Spontaneous Reactivation of Hepatitis B
Conditions
Brief summary
The relevant data will be prospectively collected included patient demographics, clinical, all laboratory variables including virological tests, genotyping by direct sequencing, abdominal ultrasound, and upper gastrointestinal (GI) endoscopy. Trans jugular liver biopsy (TJLB) and hepatic venous pressure gradient (HVPG) will be done in patients when it was not evident whether the underlying liver disease was chronic based on clinical, biochemical, radiological investigations, and upper GI endoscopy. Severity of the liver disease will be assessed by Child-Turcotte Pugh score (CTP) and model for end stage liver disease (MELD) score.
Interventions
Tenofovir (300 mg/day) plus telbivudine (600 mg/day).
In tenofovir arm subjects will receive tenofovir (300 mg) once daily.
Sponsors
Study design
Eligibility
Inclusion criteria
* Reactivation of CHB characterized by a rise in ALT level \>5 times upper limit of normal along with HBV DNA level \>10\^5 copies/ mL (\> 1.8 X 10\^4 IU/mL).
Exclusion criteria
1. Superinfection with other viruses (hepatitis E, A, D, or C) 2. other causes of chronic liver failure 3. coexistent hepatocellular carcinoma (HCC) 4. portal vein thrombosis 5. coexistent renal impairment 6. pregnancy 7. coinfection with human immunodeficiency virus (HIV) 8. patients who had received a previous course of any antiviral, immunomodulator or cytotoxic/immunosuppressive therapy for chronic hepatitis or other illness within at least the preceding 12 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival | 1 and 3 months |
Secondary
| Measure | Time frame |
|---|---|
| Reduction in HBV DNA. | 7 days, 15 days, 1 month and 3 month |
| Drug(s) related adverse effects/ side effects | 1 and 3 months |
| Improvement in CTP and MELD scores | 1 and 3 months |
| Alteration of renal functions | 1 and 3 months |
Countries
India