Traditional Chinese Medicine Combined With Entecavir to Treat Refractory Liver Fibrosis in Liver Cirrhosis Due to HBV

NCT ID: NCT02241616

Last Updated: 2018-10-15

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2019-06-30

Brief Summary

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Liver Cirrhosis is a common pathological consequence of chronic liver disease. Hepatitis B Virus (HBV) is one of most etiologies of Liver cirrhosis in China. The effective inhibition of HBV can partially regress or reverse liver fibrosis in patients with chronic Hepatitis and liver cirrhosis due to HBV, however some patients keep existence or development although HBV DNA is under-detectable after anti-virals. Theses refractory liver fibrosis is required the anti-fibrotic treatment focusing on the regulation of hepatic extracellular matrix, especially is necessary for in the patients with advance fibrosis stage ie. liver cirrhosis. Fuzheng Huayu has been found to enhance the degradation of collagens in fibrotic liver and have a good action against liver fibrosis in patients with chronic hepatitis B. However, there are no high quality clinical evidences which can demonstrate if the combination of anti-viral and anti-fibrotic therapy can improve the reversion of refractory liver fibrosis in liver cirrhosis due to HBV.

The primary objective of this study is to establish the safety and efficacy of the combination of Entecavir and Traditional Chinese Medicine in refractory liver fibrosis in liver cirrhosis due to HBV.

Detailed Description

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Conditions

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Hepatitis B Virus Related Cirrhosis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Entecavir+Fuzheng Huayu+TCM Granule

Tablet with Entecavir+ Tablet with Fuzheng Huayu+ Granule with TCM

Group Type EXPERIMENTAL

Entecavir+Fuzheng Huayu+TCM Granule

Intervention Type DRUG

The subjects will be taking 1 Entecavir tablet per day, 4 Fuzheng Huayu tablets three times a day and specific Traditional Chinese Medicine granule for 48 weeks.

Interventions

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Entecavir+Fuzheng Huayu+TCM Granule

The subjects will be taking 1 Entecavir tablet per day, 4 Fuzheng Huayu tablets three times a day and specific Traditional Chinese Medicine granule for 48 weeks.

Intervention Type DRUG

Other Intervention Names

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Gan Ping 319 Recipe FZHY

Eligibility Criteria

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Inclusion Criteria

* Hepatitis B history or more than 6 months history of positive HBsAg
* Within 2 years of Entecavir treatment, HBV-DNA is negative but has not reach the clinical endpoint (HBeAg seroconversion or HBsAg loss in HBeAg-positive patients; HBsAg loss or anti-HBs seroconversion in HBeAg-negative patients)
* Age 18-60
* Ishak fibrosis score of the biopsy within 6 months ≥5, no anti-fibrosis drug was taken within 6 months.
* Child-Pugh\<7 (Stage A)
* The patient or the patient's guardian agrees to participate the random controlled trial and sign the Informed Consent Form.

Exclusion Criteria

* Decompensated liver cirrhosis
* HCC
* Liver histology conforming to other chronic liver diseases, such as moderate or severe non-alcoholic fatty liver disease(more than 1/3 steatosis in liver ), chronic hepatitis C, chronic hepatitis D, autoimmune hepatitis, primary biliary cholangitis, primary sclerosing cholangitis, inherited metabolic liver disease, drug or toxic induced liver injury, parasitic infections, alcoholic liver disease.
* Have psychiatric history or uncontrollable epilepsy patient.
* Uncontrollable diabetic patient
* History of hemoglobin disease (such as alpha- or beta-thalassemia, sickle cell disease, spherocytosis) or patients with toxic or autoimmune hemolytic anemia.
* Severe background disease like chronic respiratory failure, circulatory failure, kidney failure etc.
* In situ organ transplantation (such as liver, kidney, lung and heart) or bone marrow transplantation and stem cell transplantation.
* Immunocompromised patients: such as HIV infection or take immunosuppressor or Glucocorticoid (such as cyclosporin, azathioprine, adrenocortical hormone) within 3 months or chemotherapy drugs (such as cyclophosphamide, ammonia and cancer chemotherapy) and radioactive therapy.
* Gestation or lactation period women and women who plan to get pregnant during the study period.
* Patient who are allergy to the experimental drug.
* Using history of other anti-viral drug within 6 months.
* Patients who are participating other trials.
* Other situation where PI thinks the patient should be excluded.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Zhongshan Hospital

OTHER

Sponsor Role collaborator

Guangxi Ruikang Hospital

OTHER

Sponsor Role collaborator

Hubei Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Huai'an No. 4 People's Hospital

UNKNOWN

Sponsor Role collaborator

Ruijin Hospital

OTHER

Sponsor Role collaborator

Shenzhen Third People's Hospital

OTHER

Sponsor Role collaborator

Beijing Ditan Hospital

OTHER

Sponsor Role collaborator

Beijing YouAn Hospital

OTHER

Sponsor Role collaborator

China-Japan Friendship Hospital

OTHER

Sponsor Role collaborator

Tongji Hospital

OTHER

Sponsor Role collaborator

Wenzhou Central Hospital

OTHER

Sponsor Role collaborator

Jingmen No.1 People's Hospital

OTHER

Sponsor Role collaborator

Affiliated Hospital of Shandong Univercity of TCM

UNKNOWN

Sponsor Role collaborator

The Ninth Hospital of Nanchang

OTHER

Sponsor Role collaborator

The People's Hospital of Ningxia

OTHER

Sponsor Role collaborator

Fifth Hospital of Shijiazhuang City

OTHER

Sponsor Role collaborator

The Fifth People's Hospital of Suzhou

OTHER

Sponsor Role collaborator

The Fifth People's Hospital of Anyang

UNKNOWN

Sponsor Role collaborator

ShuGuang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Liu Chenghai

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chenghai Liu, PhD

Role: STUDY_DIRECTOR

ShuGuang Hospital

Locations

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Guangxi Ruikang Hospital

Nanning, Guangxi, China

Site Status RECRUITING

The Fifth Hospital of Shijiazhuang

Shijiazhuang, Hebei, China

Site Status RECRUITING

The Fifth People's Hospital of Anyang

Anyang, Henan, China

Site Status RECRUITING

Jingmen No.1 People's Hospital

Jingmen, Hubei, China

Site Status RECRUITING

Hubei Hospital of TCM

Wuhan, Hubei, China

Site Status RECRUITING

Tongji Hospital

Wuhan, Hubei, China

Site Status RECRUITING

The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine

Changsha, Hunan, China

Site Status RECRUITING

Huai'an No. 4 People's Hospital

Huai'an, Jiangsu, China

Site Status RECRUITING

The Fifth People's Hospital of Suzhou

Suzhou, Jiangsu, China

Site Status RECRUITING

The Ninth Hospital of Nanchang

Nanchang, Jiangxi, China

Site Status RECRUITING

Ningxia People's Hospital

Yinchuan, Ningxia, China

Site Status RECRUITING

Affiliated Hospital of Shandong Univercity of TCM

Jinan, Shandong, China

Site Status RECRUITING

Wenzhou Central Hospital

Wenzhou, Zhejiang, China

Site Status RECRUITING

Beijing Ditan Hospital Capital Medical University

Beijing, , China

Site Status RECRUITING

Beijing Youan Hospital Capital Medical University

Beijing, , China

Site Status RECRUITING

China-Japan Friendship Hospital

Beijing, , China

Site Status RECRUITING

ShuGuang Hospital

Shanghai, , China

Site Status RECRUITING

Ruijin Hospital

Shanghai, , China

Site Status RECRUITING

Shanghai Zhongshan Hospital

Shanghai, , China

Site Status RECRUITING

Shenzhen Third People's Hospital

Shenzhen, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Chenghai Liu, PhD

Role: CONTACT

8621-20256521

Facility Contacts

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Zhimin Zhao, PhD

Role: primary

+8615800581663

References

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Chen Y, Zhao Z, Fan H, Li Z, He Y, Liu C. Safety and therapeutic effects of anti-fibrotic Traditional Chinese Medicine Fuzheng Huayu on persistent advanced stage fibrosis following 2 years entecavir treatment: Study protocol for a single arm clinical objective performance criteria trial. Contemp Clin Trials Commun. 2020 Jun 23;19:100601. doi: 10.1016/j.conctc.2020.100601. eCollection 2020 Sep.

Reference Type DERIVED
PMID: 32642592 (View on PubMed)

Other Identifiers

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SGHLC20140818002

Identifier Type: -

Identifier Source: org_study_id

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