Unique ID issued by UMIN | UMIN000012415 |
---|---|
Receipt number | R000011457 |
Scientific Title | Effect of switching therapy from nucleos(t)ide analogue to pegylated-interferon in patients with chronic hepatitis B |
Date of disclosure of the study information | 2013/11/27 |
Last modified on | 2019/08/02 15:22:20 |
Effect of switching therapy from nucleos(t)ide analogue to pegylated-interferon in patients with chronic hepatitis B
Effect of switching therapy from nucleos(t)ide analogue to pegylated-interferon in patients with chronic hepatitis B
Effect of switching therapy from nucleos(t)ide analogue to pegylated-interferon in patients with chronic hepatitis B
Effect of switching therapy from nucleos(t)ide analogue to pegylated-interferon in patients with chronic hepatitis B
Japan |
chronic hepatitis B
Hepato-biliary-pancreatic medicine |
Others
NO
Nucleos(t)ide analogues (NAs) have been used generally for patients with chronic hepatitis B, but they have no effect on intrahepatic HBV (cccDNA), leading to recurrence of hepatitis after cessation of NAs. Moreover, little is known about the suppressive effect of NA treatment for developing hepatocellular carcinoma (HCC). On the other hand, interferon has a weak effect on HBV reproduction inhibition, but has immunomodulatory effects, with antiviral effects persisting after completion of administration. The aim of this study is to investigate the antiviral effect and suppressive effect on incidence of HCC in patients with chronic hepatitis B by switching therapy from NAs to pegylated interferon.
Efficacy
decline rate of HB surface antigen, loss of HB surface antigen
decline rate of HB core-related antigen
suppression of HBV DNA (< 4 log copies/mL)
ALT normalization
HBe antigen seroconversion (among patients with HBe antigen)
at 24 and 48 weeks after completing pegylated interferon treatment
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
drug: PegIFN alfa 2a
duration: PegIFN alfa 2a and nucleos(t)ide analogue combination therapy for 12 weeks and monotherapy of PegIFN alfa 2a for 36 weeks
dose: PegIFN alfa 2a 90-180mcg s.c. weekly
20 | years-old | <= |
Not applicable |
Male and Female
patients with chronic hepatitis B treated with nucleos(t)ide analogue and HBV DNA < 4 log copies/mL for more than 1 year
under age of 20
significant liver fibrosis (F3-)
coinfection with HCV / HDV / HIV
coexistence with other chronic liver disease
pregnant or breast-feeding women
contraindication to scheduled drugs
patients found to be inadequate by their doctors
200
1st name | Tetsuo |
Middle name | |
Last name | Takehara |
Osaka University Graduate School of Medicine
Department of Gastroenterology and Hepatology
565-0871
2-2, Yamadaoka, Suita City, Osaka
06-6879-3621
takehara@gh.med.osaka-u.ac.jp
1st name | Ryoko |
Middle name | |
Last name | Yamada |
Osaka University Graduate School of Medicine
Department of Gastroenterology and Hepatology
565-0871
2-2, Yamadaoka, Suita City, Osaka
06-6879-3621
ryo726@gh.med.osaka-u.ac.jp
Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
none
Other
Osaka University Clinical Research Review Committee
2-2, Yamadaoka, Suita, Osaka
06-6210-8289
rinri@hp-crc.med.osaka-u.ac.jp
NO
2013 | Year | 11 | Month | 27 | Day |
Unpublished
Open public recruiting
2013 | Year | 04 | Month | 11 | Day |
2013 | Year | 05 | Month | 01 | Day |
2013 | Year | 11 | Month | 27 | Day |
2019 | Year | 08 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011457