Study the Relationship Between Obesity and Hepatitis C Replication



Status:Archived
Conditions:Hepatitis
Therapuetic Areas:Immunology / Infectious Diseases
Healthy:No
Age Range:Any
Updated:7/1/2011
Start Date:October 2008
End Date:April 2011

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To Assess the Antiviral Activity of Pioglitazone and Prednisone in Obese Subjects With HCV Genotype 1 or 4 Infection, Insulin Resistance and Liver Inflammation Related to Non-alcoholic Fatty Liver.


Patients with chronic hepatitis C viral infection (HCV) and with a BMI greater than 30Kg/m2
are refractory to medical treatment. Also, HCV replication seems to be affected when
modeling insulin resistance in replicon cell culture systems.

PPARg -agonist (Pioglitazone) is effective in controlling liver inflammation in obese
subjects with non-alcoholic steatohepatitis (NASH) and also improving insulin sensitivity.
Therefore, we hypothesize that improving insulin resistance and /or inflammation may affect
HCV replication and viral kinetics. Independently of PPARg pathways, blocking inflammation
may also alter HCV viral kinetics. Thus, Prednisone should serve as a control for
anti-inflammatory, PPARg- independent pathways.



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