EFFicacy Optimization Research of Telbivudine Therapy

NCT ID: NCT00962533

Last Updated: 2013-01-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

606 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2012-08-31

Brief Summary

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The purpose of this trial is to prove that the strategy of treatment adjustment at W24 according to virological response based on ROADMAP concept is better than standard of care strategy.

Detailed Description

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Conditions

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Hepatitis B, Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ROADMAP Group (Group I)

Patients were to take telbivudine 600 mg orally daily from Baseline.At Week 24, patients in Group I were split into Group I-A or Group I-B based on their virologic load:

* Group I-A: This group of patients was those with HBV DNA ≥300 copies/mL at Week 24 and adefovir was to be added at Week 28;
* Group I-B: This group of patients was those with HBV DNA \<300 copies/mL at Week 24. Telbivudine monotherapy was to be continued until there was a viral breakthrough (confirmed by two examinations with at least 1 month interval with compliance factor excluded) and then adefovir was to be added;

The total treatment duration was 104 weeks.

Group Type EXPERIMENTAL

telbivudine

Intervention Type DRUG

telbivudine, 600mg, oral, daily

SOC (Standard of Care) Group (Group II)

patients were to take telbivudine 600 mg monotherapy from Baseline until Week 104. If viral breakthrough (defined as HBV DNA 1 log10 above nadir) was confirmed (by two examinations with at least a 1 month interval with compliance factor excluded), adefovir 10 mg daily was to be added.

Group Type ACTIVE_COMPARATOR

telbivudine

Intervention Type DRUG

telbivudine, 600mg, oral, daily

Interventions

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telbivudine

telbivudine, 600mg, oral, daily

Intervention Type DRUG

telbivudine

telbivudine, 600mg, oral, daily

Intervention Type DRUG

Other Intervention Names

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Sebivo® Sebivo®

Eligibility Criteria

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Inclusion Criteria

* Male or female, from 18 (inclusive) to 65 (inclusive) years of age
* HBsAg and HBeAg positive for over six months
* Patient is willing and able to comply with the study drug regimen and all other study requirements
* Patients must give written informed consent before any assessment is performed

Exclusion Criteria

* Detected M204I/V, N236T, A181V/T mutation in patient serum HBV DNA at Screening visit
* Patient has a history of or clinical signs/symptoms of hepatic decompensation
* Patient has a history of hepatocellular carcinoma (HCC) or findings suggestive of possible HCC
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Major Science and Technology Special Project of China Eleventh Five-year

OTHER

Sponsor Role collaborator

Novartis

INDUSTRY

Sponsor Role collaborator

Nanfang Hospital, Southern Medical University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jinlin Hou, MD

Role: PRINCIPAL_INVESTIGATOR

Nanfang Hospital, Southern Medical University

Locations

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302 Military Hospital of China

Beijing, Beijing Municipality, China

Site Status

Beijing Ditan Hospita

Beijing, Beijing Municipality, China

Site Status

Beijing Friendship Hospital Attached to the Capital Medical University

Beijing, Beijing Municipality, China

Site Status

BeiJing YouAn Hospital ,Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Department of infectious disease, First Hospital of Peking University

Beijing, Beijing Municipality, China

Site Status

People'S Hospital Under Beijnig University

Beijing, Beijing Municipality, China

Site Status

The Second Affiliated of ChongQing University of Medical Science

Chongqing, Chongqing Municipality, China

Site Status

Department of infectious disease, Nanfang Hospital

Guangzhou, Guangdong, China

Site Status

No. 8 People's Hospital In GuangZhou

Guangzhou, Guangdong, China

Site Status

The Third Hospital of Sun Yat-Sen University

Guangzhou, Guangdong, China

Site Status

Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status

Xiangya Hospital Central-South Univrsity

Changsha, Hunan, China

Site Status

No.81 Hospital of PLA

Nanjing, Jiangsu, China

Site Status

First Hospital .Jilin Unniversity

Changchun, Jilin, China

Site Status

ShengJing Hospital of China Medical University

Shenyang, Liaoning, China

Site Status

JiNan Infectious Diseases Hospital

Jinan, Shandong, China

Site Status

Changhai Hospital affiliated to Second Military Medical University

Shanghai, Shanghai Municipality, China

Site Status

Huashan Hospital,Fudan University

Shanghai, Shanghai Municipality, China

Site Status

No.85 Hospital of PLA

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Ruijin Hospital

Shanghai, Shanghai Municipality, China

Site Status

Tangdu Hospital

XiAn, Shanxi, China

Site Status

West China Hospital.SiChuan University

Chengdu, Sichuan, China

Site Status

The First Affiliated Hospital of College of Medicine ,Zhejiang University

Hangzhou, Zhejiang, China

Site Status

The Sixth People's Hospital of Hangzhou

Hangzhou, Zhejiang, China

Site Status

Countries

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China

References

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Keeffe EB, Zeuzem S, Koff RS, Dieterich DT, Esteban-Mur R, Gane EJ, Jacobson IM, Lim SG, Naoumov N, Marcellin P, Piratvisuth T, Zoulim F. Report of an international workshop: Roadmap for management of patients receiving oral therapy for chronic hepatitis B. Clin Gastroenterol Hepatol. 2007 Aug;5(8):890-7. doi: 10.1016/j.cgh.2007.05.004. Epub 2007 Jul 13.

Reference Type BACKGROUND
PMID: 17632041 (View on PubMed)

Huang Q, Zhou B, Cai D, Zong Y, Wu Y, Liu S, Mercier A, Guo H, Hou J, Colonno R, Sun J. Rapid Turnover of Hepatitis B Virus Covalently Closed Circular DNA Indicated by Monitoring Emergence and Reversion of Signature-Mutation in Treated Chronic Hepatitis B Patients. Hepatology. 2021 Jan;73(1):41-52. doi: 10.1002/hep.31240. Epub 2020 Dec 1.

Reference Type DERIVED
PMID: 32189364 (View on PubMed)

Other Identifiers

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MOH-01

Identifier Type: -

Identifier Source: org_study_id

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