Chronic Hepatitis B
Conditions
Keywords
lamivudine, telbivudine, adefovir, lamivudine resistance
Brief summary
No study has reported on the comparative effect of continuing lamivudine plus adefovir versus switching to telbivudine plus adefovir in HBeAg-positive lamivudine-refractory chronic hepatitis B patients who have suboptimal response to lamivudine plus adefovir. The goal of this study is to compare the efficacy of continuing lamivudine plus adefovir versus switching to telbivudine plus adefovir directly in patients with lamivudine-refractory chronic hepatitis B patients who have suboptimal response to lamivudine plus adefovir for at least 12 months.
Interventions
600mg, oral daily over 12 months
Sponsors
Study design
Eligibility
Inclusion criteria
* HBeAg positive * lamivudine and adefovir at least 12 months over 6 months lamivudine treatment for YMDD positive patients * HBV DNA over 300 copies/ml
Exclusion criteria
* decompensated cirrhosis * renal failure * prior interferon usage * evidence of HCC or prior organ transplantation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Virologic response | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Safety, virologic breakthrough and biochemical response | 1 year |
Countries
South Korea