UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001120
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

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Basic information

Public title

A randomized trial of lamivudine continuous therapy and entecavir switching therapy for chronic hepatitis B patients treated with lamivudine monotherapy

Acronym

LVD countinuous therapy vs. ETV switching therapy for CHB patients treated with LVD, randomized trial

Scientific Title

A randomized trial of lamivudine continuous therapy and entecavir switching therapy for chronic hepatitis B patients treated with lamivudine monotherapy

Scientific Title:Acronym

LVD countinuous therapy vs. ETV switching therapy for CHB patients treated with LVD, randomized trial

Region

Japan


Condition

Condition

Chronic hepatitis B

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

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

Key secondary outcomes

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)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation


Institution consideration


Blocking


Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

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.

Interventions/Control_2

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.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

>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.

Key exclusion criteria

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.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masashi Misokami

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Clinical Molecular Informative Medicine

Zip code


Address

1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan

TEL

052-851-5511

Email



Public contact

Name of contact person

1st name
Middle name
Last name Yasuhito Tanaka

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Clinical Molecular Informative Medicine

Zip code


Address

1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan

TEL

052-851-5511

Homepage URL


Email

ytanaka@med.nagoya-cu.ac.jp


Sponsor or person

Institute

Nagoya City University Hospital

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2008 Year 04 Month 16 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2008 Year 03 Month 11 Day

Date of IRB


Anticipated trial start date

2008 Year 04 Month 01 Day

Last follow-up date

2012 Year 03 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2008 Year 04 Month 15 Day

Last modified on

2017 Year 11 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001361


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name