Chronic Hepatitis B
Conditions
Keywords
Hepatitis B, Tenofovir, Telbivudine
Brief summary
Combination therapies using nucleos(t)ide analogues lead to higher viral suppression although it may not be sustained for long. Also it remains unknown if combination of more potent analogues is more beneficial than individual drugs. Thus this study is carried out to determine the efficacy and safety of combination of tenofovir plus telbivudine (two most potent nucleos(t)ide analogues)versus monotherapy with either drug alone. This is a 104 week open labelled, prospective, randomized, multicentric study. The patient will receive either tenofovir, telbivudine or the combination of two drugs. After completion of 24 weeks, the non-responders (ie HBV-DNA \> 300 copies/ ml) will be switched to combination arm and will continue receiving tenofovir plus telbivudine for 104 weeks.
Interventions
300 mg of Tenofovir daily
600 mg of Telbivudine daily
Tenofovir (300 mg daily) plus Telbivudine (600 mg daily)
Sponsors
Study design
Eligibility
Inclusion criteria
* HBeAg negative at screening * Documented chronic Hepatitis B * Treatment naive * Compensated liver disease
Exclusion criteria
* Chronic Hepatitis B with Child Pugh B & C * HBeAg positive * Decompensated liver disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy of combination of telbivudine plus tenofovir vs monotherapy with either drug alone | 6 Months and 2 Years |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of patients with virological breakthrough | 24 weeks |
| Percentage change in serum HBV DNA levels | Baseline and 2 Years |
| Percentage of patients with reduction in HBsAg concentration by >50% | Baseline and 2 Years |
| Percentage of patients with primary treatment failure | 12 weeks |
| Occurrence of adverse events | 2 Years |
| Percentage of patients with ALT normalization | Baseline and 2 Years |
Countries
India