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Effectiveness and Safety of Tenofovir Amibufenamide in Chronic Hepatitis B Patients with Inadequate Viral Suppression after Entecavir Therapy

Efficacy and Safety of Tenofovir Amibufenamide in Chronic Hepatitis B Patients with Low-level Viremia after Prior Entecavir Treatment: A Bidirectional Cohort Study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2600125723
Enrollment
Unknown
Registered
2026-05-29
Start date
2026-05-30
Completion date
Unknown
Last updated
2026-06-01

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

Conditions

Chronic Hepatitis B with Low-Level Viremia

Interventions

Sponsors

Qingtian County people's Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1.Aged 18 to 65 years inclusive; 2.Diagnosed with chronic hepatitis B; 3.Subjects who have received entecavir (ETV) treatment for at least 1 year (or at least 6 months for those with liver cirrhosis) are eligible for inclusion; 4.Subjects with a screening HBV-DNA level of 10 IU/mL <= HBV-DNA < 2000 IU/mL; 5.Must be capable of understanding and providing written informed consent, and willing to receive tenofovir amibufenamide (TMF) treatment continuously for at least 48 weeks.

Exclusion criteria

Exclusion criteria: 1.Co-infection with HAV, HCV, HEV, HIV, or HDV; or concurrent autoimmune hepatitis or drug-induced liver injury; 2.Diagnosis of hepatocellular carcinoma (evidence of HCC) or other malignant tumors; 3.History of using other nucleos(t)ide analogs (NAs) or interferons;

Design outcomes

Primary

MeasureTime frame
The proportion of patients achieving HBV DNA < 10 IU/mL at 48 weeks of treatment;

Secondary

MeasureTime frame
Proportion of subjects (who were initially HBsAg-positive) achieving HBsAg loss and seroconversion to anti-HBs at Weeks 24 and 48 of treatment.;Evaluate the change in creatinine clearance from baseline at Weeks 24 and 48 after switching to TMF treatment;Magnitude of HBV DNA decline at Weeks 24 and 48 of treatment;Proportion of subjects (who were initially HBeAg-positive) achieving HBeAg loss and seroconversion to anti-HBe at Weeks 24 and 48 of treatment;Changes in liver fibrosis scores (APRI and FIB-4) from baseline to Weeks 24 and 48 of treatment;Collect adverse events and clinical laboratory data at Weeks 24 and 48 of TMF treatment, and summarize the data up to Week 48;Proportion of subjects achieving HBV DNA < 10 IU/mL at 24 weeks of treatment;Magnitude of decline in quantitative HBsAg level at Weeks 24 and 48 of treatment;Proportion of subjects achieving ALT normalization (by two criteria: ALT < 40 U/L; or ALT < 30 U/L for males and < 19 U/L for females) at Weeks 24 and 48 of treatment;

Countries

China

Contacts

Public ContactYu Bocun

Qingtian County people's Hospital

279247407@qq.com+86 578 680 7241

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Jun 11, 2026