Hepatitis B, Liver Transplantation
Conditions
Keywords
HBV recurrence, entecavir
Brief summary
Entecavir demonstrated superior virologic and biochemical benefits over lamivudine and adefovir. The investigators evaluated the effect of entecavir combined Hepatitis B immune globulin (HBIG) with lamivudine or adefovir or both combined HBIG in Chinese liver transplantation patients with Hepatitis B Virus (HBV) related diseases.
Interventions
lamivudine 100mg orally daily adefovir 10mg orally daily entecavir 0.5mg orally daily HBIG 2000 unit intravenously during the anhepatic phase,and followed 800 unit intramuscularly daily until day 14,then 400 unit intramuscularly twice weekly
Sponsors
Study design
Eligibility
Inclusion criteria
1. patients into the transplant waiting list with HBV-related liver disease. 2. HBsAg-positive. 3. serum HBV-DNA negative. 4. no HCV, HDV and HIV co-infection. 5. without renal dysfunction. 6. No lamivudine, adefovir and entecavir drug allergy history. 7. no HBV-YMDD mutation for patients who have a long-term use of lamivudine.
Exclusion criteria
1. patients with HBV-related hepatocellular carcinoma beyond Milan criteria. 2. HBsAg-negative. 3. serum HBV-DNA positive. 4. HCV, HDV and HIV co-infection. 5. patients with severe renal dysfunction or failure. 6. lamivudine, adefovir and entecavir drug allergy history. 7. HBV-YMDD mutation for patients who have a long-term use of lamivudine.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| serological markers of HBV | every three month after liver transplantation | Serological markers of HBV include HBsAg,HBsAb,HBeAg,HBeAb,HBcAb and HBV-DNA. |
Countries
China