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NCT07459426Recruiting

Entecavir Resistance-Associated Mutations in Chronic HBV Patients in Turkey (STREAM Study)

Sequencing-Based Tracking of Entecavir Resistance-Associated Mutations in Chronic Hepatitis B Patients: A Multicenter Observational Study (STREAM)

Source: ClinicalTrials.gov · Last updated 13 Oct 2026

Brief summary (registry, in English)

Chronic hepatitis B is a long-term viral infection that affects millions of people worldwide. Patients usually require lifelong antiviral treatment to control the virus and prevent liver damage. Some older antiviral medications, such as lamivudine, can lead to the development of viral resistance. This means the virus changes in a way that makes certain treatments less effective. Even though newer drugs like entecavir are stronger and more resistant to these changes, previous exposure to lamivudine may increase the risk of developing additional resistance mutations. By analyzing viral genetic material from blood samples using advanced sequencing technology, this research will help improve understanding of antiviral resistance patterns in patients with chronic hepatitis B in Turkey and may support better treatment decisions in the future.

Status (registry)
Recruiting
Study type
Observational
Enrollment
700 (estimated)
First submitted
28 Feb 2026
Start date
15 Mar 2026
Primary completion date
15 Dec 2026
Lead sponsor
Yaşar Bayındır, MD
Diseases
Hepatitis B
NCT number
NCT07459426

What you commit to

  • Study type: Observational
  • Planned participants: 700
  • From 15 Mar 2026 to the primary completion date, 15 Dec 2026
  • 10 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

  • Prior entecavir exposure
  • Prior telbivudine exposure
  • Inability to provide informed consent Note: Previous adefovir or (pegylated) interferon use is not an exclusion criterion.
    • Patients with insufficient sample volume or inadequate DNA quality for sequencing will be excluded from final analysis.

Age

  • Age \<18 years

Who the study is looking for

  • Age ≥18 years
  • HBsAg positive
  • Group 1: Either treatment-naïve participants with HBV DNA\>2000 IU/ml
  • Group 2: Prior lamivudine therapy ≥6 months with switch to ADVor TDF or TAF
  • Ability to provide informed consent

Age in the registry: 18 years to 80 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (10)

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

SiteCityCountrySite status
Cukurova University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
Coordinator of this site? Confirm its status
AdanaTurkey (Türkiye)Not yet recruiting
Gazi University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
Coordinator of this site? Confirm its status
AnkaraTurkey (Türkiye)Not yet recruiting
Health Sciences University Hamidiye Faculty of Medicine
Coordinator of this site? Confirm its status
AnkaraTurkey (Türkiye)Not yet recruiting
Akdeniz University Faculty of Medicine
Coordinator of this site? Confirm its status
AntalyaTurkey (Türkiye)Not yet recruiting
Dicle University Faculty of Medicine
Coordinator of this site? Confirm its status
DiyarbakırTurkey (Türkiye)Recruiting
Gaziantep University
Coordinator of this site? Confirm its status
GaziantepTurkey (Türkiye)Recruiting
Ege University Faculty of Medicine
Coordinator of this site? Confirm its status
IzmirTurkey (Türkiye)Not yet recruiting
Kocaeli University Faculty of Medicine
Coordinator of this site? Confirm its status
KocaeliTurkey (Türkiye)Not yet recruiting
İnönü University, Faculty of Medicine, Department of Clinical Microbiology
Coordinator of this site? Confirm its status
MalatyaTurkey (Türkiye)Not yet recruiting
Samsun Ondokuz Mayıs University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
Coordinator of this site? Confirm its status
SamsunTurkey (Türkiye)Not yet recruiting

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