Hepatitis B
Conditions
Brief summary
* Study population:Person with HBeAg negative CHB on TDF/ETV for more than 1 year * Study design:Prospective,Interventional (single arm study) * Sample size: All the patients fulfilling the inclusion criteria will be included in first 6 months and subsequently followed up for 2 years * Intervention: Peg IFN 2b 1.5mcg/kg once every week for 48 weeks * Monitoring and assessment: LFT,HBV DNA and HbsAg at baseline, 4 weeks, 12 weeks,24 weeks,48 weeks ,72 weeks and 96 weeks, CBC every month and Thyroid function Test every 3rd month * Adverse effects: The most frequently reported side effects of IFN-based therapy are flu-like symptoms, headache, fatigue, myalgia, alopecia, and local reaction at the injection site. Peg-IFN have myelosuppressive effects; however, neutropenia\\1000/mm3 and thrombocytopenia \\500,000/ mm3 are not common unless patients already have cirrhosis
Interventions
Peg IFN 2b 1.5mcg/kg once every week for 48 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
\- HBeAg negative Chronic HBV infection who are having HBV DNA-undetectable. ALT \<40 IU/ml No Advanced fibrosis\[LSM \<14 KPa\] TDF/ETV \>1 year Clinical Relapse after stopping NA will be defined as HBV DNA\>2000IU/ml and ALT \> 80IU
Exclusion criteria
\- HBeAg+ CHB Pregnancy Cirrhosis on biopsy or LSM \>14 Co-infection- HIV/HCV/HDV Immunosuppressive therapy Renal failure S.Bilirubin\>2mg/dl Patient having neutropenia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sustained Virological Response-HBV DNA<2000IU/ml after stopping PEG IFN alpha | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Loss of HBsAg after 48 weeks of PEG IFN alpha | 48 weeks |
| End treatment Response: HBV-DNA -undetectable after 48 weeks of PEG-IFN | 48 weeks |
| Sustained Off treatment Virological response defined as No clinical relapse during 1 year follow up after stopping therapy | 1 year |
Countries
India