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Nucleoside Analogue Prevent Vertical Transmission of Hepatitis B Virus

Nucleoside Analogue in Late Preganancy to Prevent Vertical Transmission of Hepatitis B Virus

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01788371
Enrollment
700
Registered
2013-02-11
Start date
2009-03-31
Completion date
2013-07-31
Last updated
2013-07-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Infection, Hepatitis B Infection, Viremia

Brief summary

To explore the antiviral effect of nucleoside analogue in late pregnancy and the safety of the antiviral drug to fetus.To establish the best therapy strategy to pregnant women with high level of HBV DNA.

Detailed description

Telbivudine and Lamivudine,a preganancy category B medication,reduces HBV DNA and normalizes serum ALT in chronic hepatitis B patients with few adverse effects.Two aspects on the drug use in pregnancy will be evaluated prospectively in this study.

Interventions

DRUGTelbivudine

About 300 mothers with no treatment observedfrom 28 weeks of pregnancy to the week 4 of postpartun

DRUGLamivudine

About 300 mothers treated with lamivudine or telbivudine from 28 weeks of pregancy to the week 4 of postpartum

Sponsors

Icahn School of Medicine at Mount Sinai
CollaboratorOTHER
Hua Zhang
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
20 Years to 35 Years
Healthy volunteers
No

Inclusion criteria

HBeAg+CHB pregnant woman gestational age 28 weeks HBV-DNA\>log10 copies/ml

Exclusion criteria

co-infection with hepatitis A,C,D,E or HIV evidence of hepatocellular carcinoma decompensated liver disease or significant co-morbidity concurrent treatment with immune-modulators,cytotoxic drugs,or steroids clinical signs of threatened miscarriage in early prenancy evidence of fetal deformity by ultrasound examination the biological father of the child had CHB

Design outcomes

Primary

MeasureTime frame
The data on its tolerability and safety in HBeAg+ pregnant woman with HBV DNA>6log10 copies/Ml during late pregnancy and infantsperinatal to 28 weeks after infant delivery
Its efficacy in the reduction of HBV vertical transmission rateperinatal to 28 weeks after infant delivery

Secondary

MeasureTime frame
Maternal DNA reduction,ALT normalization, and loss/seroconversion of HBeAg or HBsAgperinatal to 28 weeks of postpartum

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026