Re-compensation and Its Clinical Characteristics in HBV Decompensated Cirrhosis

NCT ID: NCT05086536

Last Updated: 2021-10-21

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

2021-10-15

Study Completion Date

2022-12-30

Brief Summary

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In this study, treatment-naïve HBV-related cirrhosis patients were retrospectively enrolled at the first episode of decompensation (ascites or variceal hemorrhage). Patients were followed up every 6 months until death /liver transplantation or for 5 years. Clinical data from medical records about past history, first decompensated events, second /further decompensated events, HCC, and death/ liver transplantation were retrospectively collected. In this retrospective study, the incidence of re-compensation and its clinical characteristics were mainly explored.

Detailed Description

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In this study, treatment-naïve HBV-related cirrhosis patients were retrospectively enrolled at the first episode of decompensation (ascites or variceal hemorrhage). Patients were followed up every 6 months until death /liver transplantation or for 5 years. WBC, RBC, HGB, PLT, CRP, PT, PTA, INR, ALT, AST, TB, DB, ALB, GLO, ALP, GGT, CHE, BUN, Cr, Na, GLU, CHOL, TG, HDL-C, LDL-C, AFP, HBsAg, HBV-DNA, LSM, BUS, MRI/CT and gastroscope from medical records about past history, first decompensated events, second /further decompensated events, HCC, and death/ liver transplantation were retrospectively collected. This retrospective study aimed to explore the incidence of re-compensation and its clinical characteristics.

Conditions

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Hepatitis B Decompensated Cirrhosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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early stage decompensation cohort

Patients occurred first decompensated events and initiating nucleoside analogs (NUCs) based treatment within 3 months were retrospectively included.

no intervention

Intervention Type OTHER

This is a retrospective and observational study.

Interventions

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no intervention

This is a retrospective and observational study.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Ascites and/or variceal hemorrhage (VH) as the first decompensated events;
2. Initiating antiviral therapy within 3 months of the first decompensated events;
3. Clinical parameters were available at the first decompensated events, including PLT, ALT, ALB, TB, PT/INR, Cr, HBV DNA, BUS,
4. Clinical outcomes were classified:

1. Without further decompensation: medical records at year-1, year 2 to 4, and year-5 were available.
2. With ≥ 2 episodes of decompensation: medical records for decompensation were available.

Exclusion Criteria

1. Hepatocellular carcinoma prior to /within 6 months of first decompensated events;
2. Liver transplantation /death within 6 months of first decompensated events;
3. complicated with other chronic liver diseases, including HCV, DILI, AIH, NAFLD, ALD.
4. Any complication of severe heart, lung, kidney, brain, blood diseases or other severe systematic diseases;
5. Pregnant women.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing YouAn Hospital

OTHER

Sponsor Role collaborator

Shandong Provincial Hospital

OTHER_GOV

Sponsor Role collaborator

The Affiliated Hospital of Qingdao University

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Shanxi Medical University

OTHER

Sponsor Role collaborator

Xiangya Hospital of Central South University

OTHER

Sponsor Role collaborator

The Second Affiliated Hospital of Baotou Medical College

OTHER

Sponsor Role collaborator

Beijing Friendship Hospital

OTHER

Sponsor Role lead

Responsible Party

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Hong You

Vice director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hong You, Doctor

Role: PRINCIPAL_INVESTIGATOR

Beijing Friendship Hospita

Locations

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Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Beijing YouAn Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status

XiangYa Hospital Central South University

Changsha, Hunan, China

Site Status

The Second Affiliated Hospital of Baotou Medical Coll

Baotou, Inner Mongolia, China

Site Status

Shandong Provincial Hospital

Jinan, Shandong, China

Site Status

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status

First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status

Countries

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China

Central Contacts

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Hong You, Doctor

Role: CONTACT

861063139019

Jialing Zhou, Master

Role: CONTACT

010-63138665

Facility Contacts

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Xiaoning Wu, Doctor

Role: primary

8610-63138665

Zhiying He

Role: backup

13311314386

Jie Chen, Doctor

Role: primary

13810594713

Yixiang Zheng, Doctor

Role: primary

15111002627

Lianhui Zhao, Doctor

Role: primary

18810825004

Qiuju Tian, Doctor

Role: primary

18610827822

Yanqin Hao, Doctor

Role: primary

13994262902

References

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Jang JW, Choi JY, Kim YS, Woo HY, Choi SK, Lee CH, Kim TY, Sohn JH, Tak WY, Han KH. Long-term effect of antiviral therapy on disease course after decompensation in patients with hepatitis B virus-related cirrhosis. Hepatology. 2015 Jun;61(6):1809-20. doi: 10.1002/hep.27723. Epub 2015 Mar 18.

Reference Type BACKGROUND
PMID: 25627342 (View on PubMed)

Belli LS, Berenguer M, Cortesi PA, Strazzabosco M, Rockenschaub SR, Martini S, Morelli C, Donato F, Volpes R, Pageaux GP, Coilly A, Fagiuoli S, Amaddeo G, Perricone G, Vinaixa C, Berlakovich G, Facchetti R, Polak W, Muiesan P, Duvoux C; European Liver and Intestine Association (ELITA). Delisting of liver transplant candidates with chronic hepatitis C after viral eradication: A European study. J Hepatol. 2016 Sep;65(3):524-31. doi: 10.1016/j.jhep.2016.05.010. Epub 2016 May 17.

Reference Type BACKGROUND
PMID: 27212241 (View on PubMed)

Pascasio JM, Vinaixa C, Ferrer MT, Colmenero J, Rubin A, Castells L, Manzano ML, Lorente S, Testillano M, Xiol X, Molina E, Gonzalez-Dieguez L, Oton E, Pascual S, Santos B, Herrero JI, Salcedo M, Montero JL, Sanchez-Antolin G, Narvaez I, Nogueras F, Giraldez A, Prieto M, Forns X, Londono MC. Clinical outcomes of patients undergoing antiviral therapy while awaiting liver transplantation. J Hepatol. 2017 Dec;67(6):1168-1176. doi: 10.1016/j.jhep.2017.08.008. Epub 2017 Aug 24.

Reference Type BACKGROUND
PMID: 28842296 (View on PubMed)

Perricone G, Duvoux C, Berenguer M, Cortesi PA, Vinaixa C, Facchetti R, Mazzarelli C, Rockenschaub SR, Martini S, Morelli C, Monico S, Volpes R, Pageaux GP, Fagiuoli S, Belli LS; European Liver and Intestine Transplant Association (ELITA). Delisting HCV-infected liver transplant candidates who improved after viral eradication: Outcome 2 years after delisting. Liver Int. 2018 Dec;38(12):2170-2177. doi: 10.1111/liv.13878. Epub 2018 May 25.

Reference Type BACKGROUND
PMID: 29750389 (View on PubMed)

Other Identifiers

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2021-P2-224-01

Identifier Type: -

Identifier Source: org_study_id