Unique ID issued by UMIN | UMIN000018406 |
---|---|
Receipt number | R000021308 |
Scientific Title | Efficacy and safety of switching from entecavir to tenofovir for chronic hepatitis B patients with sustained viral supression: a randomized controlled trial |
Date of disclosure of the study information | 2015/07/24 |
Last modified on | 2017/06/04 09:11:17 |
Efficacy and safety of switching from entecavir to tenofovir for chronic hepatitis B patients with sustained viral supression: a randomized controlled trial
Switching from entecavir to tenofovir for CHB patients with sustained viral supression
Efficacy and safety of switching from entecavir to tenofovir for chronic hepatitis B patients with sustained viral supression: a randomized controlled trial
Switching from entecavir to tenofovir for CHB patients with sustained viral supression
Japan |
chronic hepatitis B
Hepato-biliary-pancreatic medicine |
Others
NO
Exploring the reduction of hepatitis B surface antigen and the safety by switching from entecavir to tenofovir for patients who were treated with entecavir for more than one year and achieved sustained viral supression (HBV DNA levels < 3.0 logcopies/mL)
Safety,Efficacy
Exploratory
Pragmatic
Not applicable
Number of patients who achieve the reduction of hepatitis surface antigen more than 0.5 log IU/mL for three years
1) The rates of negativity of hepatitis B e antigen for three years
2) The rates of negativity of hepatitis B surface antigen and achieving below 100 IU/mL or 1000 IU/mL of hepatitis B surface antigen levels for three years
Predictive factors of the reduction of hepatitis B surface antigen
3) The rates of viral breakthrough for three years
4) The chenges of serum creatinine and phosphate for three years
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Treatment
Medicine |
Tenofovir disoproxil fumarate 300mg/day daily
treatment period: 3 yaers
Entecavir 0.5mg/day daily
treatment period: 3 yaers
20 | years-old | <= |
75 | years-old | >= |
Male and Female
Patients treated with entecavir for more than one year
Inclusion criteria as following;
1) Hepatits B surface antigen positive
2) HBV DNA levels < 3.0 log copies/mL for more than one year
3) Absence of renal impairment (serum creatinine levels <1.1mg/dL, eGFR >60 ml/min/1.73m2 and creatinine clearance >50ml/min)
4) Absence of hypophosphatemia (serum phosphate >2.8 mg/dL)
1) Hypersensitivity for tenofovir
2) Presence of renal impairment
3) Presence of hypophosphatemia
4) Poorly-controlled diabetes
5) Poorly-controlled hypertension
6) History of hepatocellular carcinoma
7) Ineligible patients by atending physician
100
1st name | |
Middle name | |
Last name | Hiromitsu Kumada |
Toranomon Hospital
Hepatology
2-2-2 Toranomon Minato-ku Tokyo
03-3588-1111
kumahiro@toranomon.gr.jp
1st name | |
Middle name | |
Last name | Tetsuya Hosaka |
Toranomon Hospital
Hepatology
2-2-2 Toranomon Minato-ku Tokyo
044-877-5111
hosa-p@toranomon.gr.jp
Toranomon Hospital
Toranomon Hospital
Self funding
NO
虎の門病院(東京都)、虎の門病院分院(神奈川県)
2015 | Year | 07 | Month | 24 | Day |
Unpublished
Enrolling by invitation
2015 | Year | 07 | Month | 31 | Day |
2015 | Year | 08 | Month | 01 | Day |
2015 | Year | 07 | Month | 24 | Day |
2017 | Year | 06 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021308