Chronic Hepatitis B, Liver Cirrhosis
Conditions
Keywords
liver cirrhosis, chronic hepatitis B, antiviral therapy, telbivudine
Brief summary
Antiviral treatment on Chronic Hepatitis B (CHB) patients with liver cirrhosis is compulsory and effective. Telbivudine, which is superior to lamivudine in the treatment of CHB,is considered to be appropriate for the antiviral treatment on CHB patients with liver cirrhosis.
Detailed description
Antiviral therapy on CHB patients with liver cirrhosis is compulsory and effective. Diseases development can be prevented or delayed if the virus is depressed successfully. Lamivudine is often used and usually has good efficacy. However, lamivudine resistance and virus mutation happens a lot. Telbivudine, which is superior to lamivudine in the treatment of CHB,is considered to be appropriate for the antiviral treatment on CHB patients with liver cirrhosis.
Interventions
telbivudine 600mg/d 96 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* liver cirrhosis with CHB * without history of antiviral therapy or discontinued antiviral therapy for more than 6 months * for patients with compensated liver cirrhosis: HBV DNA≥4log copies/ml if HBeAg positive,HBV DNA≥3log copies/ml if HBeAg negative * for patients with uncompensated liver cirrhosis:HBV DNA positive
Exclusion criteria
* coinfection with HCV,HDV and HIV * AFP≥100mg/L or HCC diagnosed by iconography * with severe cardiovascular, respiratory and endocrinology diseases or autoimmune diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Serum HBV DNA | 48 weeks | serum HBV DNA negativity and decline from baseline at week 48 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Serum HBeAg | 48 weeks | rate of HBeAg seroconversion and HBeAg loss |
| Child-pugh score | 48 weeks | the average decline of Child-pugh score at week 48 from baseline |
Countries
China