Prospective Observational Cohort Study for the Durability of Anti-viral Therapy in Patients With Chronic Hepatitis B
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Purpose
The aim of this study is to investigate the off-treatment sustained virological and biochemical response in chronic hepatitis B patients following the guideline by the Asian Pacific Association for the Study of the Liver (APASL) in Korea.
| Condition |
|---|
|
Chronic Hepatitis B |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Phase IV Study of Durability of Anti-viral Therapy in Patients With Chronic Hepatitis B |
- Sustained virological response after stopping anti-viral treatment [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]The proportion of patients with sustained virological response after stopping anti-viral treatment
Biospecimen Retention: Samples Without DNA
Initially, 30ml of heparinized peripheral blood will be obtained from each subjects. After then, 10ml of heparinized peripheral blood will be additionaly obtained at every 3 months follow-up visit.
| Estimated Enrollment: | 100 |
| Study Start Date: | February 2012 |
| Estimated Study Completion Date: | March 2016 |
| Estimated Primary Completion Date: | March 2015 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
| Chronic hepatitis B |
Detailed Description:
In the recommendation by the Asian PAcific Association for the Study of the Liver(APASL), antiviral drug is recommended to stop when HBeAg seroconversion has developed for more than 6 months among HBeAg-positive patietns. For HBeAg-negative patients, the APASL consensus recommended stopping anti-viral treatment when HBV DNA remained undetectable for three separates occasion 6 months apart. Nontheless, approximately 25% to 50% of the patients still develop hepatitis relapse after stopping anti-viral therapy even if these recommendations are followed. In this study, the investigators aimed to investigated the off-treatment sustained response in chronic hepatitis B parients following the stopping anti-viral treatment guideline in Korea.
Eligibility| Ages Eligible for Study: | 20 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Chronic Hepatitis B patients under anti-viral therapy
Inclusion Criteria:
- More than 20 years old
Chronic hepatitis B patients under anti-viral therapy
- In HBeAg-positive patient; if HBeAg seroconversion with undetectable HBV DNA is documented on two separate occasions at least 6 months
- In HBeAg-negative patient; if undetectable HBV DNA has been documented on three separate occasions 6 months apart
Exclusion Criteria:
- Patients who had chronic liver disease due to hemochromatosis, autoimmune hepatitis, drug-induced hepatitis, or thalassemia
- Patients who suffered from other chronic medical condition
Contacts and Locations| Contact: Hana Park, MD | 02-2228-1931 | PHN223@yuhs.ac |
| Korea, Republic of | |
| Sang Hoon Ahn | Recruiting |
| Seoul, Korea, Republic of, 120-752 | |
| Contact: Hana Park, MD 02-2228-1931 PHN223@yuhs.ac | |
| Sub-Investigator: Kwang-Hyub Han, MD, PhD | |
| Sub-Investigator: Do Young Kim, MD, PhD | |
| Sub-Investigator: Jun Yong Park, MD | |
| Sub-Investigator: Seung Up Kim, MD | |
| Sub-Investigator: Hana Park, MD | |
| Sub-Investigator: Young Eun Chon, MD | |
| Study Chair: | Sang Hoon Ahn, MD, PhD | Department of Internal Medicine, Yonsei Universtiy College of Medicine |
More Information
No publications provided
| Responsible Party: | Sang Hoon Ahn, Associate Professor, Yonsei University |
| ClinicalTrials.gov Identifier: | NCT01533051 History of Changes |
| Other Study ID Numbers: | Quit Anti-viral therapy |
| Study First Received: | February 7, 2012 |
| Last Updated: | May 7, 2012 |
| Health Authority: | Korea: Institutional Review Board Korea: Ministry for Health, Welfare and Family Affairs |
Keywords provided by Yonsei University:
|
Chronic hepatitis B Nucleos(t)ide analogue Antiviral treatment Korea |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis B Hepatitis, Chronic Hepatitis B, Chronic Hepatitis, Viral, Human Liver Diseases |
Digestive System Diseases Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections Hepadnaviridae Infections DNA Virus Infections |
ClinicalTrials.gov processed this record on June 18, 2013