A Real-world Study of Staging and Grading of Clinical Immune Status in Chronic Hepatitis B

NCT ID: NCT06525909

Last Updated: 2024-07-29

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

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-01-20

Study Completion Date

2028-12-10

Brief Summary

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This is a prospective, multicentre observational study of Chronic Hepatitis B (CHB)in different clinical stages. We intend to compare the immune status of various types of CHB patients, and we propose to establish a staging and grading criteria for the immune exhaustion status of patients with CHB.

Detailed Description

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Two groups were included in this study: untreated patients who met the staging subgroups according to Chinese Guidelines for the Prevention and Control of Chronic Hepatitis B, 2022 edition or HBsAg negativity(Group 1). The another is those who achieved HBV DNA suppression by NA(Group 2). Patients in Group 1 will be followed up once every six months, and in group 2 will be followed up once every three months. And patients treated or not treated will be followed up in the study. The treatment with NA or combined with interferon will be decided by the consensus of doctors and patients. This study does not intervene the treatment, but will register the clinical indicators. We follow up the patients at each follow-up time point, record the subjects' clinical indicators at each visit and obtained serum and PBMC specimens for further immune study after the consents of the patients.

Conditions

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Hepatitis B, Chronic

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Untreated group

The untreated patients who met the staging subgroups of the Chinese Guidelines for the Prevention and Control of Chronic Hepatitis B, 2022 edition or lost HBsAg spontaneously.

No interventions assigned to this group

NA treatment group

The patients who achieved HBV DNA suppression by NA.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Patients with CHB who were older than 18 years old and younger than 50 years old with HBsAg positivity more than 6 months;
2. Group 1 untreated group fulfils any one of the four natural history types of the Chinese Guidelines for the Prevention and Control of Chronic Hepatitis B, 2022.
3. Group 2 nucleos(t)ide-treated CHB patients are required to have sustained control of their HBV DNA (\<100 IU/ml).

Exclusion Criteria

1. Pregnancy status;
2. Has been diagnosed with compensated/lost compensated cirrhosis, hepatocellular carcinoma by imaging or other indicators;
3. Combined HAV, HCV, HEV infection, schistosomal liver disease, drug-induced liver injury, autoimmune hepatitis, alcoholic liver disease, severe fatty liver, HIV infection;
4. Being on immunosuppressants or immunomodulators or hormonal drugs or biological agents, etc;
5. previous history of oncology, organ transplantation, etc., history of alcoholism (\>30 g/d for men, \>20 g/d for women);
6. Inadequate follow-up time and inadequate clinical/laboratory information;
7. Combined heart, brain, kidney, lung and other organ insufficiency or combined endocrine and haematological system and other major diseases;
8. Comorbid serious psychiatric diseases including severe anxiety or depression;
9. Unwilling to participate in this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Tongji Hospital

OTHER

Sponsor Role lead

Responsible Party

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Qin Ning

Director and Chair of Department of Infectious Diseases

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Qin Ning, Doctor

Role: PRINCIPAL_INVESTIGATOR

Department of infectious Diseases, Tongji Hospital

Locations

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Tongji Hospital

Wuhan, Hubei, China

Site Status RECRUITING

Beijing YouAn Hospital

Beijing, , China

Site Status RECRUITING

The First Hospital of Jilin University

Changchun, , China

Site Status NOT_YET_RECRUITING

Southwest Hospital

Chongqing, , China

Site Status NOT_YET_RECRUITING

Jiangsu Province Hospital

Nanjing, , China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Qin Ning, Doctor

Role: CONTACT

862783662391

Meifang Han, Doctor

Role: CONTACT

862783662391

Facility Contacts

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Qin Ning, Doctor

Role: primary

02783662391

Meifang Han

Role: backup

02783662391

Wei Hou

Role: primary

Junqi Niu

Role: primary

Qing Mao

Role: primary

Chuanlong Zhu

Role: primary

Other Identifiers

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OCEAN cure 06 study

Identifier Type: -

Identifier Source: org_study_id

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