageal reflux diseaseGastrointestinal disorders
nasal congestionRespiratory, thoracic and mediastinal disorders
neutrophil count decreasedBlood and lymphatic system disorders
pain in extremityMusculoskeletal and connective tissue disorders
platelet count decreasedBlood and lymphatic system disorders
renal graft function delayedRenal and urinary disorders

Most-reported serious reactions: neutrophil count decreased, acute cellular rejection, hypotension, gastritis, febrile neutropenia, postoperative hemorrhage, acute kidney injury, drug toxicity due to accidental overdosage.

Data from ClinicalTrials.gov NCT03781726 adverse events section.

Sponsor's own description

Open label multi center study for the donation of HCV positive kidneys to HCV negative recipients with interventional treatment to prevent HCV transmission upon transplantation.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. One-Year Outcomes of the Multi-Center StudY to Transplant Hepatitis C-InfeCted kidneys (MYTHIC) Trial.
    Sise ME, Goldberg DS, Schaubel DE, Fontana RJ, et al · · 2022 · cited 16× · PMID 35155863 · DOI 10.1016/j.ekir.2021.11.022
  2. Preemptive Treatment With Elbasvir and Grazoprevir for Hepatitis C-Viremic Donor to Uninfected Recipient Kidney Transplantation.
    Sise ME, Strohbehn IA, Chute DF, Gustafson J, et al · · 2020 · cited 15× · PMID 32280841 · DOI 10.1016/j.ekir.2020.01.001
  3. Decision-making Among Hepatitis C Virus-negative Transplant Candidates Offered Organs from Donors with HCV Infection.
    Saine ME, Schnellinger EM, Liu M, Diamond JM, et al · · 2022 · cited 7× · PMID 35923812 · DOI 10.1097/txd.0000000000001341
  4. HCV-Infected Deceased Donor Kidney Transplantation-Time to Take Up the Offer.
    Reddy YNV, Reddy KP, Sise ME. · · 2020 · PMID 32317120 · DOI 10.1053/j.ajkd.2020.01.010

Verify or expand the search:

Other recruiting trials for Renal Failure Chronic

Currently open trials in the same condition.

Other Raymond Chung trials

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