HBsAg seroclearance HBsAg seroclearance,
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age > 18 years old 2. Chronic hepatitis B eAg negative (ตั้งà¹à¸•่à¹à¸£à¸à¸§à¸´à¸™à¸´à¸ˆà¸‰à¸±à¸¢) 3. On treatment of TDF or ETV at least 3 years 4. HBV DNA F3 ) 6. No history of hepatic decompensation 7. CTP A (serum total bilirubin 3.5 mg/dl, INR 12 gm/dL, platelets > 100,000 mm3
Exclusion criteria
Exclusion criteria: 1. Transient elastography > 10 at least 6 months before enrollment 2. Creatinine clearance < 50 3. Poor compliance 4. Co-existing hepatocellular carcinoma or others malignancy 5. Co-existing with HIV or HCV infection 6. Pregnancy or breast feeding 7. Diagnosis of chronic liver disease from others etiology eg. AIH , Alcoholic liver disease 8.On immunosuppresive drugs or Post organ transplant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HBsAg seroclearance 48 week after discontinuation of NUCs prevalance of HBsAg seroclearance | — |
Secondary
| Measure | Time frame |
|---|---|
| Association factors of HBsAg seroclearance at baseline before discontinuation of NUCs quantitative HBsAg, HBVcrAg, HBV RNA ,HBsAg seroconversion 48 week after discontinuation of NUCs prevalance of HBsAg seroconversion,Virological and clinical relapse at 12 ,24, 36 ,48 wk Rate of virological and clinical relapse,Adverse events at 12 ,24, 36 ,48 wk Hepatic encephalopathy, Liver failure, Death | — |
Contacts
Division of Gastroenterology , Faculty of medicine, Siriraj hospital