Optimized Treatment of Peginterferon Alfa 2a/2b in Treatment Experienced Patients With HBV Related Liver Fibrosis

NCT ID: NCT03920605

Last Updated: 2019-05-22

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

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-01

Study Completion Date

2021-12-31

Brief Summary

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Compared to nucleoside/nucleotide analogues, peginterferon alfa 2a/2b may has more therapeutic efficacy in hepatitis B surface antigen or e antigen seroconversion and anti-tumor occurrence in chronic hepatitis b patients. We design this study to investigate treatment of peginterferon alfa 2a/2b in anti-virus treatment experienced patients with HBV related liver fibrosis.

Detailed Description

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Compared to nucleoside/nucleotide analogues, peginterferon alfa 2a/2b may has more therapeutic efficacy in hepatitis B surface antigen or e antigen seroconversion and anti-tumor occurrence in chronic hepatitis b patients. But there still lacks of studies on peginterferon alfa 2a or 2b treatment in patients with HBV related liver fibrosis. We design this study to investigate optimized treatment of peginterferon alfa 2a/2b, comparing to nucleoside/nucleotide analogues, in anti-virus treatment experienced patients with HBV related liver fibrosis.

Conditions

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Hepatitis B Liver Fibrosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Peginterferon alfa group

50 patients would receive treatment of subcutaneous injection of peginterferon alfa 2a 180 μg or peginterferon alfa 2b 80μg once per week from baseline to 48 weeks. Then they would receive treatment of oral tenofovir disoproxil fumarate (TDF) 300 mg once per day from 49 to 144 weeks.

Group Type ACTIVE_COMPARATOR

Peginterferon Alfa-2a

Intervention Type DRUG

Patients would receive subcutaneous injection of Peginterferon Alfa-2a 180 μg once per week.

Peginterferon Alfa-2b

Intervention Type DRUG

Patients would receive subcutaneous injection of Peginterferon Alfa-2b 80 μg once per week.

Combination group

50 patients would receive treatment of subcutaneous injection of peginterferon alfa 2a 180 μg or peginterferon alfa 2b 80μg once per week and meanwhile oral tenofovir disoproxil fumarate (TDF) 300 mg once per day from baseline to 48 weeks. Then they would receive treatment of oral TDF 300 mg once per day from 49 to 144 weeks.

Group Type ACTIVE_COMPARATOR

Tenofovir Disoproxil Fumarate

Intervention Type DRUG

Patients would receive oral Tenofovir Disoproxil Fumarate 300mg once per day.

Peginterferon Alfa-2a

Intervention Type DRUG

Patients would receive subcutaneous injection of Peginterferon Alfa-2a 180 μg once per week.

Peginterferon Alfa-2b

Intervention Type DRUG

Patients would receive subcutaneous injection of Peginterferon Alfa-2b 80 μg once per week.

Interventions

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Tenofovir Disoproxil Fumarate

Patients would receive oral Tenofovir Disoproxil Fumarate 300mg once per day.

Intervention Type DRUG

Peginterferon Alfa-2a

Patients would receive subcutaneous injection of Peginterferon Alfa-2a 180 μg once per week.

Intervention Type DRUG

Peginterferon Alfa-2b

Patients would receive subcutaneous injection of Peginterferon Alfa-2b 80 μg once per week.

Intervention Type DRUG

Other Intervention Names

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Viread Pegasys Pegintron

Eligibility Criteria

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Inclusion Criteria

1. Positive hepatitis b surface antigen or hepatitis b virus DNA \> 0.5 year;
2. Age from 18 to 55 years old;
3. Fibrosis lever of F1 to F3 from liver biopsy; if liver biopsy unreachable, fibrosis lever of 7 to 14 kpa from fibroscan;
4. Portal vein diameter ≤ 12 mm from liver ultrasound;
5. Receiving treatment of nucleoside/nucleotide analogues at the past one year;
6. Normal liver function;
7. Undetectable hepatitis b virus DNA.

Exclusion Criteria

1. Decompensated cirrhosis, hepatocellular carcinoma or other malignancy;
2. Pregnancy or lactation;
3. Other active liver diseases;
4. Human immunodeficiency virus infection or congenital immune deficiency diseases;
5. Severe diabetes, autoimmune diseases;
6. Other important organ dysfunctions;
7. Patients can not follow-up;
8. Investigator considering inappropriate.
Minimum Eligible Age

15 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Third Affiliated Hospital, Sun Yat-Sen University

OTHER

Sponsor Role lead

Responsible Party

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Liang Peng

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Liang Peng, Doctor

Role: PRINCIPAL_INVESTIGATOR

Third Affiliated Hospital, Sun Yat-Sen University

Locations

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Third Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wenxiong Xu, Doctor

Role: CONTACT

+8613760783281

Liang Peng, Doctor

Role: CONTACT

+8613533978874

Facility Contacts

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Liang Peng, Doctor

Role: primary

+8613533978874

Other Identifiers

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PL5

Identifier Type: -

Identifier Source: org_study_id

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