Development and Validation of Logistic Regression Models to Predict Durable Functional Cure in Patients With Chronic Hepatitis B After Pegylated Interferon Alpha-2b Based Therapy
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- Functional cure of chronic hepatit B
研究概览
简要总结
Hepatitis B virus (HBV) infection is prevalent across the world. Functional cure is the optimal endpoint of antiviral therapy for chronic hepatitis B virus (HBV) infection. Currently available anti-HBV therapy includes nucleoside analogs (NAs) and peginterferon-α (Peg-IFNα). Combination of Peg-IFNα and NAs, each with different mechanisms of action, is an attractive approach for treating chronic HBV infection. In this study, we aim to establish logistic regression models to predict durable functional cure in patients with CHB treated by combination of Peg-IFNα and NAs, which might be useful for clinical physicians to make personalized treatment decisions. These models will be constructed using baseline routine clinical laboratory indicators with high diagnostic accuracy. These models might be widely applicable to almost all medical institutions and will effectively promote the application of Peg IFN α plus NAs therapy in clinical work. The findings in this study might greatly improve the functional cure rate of CHB and reducing the incidence rate and mortality of HBV related end-stage liver diseases.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 16 Years 至 70 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Sign an informed consent form;
- •HBsAg (+), and the course of the disease exceeds six months;
- •Age range from 16 to 70 years old;
- •Female participants of childbearing age who had a negative pregnancy test before the trial and were able to take effective contraceptive measures;
- •During the treatment period, within six months after the end of treatment, the patients agrees to use contraception
排除标准
- •Patients with a known history of allergy to Peg-IFNα and NAs;
- •Co-infection with other virus such as HAV, HCV, HDV, HEV, HIV, etc;
- •Patients with liver cirrhosis or a Child Pugh score of 7 or above;
- •History or evidence of liver disease caused by other factors (such as autoimmune liver disease, alcoholic liver disease, non-alcoholic fatty liver disease, drug-induced hepatitis, hepatolenticular degeneration, etc.);
- •Pregnant or lactating women; Have a history of alcohol or drug abuse within the year prior to the trial enrollment screening;
- •Neutrophil count<1.5 × 109/L or hemoglobin<100g/L or platelet count<80 × 109/L; During the trial enrollment screening, serum creatinine was higher than the upper normal limit;
- •A history of severe diseases in important organs and tissues such as the heart, brain, kidneys, retina, and muscles;
- •Having a history of mental illness or a family history of mental illness, or a Hamilton Depression Scale score greater than 7 points;
- •History of endocrine system or autoimmune diseases, such as thyroid disease, diabetes, systemic lupus erythematosus, sarcoidosis, autoimmune thrombocytopenic purpura, etc;
- •History of malignant tumors;
- •During the trial enrollment screening, suspicious liver malignant tumors were detected by ultrasound, or AFP was greater than 100ng/mL or AFP cannot remain stable within 3 months prior to the experiment;
- •Has a history of important organ transplantation;
- •Other diseases that researchers believe are not suitable for inclusion.
研究组 & 干预措施
"de novo" strategy-HBeAg positive
HBeAg positive patients treated with simultaneous administration of NA and Peg-IFN
干预措施: Peginterferon-α; Nucleoside analogs (Drug)
"de novo" strategy-HBeAg negative
HBeAg positive patients treated with simultaneous administration of NA and Peg-IFN
干预措施: Peginterferon-α; Nucleoside analogs (Drug)
"add-on" strategy-HBeAg positive
HBeAg positive patients treated with NA followed by addition of Peg-IFN.
干预措施: Peginterferon-α; Nucleoside analogs (Drug)
"add-on" strategy-HBeAg negative
HBeAg negative patients treated with NA followed by addition of Peg-IFN.
干预措施: Peginterferon-α; Nucleoside analogs (Drug)
结局指标
主要结局
Functional cure of chronic hepatit B
时间窗: 48 weeks
The level of hepatitis B surface antigen (HBsAg) is below 0.05IU/ml.
次要结局
未报告次要终点