Hepatitis B, Chronic
Conditions
Brief summary
For HBeAg(+) patients, interferon is used for 12 weeks. On 12th week of treatment, If HBV DNA is undetectable (\<1000 copies/ml), interferon is continued alone for one year. If HBV DNA is still positive, nucleoside analogue is added for 3 months. After nucleoside analogue is added for 3 months, HBV DNA is tested again. If negative, stop nucleoside analogue and use interferon alone for another 6 months or longer. If HBV DNA is still positive, change to another nucleoside analogue or add another nucleoside analogue.
Interventions
Standard dose of interferon is used for 12 weeks. On 12th week of treatment, HBV DNA is still detectable (\>1000 copies/ml), or HBeAg is still positive. And lamivudine is added for 3 months. After nucleoside analogue is added for 3 months, HBV DNA is tested again. If negative, stop nucleoside analogue and use interferon alone for another 6 months or longer. If HBV DNA is still positive, change to another nucleoside analogue or add another nucleoside analogue.
Standard dose of interferon is used for 12 weeks.On 12th week of treatment, HBV DNA is still detectable (\>1000 copies/ml), or HBeAg is still positive. But no nucleoside analogue is added.
Sponsors
Study design
Eligibility
Inclusion criteria
* HBsAg posive for 6 months * HBeAg positive, and HBeAb negative * HBV DNA\>1.0×E5 copies/ml * ALT\>80 u/L within 3 months
Exclusion criteria
* pregnant women * conbination infection of HCV, HAV, or HEV * conbination infection of HIV * any contraindication of interferon α
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HBeAg seroconversion rate | 3-6 months |
Secondary
| Measure | Time frame |
|---|---|
| HBV DNA loss rate | 3-6 months |
| HBsAg loss rate | 3-6 months |
Countries
China