Hepatitis C Clinical Trials

45 recruiting

Understanding Hepatitis C Clinical Trials

Hepatitis C treatment is one of the greatest clinical trial success stories in modern medicine. Before 2011, the standard treatment involved interferon injections with severe side effects and cure rates below 50 percent. Clinical trials delivered a revolution: direct-acting antiviral (DAA) drugs like sofosbuvir (Sovaldi) and the combination of ledipasvir/sofosbuvir (Harvoni) transformed hepatitis C into a curable disease, with cure rates now exceeding **95 percent** in just 8 to 12 weeks of oral therapy. Today, clinical trials are tackling the remaining challenges, including treatment for the hardest-to-cure genotypes, simplified pan-genotypic regimens, and reversing the liver damage that hepatitis C leaves behind, even after the virus is eliminated.

Why Consider a Clinical Trial?

With cure rates above 95 percent, you might wonder why hepatitis C clinical trials are still needed. The answer lies in the significant unmet needs that remain. Some patients, particularly those with decompensated cirrhosis (advanced liver damage), prior treatment failure, or certain drug-resistant viral strains, still face challenges with current DAA regimens. Clinical trials are developing next-generation antivirals for these difficult-to-treat populations, as well as shorter treatment courses that could improve access and adherence. Perhaps more importantly, curing the virus does not always reverse the damage it has already caused. Millions of people who have been cured of hepatitis C still live with liver fibrosis or cirrhosis, and remain at elevated risk for liver cancer (hepatocellular carcinoma). A growing number of clinical trials focus on anti-fibrotic therapies, liver cancer screening strategies, and treatments to restore liver function after viral cure. If you have been cured of hepatitis C but still have liver-related health concerns, or if you have hepatitis C that has not responded to previous treatment, clinical trials may offer new options.

Frequently Asked Questions

Common questions about Hepatitis C clinical trials

Yes. Many current trials focus on people who have achieved sustained virologic response (SVR) but still have liver fibrosis, cirrhosis, or elevated liver cancer risk. These studies test treatments to reverse liver damage or prevent hepatocellular carcinoma. Your post-cure liver health status will determine which trials you may be eligible for.

Yes, treatment-experienced patients are a key focus of current research. Trials are testing salvage regimens with new drug combinations specifically designed for people whose virus did not respond to first-line DAA therapy. These studies often target specific resistance-associated substitutions that caused prior treatment failure.

Not necessarily. The research team will conduct genotype testing during the screening process if it is relevant to the study. Many newer trials use pan-genotypic approaches that work across all genotypes. Having prior lab results available can speed up the screening process but is not usually required.

Not in most modern hepatitis C trials. Researchers recognize that people who inject drugs are disproportionately affected by hepatitis C and must be included in clinical research. Some trials are specifically designed for this population. Individual study criteria vary, so check each trial listing or ask the research coordinator directly.

Hepatitis C vaccine research is ongoing but still in early stages. Unlike hepatitis A and B, no approved vaccine exists for hepatitis C due to the virus mutating rapidly. Several vaccine candidates are in Phase 1 and Phase 2 trials. These prevention trials typically enroll HIV-negative individuals at higher risk of hepatitis C exposure.

Showing 120 of 45 trials

Recruiting
Not Applicable

California MEPS Hub

Substance Use Disorder (SUD)HIV PreventionHepatitis C Virus (HCV)+3 more
University of California, Los Angeles318 enrolled3 locationsNCT07433985
Recruiting

The 1200 Patients Project: Studying the Implementation of Clinical Pharmacogenomic Testing

Inflammatory Bowel DiseasesHeart DiseasesAutoimmune Disease+5 more
University of Chicago1,200 enrolled1 locationNCT01280825
Recruiting
Phase 4

Implementing Low-Barrier HCV Treatment in a Jail Setting

Implementation ScienceIncarcerationInjection Drug Use+1 more
Lifespan40 enrolled1 locationNCT06953479
Recruiting
Not Applicable

Screening for Hepatitis B, Hepatitis C and AIDS Viruses Using Dried Blood Spot

Hepatitis BHepatitis CAIDS
University Hospital, Rouen500 enrolled11 locationsNCT05390424
Recruiting

"Constitution of a Biological Collection to Establish Preclinical Translational Models for the Study of Tumors and Chronic Liver Diseases".

Liver CancerNon-Alcoholic Fatty Liver DiseaseNon Alcoholic Steatohepatitis+4 more
Institut National de la Santé Et de la Recherche Médicale, France800 enrolled1 locationNCT04690972
Recruiting
Phase 4

Sofosbuvir/Velpatasvir Treatment of Chronic Hepatitis C During Pregnancy

Hepatitis C, ChronicPregnancy; Infection
Catherine Anne Chappell100 enrolled9 locationsNCT05140941
Recruiting

The Hepatitis C Transplant Collaborative

Transplant; Failure, HeartHepatitis C
Baylor Research Institute500 enrolled1 locationNCT04493385
Recruiting
Phase 3

C-Forward: Efficacy and Safety of BEM/RZR vs SOF/VEL in Subjects With Chronic HCV

Hepatitis CHepatitis C, ChronicHepatitis C Virus Infection+1 more
Atea Pharmaceuticals, Inc.880 enrolled89 locationsNCT07037277
Recruiting

Evaluation of Patients With Liver Disease

Hepatitis BHepatitis CLiver Disease+1 more
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)8,050 enrolled1 locationNCT00001971
Recruiting
Phase 2

Liver Cirrhosis Network Rosuvastatin Efficacy and Safety for Cirrhosis in the United States

CirrhosisCirrhosis, LiverCirrhosis Due to Hepatitis B+5 more
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)256 enrolled13 locationsNCT05832229
Recruiting

Feasibility and Acceptability of HCV Treatment in Pregnancy

Pregnancy ComplicationsHepatitis C
Washington University School of Medicine50 enrolled2 locationsNCT06367465
Recruiting
Not Applicable

Enhancing Uptake of Needle and Syringe Programs in Canadian Federal Prisons

HIVHepatitis C Virus (HCV)
McGill University Health Centre/Research Institute of the McGill University Health Centre548 enrolled9 locationsNCT07122219
Recruiting
Not Applicable

Use of a Patient-Centered Electronic App to Increase ED Patient's Knowledge on HCV to Improve the HCV Care Continuum

Hepatitis C
Johns Hopkins University308 enrolled1 locationNCT04162938
Recruiting

Abbreviated Magnetic Resonance Imaging vs Ultrasound Surveillance for Liver Cancer dETection in People at High Risk of Developing Liver Cancer

Hepatocellular CarcinomaCirrhosisCirrhosis Due to Hepatitis B+3 more
University of Oxford300 enrolled2 locationsNCT06658782
Recruiting

Liver Disease and Other Systemic Diseases

Hepatocellular CarcinomaHumansTreatment Outcome+7 more
Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation15,000 enrolled1 locationNCT04525833
Recruiting
Not Applicable

Hepatitis C Tracker Study

Hepatitis C Virus Infection
University of Southern California124 enrolled2 locationsNCT06870019
Recruiting

Blood Collection Biorepository for Liver Disease Research

CirrhosisFibrosisHepatitis B+5 more
State University of New York at Buffalo1,000 enrolled1 locationNCT03025074
Recruiting
Not Applicable

Project I Test: Implementing HIV Testing in Opioid Treatment Programs

Substance Use DisordersOpioid-use DisorderHepatitis C+1 more
Columbia University418 enrolled1 locationNCT03135886
Recruiting

Scaling Up Point-of-Care Hepatitis C Testing and Treatment in Canada

HCVHEPATITIS C VIRUS CHRONIC INFECTION
McGill University300 enrolled12 locationsNCT07095192
Recruiting
Early Phase 1

Simplifying Hepatitis C Pathways for People Who Inject Drugs in Armenia, Georgia, and Tanzania

Hepatitis CRDT
Médecins du Monde3,040 enrolled1 locationNCT06159504