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Clinical Effects of Ganshuang Combined TDF to Treat CHB and NAFLD

Early Phase 1
Completed
Conditions
Nonalcoholic Fatty Liver Disease
Chronic Hepatitis B
Interventions
Drug: Chronic Hepatitis B
Registration Number
NCT05523648
Lead Sponsor
Sichuan Leshan Traditional Chinese Medicine Hospital
Brief Summary

The changes in liver function, body mass index, controlled attenuation parameters, liver stiffness and HBV-DNA at different time points in each group before and after treatment were counted to explore the clinical efficacy of Ganshuang granules combined with tenofovir in the treatment of CHB complicated with NAFLD.

Detailed Description

92 patients included in the study were randomly divided into 2 groups, 42 patients in the control group and 50 patients in the treatment group. Both groups of patients received conventional basic treatment such as liver protection. Moreover, in both groups, patients were instructed to change their dietary structure to control low-fat and low-sugar, and were instructed to perform appropriate aerobic exercise.

The control group was treated with silymarin glucosamine tablets (Jiangsu Zhongxing Pharmaceutical Co., Ltd.; National medicine permission number: H32026233; Production batch: 200304) and tenofovir (QILU Pharmaceutical Co., Ltd.; National medicine permission number: H20173185; Production batch: 1L0694DF6). The use of silymarin glucosamine tablets was 0.2g/d, 3 times/d for 24 weeks; the use of tenofovir was 300mg/d, 1 time/d for 24 weeks.

The treatment group was treated with Ganshuang granules (Baoding Tianhao Pharmaceutical Co., Ltd.; National medicine permission number: Z20027671; Production batch: 200326 ) combined with silibinin meglumine tablets and tenofovir. Libribin meglumine tablets and tenofovir were used in the same way as in the control group, and Ganshuang granules were used 3 g/time, 3 times/d, and the course of treatment was 24 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
92
Inclusion Criteria

Chronic hepatitis B patients not treated with antiviral drugs; Fatty liver was diagnosed by B-ultrasound and imaging; No history of excessive drinking; Good drug compliance and regular medication; Exclusion Criteria: Non chronic hepatitis B patients; Taking other drugs; liver failure, liver cancer and other diseases; patients who refused to sign informed consent;

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
The control groupChronic Hepatitis BThe control group was treated with silibinin meglumine tablets and tenofovir
The treatment groupChronic Hepatitis BThe treatment group was treated with Ganshuang granules combined with silibinin meglumine tablets and tenofovir
Primary Outcome Measures
NameTimeMethod
ALT, AST and GGT12 and 24 weeks

Alt, AST and GGT were used to evaluate the improvement of liver function before and after treatment

HBV-DNA serum load < 500 IU/ml12 and 24 weeks

To verify the effect of the drug on the clearance of hepatitis B virus, the number of patients with HBV-DNA serum load \< 500 IU/ml before and after treatment was counted in this study

liver stiffness12 and 24 weeks

In our study, liver sclerosis index was detected using LSM to compare the improvement of liver stiffness before and after treatment in the two groups

fat attenuation12 and 24 weeks

The LSM was used to detect and compare fat attenuation parameters in this study

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Sichuan Leshan traditional Chinese medicine hospital

🇨🇳

Leshan, China

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