Effects of Losartan on Hepatic Fibrogenesis in Chronic Hepatitis C

There is evidence on the beneficial effects of the administration of angiotensin II type 1 (AT1) receptors antagonists on liver fibrosis in hepatic stellate cells, experimental models of liver fibrosis in rodents and limited information in chronic hepatitis C with mild fibrosis. The purpose of this study is to investigate the effect of long-term administration of oral Losartan, an AT1 receptor...

Date First Received: March 2, 2006

Last Updated: November 21, 2007

Verified by: Hospital Clinic of Barcelona, November 2007

Clinical Trial Phase: Phase 4 | Start Date: March 2003

Overall Status: Completed

Estimated Enrollment: 20

Brief Summary

Official Title: “Effect of Long-Term Administration of Oral Losartan on Hepatic Fibrogenesis and Gene Expression in Chronic Hepatitis C With Significant Liver Fibrosis.”

Condition Keyword(s):

Intervention(s):

There is evidence on the beneficial effects of the administration of angiotensin II type 1 (AT1) receptors antagonists on liver fibrosis in hepatic stellate cells, experimental models of liver fibrosis in rodents and limited information in chronic hepatitis C with mild fibrosis.

The purpose of this study is to investigate the effect of long-term administration of oral Losartan, an AT1 receptor antagonist, on liver fibrogenesis in patients with chronic hepatitis C and fibrosis F2-F3 (METAVIR score).

Study Type: Interventional

Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment

Intervention(s) in this Clinical Trial

  • Drug: Losartan

Outcome Measures for this Clinical Trial

Primary Measures

  • Assessment of liver fibrogenesis by changes in gene expression of key mediators of liver fibrosis.

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • age between 35 and 65 years
  • chronic hepatitis C with intermediate fibrosis (F2-F3 in Metavir score).
  • non-responder or contraindication to antiviral therapy.

Exclusion Criteria:

  • any other cause of liver disease
  • HIV positive
  • alcohol consumption
  • arterial hypertension
  • creatinine > 1.5mg/dL
  • treatment with AT1 receptor antagonists or angiotensin converting enzyme inhibitors in the past 12 months.
  • antiviral therapy in the past 12 months
  • contraindications to oral losartan

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 35 Years

Maximum Age for this Clinical Trial: 65 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: Hospital Clinic of Barcelona

Overall Clinical Trial Officials and Contacts

Pere Ginès, M.D. Principal Investigator Liver Unit, Institut Clínic de Malalties Digestives, Hospital Clínic, Barcelona  

Additional Information

Information obtained from ClinicalTrials.gov on November 19, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00298714

Study ID Number: ARAHEPC

ClinicalTrials.gov Identifier: NCT00298714

Health Authority: Spain: Spanish Agency of Medicines

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