chronic hepatitis B
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged over 20 years-old with serum HBs antigen-positive,HBs Ab (Antibody)-negative of screening,elevated ALT twice within 180 days,and proven chronic hepatitis B. 1) HBe antigen-positive patients:HBsAg-positive,HBsAb-negative,DNA polymerase-positive,HBV-DNA=>5.7 log copies/mL 2) HBe antigen-negative patients : HBe antigen-negative,HBV-DNA=>5.0 log copies/mL
Exclusion criteria
Exclusion criteria: Neutrophil count <1,500 cells/mm3,platelet count < 90,000 cells/mm3, hemoglobin concentration <10 g/dL, hepatitis C co-infection, decompensated liver disease, history of organ transplant, creatinine clearance < 50 mL/min, sever psychiatric disease, diabetes needed pharmacotherapy, poorly controlled hypertention, malignant tumor, severe cardiac or chronic pulmonary disease, immunologically mediated disease, cerebral stroke or retinopathy. Treated by pegylated interferon in the past.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| (1)HBe antigen-positive patients Combined response* after 24 weeks of follow-up *Defined by seroconversion to anti-HBe, hepatitis B virus(HBV)-DNA <5.0 log copies/mL and normalization of ALT (2)HBe antigen-negative patients. 1) HBV-DNA <4.3 log copies/mL after 24 weeks of follow-up 2) Normalization of ALT after 24 weeks of follow-up | — |
Countries
Japan