chronic hepatitis B
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: # Chronic hepatitis B patients with HBeAg positivity # Twice or more ALT flares # HBV DNA levels > 4.0 log copies/mL
Exclusion criteria
Exclusion criteria: 1. Prior exposure of interferon, antiviral agents, antitumoral agents, immunosupressive drugs, and radiotherapy within 6 months 2. HCV RNA positivity 3. Complicating other liver disease 4. The diagnosis of Liver cirrhosis, hepatic failure, and liver cancer 5. The history of hepatic encephalopathy, varices bleeding, and ascites 6. Complicating collagen disease 7. The history of interstitial pneumonia 8. Severe heart disease 9. The history of epilepsy 10. The history of depression 11. The history of abnormal thyroid function 12. The history of stroke 13. Severe diabetes 14. The history of malignant tumor within 5 years 15. The history of liver, kidney or bone marrow transplantation 16. Retinopathy 17. blood test abnormality as follows: (a) neutrophil < 1,500 /mm3 (b) platelets count < 90,000/ mm3 (c) Hb < 10 g/dL (d) prothrombin time > 20s or < 60% (e) ALT > 10 times ULN (f) total bilirubin > 2.0 mg/dL (g) albmin < 3.2 g/dL (h) creatinine clearance < 50 mL/min 18. Pregnancy 19. Doctors condider inadequate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The reduction of HBsAg (<1,000 IU/mL) at 48 weeks after initiating entecavir treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The following outcomes at 48 weeks after entecavir treatment (a) HBeAg seroconversion rates (b) The reduction of HBV DNA levels (<5.0 logcopies/mL) (c) ALT normal rates (d) HBeAg seroclearance (e) HBsAg seroclearance (f) HBsAg seroconversion 2. Kinetics of HBV DNA levels 3. Kinetics of HBsAg levels 4. Kinetics of HB core-related antigen levels 5. The chenge of immunological markers 6. The regression of liver fibrosis (measured by Fibroscan) | — |
Countries
Japan
Contacts
Toranomon Hospital Hepatology