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
Sites (10)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Cukurova University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology Coordinator of this site? Confirm its status | Adana | Turkey (Türkiye) | Not yet recruiting |
| Gazi University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology Coordinator of this site? Confirm its status | Ankara | Turkey (Türkiye) | Not yet recruiting |
| Health Sciences University Hamidiye Faculty of Medicine Coordinator of this site? Confirm its status | Ankara | Turkey (Türkiye) | Not yet recruiting |
| Akdeniz University Faculty of Medicine Coordinator of this site? Confirm its status | Antalya | Turkey (Türkiye) | Not yet recruiting |
| Dicle University Faculty of Medicine Coordinator of this site? Confirm its status | Diyarbakır | Turkey (Türkiye) | Recruiting |
| Gaziantep University Coordinator of this site? Confirm its status | Gaziantep | Turkey (Türkiye) | Recruiting |
| Ege University Faculty of Medicine Coordinator of this site? Confirm its status | Izmir | Turkey (Türkiye) | Not yet recruiting |
| Kocaeli University Faculty of Medicine Coordinator of this site? Confirm its status | Kocaeli | Turkey (Türkiye) | Not yet recruiting |
| İnönü University, Faculty of Medicine, Department of Clinical Microbiology Coordinator of this site? Confirm its status | Malatya | Turkey (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 | Samsun | Turkey (Türkiye) | Not yet recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.