A 5-year Prospective and Observational Study to Evaluate the Effectiveness of Nucleos(t)Ide Analogs (NUC) Therapy Among Chronic Hepatitis B (CHB) Patients Naive to NUC in Real World Practice at Hospitals in Tier 2 Cities in China (the EVOLVE Study)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 3,434
- 试验地点
- 3
- 主要终点
- Proportion of patients who achieve virology response (defined as HBV DNA < 300 copies/mL) by ETV monotherapy in comparison with LAM-based therapy
研究概览
简要总结
To compare the effectiveness, in a real world practice setting in tier 2 cities of China, of Entecavir (ETV) monotherapy and Lamivudine (LAM) based therapies (including LAM monotherapy, de novo LAM + Adefovir [ADV] combination, and early add-on of ADV) among chronic hepatitis B (CHB) patients who are naive to NUC at enrollment to this study
详细描述
Sampling Method: Consecutive patient sampling
Biospecimen Retention: Blood samples for HBV viral load testing along the treatment period of this study
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •CHB patients, or CHB patients with compensated cirrhosis, as defined by the current Chinese guidelines
- •Male or female
- •≥ 18 years of age
- •Either Hepatitis B e antigen (HBeAg) positive or negative
- •Naïve to NUC (defined as no previous exposure to NUC treatment as based on patient self-report)
- •Has compensated liver disease
- •Patients with compensated cirrhosis
- •Patients who consent to participate in this study
- •Local residents with medical reimbursement coverage preferred
排除标准
- •Co-infected with hepatitis C virus (HCV)
- •CHB patients with decompensated cirrhosis, liver failure, hepatocellular carcinoma, or any other types of malignancy at the screening phase
- •CHB patients who are being treated by interferon therapy within 6 months immediately prior to the screening phase of this study
- •CHB patients with a confirmed pregnancy
结局指标
主要结局
Proportion of patients who achieve virology response (defined as HBV DNA < 300 copies/mL) by ETV monotherapy in comparison with LAM-based therapy
时间窗: 48 weeks after initial NUC antiviral therapy
Virology response is defined as Hepatitis B virus (HBV) Deoxyribonucleic acid (DNA) \< 300 copies/mL by a highly sensitive assay such as Roche COBAS or Abbott Real Time Polymerase chain reaction (PCR) performed in a one central laboratory
次要结局
- Mean HBV DNA reductions after 48 weeks of treatment from baseline for ETV and LAM-based therapy patients (stratifying by the 3 LAM-based subgroups)(Baseline (Day 1) and 48 weeks)
- Proportion of patients who achieve virology response by ETV in comparison with LAM-based therapy after 24 weeks and 96 weeks of treatment (stratifying by the 3 LAM based subgroups)(24 weeks and 96 weeks)
- Proportion of patients who modify their initial treatment options to manage suboptimal response or resistance after 24 weeks, 48 weeks, and 96 weeks of treatment among all treatment options(24 weeks, 48 weeks and 96 weeks)
- Proportion of patients who achieve virology response among other treatment options, including ADV, LdT, and combinations of NUCs, after 24 weeks, 48 weeks, 72 weeks, 96 weeks, 144 weeks, 192 weeks and 240 weeks of treatment(24 weeks, 48 weeks, 72 weeks, 96 weeks, 144 weeks, 192 weeks and 240 weeks)
- Cumulative incidence of patients who develop viral breakthrough and/or genotypic resistance(24 weeks, 48 weeks, 72 weeks, 96 weeks, 144 weeks, 192 weeks and 240 weeks)
- Cumulative incidence of clinical outcome (eg, HCC, death, decompensated cirrhosis) in ETV arm versus LAM-based and other treatment arms(48 weeks, 96 weeks, 144 weeks, 192 weeks and 240 weeks)
