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RECRUITING
NCT05671315
NA

A Prospective Study to Evaluate Peginterferon in Reducing the Incidence of HCC in CHB Patients

Sponsor: Qing XIe

View on ClinicalTrials.gov

Summary

China's new cases and deaths of hepatocellular carcinoma (HCC) rank first in the world. hepatocellular carcinoma is the third most morbid, second-most mortal malignancy in China. Up to 80% of hepatocellular carcinoma patients caused by HBV infection. Antiviral therapy can significantly reduce the incidence and mortality of hepatocellular carcinoma in patients with chronic hepatitis B (CHB), hinder the progression of liver disease, and effectively control the disease. However, studies in recent years have found that long-term therapy with Nucleos(t)ide analogue (NAs) cannot completely eliminate the risk of liver cancer in patients with chronic hepatitis B. In addition, a number of retrospective studies at home and abroad have shown that compared with long-term oral NAs, peginterferon can significantly reduce the risk of hepatocellular carcinoma in patients with chronic hepatitis B. However, there is limit prospective studies. This multicenter, randomized, open-label, controlled trial study is aim to evaluate the pegylated interferon alfa-2b injection in comparing to NAs in reducing the incidence of hepatocellular carcinoma, to provide evidences for new management and treatment strategy options for improving clinical outcomes for the chronic hepatitis B patients. About 267 chronic hepatitis patients with intermediate to high risk of liver cancer who are now receiving nucleoside therapy will be enrolled. Subjects will be randomized into the peginterferon combined NAs group and the NAs monotherapy group at a ratio of 2:1. Level of HBsAg, proportion of patients with HBsAg clearance and seroconversion, incidence of liver cirrhosis and hepatocellular carcinoma will be assessed.

Official title: A Prospective, Randomized, Open-label, Multicenter Study to Evaluate the Peginterferon, Comparing to Nucleos(t)Ide Analogues, in Reducing the Incidence of HCC in Chronic Hepatitis B Patients With Intermediate to High Liver Cancer Risks

Key Details

Gender

All

Age Range

18 Years - 60 Years

Study Type

INTERVENTIONAL

Enrollment

267

Start Date

2019-07-03

Completion Date

2026-04

Last Updated

2023-05-25

Healthy Volunteers

No

Interventions

DRUG

Peginterferon alfa-2b Injection, Nucleos (t) ide Analogue

1.Peginterferon alfa-2b injection: 180μg, subcutaneously inject, once a week, from week 1 to Week 48. 2, NAs: Dose please follow the approved dosage, once daily, from the first day until when discontinuation is indicated. NAs Discontinuation Criteria: A total course of treatment is recommended for at least 4 years, and discontinuation may be considered if HBV DNA is below the lower limit of detection, Alanine aminotransferase renormalization, and HBeAg serological conversion, and remain unchanged (test every 6 months) during a consolidation therapy for at least 3 years. However, a prolonged course of treatment may reduce relapse.

DRUG

Nucleos(t)ide analogue

NAs: Dose please follow the approved dosage, once daily, from the first day until when discontinuation is indicated. NAs Discontinuation Criteria: A total course of treatment is recommended for at least 4 years, and discontinuation may be considered if HBV DNA is below the lower limit of detection, Alanine aminotransferase renormalization, and HBeAg serological conversion, and remain unchanged (test every 6 months) during a consolidation therapy for at least 3 years. However, a prolonged course of treatment may reduce relapse.

Locations (9)

The Public Health Clinical Center Of Chengdu

Chengdu, China

The First Affiliated Hospital of USTC Anhui Provincial Hospital

Hefei, China

The Affiliated Hospital of Qingdao University

Qingdao, China

Ruijin Hospital Shanghai Jiao Tong University School of Medicine

Shanghai, China

Shanghai Ninth People's Hospital Shanghai Jiao Tong University School of Medicine

Shanghai, China

Tongren Hospital Shanghai Jiao Tong University School of Medicine

Shanghai, China

The Fifth People's Hospital Of Suzhou

Suzhou, China

Xiamen Hospital of Traditional Chinese Medicin

Xiamen, China

The Tirth Affiliated Hospital Of Xinxiang Medical University

Xinxiang, China