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Incidence and risk predictors of postnatal transaminase elevation in mothers with hepatitis B: a prospective cohort study

Incidence and risk predictors of postnatal transaminase elevation in mothers with hepatitis B: a prospective cohort study

Status
Recruiting
Phases
Early Phase 1
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2200061130
Enrollment
Unknown
Registered
2022-06-15
Start date
2022-06-01
Completion date
Unknown
Last updated
2023-04-17

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

Conditions

Chronic viral hepatitis B

Interventions

HBsAg(+) pregnant women group and healthy pregnant women group:No
healthy pregnant women group:No

Sponsors

The Fifth Affiliated Hospital of Guangzhou Medical University
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
20 Years to 35 Years

Inclusion criteria

Inclusion criteria: 1. HBsAg(+) group: 20-35 years; HBsAg positive for > 6 months; singleton; gestational age between 12-24 weeks; normal ALT on 2 consecutive measurements (at least >= 30 days apart); LSM = 30 days apart); singleton; LSM < 7.4 KPa and CAP < 259 dB/m. (largely matched to the HBsAg(+) group of pregnant mothers in terms of age, BMI and gestational age). 3. Patients in both groups must be able to understand and sign a written informed consent form, which must be obtained prior to the start of the study procedure.

Exclusion criteria

Exclusion criteria: 1. Co-infection with human immunodeficiency virus (HIV), hepatitis D virus (HDV), hepatitis C virus (HCV), syphilis, etc; 2. History of miscarriage or congenital malformation in previous pregnancies; 3. Treatment experience (unless antiviral drugs were used to prevent mother-to-child transmission in a previous pregnancy and discontinued more than 6 months before the current pregnancy); 4. History of renal insufficiency; evidence of hepatocellular carcinoma or decompensation; estimated creatinine clearance (CLCr) 2 mg/dL; 5. Clinical signs of preterm abortion; ultrasound evidence of fetal malformation; 6. Concomitant treatment with nephrotoxic drugs, steroids, cytotoxic drugs, NSAIDs or immunomodulators; recipients of solid organ or bone marrow transplants; renal, cardiovascular, pulmonary or neurological disease considered severe by the investigator; 7. Elevated ALT during the current pregnancy prior to admission; 8. Thyroid dysfunction; 9. Chronic liver disease other than hepatitis B; 10. previous pregnancy complications such as intrahepatic cholestasis of pregnancy (ICP), gestational hypertension, diabetes mellitus and proteinuria. Subjects who met any of the above exclusion criteria were not allowed to participate in this study.

Design outcomes

Primary

MeasureTime frame
Alanine aminotransferase;

Countries

China

Contacts

Public ContactShi Ouyang

The Fifth Affiliated Hospital of Guangzhou Medical University

ouyangshi@gzhmu.edu.cn+86 18928779890

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 8, 2026