Chronic Hepatitis B
Conditions
Keywords
Chronic hepatitis B, CCC DNA kinetics, Total HBV DNA kinetics, Adefovir-Dipovixil, Peg interferon alpha 2a
Brief summary
Serum HBV DNA is a referent but insufficient marker of therapeutic follow-up in chronic hepatitis B treatment. Intra hepatic cccDNA disappearance reflects HBV eradication in the liver. Intra lymphocyte cccDNA could be a new marker of HBV eradication after treatment. The major interest of this marker is that it can be measured by a simple blood test instead of a liver biopsy.
Detailed description
\- Studying intra lymphocyte and blood cccDNA: before inclusions, D0 then each month during the first three months each three months during treatment and follow-up. \- Viral kinetics:Before inclusions, at D0, then monthly till the end of treatment and follow-up: Evolution of quantitative viraemia in serum Evolution of quantitative viraemia in circulating lymphocytes Evolution of quantitative viraemia in total blood \- Studying viral genotypes
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and female patients \>18 years of age and \<70 years of age * Patients AgHbs+ and AgHbe+ or AgHbe-, and B viral DNA \>104 copies/ml PCR COBAS MONITOR * Patients treated with adefovir dipivoxil and peg interferon alpha 2a * Chronic liver disease consistent with chronic hepatitis B infection on a biopsy obtained within the past 24 months * Naïve patients or patients having a relapse or a therapeutic failure after monotherapy lamivudine or interferon, or bitherapy interferon alpha-lamivudine
Exclusion criteria
* Co-infection HIV, HCV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Kinetic cccDNA | 6 months | Studying the kinetics of cccDNA in cells and whole blood |
Countries
France