Liver Injury by Statins in Patients With History of Hepatitis B Virus Infection

NCT ID: NCT02808299

Last Updated: 2016-06-21

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

Total Enrollment

600 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-12-31

Brief Summary

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The purpose of this study is to investigate the incidence of liver injury by statins in coronary heart disease (CHD) patients with history of hepatitis B virus (HBV) infection.

Detailed Description

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Conditions

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Liver Injury Hepatitis B Virus Infection History

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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all the antigen and antibody of HBV are negative

Hepatitis B Virus surface antigen (HBsAg), Hepatitis B Virus surface antibody (HBsAb), Hepatitis B Virus e antigen (HBeAg), Hepatitis B Virus e antibody (HBeAb), Hepatitis B Virus core antibody (HBcAb) are all negative.

No interventions assigned to this group

HBV infection history

One or more of HBsAb,HBeAb, HBcAb are positive, while HBsAg and HBeAg are negative. If only HBsAb is positive, the history of HBV vaccination need to be excluded.

HBV infection history

Intervention Type OTHER

HBV infection history or HBV carriers

HBV carriers

One or two of HBsAg and HBeAg are positive, accompanied by any HBV antibody is positive or not.

HBV infection history

Intervention Type OTHER

HBV infection history or HBV carriers

Interventions

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HBV infection history

HBV infection history or HBV carriers

Intervention Type OTHER

Other Intervention Names

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HBV carriers

Eligibility Criteria

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Inclusion Criteria

* patients with CHD receive long-term statin treatment

Exclusion Criteria

* ALT is over ULN at baseline
* infection of Hepatitis A Virus, Hepatitis C Virus or Hepatitis E Virus
* triglyceride is over 4.5 mmol/L
* decompensated liver cirrhosis (Child B or C)
* active stage of HBV
* infection of Burkitt's lymphoma virus or cytomegalovirus, or other acute infectious disease
* congestive heart failure
* malignant tumor
* autoimmune disease
* receive other potential hepatotoxicity drugs such as immunosuppressant, antituberculotic and non-steroid anti-inflammatory drug.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The First Affiliated Hospital with Nanjing Medical University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Zhijian Yang, Doctor

Role: STUDY_CHAIR

First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital

Locations

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First Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Site Status

Countries

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China

Central Contacts

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Zhijian Yang, Doctor

Role: CONTACT

+83 13809030208

Haoyu Meng, Master

Role: CONTACT

+86 15805167259

References

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Bellosta S, Paoletti R, Corsini A. Safety of statins: focus on clinical pharmacokinetics and drug interactions. Circulation. 2004 Jun 15;109(23 Suppl 1):III50-7. doi: 10.1161/01.CIR.0000131519.15067.1f.

Reference Type BACKGROUND
PMID: 15198967 (View on PubMed)

Ekstedt M, Franzen LE, Mathiesen UL, Holmqvist M, Bodemar G, Kechagias S. Statins in non-alcoholic fatty liver disease and chronically elevated liver enzymes: a histopathological follow-up study. J Hepatol. 2007 Jul;47(1):135-41. doi: 10.1016/j.jhep.2007.02.013. Epub 2007 Mar 8.

Reference Type BACKGROUND
PMID: 17400325 (View on PubMed)

Segarra-Newnham M, Parra D, Martin-Cooper EM. Effectiveness and hepatotoxicity of statins in men seropositive for hepatitis C virus. Pharmacotherapy. 2007 Jun;27(6):845-51. doi: 10.1592/phco.27.6.845.

Reference Type BACKGROUND
PMID: 17542767 (View on PubMed)

Balmer ML, Dufour JF. Treatment of hypercholesterolemia in patients with primary biliary cirrhosis might be more beneficial than indicated. Swiss Med Wkly. 2008 Jul 26;138(29-30):415-9. doi: 10.4414/smw.2008.12311.

Reference Type BACKGROUND
PMID: 18654866 (View on PubMed)

Cohen DE, Anania FA, Chalasani N; National Lipid Association Statin Safety Task Force Liver Expert Panel. An assessment of statin safety by hepatologists. Am J Cardiol. 2006 Apr 17;97(8A):77C-81C. doi: 10.1016/j.amjcard.2005.12.014. Epub 2006 Feb 3.

Reference Type BACKGROUND
PMID: 16581333 (View on PubMed)

Watkins PB, Seeff LB. Drug-induced liver injury: summary of a single topic clinical research conference. Hepatology. 2006 Mar;43(3):618-31. doi: 10.1002/hep.21095.

Reference Type BACKGROUND
PMID: 16496329 (View on PubMed)

Lu J, Zhou Y, Lin X, Jiang Y, Tian R, Zhang Y, Wu J, Zhang F, Zhang Y, Wang Y, Bi S. General epidemiological parameters of viral hepatitis A, B, C, and E in six regions of China: a cross-sectional study in 2007. PLoS One. 2009 Dec 24;4(12):e8467. doi: 10.1371/journal.pone.0008467.

Reference Type BACKGROUND
PMID: 20041146 (View on PubMed)

Zhang Q, Yang Z. Can statins be used safely in coronary heart disease patients of hepatitis B virus carriers? Int J Cardiol. 2011 Jan 21;146(2):291. doi: 10.1016/j.ijcard.2010.10.087. Epub 2010 Dec 3. No abstract available.

Reference Type RESULT
PMID: 21129795 (View on PubMed)

Related Links

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Other Identifiers

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StatinsHBV-1

Identifier Type: -

Identifier Source: org_study_id

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