Adjuvant Entecavir or Tenofovir for Postoperative HBV-HCC
NCT ID: NCT02650271
Last Updated: 2024-01-23
Study Results
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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COMPLETED
PHASE3
240 participants
INTERVENTIONAL
2021-02-02
2023-12-30
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Entecavir
Patients will be received entecavir (10 mg/d) after 3 days of liver resection.
Entecavir
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.
Tenofovir
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.
Tenofovir
Patients will be received tenofovir before liver resection.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Diagnosis of HCC was confirmed by postoperative histopathology.
* Positive of HBsAg, HBeAg, or HBV DNA.
* Child-Pugh A or B liver function.
Exclusion Criteria
* Diagnosis of HCC was not confirmed by postoperative histopathology of surgical samples after surgery.
18 Years
75 Years
ALL
Yes
Sponsors
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Guangxi Medical University
OTHER
Responsible Party
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Jian-Hong Zhong
Director
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
Countries
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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.
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.
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.
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.
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.
Other Identifiers
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AEVT-HCC
Identifier Type: -
Identifier Source: org_study_id
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