A Nation-wide Hospital-based Hepatitis B Registry:China Registry of Hepatitis B

NCT ID: NCT03108794

Last Updated: 2017-11-06

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

RECRUITING

Total Enrollment

200000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-06-30

Study Completion Date

2025-12-31

Brief Summary

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CR-HepB registry started in June 30,2012 to collect HBV cases from general hospitals or specialized hospitals for infectious diseases in mainland China. Demographics, diagnosis, laboratory test results, family history and prescriptions were recorded. The main criteria for registration is HBsAg-positivity more than 6 months, and these patients will receive followed-up visits every three to six months.

Detailed Description

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This web-based database was launched on June 30, 2012 and consists of tertiary or secondary hospitals with special interest and expertise on managing hepatitis B patients across mainland China. The main inclusion criteria for this registration are HBsAg-positivity ≥ 6 months, HBeAg positive or negative, with or without cirrhosis, either treatment-naïve or treatment experienced. At the first time of data entry, demographics, medical history, virology, biochemistry and hematology results, radiology reports, diagnosis and treatment information were recorded. Then the registered patients received standard of care and follow-up every 3 to 6 months. On each visit, virological, biochemical, and radiological reports, as well as clinical progress were recorded.

Conditions

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Chronic Hepatitis B

Keywords

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hepatitis B,registry,cirrhosis, HCC

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Immune tolerance phase

Immune tolerance phase is diagnosed based on the presence of high serum levels of HBV-DNA, hepatitis B e antigen (HBeAg), but normal or minimally elevated serum alanine aminotransferase (ALT), and normal liver or only minimal histological activity and scant fibrosis.

No interventions assigned to this group

HBeAg positive CHB

HBeAg positive CHB is defined as those with HBsAg positive for more 6 months, HBeAg positive, high HBV DNA, elevated serum levels of ALT and histological activity.

No interventions assigned to this group

HBeAg negative CHB

HBeAg negative CHB is defined as those with HBeAg negative, anti-HBe positive, lower serum HBV DNA levels and histological necroinflammation and fibrosis.

No interventions assigned to this group

Inactive HBsAg carriers

Inactive HBsAg carriers was defined as those with HBsAg positive than 6 months, with low HBV DNA and persistently normal ALT, without evidence of cirrhosis.

No interventions assigned to this group

Compensated cirrhosis

Diagnosis of compensated cirrhosis can be made if one of the following criteria was met:

1. by liver histology: Ishak fibrosis stage 5-6 or METAVIR F4.
2. endoscopy-proven gastroesophageal varices, afrter excluding non-cirrhotic portal hypertension.
3. at least 2 features of cirrhosis:

1. irregular liver surface, granular or nodular liver parenchyma, with or without splenomegaly (spleen thickness \> 4.0cm or \> 5 rib units) on ultrasound ,CT or MRI;
2. PLT\<100×109/L without other causes;
3. Serum album in\<35 g/L or INR\>1.3 or PT prolongs\>3s;
4. LSM\>13 kpa (ALT\<5×ULN).

No interventions assigned to this group

Decompensated cirrhosis

Decompensated cirrhosis was diagnosed based on the presence of ascites, bleeding esophageal varices and/or hepatic encephalopathy in cirrhotic patients.

No interventions assigned to this group

Hepatocellular carcinoma

Diagnosis of hepatocellular carcinoma(HCC)can be established when one of the following one of the following 2 criteria:(1)in cirrhotic patients with nodules of 1cm or larger with typical features of HCC ( arterial enhancement with washout in venous or delay phase) on 2 radiological studies or with 1 radiological study and elevation of serum AFP; or(2)histological evidence of HCC.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* HBsAg-positivity over a continuous six months.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing YouAn Hospital

OTHER

Sponsor Role collaborator

The First Hospital of Jilin University

OTHER

Sponsor Role collaborator

Henan Provincial People's Hospital

OTHER

Sponsor Role collaborator

Beijing Ditan Hospital

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Xinjiang Medical University

OTHER

Sponsor Role collaborator

LanZhou University

OTHER

Sponsor Role collaborator

The Second Affiliated Hospital of Chongqing Medical University

OTHER

Sponsor Role collaborator

West China Hospital

OTHER

Sponsor Role collaborator

The Third People's Hospital of Taiyuan

OTHER

Sponsor Role collaborator

Hebei Medical University Third Hospital

OTHER

Sponsor Role collaborator

Shengjing Hospital

OTHER

Sponsor Role collaborator

Tianjin Third Central Hospital

OTHER

Sponsor Role collaborator

Peking University First Hospital

OTHER

Sponsor Role collaborator

Peking Union Medical College Hospital

OTHER

Sponsor Role collaborator

The Affiliated Hospital Of Southwest Medical University

OTHER

Sponsor Role collaborator

Shanghai Public Health Clinical Center

OTHER_GOV

Sponsor Role collaborator

Ruijin Hospital

OTHER

Sponsor Role collaborator

First Affiliated Hospital Xi'an Jiaotong University

OTHER

Sponsor Role collaborator

Xiangya Hospital of Central South University

OTHER

Sponsor Role collaborator

Beijing Tiantan Hospital

OTHER

Sponsor Role collaborator

Wuhan University

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Kunming Medical University

OTHER

Sponsor Role collaborator

The Affiliated Hospital of Xuzhou Medical University

OTHER

Sponsor Role collaborator

The Affiliated Hospital of Yanbian University

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Chongqing Medical University

OTHER

Sponsor Role collaborator

The Fourth People's Hospital of Qinghai Province

OTHER

Sponsor Role collaborator

Weifang Medical University

OTHER

Sponsor Role collaborator

Hunan Provincial People's Hospital

OTHER

Sponsor Role collaborator

The Second Hospital of Hebei Medical University

OTHER

Sponsor Role collaborator

Xixi Hospital of Hangzhou

UNKNOWN

Sponsor Role collaborator

General Hospital of Ningxia Medical University

OTHER

Sponsor Role collaborator

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

OTHER

Sponsor Role collaborator

Xinjiang Uygur Autonomous Region Traditional Chinese Medicine Hospital

UNKNOWN

Sponsor Role collaborator

Peking University People's Hospital

OTHER

Sponsor Role collaborator

Nanfang Hospital, Southern Medical University

OTHER

Sponsor Role collaborator

The Affiliated Hospital Of Guizhou Medical University

OTHER

Sponsor Role collaborator

Guizhou Provincial People's Hospital

OTHER

Sponsor Role collaborator

Hainan General Hospital

OTHER

Sponsor Role collaborator

The Second Hospital of Shandong University

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Shanxi Medical University

OTHER

Sponsor Role collaborator

Fifth Hospital of Shijiazhuang City

OTHER

Sponsor Role collaborator

Yan'an University Affiliated Hospital

OTHER

Sponsor Role collaborator

Infectious Disease Hospital of Wuhai

UNKNOWN

Sponsor Role collaborator

Logistics University of Chinese People's Armed Police Forces

OTHER

Sponsor Role collaborator

People's Hospital of Changji Hui Autonomous Prefecture,Xinjiang

UNKNOWN

Sponsor Role collaborator

Beijing Friendship Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jidong Jia

Liver Research Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jidong Jia, Doctor

Role: PRINCIPAL_INVESTIGATOR

Beijing Friendship Hospital

Locations

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Beijing Ditan Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking University People's Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Beijing Tiantan Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Beijing Youan Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

The First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Lanzhou University Second Hospital

Lanzhou, Gansu, China

Site Status RECRUITING

The First Hospital of Lanzhou University

Lanzhou, Gansu, China

Site Status RECRUITING

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

The Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Site Status RECRUITING

Guizhou provincial people's hospital

Guiyang, Guizhou, China

Site Status RECRUITING

Hainan General Hospital

Haikou, Hainan, China

Site Status RECRUITING

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status RECRUITING

The Fifth Hospital of Shijiazhuang

Shijiazhuang, Hebei, China

Site Status RECRUITING

The Third Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status RECRUITING

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Union Hospital,Tong Ji Medical College,Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Site Status RECRUITING

Hunan Provincial People's Hospital

Changsha, Hunan, China

Site Status RECRUITING

Xiangya Hospital Central South University

Changsha, Hunan, China

Site Status RECRUITING

Infectious Disease Hospital of Wuhai

Wuhai, Inner Mongolia, China

Site Status RECRUITING

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, China

Site Status RECRUITING

First Hospital of Jilin University

Changchun, Jilin, China

Site Status RECRUITING

The Affiliated Hospital of Yanbian University

Yanbian, Jilin, China

Site Status RECRUITING

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

General Hospital of Ningxia Medical University

Yinchuan, Ningxia, China

Site Status RECRUITING

The Second Hospital of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Affiliated Hospital of Weifang Medical University

Weifang, Shandong, China

Site Status RECRUITING

Shanghai Ruijin Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Public Health Clinical Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

The First Affiliated Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status RECRUITING

Taiyuan No.3 Hospital

Taiyuan, Shanxi, China

Site Status RECRUITING

First Affiliated Hospital of Xi'an Jiaotong University

Xi’an, Shanxi, China

Site Status RECRUITING

Yanan University Affiliated Hospital

Yanan, Shanxi, China

Site Status RECRUITING

West China Hospital of Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

The Affiliated Hospital of Southwest Medical University

Luzhou, Sichuan, China

Site Status RECRUITING

Affiliated Hospital, Logistics University of People's Armed Police Force

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Tianjin Third Central Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

People's Hospital of Changji Hui Autonomous Prefecture,Xinjiang

Changji, Xinjiang, China

Site Status RECRUITING

First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status RECRUITING

Xinjiang Uygur Autonomous Region Traditional Chinese Medicine Hospital

Ürümqi, Xinjiang, China

Site Status RECRUITING

First Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

Site Status RECRUITING

Xixi Hospital of Hangzhou

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jidong Jia, MD

Role: CONTACT

Phone: 010-63139816

Email: [email protected]

Hong You, MD

Role: CONTACT

Phone: 010-63139019

Email: [email protected]

Facility Contacts

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Wen Xie, MD

Role: primary

Xiaoqing Liu, MD

Role: primary

Xiaoyuan Xu, MD

Role: primary

Lai Wei, doctor

Role: primary

Youqing Xu, MD

Role: primary

Huiguo Ding, MD

Role: primary

Hong Ren, MD

Role: primary

Wenxiang Huang, MD

Role: primary

Lingyi Zhang, MD

Role: primary

Xiaorong Mao, MD

Role: primary

Jinlin Hou, MD

Role: primary

Mingliang Cheng, MD

Role: primary

Xinhua Luo, MD

Role: primary

Feng Lin, MD

Role: primary

Xiaolan Zhang, MD

Role: primary

Huanwei Deng, MD

Role: primary

Yuemin Nan, MD

Role: primary

Jia Shang, MD

Role: primary

Dongliang Yang, MD

Role: primary

Yong Xiong, MD

Role: primary

Xiaoxuan Hu, MD

Role: primary

Yan Huang, MD

Role: primary

Caixia Yang, MD

Role: primary

Xuebing Yan, MD

Role: primary

Junqi Niu, MD

Role: primary

Hongxin Piao, MD

Role: primary

Xiaoguang Dou, MD

Role: primary

Yufang Li, MD

Role: primary

Lei Wang, MD

Role: primary

Shiping Li, MD

Role: primary

Qing Xie, MD

Role: primary

Peiyan Ye, MD

Role: primary

Liaoyun Zhang, MD

Role: primary

Xihong Wang, MD

Role: primary

Shumei Lin, MD

Role: primary

Guanghua Xu, MD

Role: primary

Hong Tang, MD

Role: primary

Cunliang Deng, MD

Role: primary

Hai Li, MD

Role: primary

Tao Han, MD

Role: primary

Weijin Gong, MD

Role: primary

Yuexin Zhang, MD

Role: primary

Xiaozhong Wang, MD

Role: primary

Wu Li, MD

Role: primary

Shourong Liu, MD

Role: primary

References

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You H, Kong Y, Hou J, Wei L, Zhang Y, Niu J, Han T, Ou X, Dou X, Shang J, Tang H, Xie Q, Ding H, Ren H, Xu X, Xie W, Liu X, Xu Y, Li Y, Li J, Chow SC, Zhuang H, Jia J. Female gender lost protective effect against disease progression in elderly patients with chronic hepatitis B. Sci Rep. 2016 Nov 28;6:37498. doi: 10.1038/srep37498.

Reference Type BACKGROUND
PMID: 27892487 (View on PubMed)

Shan S, Wei W, Kong Y, Niu J, Shang J, Xie W, Zhang Y, Ren H, Tang H, Ding H, Nan Y, Dou X, Han T, Xu X, Duan Z, Wei L, Hou J, Zhuang H, You H, Jia J; CR-Hepb Study Group, Beijing, China. China Registry of Hepatitis B (CR-HepB): Protocol and implementation of a nationwide hospital-based registry of hepatitis B. Scand J Public Health. 2020 Mar;48(2):233-239. doi: 10.1177/1403494818772188. Epub 2018 May 1.

Reference Type DERIVED
PMID: 29716439 (View on PubMed)

Other Identifiers

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CR-HepB

Identifier Type: -

Identifier Source: org_study_id