Hepatitis B, Chronic
Conditions
Brief summary
This 3 arm study will assess the efficacy and safety of PEGASYS + entecavir combination therapy in treatment-naive patients with HBeAg positive chronic hepatitis B. Patients will be randomized to receive 1)PEGASYS 180 micrograms s.c./week for 48 weeks, 2)PEGASYS 180 micrograms s.c./week for 48 weeks + entecavir 0.5mg p.o. once daily from week 13 to week 36 or 3) entecavir 0.5mg p.o. once daily for 24 weeks + PEGASYS 180 micrograms s.c./week from week 21 to 68. Treatment will be followed by 24 weeks treatment-free follow up. The anticipated time on study treatment is 3-12 months for groups 1 and 2, and 1-2 years for group 3, and the target sample size is 100-500 individuals.
Interventions
0.5mg po daily for 24 weeks
180 micrograms sc/week for 48 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, 18-65 years of age; * HBsAg positive, HBeAg positive and anti-HBe negative for at least 6 months, anti-HBs negative; * absence of cirrhosis confirmed by liver biopsy in previous 12 months.
Exclusion criteria
* previous treatment for chronic hepatitis B within previous 6 months; * antiviral, anti-neoplastic or immunomodulatory treatment in previous 6 months; * co-infection with active hepatitis A, hepatitis C, hepatitis D or HIV; * history or other evidence of a medical condition associated with chronic liver disease other than viral hepatitis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Log change in quantitative HBeAg from baseline to 24 weeks after end of treatment. | Week 72 for Arms 1 and 2. Week 92 for Arm 3. |
Secondary
| Measure | Time frame |
|---|---|
| HBeAg seroconversion, HBV-DNA <1000 copies/mL, loss of HBeAg, HBV DNA reduction, ALT normalization, loss of HBsAg seroconversion, reduction of HBsAg 24 weeks after end of treatment. | Week 72 for Arms 1 and 2. Week 92 for Arm 3. |
| AEs, laboratory parameters. | Throughout study |
Countries
China, Hong Kong