A Real-World Study of Antiviral Therapy in Children With Chronic Hepatitis B

NCT ID: NCT06926647

Last Updated: 2025-04-29

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

NOT_YET_RECRUITING

Total Enrollment

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-05-01

Study Completion Date

2028-12-31

Brief Summary

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This is a multicenter, prospective, real-world study. The study plans to include a total of 2000 patients who meet the inclusion and exclusion criteria, consisting of 1600 treatment-naive patients and 400 treatment-experienced patients. The effectiveness and safety of different treatment strategies will be evaluated in children aged 1-12 years with treatment-naive and treatment-experienced chronic hepatitis B (CHB) and chronic HBV infection.

Detailed Description

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Conditions

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HBV Chronic Hepatitis b

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Initial Treatment Cohort 1

Nucleos(t)ide Analogues

Intervention Type DRUG

Administer NAs \[LAM, ETV, TDF, TAF (TAF preferred for those aged 6 years and older)\] continuously for 48 weeks based on age.

Interferon alfa

Intervention Type DRUG

IFNα monotherapy for 48 weeks (select conventional IFNα for ages ≥1 and \<3 years, select PEG-IFNα-2b for ages ≥3 years)

NAs combined with IFNα

Intervention Type DRUG

Receive NAs combined with IFNα treatment for 48 weeks.

comparative observation

Intervention Type OTHER

Blank control observation for 48 weeks.

Previously Treated Cohort 1

Nucleos(t)ide Analogues

Intervention Type DRUG

Administer NAs \[LAM, ETV, TDF, TAF (TAF preferred for those aged 6 years and older)\] continuously for 48 weeks based on age.

NAs combined with IFNα

Intervention Type DRUG

Receive NAs combined with IFNα treatment for 48 weeks.

drug withdrawal observation

Intervention Type OTHER

This group is the drug withdrawal observation group, which will strictly monitor virological indicators and biochemical results, and will reinitiate antiviral treatment if necessary based on antiviral treatment standards and the willingness of the child (or family members)

Interventions

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Nucleos(t)ide Analogues

Administer NAs \[LAM, ETV, TDF, TAF (TAF preferred for those aged 6 years and older)\] continuously for 48 weeks based on age.

Intervention Type DRUG

Interferon alfa

IFNα monotherapy for 48 weeks (select conventional IFNα for ages ≥1 and \<3 years, select PEG-IFNα-2b for ages ≥3 years)

Intervention Type DRUG

NAs combined with IFNα

Receive NAs combined with IFNα treatment for 48 weeks.

Intervention Type DRUG

comparative observation

Blank control observation for 48 weeks.

Intervention Type OTHER

drug withdrawal observation

This group is the drug withdrawal observation group, which will strictly monitor virological indicators and biochemical results, and will reinitiate antiviral treatment if necessary based on antiviral treatment standards and the willingness of the child (or family members)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Initial Treatment Group:

1. The guardian understands and signs the informed consent form (both parents must sign), and adheres to the relevant requirements of this study. If the participant is 8 years old or older, they must also sign the informed consent form. For participants under 8 years old who can express consent, their consent must be clearly documented.
2. Age: ≥1 year and \<13 years, either sex;
3. Positive for HBsAg and/or HBV DNA for more than 6 months;
4. No prior antiviral treatment.
* Treated Group:

1. The guardian understands and signs the informed consent form (both parents must sign), and adheres to the relevant requirements of this study. If the participant is 8 years old or older, they must also sign the informed consent form. For participants under 8 years old who can express consent, their consent must be clearly documented.
2. Age: ≥3 years and \<13 years, either sex;
3. Previously diagnosed with chronic hepatitis B and received antiviral treatment with NAs for more than 1 year and currently on treatment;
4. No history of IFNα use in the past 6 months;
5. Negative for HBV DNA;
6. HBsAg quantification \<10,000 IU/ml (HBsAg can be negative in the drug discontinuation observation group);
7. The drug discontinuation observation group must also achieve negative HBV DNA and HBeAg seroconversion for at least 1 year (based on continuous results from three consecutive reviews), and HBsAg \<10,000 IU/ml; NAs will be discontinued after enrollment.

Exclusion Criteria

* 1.In the interferon group, blood white blood cell count \<3.5×10\^9/L, or platelet count \<80×10\^9/L, or prothrombin activity \<60%, or total bilirubin \>34μmol/L, or serum albumin \<35g/L, or serum creatinine \>133μmol/L; 2.Coexistence of other active infections; 3. Coexistence of other chronic liver diseases or active liver diseases, such as autoimmune liver disease, drug-induced liver injury, Wilson's disease, decompensated cirrhosis, liver cancer; 4. Coexistence of other severe systemic diseases or malignant tumors, etc.; 5. History of allergy to nucleoside analogues or interferon; 6. Subjects whom the investigator deems to have poor compliance, unable or unwilling to provide informed consent, or unable to adhere to the study requirements, or other conditions not suitable for participation in this study.
Minimum Eligible Age

1 Year

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing 302 Hospital

OTHER

Sponsor Role lead

Responsible Party

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Fu-Sheng Wang

Chief physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fusheng Wang

Role: STUDY_DIRECTOR

Fifth Medical Center of Chinese PLA General Hospital

Locations

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Ankang Central Hospital

Ankang, , China

Site Status

Anyang Fifth People's Hospital

Anyang, , China

Site Status

Beihai People's Hospital

Beihai, , China

Site Status

301 Hospital

Beijing, , China

Site Status

Binzhou Medical University Affiliated Hospital

Binzhou, , China

Site Status

Changzhi Medical College Affiliated Peace Hospital

Changzhi, , China

Site Status

Changzhou Third People's Hospital

Changzhou, , China

Site Status

Chengdu Public Health Clinical Medical Center

Chengdu, , China

Site Status

West China Second Hospital, Sichuan University

Chengdu, , China

Site Status

The First Affiliated Hospital of Dalian Medical University

Dalian, , China

Site Status

Dongguan People's Hospital

Dongguan, , China

Site Status

Dongying People's Hospital

Dongying, , China

Site Status

Foshan First People's Hospital

Foshan, , China

Site Status

Southern Medical University Shunde Hospital

Foshan, , China

Site Status

Guangzhou Medical University Affiliated Women and Children's Medical Center

Guangzhou, , China

Site Status

The Third Affiliated Hospital of Guangzhou Medical University

Guangzhou, , China

Site Status

The Third Affiliated Hospital of Sun Yat-sen University

Guangzhou, , China

Site Status

Hainan Women and Children's Medical Center

Haikou, , China

Site Status

Handan Infectious Disease Hospital

Handan, , China

Site Status

The First Affiliated Hospital of Anhui Medical University

Hefei, , China

Site Status

Hepu County People's Hospital

Hepu, , China

Site Status

Shanxian Central Hospital

Heze, , China

Site Status

Jiangmen Traditional Chinese Medicine Hospital

Jiangmen, , China

Site Status

Lanzhou Second People's Hospital

Lanzhou, , China

Site Status

Tibet Autonomous Region Third People's Hospital

Lhasa, , China

Site Status

Liaocheng People's Hospital

Liaocheng, , China

Site Status

Linfen People's Hospital

Linfen, , China

Site Status

Linfen Third People's Hospital

Linfen, , China

Site Status

Liuzhou Workers' Hospital

Liuzhou, , China

Site Status

Longyan Second Hospital

Longyan, , China

Site Status

Luoyang Central Hospital

Luoyang, , China

Site Status

Southwest Medical University Affiliated Hospital

Luzhou, , China

Site Status

Jiangxi Children's Hospital

Nanchang, , China

Site Status

Nanchang Ninth Hospital

Nanchang, , China

Site Status

The First Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

The Second Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

Nanning Fourth People's Hospital

Nanning, , China

Site Status

The First Affiliated Hospital of Guangxi Medical University

Nanning, , China

Site Status

Nanyang Central Hospital

Nanyang, , China

Site Status

Affiliated Hospital of Putian University

Putian, , China

Site Status

Putian First Hospital

Putian, , China

Site Status

Qingdao Public Health Clinical Center

Qingdao, , China

Site Status

Quanzhou Maternal and Child Health Hospital Children's Hospital

Quanzhou, , China

Site Status

Queshan County People's Hospital

Queshan, , China

Site Status

Shangcheng County People's Hospital

Shangcheng, , China

Site Status

Shanghai Children's Hospital

Shanghai, , China

Site Status

Shangqiu City Hospital

Shangqiu, , China

Site Status

Shangqiu First People's Hospital

Shangqiu, , China

Site Status

Shangqiu Third People's Hospital

Shangqiu, , China

Site Status

Northern Guangdong Second People's Hospital

Shaoguan, , China

Site Status

Shenzhen Third People's Hospital

Shenzhen, , China

Site Status

The First Affiliated Hospital of Shihezi University

Shihezi, , China

Site Status

Handan Infectious Disease Hospital

Shijiazhuang, , China

Site Status

Shijiazhuang Fifth Hospital

Shijiazhuang, , China

Site Status

Suzhou Fifth People's Hospital

Suzhou, , China

Site Status

Shanxi Bethune Hospital

Taiyuan, , China

Site Status

Taiyuan Third People's Hospital

Taiyuan, , China

Site Status

Taian Central Hospital

Tai’an, , China

Site Status

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, , China

Site Status

Xinjiang Uygur Autonomous Region Infectious Diseases Hospital

Ürümqi, , China

Site Status

Weifang Medical University Affiliated Hospital

Weifang, , China

Site Status

Weishi County People's Hospital

Weishi, , China

Site Status

Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology

Wuhan, , China

Site Status

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status

The Second Affiliated Hospital of Air Force Medical University (Tangdu Hospital)

Xi'an, , China

Site Status

The Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status

The First Affiliated Hospital of Xiamen University

Xiamen, , China

Site Status

Xiamen Traditional Chinese Medicine Hospital

Xiamen, , China

Site Status

Zhongshan Hospital Affiliated to Xiamen University

Xiamen, , China

Site Status

Liangshan Yi Autonomous Prefecture Seventh People's Hospital

Xichang, , China

Site Status

Qinghai Fourth People's Hospital

Xining, , China

Site Status

The First Affiliated Hospital of Xinxiang Medical University

Xinxiang, , China

Site Status

The Third Affiliated Hospital of Xinxiang Medical University

Xinxiang, , China

Site Status

Xixian People's Hospital

Xixian, , China

Site Status

Xuchang Central Hospital

Xuchang, , China

Site Status

Xuchang People's Hospital

Xuchang, , China

Site Status

Yantai Qishan Hospital

Yantai, , China

Site Status

Yongcheng People's Hospital

Yongcheng, , China

Site Status

Yulin Traditional Chinese Medicine Hospital

Yulin, , China

Site Status

Yulin Traditional Chinese Medicine Hospital

Yulin, , China

Site Status

Yuncheng Central Hospital

Yuncheng, , China

Site Status

The First Affiliated Hospital of Zhengzhou University

Zhenzhou, , China

Site Status

Zhongshan Second People's Hospital

Zhongshan, , China

Site Status

Zhumadian Central Hospital

Zhumadian, , China

Site Status

Zibo Infectious Diseases Hospital

Zibo, , China

Site Status

Countries

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China

Central Contacts

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Fusheng Wang

Role: CONTACT

13601162078

Facility Contacts

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Shuilin Sun

Role: primary

Fen Li

Role: primary

Qingwen Shan

Role: primary

Yuzhuo Wu

Role: primary

Rongxian Qiu

Role: primary

Boqi Guo

Role: primary

RenDong Wei

Role: primary

Junfeng Wu

Role: primary

Ruinian Zhang

Role: primary

Chuanwen Chen

Role: primary

Wenliang Zhou

Role: primary

Yaqing Liu

Role: primary

Kun Lu

Role: primary

Zhijiao Xiong

Role: primary

Fang Wang

Role: primary

Songsong Xie

Role: primary

Xinli Bai

Role: primary

Bo Li

Role: primary

Chuanwu Zhu

Role: primary

Yan Wang

Role: primary

Ying Guo

Role: primary

Yang Feng

Role: primary

Lu Xiaoqing

Role: primary

Jiang Maimaiti

Role: primary

Jing Feng

Role: primary

Xiangyang Li

Role: primary

Sainan Shu

Role: primary

Yingli He

Role: primary

Wen Tang

Role: primary

Shuangsuo Dang

Role: primary

Xiulan Xue

Role: primary

Qingfa Luan

Role: primary

Ling Chen

Role: primary

Min Fang

Role: primary

Haifang Cao

Role: primary

Daokun Yang

Role: primary

Qian Dou

Role: primary

Wenhua Zhai

Role: primary

Weihong Li

Role: primary

Xia Zhang

Role: primary

Haifeng Yu

Role: primary

Shengli Ma

Role: primary

Fanrong Liu

Role: primary

Wuhai Tan

Role: primary

Lijun Chang

Role: primary

Hongxia Ran

Role: primary

Qianhua Zhang

Role: primary

Guifu Shi

Role: primary

Huibin chu

Role: primary

Bing Li

Role: primary

Aiqin Hao

Role: primary

Feng Long

Role: primary

Yongmei Lin

Role: primary

Tonggang Liu

Role: primary

Suling Chen

Role: primary

Chunyan Ye

Role: primary

Li Zhu

Role: primary

Yu Zhu

Role: primary

Ying Zhu

Role: primary

Songmei He

Role: primary

Pengyan Li

Role: primary

Honglian Bai

Role: primary

Hong Li

Role: primary

Yi Xu

Role: primary

Xingfei Pan

Role: primary

Bingliang Lin

Role: primary

Daojiong Lin

Role: primary

Hongxia Zhou

Role: primary

Yufeng Gao

Role: primary

Lundong Wu

Role: primary

Jian Liu

Role: primary

Gang He

Role: primary

Wenjuan Shi

Role: primary

Bayangzhen Bian

Role: primary

Sikui Wang

Role: primary

Feng Gao

Role: primary

Xiufang Du

Role: primary

Qian Guo

Role: primary

Qingdong Tong

Role: primary

Guoqiang Zhang

Role: primary

Cunliang Deng

Role: primary

Chunhui Zhu

Role: primary

Hongyi Chen

Role: primary

Xiaoping Wu

Role: primary

Other Identifiers

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KY-2025-2-31-2

Identifier Type: -

Identifier Source: org_study_id

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