Health Condition 1: null- Children up to 18 years of age with chronic hepatitis B (HBsAg positive for more than 6 months) Health Condition 2: K768- Other specified diseases of liver
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Children with either immune tolerant or immune reactive HBV will be included:Immune tolerant group: Children: 2-18 years of age of either sex with chronic HBV (HBsAg+ve for more than 24 weeks, HBeAg+ve, anti HBe-ve, DNA > 108IU/ml with normal or near normal ALT (within 2 times ULN) and liver histology shows normal or minimal changes. Immune clearance or immune-reactive group: Children: 2-18 years of age of either sex with chronic HBV (HBsAg+ve for more than 24 weeks, HBeAg+ve, anti HBe-ve, DNA > 20,000 IU/ml but 2 times ULN) and liver histology shows necro-inflammatory activities.
Exclusion criteria
Exclusion criteria: Children less than 2 years of age, co-infection with HCV and HIV, advanced liver disease (decompensated cirrhosis), associated autoimmune diseases, neuropsychiatric illness, low platelet counts ( < 1, 00, 000), low total leucocyte count ( <3, 000), age <24 months, previous history of interferon or antiviral therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary out come: HBsAg loss or complete cure 6month after completion of 12 months of sequential combo therapy (first 2mo only oral drug and then 10mo of oral plus interferon). Secondary out rate of HBeAg seroconversionTimepoint: Primary out come: HBsAg loss or complete cure with 12 months of sequential combo therapy (first 2mo only oral drug and then 10mo of oral plus interferon). Secondary out rate of HBeAg seroconversion | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary out rate of HBeAg seroconversionTimepoint: At the end of therapy that is 12 months and 6 months after stopping therapy | — |
Countries
India
Contacts
Sanjay Gandhi Postgraduate Institute of Medical Sciences