Prophylaxis of Hepatitis B Virus Recurrence After Liver Transplantation
1 other identifier
interventional
300
1 country
1
Brief Summary
Entecavir demonstrated superior virologic and biochemical benefits over lamivudine and adefovir. The investigators evaluated the effect of entecavir combined Hepatitis B immune globulin (HBIG) with lamivudine or adefovir or both combined HBIG in Chinese liver transplantation patients with Hepatitis B Virus (HBV) related diseases.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2009
CompletedFirst Submitted
Initial submission to the registry
June 7, 2010
CompletedFirst Posted
Study publicly available on registry
June 8, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedJune 28, 2010
August 1, 2009
3.3 years
June 7, 2010
June 25, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
serological markers of HBV
Serological markers of HBV include HBsAg,HBsAb,HBeAg,HBeAb,HBcAb and HBV-DNA.
every three month after liver transplantation
Study Arms (3)
lamivudine
ACTIVE COMPARATORlamivudine and adefovir
ACTIVE COMPARATORentecavir
ACTIVE COMPARATORInterventions
lamivudine 100mg orally daily adefovir 10mg orally daily entecavir 0.5mg orally daily HBIG 2000 unit intravenously during the anhepatic phase,and followed 800 unit intramuscularly daily until day 14,then 400 unit intramuscularly twice weekly
Eligibility Criteria
You may qualify if:
- patients into the transplant waiting list with HBV-related liver disease.
- HBsAg-positive.
- serum HBV-DNA negative.
- no HCV, HDV and HIV co-infection.
- without renal dysfunction.
- No lamivudine, adefovir and entecavir drug allergy history.
- no HBV-YMDD mutation for patients who have a long-term use of lamivudine.
You may not qualify if:
- patients with HBV-related hepatocellular carcinoma beyond Milan criteria.
- HBsAg-negative.
- serum HBV-DNA positive.
- HCV, HDV and HIV co-infection.
- patients with severe renal dysfunction or failure.
- lamivudine, adefovir and entecavir drug allergy history.
- HBV-YMDD mutation for patients who have a long-term use of lamivudine.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Shanghai First People's Hospital
Shanghai, 200000, China
Related Publications (4)
Patterson SJ, Angus PW. Post-liver transplant hepatitis B prophylaxis: the role of oral nucleos(t)ide analogues. Curr Opin Organ Transplant. 2009 Jun;14(3):225-30. doi: 10.1097/MOT.0b013e32832b1f32.
PMID: 19373086BACKGROUNDAngus PW, Patterson SJ. Liver transplantation for hepatitis B: what is the best hepatitis B immune globulin/antiviral regimen? Liver Transpl. 2008 Oct;14 Suppl 2:S15-22. doi: 10.1002/lt.21614.
PMID: 18825721BACKGROUNDRiediger C, Berberat PO, Sauer P, Gotthardt D, Weiss KH, Mehrabi A, Merle U, Stremmel W, Encke J. Prophylaxis and treatment of recurrent viral hepatitis after liver transplantation. Nephrol Dial Transplant. 2007 Sep;22 Suppl 8:viii37-viii46. doi: 10.1093/ndt/gfm655.
PMID: 17890261BACKGROUNDCarey I, Harrison PM. Monotherapy versus combination therapy for the treatment of chronic hepatitis B. Expert Opin Investig Drugs. 2009 Nov;18(11):1655-66. doi: 10.1517/13543780903241599.
PMID: 19852566BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Zhi-Hai Peng, MD PHD
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
June 7, 2010
First Posted
June 8, 2010
Study Start
August 1, 2009
Primary Completion
December 1, 2012
Last Updated
June 28, 2010
Record last verified: 2009-08