Hepatitis D, Chronic
Conditions
Brief summary
This prospective, multicenter, observational study will assess the prevalence of chronic hepatitis D in patients with chronic hepatitis B in Romania and evaluate the efficacy of Pegasys (peginterferon alfa-2a) in patients with chronic hepatitis D. Eligible patients treated with Pegasys according to current medical practice will be followed until 24 weeks after the end of treatment.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
For epidemiological part of the study: * Adult patients \>/= 18 years of age * Positive HBsAg for at least 6 months For the non-interventional section of the study * Adult patients, \>/= 18 years of age * Positive HBsAg for at least 6 months * Positive anti-delta and positive HDV RNA by PCR * Elevated serum ALT \>/= 2x ULN
Exclusion criteria
Patients with any of the following will not be eligible for treatment with Pegasys: * History of neurological disease * History of severe psychiatric disease * Decompensated diabetes * History of immunologically mediated disease * History of severe cardiac disease * History or other evidence of severe chronic pulmonary disease * Inadequate hematologic function
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of chronic hepatitis B patients in Romania with chronic hepatitis D infection | approximately 3.5 years |
| Response rate: Proportion of patients achieving ALT normalization and HDV RNA negativity 24 weeks after the end of treatment | approximately 3.5 years |
Secondary
| Measure | Time frame |
|---|---|
| Virological characteristics (HBeAg/anti-HBe/HBV DNA/anti-HDV Ab/HDV RNA) of patients with chronic hepatitis D | approximately 3.5 years |
| Proportion of chronic hepatitis D patients with liver cirrhosis | approximately 3.5 years |
Countries
Romania