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Influence of Antiviral Treatment to the Long-Term Prognosis of Patients With Chronic HBV Infection
This study is currently recruiting participants.
Verified by Sun Yat-sen University, October 2008
Sponsored by: Sun Yat-sen University
Information provided by: Sun Yat-sen University
ClinicalTrials.gov Identifier: NCT00810524
  Purpose

Influence of antiviral treatment to the long term prognosis of patients with chronic HBV infection. The aim of antiviral treatment for HBV is to reduce the long term severe complications. In this study, the investigators divided patients with chronic HBV infection into two groups, which start early antiviral treatment and conventional antiviral treatment respectively. All the patients will be followed for ten years. From this study, the investigators want to find out the optimal time for patients with chronic HBV infection to start antiviral treatment.


Condition Intervention Phase
Hepatitis B, Chronic
Drug: lamivudine
Drug: Telbivudine
Drug: Enticavir
Drug: Adefovir Dipivoxil Tablets
Phase IV

MedlinePlus related topics: Hepatitis Hepatitis B
Drug Information available for: Lamivudine Hepatitis B Vaccines Adefovir dipivoxil Adefovir Telbivudine
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title: Influence of Antiviral Treatment to the Long-Term Prognosis of Patients With Chronic HBV Infection.

Further study details as provided by Sun Yat-sen University:

Primary Outcome Measures:
  • incidence rate of hepatic carcinoma [ Time Frame: 10 years after treatment ] [ Designated as safety issue: Yes ]
  • incidence rate of liver cirrhosis [ Time Frame: 10 years after treatment ] [ Designated as safety issue: Yes ]
  • incidence rate of fulminant hepatitis [ Time Frame: 10 years after treatment ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 600
Study Start Date: January 2007
Estimated Study Completion Date: January 2017
Estimated Primary Completion Date: January 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental
120 subjects (have family history of hepatic carcinoma or liver cirrhosis). Antiviral treatment are started when ALT is lower than 80u/L (early antiviral treatment).
Drug: lamivudine
100mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
Drug: Telbivudine
600mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
Drug: Enticavir
0.5mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2 years.
Drug: Adefovir Dipivoxil Tablets
10mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
B: Active Comparator
120 subjects (have family history of hepatic carcinoma or liver cirrhosis). Antiviral treatment are started when ALT is higher than 80u/L (regular antiviral treatment).
Drug: lamivudine
100mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
Drug: Telbivudine
600mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
Drug: Enticavir
0.5mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2 years.
Drug: Adefovir Dipivoxil Tablets
10mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
C: Experimental
180 subjects (have no family history of hepatic carcinoma or liver cirrhosis). Antiviral treatment are started when ALT is lower than 80u/L (early antiviral treatment).
Drug: lamivudine
100mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
Drug: Telbivudine
600mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
Drug: Enticavir
0.5mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2 years.
Drug: Adefovir Dipivoxil Tablets
10mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
D: Active Comparator
180 subjects (have no family history of hepatic carcinoma or liver cirrhosis). Antiviral treatment are started when ALT is higher than 80u/L (regular antiviral treatment).
Drug: lamivudine
100mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
Drug: Telbivudine
600mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.
Drug: Enticavir
0.5mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2 years.
Drug: Adefovir Dipivoxil Tablets
10mg, P.O.,QD, duration: until HBeAg seroconversion for more than 2years.

  Eligibility

Ages Eligible for Study:   20 Years to 45 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • HBsAg positive for more than 6 months.
  • HBeAg positive.
  • HBV DNA over 10E5 copies/ml.

Exclusion Criteria:

  • Previous antiviral treatment for HBV.
  • Co infection of HIV, HCV, HEV, HAV, or HAV.
  • Evidence of hepatic carcinoma.
  • Evidence of autoimmune disease.
  • Evidence of thyroid disease.
  • History of mental sickness.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00810524

Contacts
Contact: Gao zhiliang, M. D. +862085252037 zhanlianh@21cn.com
Contact: Huang zhanlian, M. D. +8685252046 zhanlianh@21cn.com

Locations
China, Guangdong
Recruiting
Guangzhou, Guangdong, China
Contact: Gao zhiliang, M. D.     +8685252037        
Principal Investigator: gao zhiliang, doctor            
The Third Affiliated Hospital Of Sun Yat-sen University Recruiting
Guangzhou, Guangdong, China
Contact: Gao zhiliang, M. D.     +862085252037     zhanlianh@21cm.com    
Sponsors and Collaborators
Sun Yat-sen University
Investigators
Study Director: Gao zhiliang, M. D. The Third Affiliated Hospital of Sun Yat-sen University
  More Information

Responsible Party: The Third Affliated Hospital of Sun Yat-sen University ( The Third Affliated Hospital of Sun Yat-sen University )
Study ID Numbers: SunYat-senU 5010 Hepatitis B
Study First Received: December 1, 2008
Last Updated: December 17, 2008
ClinicalTrials.gov Identifier: NCT00810524  
Health Authority: United States: Institutional Review Board;   China: State Food and Drug Administration

Keywords provided by Sun Yat-sen University:
Chronic hepatitis B
antiviral treatment
long term prognosis

Study placed in the following topic categories:
Virus Diseases
Hepatitis
Liver Diseases
Digestive System Diseases
Hepatitis, Chronic
Hepatitis B, Chronic
Hepatitis B
Lamivudine
Hepatitis, Viral, Human
Adefovir dipivoxil
DNA Virus Infections
Adefovir

Additional relevant MeSH terms:
Anti-Infective Agents
Anti-HIV Agents
Anti-Retroviral Agents
Molecular Mechanisms of Pharmacological Action
Therapeutic Uses
Enzyme Inhibitors
Antiviral Agents
Hepadnaviridae Infections
Nucleic Acid Synthesis Inhibitors
Pharmacologic Actions
Reverse Transcriptase Inhibitors

ClinicalTrials.gov processed this record on January 14, 2009