Adjuvant Entecavir or Tenofovir for Postoperative HBV-HCC

NCT ID: NCT02650271

Last Updated: 2024-01-23

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

PHASE3

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-02

Study Completion Date

2023-12-30

Brief Summary

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This study aims to compare the effect of antiviral therapy with entecavir or tenofovir for hepatitis B virus-related hepatocellular carcinoma after radical hepatectomy. Included patients will randomly divide into two groups.

Detailed Description

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Hepatocellular carcinoma (HCC) is associated with a poor prognosis, and its incidence has increased dramatically in many countries. Hepatectomy is a radical therapy for early-stage HCC. However, even after radical resection, the prognosis for HCC patients remains discouraging because of the high recurrence rate and frequent incidence of intrahepatic metastasis. Therefore, preventing HCC recurrence is very important.

Hepatitis B virus (HBV) infection is the major risk factor for HCC development in China. Some retrospective studies have shown that tenofovir or entecavir treatment for HBV-related HCC patients can effectively reduce the HCC recurrence rate and increase the survival rate after hepatectomy. However, which drug has more efficacy has not been addressed.

Conditions

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Hepatocellular Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Entecavir

Patients will be received entecavir (10 mg/d) after 3 days of liver resection.

Group Type EXPERIMENTAL

Entecavir

Intervention Type DRUG

Patients will be received entecavir (10 mg/d) before liver resection.

Tenofovir

Patients will be received tenofovir (1#/d) after 3 days of liver resection.

Group Type ACTIVE_COMPARATOR

Tenofovir

Intervention Type DRUG

Patients will be received tenofovir before liver resection.

Interventions

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Entecavir

Patients will be received entecavir (10 mg/d) before liver resection.

Intervention Type DRUG

Tenofovir

Patients will be received tenofovir before liver resection.

Intervention Type DRUG

Other Intervention Names

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ETV

Eligibility Criteria

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Inclusion Criteria

* Underwent hepatic resection.
* Diagnosis of HCC was confirmed by postoperative histopathology.
* Positive of HBsAg, HBeAg, or HBV DNA.
* Child-Pugh A or B liver function.

Exclusion Criteria

* Anti-HCV(+)
* Diagnosis of HCC was not confirmed by postoperative histopathology of surgical samples after surgery.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Guangxi Medical University

OTHER

Sponsor Role lead

Responsible Party

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Jian-Hong Zhong

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Le-Qun Li, MD

Role: STUDY_CHAIR

Guangxi Medical University Cancer Hospital

Locations

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Department of Hepatobilliary Surgery, Affiliated Tumor of Guangxi University

Nanning, Guangxi, China

Site Status

Countries

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China

References

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Ke Y, Ma L, You XM, Huang SX, Liang YR, Xiang BD, Li LQ, Zhong JH. Antiviral therapy for hepatitis B virus-related hepatocellular carcinoma after radical hepatectomy. Cancer Biol Med. 2013 Sep;10(3):158-64. doi: 10.7497/j.issn.2095-3941.2013.03.006.

Reference Type BACKGROUND
PMID: 24379991 (View on PubMed)

Kim SU, Seo YS, Lee HA, Kim MN, Lee YR, Lee HW, Park JY, Kim DY, Ahn SH, Han KH, Hwang SG, Rim KS, Um SH, Tak WY, Kweon YO, Kim BK, Park SY. A multicenter study of entecavir vs. tenofovir on prognosis of treatment-naive chronic hepatitis B in South Korea. J Hepatol. 2019 Sep;71(3):456-464. doi: 10.1016/j.jhep.2019.03.028. Epub 2019 Apr 6.

Reference Type BACKGROUND
PMID: 30959156 (View on PubMed)

Teng YX, Li MJ, Xiang BD, Zhong JH. Tenofovir may be superior to entecavir for preventing hepatocellular carcinoma and mortality in individuals chronically infected with HBV: a meta-analysis. Gut. 2020 Oct;69(10):1900-1902. doi: 10.1136/gutjnl-2019-320326. Epub 2019 Dec 16. No abstract available.

Reference Type BACKGROUND
PMID: 31843789 (View on PubMed)

Yuan BH, Li RH, Huo RR, Li MJ, Papatheodoridis G, Zhong JH. Lower risk of hepatocellular carcinoma with tenofovir than entecavir treatment in subsets of chronic hepatitis B patients: an updated meta-analysis. J Gastroenterol Hepatol. 2022 May;37(5):782-794. doi: 10.1111/jgh.15783. Epub 2022 Feb 7.

Reference Type BACKGROUND
PMID: 35080052 (View on PubMed)

Pan LX, Wang YY, Li ZH, Luo JX, Wu KJ, Liu ZX, Wu PS, Chen K, Ma L, Fan XH, Zhong JH. Entecavir versus tenofovir for prevention of hepatitis B virus-associated hepatocellular carcinoma after curative resection: study protocol for a randomized, open-label trial. Trials. 2024 Jan 5;25(1):25. doi: 10.1186/s13063-023-07742-x.

Reference Type BACKGROUND
PMID: 38183137 (View on PubMed)

Other Identifiers

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AEVT-HCC

Identifier Type: -

Identifier Source: org_study_id

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