chronic hepatitis B viral liver infection with hepatitis B virus
Conditions
Interventions
Dose reduction:
Subjects in group 1 meeting the following criteria at inclusion (weeks 0 and
4), will have TDF dose reduction from TDF 300 mg qd to TDF 300 mg eod
(Monday-Wednesday-Friday):
Patient
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: all adult, cHBV-infected patients on tenofovir or entecavir or without treatment are eligable
Exclusion criteria
Exclusion criteria: HIV-infection
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| - The values of plasma TFV, urine TFV and intracellular TFV-DP levels in studygroup 1 on normal TDF dose and in those on reduced TDF dose. - The relation between plasma TFV, urine TFV and intracellular TFV-DP levels and the occurrence of KPTD in studygroup 1. - The percentage of patients in studygroup 1, meeting the criteria for dose reduction, maintaining adequate viral suppression. | — |
Primary
| Measure | Time frame |
|---|---|
| 1. The prevalence and incidence of renal insufficiency and kidney proximal tubular dysfunction (KPTD) in chronic hepatitis B patients on tenofovir, entecavir or without treatment. KPTD is defined as the presence of at least two of the following; a decreased renal threshold phosphate concentration (TmP/GFR 25% decrease in renal clearance since initiation of TDF. 2. Reversibility of renal insufficiency and KPTD following dose reduction at 24 weeks. Reversibility is defined as GFR within 10% of baseline GFR/no agreement with KPTD criteria | — |
Countries
Netherlands
Outcome results
None listed