A Multi-Center Study to Assess the Efficacy and Safety of Traditional Chinese Medicine Combined With Entecavir for Patients With Refractory Liver Fibrosis in Liver Cirrhosis Due to HBV
试验速览
- 阶段
- 4 期
- 发起方
- 入组人数
- 350
- 试验地点
- 20
- 主要终点
- Degree of liver fibrosis
研究概览
简要总结
Liver Cirrhosis is a common pathological consequence of chronic liver disease. Hepatitis B Virus (HBV) is one of most etiologies of Liver cirrhosis in China. The effective inhibition of HBV can partially regress or reverse liver fibrosis in patients with chronic Hepatitis and liver cirrhosis due to HBV, however some patients keep existence or development although HBV DNA is under-detectable after anti-virals. Theses refractory liver fibrosis is required the anti-fibrotic treatment focusing on the regulation of hepatic extracellular matrix, especially is necessary for in the patients with advance fibrosis stage ie. liver cirrhosis. Fuzheng Huayu has been found to enhance the degradation of collagens in fibrotic liver and have a good action against liver fibrosis in patients with chronic hepatitis B. However, there are no high quality clinical evidences which can demonstrate if the combination of anti-viral and anti-fibrotic therapy can improve the reversion of refractory liver fibrosis in liver cirrhosis due to HBV.
The primary objective of this study is to establish the safety and efficacy of the combination of Entecavir and Traditional Chinese Medicine in refractory liver fibrosis in liver cirrhosis due to HBV.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Hepatitis B history or more than 6 months history of positive HBsAg
- •Within 2 years of Entecavir treatment, HBV-DNA is negative but has not reach the clinical endpoint (HBeAg seroconversion or HBsAg loss in HBeAg-positive patients; HBsAg loss or anti-HBs seroconversion in HBeAg-negative patients)
- •Age 18-60
- •Ishak fibrosis score of the biopsy within 6 months ≥5, no anti-fibrosis drug was taken within 6 months.
- •Child-Pugh<7 (Stage A)
- •The patient or the patient's guardian agrees to participate the random controlled trial and sign the Informed Consent Form.
排除标准
- •Decompensated liver cirrhosis
- •Liver histology conforming to other chronic liver diseases, such as moderate or severe non-alcoholic fatty liver disease(more than 1/3 steatosis in liver ), chronic hepatitis C, chronic hepatitis D, autoimmune hepatitis, primary biliary cholangitis, primary sclerosing cholangitis, inherited metabolic liver disease, drug or toxic induced liver injury, parasitic infections, alcoholic liver disease.
- •Have psychiatric history or uncontrollable epilepsy patient.
- •Uncontrollable diabetic patient
- •History of hemoglobin disease (such as alpha- or beta-thalassemia, sickle cell disease, spherocytosis) or patients with toxic or autoimmune hemolytic anemia.
- •Severe background disease like chronic respiratory failure, circulatory failure, kidney failure etc.
- •In situ organ transplantation (such as liver, kidney, lung and heart) or bone marrow transplantation and stem cell transplantation.
- •Immunocompromised patients: such as HIV infection or take immunosuppressor or Glucocorticoid (such as cyclosporin, azathioprine, adrenocortical hormone) within 3 months or chemotherapy drugs (such as cyclophosphamide, ammonia and cancer chemotherapy) and radioactive therapy.
- •Gestation or lactation period women and women who plan to get pregnant during the study period.
- •Patient who are allergy to the experimental drug.
- •Using history of other anti-viral drug within 6 months.
- •Patients who are participating other trials.
- •Other situation where PI thinks the patient should be excluded.
研究组 & 干预措施
Entecavir+Fuzheng Huayu+TCM Granule
Tablet with Entecavir+ Tablet with Fuzheng Huayu+ Granule with TCM
干预措施: Entecavir+Fuzheng Huayu+TCM Granule (Drug)
结局指标
主要结局
Degree of liver fibrosis
时间窗: 48 weeks
The collagen of liver tissue from 48 week post-treatment patients was stained. 3 pathologists read the slides independently and score the slides with Ishak system. If the Ishak score decrease 1 or more than 1 score, then it is recorded as regression.
次要结局
未报告次要终点
研究者
Liu Chenghai
Professor
ShuGuang Hospital