Impact of Hepatitis B Virus Genotype on Treatment Response in Children With Chronic Hepatitis B

NCT ID: NCT06289725

Last Updated: 2024-03-18

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

84 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-01-01

Study Completion Date

2026-01-01

Brief Summary

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The study aimed to evaluate the relationship between hepatitis B virus genotype and treatment response in children with chronic hepatitis B with specific treatment indications. This is a prospective cohort study, with a follow-up period of at least 12 months, conducted at Children's Hospital 1 and City Children's Hospital, Ho Chi Minh City, Vietnam. The patient's blood was taken to be tested for hepatitis B virus genotyping using Sanger sequencing at the Center for Molecular Biomedicine Ho Chi Minh City. The research hypothesis is that genotype is related to treatment response.

Detailed Description

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Conditions

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Chronic Hepatitis b

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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patients with genotype B

antiviral treatment

Intervention Type DRUG

The patient was treated with antiviral drugs according to the protocol of the Ministry of Health of Vietnam 2019

patients with genotype C

antiviral treatment

Intervention Type DRUG

The patient was treated with antiviral drugs according to the protocol of the Ministry of Health of Vietnam 2019

Interventions

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antiviral treatment

The patient was treated with antiviral drugs according to the protocol of the Ministry of Health of Vietnam 2019

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Children from 2 years old to under 16 years old are diagnosed with hepatitis B chronic disease AND
* HBsAg or HBV DNA: positive for at least six months AND
* Liver enzyme ALT: continuously increased by\> 70 for male and \> 50 for female (\> 2 x ULN) AND
* The virus is proliferating: HBV DNA above 20,000 IU/mL (if HBeAg positive) OR HBV DNA above 2,000 IU/mL (if HBeAg negative) AND
* A parent or legal guardian of the pediatric patient obtains consent for them to participate in research.

Exclusion Criteria

* HIV and hepatitis C co-infection
* Patients have other chronic liver disease (Wilson, autoimmune hepatitis)
* Patients are being treated with immunosuppressive drugs
* Psychomotor retardation, cerebral palsy, brain sequelae
Minimum Eligible Age

2 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ly Hoa Anh Minh

OTHER

Sponsor Role lead

Responsible Party

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Ly Hoa Anh Minh

PhD student

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Children's Hospital 1

Ho Chi Minh City, , Vietnam

Site Status RECRUITING

City Children's Hospital

Ho Chi Minh City, , Vietnam

Site Status RECRUITING

Countries

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Vietnam

Central Contacts

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Minh Hoa Anh Ly

Role: CONTACT

(+84) 902352622

Facility Contacts

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Minh Hoa Anh Ly

Role: primary

0902352622

Minh Hoa Anh Ly

Role: primary

References

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Lee KJ, Choe BH, Choe JY, Kim JY, Jeong IS, Kim JW, Yang HR, Chang JY, Kim KM, Moon JS, Ko JS. A Multicenter Study of the Antiviral Efficacy of Entecavir Monotherapy Compared to Lamivudine Monotherapy in Children with Nucleos(t)ide-naive Chronic Hepatitis B. J Korean Med Sci. 2018 Feb 19;33(8):e63. doi: 10.3346/jkms.2018.33.e63.

Reference Type BACKGROUND
PMID: 29441755 (View on PubMed)

Kao JH, Chen PJ, Lai MY, Chen DS. Hepatitis B virus genotypes and spontaneous hepatitis B e antigen seroconversion in Taiwanese hepatitis B carriers. J Med Virol. 2004 Mar;72(3):363-9. doi: 10.1002/jmv.10534.

Reference Type RESULT
PMID: 14748059 (View on PubMed)

Chien RN, Yeh CT, Tsai SL, Chu CM, Liaw YF. Determinants for sustained HBeAg response to lamivudine therapy. Hepatology. 2003 Nov;38(5):1267-73. doi: 10.1053/jhep.2003.50458.

Reference Type RESULT
PMID: 14578866 (View on PubMed)

Other Identifiers

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IRB-VN01002-23932

Identifier Type: -

Identifier Source: org_study_id

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