Hepatitis B, Chronic
Conditions
Brief summary
This study will evaluate immune responses in patients with HBeAg-negative chronic Hepatitis B treated with Pegasys (peginterferon alfa-2a). Eligible patients will have been randomized in study ML18253 to receive Pegasys 180 mcg subcutaneously for 48 or 96 weeks. Sample collection period for each patients will occur in the first 24 weeks.
Interventions
180 mcg sc weekly
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients 18-55 years of age * Chronic HBeAg negative hepatitis B * Liver disease consistent with chronic hepatitis documented by liver biopsy within 18 months prior to enrollment * Participation in study ML18253.
Exclusion criteria
* Interferon-based or any systemic anti-HBV therapy \</= 12 months prior to first dose of study drug * Antiviral, anti-neoplastic, or immunomodulatory treatment \</= 12 months prior to first dose of study drug * Nonresponders to previous interferon therapy and resistant to lamivudine * Co-infection with hepatitis A, C or D, or with human immunodeficiency virus (HIV) * Hepatocellular cancer * Compensated (Child A, score 6) or decompensated liver disease (Child B or C) * History or evidence of medical condition associated with chronic liver disease other than HBV
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CD4 and CD8 mediated immune response: Interleukin-2 production (Flow cytometry) | 24 weeks |
| CD4 and CD8 mediated immune response: Proliferative response upon T-cell stimulation | 24 weeks |
| CD8 response in HLA-A2 positive patients | 24 weeks |
| CD4 and CD8 mediated immune response: Interferon-y (ELISPOT analysis, flow cytometry) | 24 weeks |
| CD4 and CD8 mediated immune response: Cytokine profile analysis by supernatant culture | 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| HBV viremia (HBV RNA assessed by COBAS PaqMan HCV test) | 24 weeks |
| Profile of proinflammatory cytokines: analysis of cytokines in serum | 24 weeks |
Countries
Italy