Unique ID issued by UMIN | UMIN000001120 |
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Receipt number | R000001361 |
Scientific Title | A randomized trial of lamivudine continuous therapy and entecavir switching therapy for chronic hepatitis B patients treated with lamivudine monotherapy |
Date of disclosure of the study information | 2008/04/16 |
Last modified on | 2017/11/14 12:07:36 |
A randomized trial of lamivudine continuous therapy and entecavir switching therapy for chronic hepatitis B patients treated with lamivudine monotherapy
LVD countinuous therapy vs. ETV switching therapy for CHB patients treated with LVD, randomized trial
A randomized trial of lamivudine continuous therapy and entecavir switching therapy for chronic hepatitis B patients treated with lamivudine monotherapy
LVD countinuous therapy vs. ETV switching therapy for CHB patients treated with LVD, randomized trial
Japan |
Chronic hepatitis B
Hepato-biliary-pancreatic medicine |
Others
NO
In a randomized clinical trial,
to evaluate the efficacy and safety of lamivudine continuous therapy compared with entecavir swithing therapy for chronic hepatitis B patients who have undetectable HBV DNA during lamivudine
monotherapy.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
To evaluate the following factors after the two-year therapy by LVD or ETV.
1) An incidence of HBV-DNA negative
2) The rate of ALT normalization
3) An incidence of HBeAg seroconversion
4) An incidence of virological breakthrough
5) An incidence of breakthrough hepatitis
1) Existence of resistant HBV to LVD at the entry
2) An incidence of genotypic resistance
a. an incidence of resistant HBV to LVD
b. an incidence of resistant HBV to ETV
3) HBV genotype
4) HB core related antigen (HBcrAg)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
Numbered container method
2
Treatment
Medicine |
LVD group:
Lamivudine 100mg is administered orally once daily. When breakthrough hepatitis is developed by resistant virus to LVD, patients are added 10mg of adefovir dipivoxil once daily on lamivudine.
ETV group:
ETV 0.5mg is administered orally once daily. When breakthrough hepatitis is developed by resistant virus to ETV, 100mg of lamivudine and 10mg of adefovir dipivoxil once daily are administered.
20 | years-old | <= |
Not applicable |
Male and Female
>Chronic hepatitis B patient with HBsAg positive.(include hepatitis B patients with compensated cirrhosis)
>Age; more than 20 years.
>LVD has been administered.
>In addition, following conditions ((1) or (2)) are required.
(1) Administration of LVD; less than 3 years, The levels of HBV DNA; less than 2.6log by Amplicor PCR.
(2) Administration of LVD; more than 3 years, The levels of HBV DNA; less than 2.6log by Amplicor PCR.
1) Concomitant medication of nucleoside analogues except for LVD at present.
2) Concomitant medication of IFN.
3) Concomitant medication of immunosuppressant.
4) HBsAb positive patients.
5) Patients with HCC or other malignancy.
6) Patients with decompensated cirrhosis.
7) Pregnant (or possible) women.
8) Patients with under breast feeding.
9) Co-infection with HIV or HCV
10) Other conditions considered inappropriate by attending physician.
100
1st name | |
Middle name | |
Last name | Masashi Misokami |
Nagoya City University Graduate School of Medical Sciences
Clinical Molecular Informative Medicine
1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan
052-851-5511
1st name | |
Middle name | |
Last name | Yasuhito Tanaka |
Nagoya City University Graduate School of Medical Sciences
Clinical Molecular Informative Medicine
1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan
052-851-5511
ytanaka@med.nagoya-cu.ac.jp
Nagoya City University Hospital
Ministry of Health, Labour and Welfare
NO
2008 | Year | 04 | Month | 16 | Day |
Published
Completed
2008 | Year | 03 | Month | 11 | Day |
2008 | Year | 04 | Month | 01 | Day |
2012 | Year | 03 | Month | 01 | Day |
2008 | Year | 04 | Month | 15 | Day |
2017 | Year | 11 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001361
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