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A trial to assess the effect of stopping antiviral drugs in patients without cirrhosis on hepatitis B surface antigen clearance

Effect of stopping nucleos(t)ide therapy in non-cirrhotic chronic hepatitis B patients on hepatitis B surface antigen clearance- open-label pilot randomized control trial - STOPHEP

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/05/033337
Enrollment
100
Registered
2021-05-03
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K739- Chronic hepatitis, unspecified

Interventions

Intervention1: Arm 1. Stop nucleotide: In this arm, No drugs for hepatitis B virus will be given after randomisation. oral nucleos(t) will be stopped Control Intervention1: Arm 2. Continue nucleos(t)i

Sponsors

Dr Shalimar
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Non-cirrhotic chronic hepatitis B infected patients who are on nucleotide analogue therapy with undetectable HBV DNA for the last 3 years 2. Age between 18-65 years 3. Willing to participate

Exclusion criteria

Exclusion criteria: 1. Presence of cirrhosis or significant fibrosis (LSM > 8 kPa) 2. Decompensated cirrhosis 3. Pregnant women 4. Co-infection with hepatitis C virus or HIV 5. Hepatocellular carcinoma 6. Detectable DNA in last 3 years 7. Immunocompromised status requiring continuous nucleotide treatment 8. Non compliant to medication in 3 years

Design outcomes

Primary

MeasureTime frame
1. To compare the difference in the HBsAg loss among HBV patients who continue nucleos(t)ide therapy compared to those who stop therapy.Timepoint: Every 4 weekly for 3 months then every monthly for 2 years

Secondary

MeasureTime frame
Predictors of persistent virological responseTimepoint: 24 months;Proportion of patients developing biochemical flareTimepoint: 24 months;Proportion of patients developing clinical flareTimepoint: 24 months;To compare the proportion of patients achieving HBsAg seroconversion (Anti-HBsAb positive).Timepoint: 24 months;To compare the proportion of patients with negative HBV DNATimepoint: 24 months

Countries

India

Contacts

Public ContactDr Shalimar

All India Institute of Medical Sciences, New Delhi

drshalimar@yahoo.com9868397211

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026