Chronic hepatitis B
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients with chronic hepatitis B and under treatment by nucleos(t)ide analogue(s) (lamivudine (LMV), adefovir dipivoxil (ADV), entecavir (ETV), and tenofovir disoproxil fumarate (TDF)), including compensated cirrhosis. 2.Patients with stable and well controlled hypertension, diabetes mellitus, heart diseases, CKD or risk of CKD (eGFR <60), and other patients whom Dr. consider appropriate to switch.
Exclusion criteria
Exclusion criteria: 1.Patients with decompensated cirrhosis 2.Patients with co-infection of hepatitis C virus 3.Patients with co-infection of human immunodeficiency virus 4.Patients with stable estimated glomerular filtration rate <15 mL/min/1.73 m2 5.Patients with albumin <30 g/L and platelets <30,000 6.Patients with autoimmune hepatitis 7.Constant heavy alcohol drinkers (converted to ethanol over 60 g/day) 8.Patients who are pregnant females, or females who may become pregnant, or females who are breastfeeding 9.Patients judged (by the physician in charge of research) to be inappropriate as subjects for the study for any other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients with virological response (HBV DNA level <2.1 log copies/mL) at weeks 24, 48, 96, 120 and 144 after switching from other nucleos(t)ide analogues to TAF | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Changes from the baseline in hepatitis surface antigen levels 2.Changes from the baseline in serum alanine aminotransferase 3.Changes from the baseline in estimated glomerular filtration rate and urine beta-2 microglobulinuria 4.Changes from the baseline in albuminuria 5.Changes in spine-and hip-bone mineral density | — |
Countries
Japan
Contacts
Kyushu University Hospital Department of General Internal Medicine