Hepatitis, Chronic
Conditions
Brief summary
The aim of this randomized clinical study is to show non-inferiority of a change of anti-viral therapy from telbivudine to lamivudine in patients who have achieved an undetectable viral load at week 24 of telbivudine therapy compared to continuous treatment with telbivudine with respect to the viral breakthrough rate at week 108 as the primary clinical outcome.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female patients, \> 18 (having completed their 18th birthday). There is no upper limit of age * Documented HBeAg negative CHB * HBsAg positive \> 6 months * HBV DNA \> 2000 IU/mL * Patient is willing and able to comply with the study drug regimen and all other study requirements. * Written informed consent * Anti-viral HBV treatment naïve or previous treatment with interferon-alpha or pegylated interferon-alpha stopped at least 1 month prior to screening
Exclusion criteria
* Decompensated liver cirrhosis according to the judgment of the local investigator * Hepatocellular carcinoma * History of or laboratory signs of co-infection with HIV or HCV, HDV * Previous treatment with anti-viral drugs (previous treatment with interferon-α or pegylated interferon-α is not an
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is the rate of viral breakthrough during treatment defined as an increase of the viral titer to > 200 IU/mL. | The primary efficacy endpoint is the rate of viral breakthrough at week 108. |
Countries
Switzerland