The Clinical Cure Project of Chronic Hepatitis B in China

NCT ID: NCT04035837

Last Updated: 2025-04-13

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

30000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-16

Study Completion Date

2026-06-30

Brief Summary

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Chronic hepatitis B is a global public health problem, with nearly 700,000 deaths each year because of hepatitis B-related diseases. Recent studies have found that some patients who have used nucleot(s)ide analogues(NAs) for some period can achieve higher hepatitis B surface antigen(HBsAg) clearance rate(which is called clinical cure or functional cure) by using pegylated interferon. Patients who achieve clinical cure will further reduce liver inflammation, fibrosis and risks of liver cirrhosis and cancer in the future. This study was initiated in May 2018 and plans to recruit 30,000 eligible patients. The enrollment conditions are as follows: 1. according with the diagnosis of chronic hepatitis B in the guideline of China in 2015; 2.18-60 years old; 3. more than 1 year history of NAs therapy with HBsAg ≤1500 IU/ml, negative hepatitis e antigen and hepatitis B virus DNA\<100 IU/ml; 4. no contraindications of interferon. For the above patients, pegylated interferon was used for 1-2 years(combined with NAs for at least 3 months).The primary goal of this study is to find out the optimal treatment for clinical cure.

Detailed Description

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Conditions

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Hepatitis B, Chronic

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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short-course combination group

Nucleoside analogue is used during the first 3 months.

Group Type EXPERIMENTAL

pegylated interferon-alfa

Intervention Type DRUG

All the patients in this study will receive pegylated interferon for all course.

full-course combination group

Nucleoside analogue is used during all the course of study.

Group Type EXPERIMENTAL

pegylated interferon-alfa

Intervention Type DRUG

All the patients in this study will receive pegylated interferon for all course.

Monotherapy group

Only Peg-IFN is used during all the course of study.

Group Type EXPERIMENTAL

pegylated interferon-alfa

Intervention Type DRUG

All the patients in this study will receive pegylated interferon for all course.

Interventions

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pegylated interferon-alfa

All the patients in this study will receive pegylated interferon for all course.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* according with the diagnosis of chronic hepatitis B in the guideline of China in 2015
* 18-60 years old
* more than 1 year history of nucleot(s)ide analogues therapy with HBsAg ≤1500 IU/ml, negative HBeAg and HBV DNA\<100 IU/ml
* no contraindications of interferon

Exclusion Criteria

* Allergy to interferon
* Alanine transaminase \>10 times of upper limit of normal(ULN) or total bilirubin \>2 times of ULN
* existing or previous decompensated liver cirrhosis
* White blood cells or Platelet below the lower limit of normal
* existing severe organ injury
* combined with autoimmune diseases, psychiatric diseases, diabetes or thyroidism
* confirmed or suspected malignant tumors
* before or after transplantation
* using immunosuppressor
* pregnant or having a planned parenthood in 2 years
* alcohol or drug addicted
* infected by HIV
* any conditions that is unsuitable to interferon therapy according to the doctors' judgement
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 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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Zhiliang Gao

The director of the infectious diseases department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhiliang Gao

Role: STUDY_CHAIR

Third Affiliated Hospital, Sun Yat-Sen University

Locations

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Department of Infectious Diseases, The Third Affliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

Countries

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China

References

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Fattovich G, Bortolotti F, Donato F. Natural history of chronic hepatitis B: special emphasis on disease progression and prognostic factors. J Hepatol. 2008 Feb;48(2):335-52. doi: 10.1016/j.jhep.2007.11.011. Epub 2007 Dec 4.

Reference Type BACKGROUND
PMID: 18096267 (View on PubMed)

Liaw YF, Chu CM. Hepatitis B virus infection. Lancet. 2009 Feb 14;373(9663):582-92. doi: 10.1016/S0140-6736(09)60207-5.

Reference Type BACKGROUND
PMID: 19217993 (View on PubMed)

Brunetto MR. A new role for an old marker, HBsAg. J Hepatol. 2010 Apr;52(4):475-7. doi: 10.1016/j.jhep.2009.12.020. Epub 2010 Jan 30. No abstract available.

Reference Type BACKGROUND
PMID: 20185190 (View on PubMed)

Liu J, Lee MH, Batrla-Utermann R, Jen CL, Iloeje UH, Lu SN, Wang LY, You SL, Hsiao CK, Yang HI, Chen CJ. A predictive scoring system for the seroclearance of HBsAg in HBeAg-seronegative chronic hepatitis B patients with genotype B or C infection. J Hepatol. 2013 May;58(5):853-60. doi: 10.1016/j.jhep.2012.12.006. Epub 2012 Dec 13.

Reference Type BACKGROUND
PMID: 23246508 (View on PubMed)

Tseng TC, Liu CJ, Su TH, Wang CC, Chen CL, Chen PJ, Chen DS, Kao JH. Serum hepatitis B surface antigen levels predict surface antigen loss in hepatitis B e antigen seroconverters. Gastroenterology. 2011 Aug;141(2):517-25, 525.e1-2. doi: 10.1053/j.gastro.2011.04.046. Epub 2011 Apr 28.

Reference Type BACKGROUND
PMID: 21672542 (View on PubMed)

Moucari R, Korevaar A, Lada O, Martinot-Peignoux M, Boyer N, Mackiewicz V, Dauvergne A, Cardoso AC, Asselah T, Nicolas-Chanoine MH, Vidaud M, Valla D, Bedossa P, Marcellin P. High rates of HBsAg seroconversion in HBeAg-positive chronic hepatitis B patients responding to interferon: a long-term follow-up study. J Hepatol. 2009 Jun;50(6):1084-92. doi: 10.1016/j.jhep.2009.01.016. Epub 2009 Mar 9.

Reference Type BACKGROUND
PMID: 19376603 (View on PubMed)

Dietary effects on diurnal variation in lipogenesis. Nutr Rev. 1987 May;45(5):157-8. doi: 10.1111/j.1753-4887.1987.tb06353.x. No abstract available.

Reference Type BACKGROUND
PMID: 3601258 (View on PubMed)

European Association For The Study Of The Liver. EASL clinical practice guidelines: Management of chronic hepatitis B virus infection. J Hepatol. 2012 Jul;57(1):167-85. doi: 10.1016/j.jhep.2012.02.010. Epub 2012 Mar 20. No abstract available.

Reference Type BACKGROUND
PMID: 22436845 (View on PubMed)

Thompson AJ, Nguyen T, Iser D, Ayres A, Jackson K, Littlejohn M, Slavin J, Bowden S, Gane EJ, Abbott W, Lau GK, Lewin SR, Visvanathan K, Desmond PV, Locarnini SA. Serum hepatitis B surface antigen and hepatitis B e antigen titers: disease phase influences correlation with viral load and intrahepatic hepatitis B virus markers. Hepatology. 2010 Jun;51(6):1933-44. doi: 10.1002/hep.23571.

Reference Type BACKGROUND
PMID: 20512987 (View on PubMed)

Ning Q, Han M, Sun Y, Jiang J, Tan D, Hou J, Tang H, Sheng J, Zhao M. Switching from entecavir to PegIFN alfa-2a in patients with HBeAg-positive chronic hepatitis B: a randomised open-label trial (OSST trial). J Hepatol. 2014 Oct;61(4):777-84. doi: 10.1016/j.jhep.2014.05.044. Epub 2014 Jun 7.

Reference Type BACKGROUND
PMID: 24915612 (View on PubMed)

Chang LJ, Hao CQ, Rao GR, Xu LL, Li J, Cheng Y, Zheng LJ, Wu CW, Chen HX, Chen ZR, Lian JQ, Wu SH, Luo LM, Zhang WL, Zhang Y. Recurrence risk factors for chronic hepatitis B virus-infected patients who achieve functional cure with pegylated interferon-alpha-2b-based therapy: a multicenter pilot study. Virol J. 2025 May 19;22(1):146. doi: 10.1186/s12985-025-02761-3.

Reference Type DERIVED
PMID: 40390028 (View on PubMed)

Wang Z, Wang X, Zhou L, Shi S, Hua Y, Feng Y. Safety and efficacy of 48-week pegylated interferon-alpha-2b therapy in patients with hepatitis B virus-related compensated liver cirrhosis: a pilot observational study. Front Med (Lausanne). 2024 Dec 4;11:1489671. doi: 10.3389/fmed.2024.1489671. eCollection 2024.

Reference Type DERIVED
PMID: 39697201 (View on PubMed)

Huang Q, Xiao X, Zhuang X, Chen W, Huang Y, Liao J, Wang W, Wang Y, Lu L, Liu Z, Huang J. Peripheral Circulating Exosomal-miRNAs Potentially Mediate the Sensitivity to Interferon Treatment in Chronic Hepatitis B Virus Patients. Viral Immunol. 2023 Apr;36(3):209-221. doi: 10.1089/vim.2022.0130. Epub 2023 Mar 21.

Reference Type DERIVED
PMID: 36944116 (View on PubMed)

Other Identifiers

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ZhuFeng Project

Identifier Type: -

Identifier Source: org_study_id

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