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A Prospective,Observational Follow-up Study of Nucleoside Treated Patients With Chronic Hepatitis B (OCEAN Study)

Conditions
Hepatitis B, Chronic
Registration Number
NCT03358108
Lead Sponsor
Qin Ning
Brief Summary

This is a prospective, multicentre observational follow-up study of PegIFN treatment unstained response in nucleoside experienced patients with Chronic Hepatitis B.Patients will join this study after finished following clinical trail about A Study of Combination or Sequential Treatment With PEGASYS (Peginterferon Alfa-2a) and Entecavir in Patients With HBeAg Positive Chronic Hepatitis B(OSST trail),A Real-World Study of Pegylated Interferon In Nucleoside-treated Patients With Chronic Hepatitis B (COST study), Combination Therapy With Interferon Plus Interleukin 2 and Hepatitis B Vaccine in Chronic Hepatitis B Patients(Endeavor study),A Prospective Clinical Trial in Chronic Hepatitis B Patients Nucleotide Analogues Experienced (Anchor A Study),Sequential/Combination Therapy in Nucleoside or Nucleotide Analogue (NA)-Suppressed Chronic Hepatitis B Patients (NPGV study).We plan to compare the HBsAg negative rate and maintenance rate,the occurrence of liver cirrhosis and the occurrence rate of hepatocellular carcinoma(HCC) related to hepatitis B virus(HBV) within five years between interferon group (including interferon alone or interferon combined with other drugs) and nucleoside analogues.Patients were divided into two groups based on whether they received interferon or not.

Detailed Description

Patients who treated with nucleoside analogs, and previously took part in the OSST,COST,Endeavor, Anchor NPGV studies, were included in the observational study after they finished. The patients entered the following two observation groups based on previous studies: Group A: formerly interferon group (including interferon alone or interferon combined with other drugs); Group B: formerly nucleoside analogue treatment group. Each group was followed for five years.All patients were followed up for physical examination (vital signs, whole body examination) and laboratory assessment (HBsAg quantification, HBeAg quantification, HBV DNA, HBV immunology marker, blood routine, blood biochemistry, alpha fetoprotein, Fibroscan, liver Doppler) in every six month.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1600
Inclusion Criteria
  1. Male and female patients from 18 to 65 years of age;
  2. Have finished the OSST,COST,Endeavor, Anchor,NPGV studies;
  3. Agree to participate in the study and sign the patient informed consent.
Exclusion Criteria
  1. patients have not participated in the OSST,Cost,Endeavor,Anchor or NPGV study ;
  2. unable or unwilling to provide informed consent or follow the research requirements

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The rate of HBsAg negative at week 260week 260

Compare the HBsAg negative rate at week 260 with that at baseline

Secondary Outcome Measures
NameTimeMethod
The proportion of patients with HBV DNA <1000 copies / mLweek 260

Statistics the proportion of patients with HBV DNA \<1000 copies / mL

Change from baseline in HBsAg seroconversion at week 260week 260

HBsAg seroconversion from baseline is measured

The maintenance response rate of HBsAg negativity at week 260week 260

the proportion of patients with sustained HBsAg negativity at week 260 among the patients whose HBsAg negative at baseline

HBsAg quantification decline from baseline to week 260week 260

HBsAg quantification decline from baseline to week 260 are measured.

The rate of HBsAb positive at week 260week 260

Compare the rate of HBsAb positive at week 260 with that at baseline

Measure the Fibroscan valueweek 260

Fibroscan value from baseline is measured

the occurrence rate of liver cirrhosisweek 260

Statistics for occurrence rates of liver cirrhosis

the occurrence rate of HCC related to HBVweek 260

Statistics for occurrence rates of HCC related to HBV

Trial Locations

Locations (11)

BeiJing YouAn Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

The First Affiliated Hospital of Fujian Medical University

🇨🇳

Fuzhou, Fujian, China

The First Affiliated Hospital of Guangxi Medical University

🇨🇳

Nanning, Guangxi, China

The First Affiliated Hospital of College of Medicine, Zhejiang University

🇨🇳

Zhejiang, Hangzhou, China

Departmen of infectious disease, Xiangya Hospital, Central-south Universit

🇨🇳

Changsha, Hunan, China

The First Affiliated Hospital with Nanjing Medical University

🇨🇳

Nanjing, Jiangsu, China

The Second Hospital of Nanjing

🇨🇳

Nanjing, Jiangsu, China

The Second Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

Traditional Chinese Medicine,Xiamen Hospital

🇨🇳

Shantou, Xiamen, China

The first affiliated hospital of Wenzhou medical universtiy

🇨🇳

Wenzhou, Zhejiang, China

Tongji Hospital

🇨🇳

Wuhan, Hubei, China

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