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NCT06707922Enrolling by invitation

A Follow-up Study of Peginterferon Alfa-2b Combined With TDF in Patients With Chronic Hepatitis B

A Multicenter, Prospective, Follow-up Study to Evaluate the Long-term Benefits of Peginterferon Alpha-2b Injection Combined With TDF in Patients With Chronic Hepatitis B

Source: ClinicalTrials.gov · Last updated 4 Dec 2024 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

Studies have shown that chronic hepatitis B patients with low levels of HBsAg after nucleos(t)ide analog therapy have a higher chance of functional cure with sequential or combined pegylated interferon therapy, with about 30-50% of patients achieving HBsAg clearance and discontinuing therapy. There are some clinical practices on the long-term benefits of discontinuing antiviral therapy, but there is a lack of evidence-based clinical studies, especially on the relapse rate, duration of relapse, and factors influencing relapse after achieving functional cure. Furthermore, there is no guideline or expert consensus on the follow-up management strategy for patients who haven't achieved functional cure but whose HBsAg levels have been substantially reduced by treatment and are at low levels. Therefore, this study is planned to enroll participants who have completed the TB1901IFN to evaluate the long-term benefit of Peginterferon in combination with tenofovir disoproxil fumarate(TDF) and relapse in patients who have achieved functional cure, for participant with low-level HBsAg at the end of treatment, peginterferon combined with tenofovir alafenamide fumarate (TAF)therapy will be administered to explore the efficacy and safety of starting treatment after a period of drug discontinuation. Participants will be divided into 3 cohorts based on functional achievement and/or HBsAg levels after completion of TB1901IFN

Status (registry)
Enrolling by invitation
Study type
Interventional
Enrollment
350 (estimated)
First submitted
24 Nov 2024
Start date
18 Mar 2022
Primary completion date
31 May 2029
Lead sponsor
Xiamen Amoytop Biotech Co., Ltd.
Diseases
Hepatitis B
NCT number
NCT06707922

What you commit to

  • Study type: Interventional
  • Planned participants: 350
  • From 18 Mar 2022 to the primary completion date, 31 May 2029
  • 30 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Pregnant, breastfeeding women, or those who plan to conceive during the combined medication treatment period.

Other illness

  • Severe retinopathy or other severe ophthalmic diseases;
  • Other conditions deemed by the investigator to be unsuitable for participation in the cohort 2.
    • For cohort 3 only:
    • \- Participants who plan to enter Cohort 2.

Lab values

  • Evidence of acute severe liver injury: e.g. ALT \> 10 times of the upper limit of normal (ULN), or a significant increase in ALT accompanied by a significant increase in bilirubin;
  • Evidence of decompensated liver disease: serum total bilirubin \> 2ULN, serum albumin \< 35 g/L, prothrombin time extended by more than 3 seconds beyond ULN, prothrombin activity \< 60%; or a history of decompensated liver cirrhosis;
  • Kidney disease: acute or chronic nephritis, renal insufficiency, nephrotic syndrome, etc., or serum creatinine \> 1ULN;
  • Neutrophil count \< 1.5×10\^9/L, platelet count \< 90×10\^9/L;

Other

  • \- Suspected or confirmed HCC patients.
  • For Cohort 2 only:
  • Suspected or confirmed liver cirrhosis.

Who the study is looking for

  • Participants who completion of the TB1901IFN study ("completion" is defined as completion of more than 80% of trial medications (including peginterferon alfa and tenofovir disoproxil fumarate), or meeting criteria for early discontinuation and completion of consolidation therapy, as well as completion of discontinuation follow-up and 24-week post-discontinuation visit);
  • Voluntary enrollment, understand and sign the informed consent form.
    • For cohort 1 only; - Subjects who have achieved functional cure (defined as the disappearance of HBsAg at the completion of TB1901IFN, with or without the appearance of HBsAb);
    • For cohort 2 only:
  • At the completion of TB1901IFN, the S antigen level has decreased by ≥1 log compared to the baseline, with an S antigen level of less than 100 IU/ml, or the S antigen level has decreased by ≥1.5 log compared to the baseline, with an S antigen level of less than 1500 IU/ml;
  • Willing to accept the treatment of peginterferon combined with TAF;
    • For cohort 3 only:
    • \- Participants who have not achieved functional cure upon completion of TB1901IFN (defined as HBsAg ≥ 0.05 IU/ml);

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (30)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Peking University First Hospital
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BeijingChinaUnknown status
The Fifth Medical Center of PLA General Hospital
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BeijingChinaUnknown status
Beijing YouAn Hospital,Capital Medical University
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BeijingChinaUnknown status
The Second Xiangya Hospital of Central South University
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ChangshaChinaUnknown status
Xiangya Hospital Central South University
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ChangshaChinaUnknown status
Public Health Clinical Center of Chengdu
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ChengduChinaUnknown status
Sichuan Provincial People's Hospital
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ChengduChinaUnknown status
The First Affiliated Hospital of Fujian Medical University
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FuzhouChinaUnknown status
Mengchao Hepatobiliary Hosipital of Fujian Medical University
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FuzhouChinaUnknown status
Guangzhou Eighth People's Hospital
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GuangzhouChinaUnknown status
The Third Affiliated Hospital,SUN YAT-SEN University
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GuanzhouChinaUnknown status
The Fourth Affiliated Hospital of Harbin Medical University
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HarbinChinaUnknown status
The First Affiliated Hospital of Anhui Medical University
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HefeiChinaUnknown status
Ruijin Hospital Shanghai Jiaotong University School of Medicine
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ShanghaiChinaUnknown status
Huashan Hospital, Fudan University
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ShanghaiChinaUnknown status
The Sixth People's Hospital of Shenyang
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ShenyangChinaUnknown status
The Third People's Hospital of Shenzhen
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ShenzhenChinaUnknown status
Peiking University Shenzhen Hospital
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ShenzhenChinaUnknown status
The First Hospital of Shanxi Medical University
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TaiyuanChinaUnknown status
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine
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TianjinChinaUnknown status
Tianjin Third Central Hospital
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TianjinChinaUnknown status
Traditional Chinese Medical hospital of Xinjiang Uygur Autonomous Region
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ÜrümqiChinaUnknown status
The First Affiliated Hospital of Xinjiang Medical University
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ÜrümqiChinaUnknown status
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
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WuhanChinaUnknown status
The First Affiliated hospital of Xiamen University
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XiamenChinaUnknown status
Xiamen Hospital of Traditional Chinese Medicine
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XiamenChinaUnknown status
Tangdu Hospital, Air Force Medical University
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Xi'anChinaUnknown status
The First Affiliated Hospital of Xi'an Jiaotong University
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Xi’anChinaUnknown status
Yanbian University Hospital (Yanbian Hospital)
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YanjiChinaUnknown status
Henan Provincial People's Hospital
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ZhengzhouChinaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.