Cirrhosis Due to Hepatitis B
Conditions
Keywords
Hepatitis B, cirrhosis, Entacavir, enofovir
Brief summary
Entacavir and tenofovir are two first line therapies for chronic hepatitis B. Both agents have been claimed equivalent in treatment, there are no head to head trials available in the literature about there effectiveness in HBV Decompensated Cirrhosis. The investigators aimed to compare safety/efficacy and virological response in patients with HBV Decompensated Cirrhosis.
Detailed description
The effectiveness of entacavir and tenofovir has not been prospectively studied in HBV Decompensated cirrhosis? This prospective, randomised clinical trial will help us in better patient management more efficacy and cost effectiveness.
Interventions
Entacavir-0.5 mg ,OD,for
Tenofovir ,300 mg,OD,for 48 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Age (18 years- 70 years) * Hbv surface antigen positive \> 6 months * HbeAg (positive or negative both) * Hbv DNA 10\^3 * ALT ULN * No evidence of HCC * Platelets count \> 30 thousands * CTP score \> 7 * Hepatic encephalopathy (grade 1 - 2 only) * No prior Drug resistance
Exclusion criteria
* Age \< 18 years * HCC patients * Prior drug resistance * Current HE \> 2 * Solid organ transplantation * Inadequate hematological function * Co infection with hepatitis C and HIV * Autoimmune disorders * Pregnancy and Breast feeding * Other hepatic diseases * Patients on immunosuppressant or chemotherapy agents
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety and efficacy | 48 weeks | EFFICACY ENDPOINTS: EFFICACY ENDPOINTS INCLUDED PLASMA HBV DNA, ALT, HBEAG, HBSAG LOSS AND SEROCONVERION AS WELL AS CTP AND MELD SCORE. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Safety | 48 weeks | SAFETY ENDPOINTS: SAFETY ANALYSIS INCLUDED CUMALATIVE RATES ON TREATMENT ADVERSE EVENTS, SEREIOUS ADVERSE EFFECTS DISCONTINUATION DUE TO SIDE EFFECTS,DEATH,HCC,RENAL IMPAIRMENT , HEPATIC FLARE AND DEVELOPMENT OF DRUG RESISTANCE. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Outcome | 48 weeks | Death |
Countries
Pakistan