Hepatitis B
Conditions
Keywords
Hepatitis B, sequential peg-interferon-2a to entecavir
Brief summary
For HBeAg (+) hepatitis B patients who have been treated by entecavir for 48 weeks but without HBeAg loss, switching to peg-interferon may increase the response rate. In the investigators study, patients were divided into two groups. In Group A, patients continued entecavir for another 72 weeks. In Group B, patients switched to peg-interferon-2a monotherapy for 48 weeks, then followed up 24 weeks.
Detailed description
For HBeAg positive hepatitis B patients who have been treated by entecavir for 48 weeks but without HBeAg loss, switching to peg-interferon may increase the response rate. In our study, patients without HBeAg loss to 48 weeks entecavir treatment were divided into two groups. In Group A, patients continued entecavir for another 72 weeks. In Group B, patients switched to peg-interferon-2a monotherapy for 48 weeks, then followed up 24 weeks.
Interventions
entecavir 0.5mg per day
Peginterferon alfa-2a 180ug per week
Sponsors
Study design
Eligibility
Inclusion criteria
* Age between 18 and 50 years old * HBsAg(+) and HBeAg(+) for over 6 months before entecavir treatment * Treated by entacavir for 48 weeks with HBeAg seroconversion
Exclusion criteria
* Pregnant women * Decompensated liver disease * Combination infection of HCV, HAV, or HEV * Combination infection of HIV * Any contraindication of interferon α
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HBeAg sericonversion rate | 72 weeks |
Secondary
| Measure | Time frame |
|---|---|
| HBeAg quantification dynamic change | 72 weeks |
| HBsAg loss rate | 72 weeks |
| HBeAg loss rate | 72 weeks |
| HBsAg quantification dynamic change | 72 weeks |
| ALT normalization rate | 72 weeks |
| HBsAg seroconversion rate | 72 weeks |
Countries
China