NL-OMON32978
Completed
Not Applicable
A randomized open-label prospective trial for comparing combination therapy Peg-Interferon alfa-2a (PEGASYS®) and Adefovir dipivoxil (Hepsera®) and combination therapy Peg-Interferon alfa-2a (PEGASYS®) and Tenofovir disoproxil fumarate (Viread®) versus no treatment in HBeAg negative chronic hepatitis B patients with low viral load* - HBsAg loss during treatment with Peg-IFN combined with ADV or TDF
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- chronic hepatitis B
- Sponsor
- Academisch Medisch Centrum
- Enrollment
- 150
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\.Male and female patients \> 18 and \<\= 70 years of age
- •2\.Positive HBsAg for more than 6 months.
- •3\.Negative for HBeAg for more than 6 months.
- •4\.Patients with chronic hepatitis B who are either naive to antiviral treatment, or have received either interferon (IFN) or nucleoside/nucleotide analogues in the past but are still positive for HBsAg.
- •5\.Serum ALT\< 5 \* ULN as determined by two values taken \>14 days apart during the six months before the first dose of study drug with at least one of the determinations obtained during the screening period.
- •6\.Negative urine or serum pregnancy test (for women of childbearing potential) documented within the 24\-hour period prior to the first dose of test drug
Exclusion Criteria
- •1\.Patients co\-infected with HCV, HIV or who have decompensated liver disease, hepato\-cellular carcinoma, significant cardiac disease, significant renal disease, seizure disorders or severe retinopathy.
- •2\.Patients who have received nucleos(t)ide analogues for their chronic hepatitis B within 6 weeks before enrollment or Peg\-IFN within 3 months before enrollment.
- •3\.Patients must not have received any other systemic anti\-viral, anti\-neoplastic or immuno\-modulatory treatment (including supraphysiologic doses of steroids or radiation) \<3 months prior to the first dose of study drug or the expectation that such treatment will be needed at any time during the study.
- •4\.Positive test at screening for anti\-HAV IgM, anti\-HIV, HCV RNA. (Patients that have cleared the hepatitis C virus can be included in the study)
- •5\.Patients who are expected to need systemic antiviral therapy other than that provided by the study at any time during their participation in the study are also excluded. Exception: patients who have had a limited (\<7 day) course of acyclovir for herpetic lesions more than 1 month prior to the first administration of test drug are not excluded.
- •6\.Evidence of decompensated liver disease (Child Pugh B\-C)
- •7\.Serum total bilirubin \> twice the upper limit of normal at screening
- •8\.History or other evidence of bleeding from esophageal varices or other conditions consistent with decompensated liver disease.
- •9\.History or other evidence of a medical condition associated with chronic liver disease other than HBV (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver diseases including Wilson\*s disease and alfa1\-antitrypsin deficiency, alcoholic liver disease, toxin exposures, thalassemia).
- •10\.Women with ongoing pregnancy or who are breast feeding.
Outcomes
Primary Outcomes
Not specified
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