Study of Entecavir for Reducing the Risk of Hepatocellular Carcinoma in Chronic Hepatitis B Patients

NCT ID: NCT04646928

Last Updated: 2020-11-30

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Total Enrollment

245 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-03-17

Study Completion Date

2022-08-26

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

To analyze the incidence of liver cancer after entecavir administration among patients with low viral load and cirrhosis due to chronic hepatitis B infection.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

To analyze the incidence of liver cancer after entecavir administration among patients with low viral load (HBV DNA titer\<2,000 IU/mL (104 copies/mL)) and cirrhosis due to chronic hepatitis B infection.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Chronic Hepatitis B

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* A subject who has consented to participate in this clinical trial
* A subject aged between ≥20 to ≤75 years old
* A subject with positive HBsAg for more than 24 weeks (may be confirmed by medical history)
* HBV DNA ≥26 IU/mL or ≤ 2,000 IU/mL at the time of screening
* A subject diagnosed with cirrhosis with one of the following:

1. Subject with confirmed liver cirrhosis in the screening period or liver biopsy performed within 1 year from the time of screening (METAVIR score\> 3, ISHAK score\> 4)
2. Two or more confirmed typical findings suggesting liver cirrhosis from imaging such as liver ultrasound and CT performed within 24 weeks of screening or during screening period (nodularity of the liver surface, atrophy of the inner right and left lobes, thickening of the left and tail lobes, hepatic portal system expansion of surrounding space, expansion of hepatic portal system (\>1.3 cm) and splenomegaly (\>12 cm))
3. One or more confirmed typical findings suggesting liver cirrhosis from imaging such as liver ultrasound and CT performed within 24 weeks of screening or during screening period (nodularity of the liver surface, atrophy of the inner right and left lobes, thickening of the left and tail lobes, hepatic portal system expansion of surrounding space, expansion of hepatic portal system (\>1.3 cm) and splenomegaly (\>12 cm)) or findings including the following:
* Confirmed thrombocytopenia (\<150,000/mm3) at the screening period or blood tests conducted within 24 weeks from the time of screening
* Confirmed identification of esophageal varicose veins or gastric varicose veins by endoscopy or CT performed within one year from the screening period or at screening
* Liver stiffness measurement (LSM)\> 11.5 kilopascal (kPa) (F4) as a result of liver fibrosis scan, performed within 1 year from screening period or at screening

Exclusion Criteria

* A subject with non compensated cirrhosis and any of the following:

1. Serum bilirubin\> 3 mg/dL
2. Prothrombin time\> 6 seconds prolonged or International Normalized Ratio (INR) \>1.6
3. Serum albumin \<2.8 g/dL
4. History of ascites, varicose bleeding, hepatorenal syndrome, hepatic encephalopathy (hepatic coma) requiring treatment within 5 years from screening
5. Child-Pugh score ≥ 8
* A subject who have received interferon or other oral nucleic acid analogues (nucleos(t)ide analogues) (However, if the treatment duration was less than 30 days in the past and the treatment was treated 24 weeks before the screening, participation is possible)
* A subject diagnosed with liver cancer in the past or present
* Renal function decline (creatinine clearance \<50 mL/min, estimated by the Cockcroft-Gault formula)
* A subject with serious concomitant diseases such as congestive heart failure, chronic kidney disease, blood disease, or malignant tumors in the past or present
* A subject infected with hepatitis C virus (HCV) or human immunodeficiency virus (HIV)
* A subject who consume excessive alcohol (men: 30g/day or more, women: 20g/day or more)
* A subject with liver diseases such as autoimmune hepatitis, hemochromatosis, or Wilson's disease
* Pregnant or breastfeeding women
* Previous organ transplant recipients
* A subject unable to complete the clinical trial or to have any medical condition that may interfere with the evaluation of the efficacy of this clinical trial
Minimum Eligible Age

20 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Dong-A ST Co., Ltd.

INDUSTRY

Sponsor Role collaborator

CHA University

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

SungKyu Hwang, MD

Role: PRINCIPAL_INVESTIGATOR

Principal Investigator

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Soon Chun Hyang University Hospital Bucheon

Bucheon-si, , South Korea

Site Status RECRUITING

Soon Chun Hyang University Hospital Cheonan

Cheonan, , South Korea

Site Status RECRUITING

Bundang Jesaeng Hospital

Gyeonggi-do, , South Korea

Site Status RECRUITING

Catholic University of Korea, Uijeongbu ST. Mary's Hospital

Gyeonggi-do, , South Korea

Site Status RECRUITING

CHA Bundang Medical Center

Gyeonggi-do, , South Korea

Site Status RECRUITING

Seoul National University Bundang Hospital

Gyeonggi-do, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Gachon University, Donginchoen Gil Hospital

Sŏngnam, , South Korea

Site Status RECRUITING

Ajou University Hospital

Suwon, , South Korea

Site Status RECRUITING

The Catholic University of Korea, St. Vincent's Hospital

Suwon, , South Korea

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

South Korea

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

SungKyu Hwang, MD

Role: CONTACT

Phone: +82-1577-4488

Email: [email protected]

Jinyeong Lee

Role: CONTACT

Phone: +82-1577-4488

Email: [email protected]

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

EN-REACH

Identifier Type: -

Identifier Source: org_study_id