Hepatitis B
Conditions
Keywords
chronic hepatitis B, inadequate response, NUC therapy
Brief summary
The purpose of this study is to evaluate the efficacy and safety of generic entecavir monotherapy or in combination with adefovir for chronic hepatitis B patients with inadequate response to NUC therapy
Interventions
patients will receive oral entecavir 1mg, daily for 104 weeks.
patients in this arm will receive oral entecavir 1mg daily and adefovir 10mg daily for 104 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female aged 18-65 years; * Capable of understanding and signing the informed consent. Willing to comply with the study requirements; * Serum HBsAg positive and ALT\<10ULN at study screening; * Patients have been treated with one nucleoside/nucleotide analogue for more than 6 months and are still on treatment;
Exclusion criteria
* History of viral breakthrough or genotypic resistance on previous therapy; * History of decompensated liver function, or current signs/symptoms of decompensation e.g. ascites, variceal bleeding, encephalopathy or spontaneous peritonitis; * Patient has a history of hepatocellular carcinoma(HCC) or findings suggestive of possible HCC; * Other protocol defined
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| proportion of subjects with hepatitis B virus (HBV)DNA<300copies/ml at week 104 | week 104 |
Secondary
| Measure | Time frame |
|---|---|
| serum HBV DNA reduction from baseline at week 104 | week 104 |
| The proportion of subjects with ALT normalization at week 104 | week104 |
| The proportion of subjects with HBeAg loss and seroconversion at week 104 | week104 |
| The proportion of subject with HBsAg loss and seroconversion at week 104 | week104 |
| The proportion of subjects with mutations of rtN236T/A181V, rtL180M/rtM204V/rtT184/rtS202 and/or rtM250 at week 104 | week104 |
Countries
China