Hepatitis BNCT00516945
A Study to Investigate Whether the Immediate Use or Deferred Use of an Anti-viral Drug Lamivudine Will Help to Better Safe-guard the Delivery of Chemotherapy in Patients With Cancer Who Are Also Hepatitis B Carriers
A study testing Lamivudine in people with Hepatitis B and Neoplasms, run by Hospital Authority, Hong Kong at 1 site in China.
Trial summary
Patients with non-lymphoma and non-leukaemia cancer who are also hepatitis B carriers will have a risk of hepatitis B reactivation during chemotherapy. Lamivudine can be used effectively to control hepatitis upon reactivation during chemotherapy and the chemotherapy may not need to be interrupted. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Hepatitis B, Neoplasms
- What is being tested?
- Lamivudine
- How many people
- 110 participants
- Where
- 1 siteChina
- Study dates
- Sep 2004to Jun 2008
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- Adult, Older adult
Who may be able to join
- Patient with histology-proven malignant solid tumor other than malignant lymphoma
- Patients with age between 18 and 75
- Patients with Karnofsky performance score (KPS) of at least 60
- Patients planned for at least 4 cycles of intensive cytotoxic chemotherapy (either as part of curative therapy or as palliative therapy), except for those receiving single agent cisplatin chemotherapy alone concurrently with radiation for radiosensitization
- Patients with at least 6 months' life expectany from date of recruitment
- Patients with normal liver function tests including alanine aminpotransferase (ALT), alkaline phosphatase (ALP), gamma glutamyl-transpeptidase (GGT), and bilirubin
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- Patients with no known history of radiological \&/or histological diagnosis of chronic active hepatitis or cirrhosis of any cuase, or history of prior hepatitis B reactivation, or prior chronic therapy for HBV within 6 months
- Patients with no evidence of autoimmune hepatitis, hepatitis C or delta virus infection, HIV infection or radiological evidence of liver metastasis
- Patients with negative pregnancy test for female gender of child-bearing age
Who cannot join
- Patients with age < 18 and > 75
- Patients with Karnofsky performance score (KPS) of < 60
- Patients planned for single agent cisplatin chemotherapy alone concurrently with radiation for radiosensitization
- Patients with < 6 months' life expectancy from date of recruitment
- Patients with abnormal liver function tests including alanine aminotransferase (ALT), alkaline phosphatase (ALP), gamma glutamyl- transpeptidase (GGT), and bilirubin
- Patients with known history or radiological and/or histological diagnosis of chronic active hepatitis or cirrhosis of any cause, or history of prior hepatitis B reactivation, or prior chronic therapy for HBV within 6 months
- Patients with autoimmune hepatitis, hepatitis C or delta virus infection, HIV infection or radiological evidence of liver metastasis
- pregnant female patients
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Randomized Controlled Study Comparing the Impact of Prophylactic Versus Deferred Lamivudine on the Delivery of Cytotoxic Chemotherapy in Hepatitis B Surface-antigen Positive Patients With Malignant Solid Tumor
Patients with non-lymphoma and non-leukaemia cancer who are also hepatitis B carriers will have a risk of hepatitis B reactivation during chemotherapy. Lamivudine can be used effectively to control hepatitis upon reactivation during chemotherapy and the chemotherapy may not need to be interrupted. The study aims to investigate whether adding the anti-viral drug Lamivudine at the start of chemotherapy for all patients, rather than at the time of hepatitis reactivation for those with reactivation, will help to improve the delivery of chemotherapy in these patients.
- Conditions
- Hepatitis B, Neoplasms
- Being tested
- Lamivudine
- Keywords
- hepatitis B during cancer chemotherapy
- Medical subject headings
- Hepatitis B, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LamivudineDrug
What is being measured
The primary outcome is the main question the study is designed to answer.
incidence of chemotherapy interruptions
Measured: during chemotherapy of the study period
Secondary outcomes (3)
incidence of and survival free from hepatitis B reactivation
Measured: during and after chemotherapy of the study period
HBeAg positive seroconversion and YMDD mutant development rates
Measured: during study period after chemotherapy
chemotherapy dose intensity reduction due to hepatitis B reactivation
Measured: during chemotherapy of the study period
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Aug 2007 (estimated)
- Study startSep 2004
- Study completionJun 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hepatitis BStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 110 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hospital Authority, Hong Kong
- Sponsor type
- Other government
- Investigators
- Roger K C Ngan, Dr, Principal investigator, Department of Clinical Oncology, Queen Elizabeth Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00516945
- Sponsor's protocol ID
- KC/KE04-0046/FR-2
- Other IDs
- HARECCTR0500016
- Status last verified
- Jul 2013
- First submitted
- 15 Aug 2007
- Last updated
- 5 Sep 2013
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Sep 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Controlled Study Comparing the Impact of Prophylactic Versus Deferred Lamivudine on the Delivery of Cytotoxic Chemotherapy in Hepatitis B Surface-antigen Positive Patients With Malignant Solid Tumor
- ClinicalTrials.gov ID
- NCT00516945
- Acronym / sponsor ID
- KC/KE04-0046/FR-2
- Conditions
- Hepatitis B, Neoplasms
- Keywords
- hepatitis B during cancer chemotherapy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 110 participants (estimated)
- Lead sponsor
- Hospital Authority, Hong KongOther government
- Study start
- Sep 2004
- Study completion
- Jun 2008 (actual)
- First posted
- 16 Aug 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients with non-lymphoma and non-leukaemia cancer who are also hepatitis B carriers will have a risk of hepatitis B reactivation during chemotherapy. Lamivudine can be used effectively to control hepatitis upon reactivation during chemotherapy and the chemotherapy may not need to be interrupted. The study aims to investigate whether adding the anti-viral drug Lamivudine at the start of chemotherapy for all patients, rather than at the time of hepatitis reactivation for those with reactivation, will help to improve the delivery of chemotherapy in these patients.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Patient with histology-proven malignant solid tumor other than malignant lymphoma
- Patients with age between 18 and 75
- Patients with Karnofsky performance score (KPS) of at least 60
- Patients planned for at least 4 cycles of intensive cytotoxic chemotherapy (either as part of curative therapy or as palliative therapy), except for those receiving single agent cisplatin chemotherapy alone concurrently with radiation for radiosensitization
- Patients with at least 6 months' life expectany from date of recruitment
Key exclusion criteria (8 listed)
- Patients with age < 18 and > 75
- Patients with Karnofsky performance score (KPS) of < 60
- Patients planned for single agent cisplatin chemotherapy alone concurrently with radiation for radiosensitization
- Patients with < 6 months' life expectancy from date of recruitment
- Patients with abnormal liver function tests including alanine aminotransferase (ALT), alkaline phosphatase (ALP), gamma glutamyl- transpeptidase (GGT), and bilirubin
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Lamivudine | Drug | – |
Primary outcome
incidence of chemotherapy interruptions
Time frame: during chemotherapy of the study period
3 secondary outcomes
incidence of and survival free from hepatitis B reactivation
Time frame: during and after chemotherapy of the study period
HBeAg positive seroconversion and YMDD mutant development rates
Time frame: during study period after chemotherapy
chemotherapy dose intensity reduction due to hepatitis B reactivation
Time frame: during chemotherapy of the study period
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Sep 2013.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Roger K C Ngan, Dr principal investigator
Department of Clinical Oncology, Queen Elizabeth Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Lamivudine in people with Hepatitis B and Neoplasms, run by Hospital Authority, Hong Kong at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Sep 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
incidence of chemotherapy interruptions (time frame: during chemotherapy of the study period). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Sep 2013; AzTrials last refreshed its copy on 2 Nov 2026.