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NCT04405011

NUC in Preventing HBV Reactivation in HCV/HBV Co-infected Patients Receiving DAA for CHC

Status unknown NA Last updated 2 July 2020
What this trial tests

NA trial testing 24-week Entecavir in HBV/HCV Co-infection in 60 participants. Status unknown.

Timeline
1 August 2018
Primary endpoint
28 December 2020
28 December 2020

Quick facts

Lead sponsorNational Taiwan University Hospital
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designfactorial
Maskingnone
Primary purposetreatment
Enrollment60
Start date1 August 2018
Primary completion28 December 2020
Estimated completion28 December 2020
Sites2 locations across Taiwan

Drugs / interventions tested

Conditions studied

Sponsor

National Taiwan University Hospital

Who can join

Adults 20 to 70, any sex, with HBV/HCV Co-infection. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

HBV reactivation is common in HCV/HBV coinfected patients receiving DAA therapy for chronic hepatitis C. How to prevent HBV reactivation remains unclear. In this trial, we aim to investigate whether prophylactic nucleos(t)ide analogue (NUC) at the start of DAA could prevent HBV reactivation or not. And whether prolonged NUC prophylaxis (24 weeks) would be better than 12-week prophylaxis. This will be a three-arm, open-label, randomized, active controlled, study. Totally, 60 HBV/HCV co-infected treatment-naïve or treatment-experienced patients without decompensated liver cirrhosis will be included in this study. Group 1 patients (n=20) will receive 12-week ETV from the start of DAA therapy. Group 2 patients (n=20) will receive 24-week ETV from the start of DAA till 12 weeks after end of DAA. Group 3 patients (n=20) will not receive ETV during the period of DAA and will serve as controls. The rate of HBV reactivation and clinical reactivation will be compared among 3 groups of patients. Expected outcomes: The rate of HBV reactivation and clinical reactivation will be lower in the ETV prophylaxis group, and will be the lowest in the group receiving 24-week ETV prophylaxis.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Hepatitis C Virus and Hepatitis B Virus Co-Infection.
    Shih YF, Liu CJ. · · 2020 · cited 31× · PMID 32664198 · DOI 10.3390/v12070741
  2. Entecavir Prevents HBV Reactivation During Direct Acting Antivirals for HCV/HBV Dual Infection: A Randomized Trial.
    Cheng PN, Liu CJ, Chen CY, Tseng KC, et al · · 2022 · cited 16× · PMID 34864158 · DOI 10.1016/j.cgh.2021.11.032

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