The Optimizing Treatment of Peginterferon (PEG IFN) Alpha in Chronic Hepatitis B Virus Patients With Low Level HBsAg
1 other identifier
interventional
200
1 country
1
Brief Summary
HBeAg-negative chronic hepatitis B (CHB) patients with low Level HBsAg and with a history of drug resistance or suboptimal/partial virological response were enrolled. After giving informed consent, patients were treated with nucleoside analog(s) (NAs) once a day and weekly subcutaneous injections of alfa-2a 180 micrograms/week or peginterferon alfa-2b 80 micrograms/week for 12 weeks. 12 weeks later, NAs was stopped, patients were treated with weekly subcutaneous injections of alfa-2a 180 micrograms/week or peginterferon alfa-2b 80 micrograms/week. Treatment endpoint was HBsAg loss(\<0.05 IU/mL).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Aug 2016
Typical duration for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2016
CompletedFirst Submitted
Initial submission to the registry
August 28, 2016
CompletedFirst Posted
Study publicly available on registry
September 8, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2019
CompletedMay 22, 2018
May 1, 2018
3 years
August 28, 2016
May 20, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
HBsAg Clearance
Percentage of Participants with HBsAg \<0.05 IU/mL.
96 weeks
Secondary Outcomes (1)
HBsAg Seroconversion
96 weeks
Study Arms (2)
PEG-IFN group
EXPERIMENTALHBeAg-negative CHB patients with HBsAg \<1000 IU/ mL and HBV DNA\<100 IU/mL are to receive peginterferon alfa-2a 180 micrograms/week or peginterferon alfa-2b 80 micrograms/week for at most 96 weeks.
NAs group
NO INTERVENTIONCHB patients do not need to change their NAs treatment.
Interventions
peginterferon alfa-2a 180 micrograms/week or peginterferon alfa-2b 80 micrograms/week, for at most 96 weeks.
Eligibility Criteria
You may qualify if:
- CHB patients who had received single NAs for more than 12 months and had a history of NAs drug resistance or suboptimal/partial virological response.
- Hepatitis B e antigen (HBeAg)-negative.
- Hepatitis B surface antigen (HBsAg) positive and \<1000 IU/mL.
- Hepatitis B virus DNA \<100 IU/mL.
You may not qualify if:
- Patients with liver cirrhosis, Hepatocellular Carcinoma or alpha feto protein (AFP) \>2 upper limit of normal(ULN) or other malignancies.
- Patients with other factors causing liver diseases.
- Pregnant and lactating women.
- Patients with concomitant HIV infection or congenital immune deficiency diseases.
- Patients with diabetes, autoimmune diseases.
- Patients with important organ dysfunctions.
- Patients with serious complications (e.g., infection, hepatic encephalopathy, hepatorenal syndrome, gastrointestinal bleeding.)
- Patients who receive antineoplastic or immunomodulatory therapy in the past 12 months.
- Patients with a previous use of IFN anti hepatitis B virus treatment.
- Patients who can't come back to clinic for follow-up on schedule.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Third Affiliated Hospital, Sun Yat-Sen Universitylead
- Peking Universitycollaborator
- Huazhong University of Science and Technologycollaborator
- Nanchang Universitycollaborator
- Huizhou Municipal Central Hospitalcollaborator
- First People's Hospital, Shunde Chinacollaborator
- Shenzhen Third People's Hospitalcollaborator
- First People's Hospital of Foshancollaborator
- Tang-Du Hospitalcollaborator
- First Affiliated Hospital of Kunming Medical Universitycollaborator
- Yuebei People's Hospitalcollaborator
Study Sites (1)
Department of Infectious Diseases, The Third Affliated Hospital of Sun Yat-sen University
Guangzhou, Guangdong, 510630, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chief director of department of infectious disease
Study Record Dates
First Submitted
August 28, 2016
First Posted
September 8, 2016
Study Start
August 1, 2016
Primary Completion
August 1, 2019
Study Completion
August 1, 2019
Last Updated
May 22, 2018
Record last verified: 2018-05