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Chronic Hepatitis BPOWERNCT05755776

The Efficacy and Safety of Tenofovir Amibufenamide to Treat Low-level Viraemia After Entecavir Treatment

An observational study of Chronic Hepatitis B, run by The Second Affiliated Hospital of Chongqing Medical University at 13 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The goal of this observational study is to explore the efficacy and safety of Tenofovir Amibufenamide (TMF) in Entecavir (ETV) treated chronic hepatitis B patients with low-level viraemia. The main question it aims to answer is: The efficacy and safety of TMF in chronic hepatitis B patients with low-level viraemia. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Chronic Hepatitis B
What is being tested?
TMF
How many people
204 participants
Where
13 sitesChina
Study dates
1 Mar 2023to Dec 2024
Phase
Observational
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The target population was chronic hepatitis B patients with LLV (HBV DNA from 20-to 2000IU/mL) of ETV treatment from multiple centers across mainland China.

Who may be able to join

  • Must be able to understand and sign a written informed consent, which must be obtained prior to screening.
  • Male and non-pregnant, non-lactating female subjects who have reached the age of 18-65 years (based on the date of signed informed consent). Female subjects of childbearing age with a negative serum pregnancy test.
  • Documented signs of chronic HBV infection (e.g., HBsAg positive for more than 6 months.
  • Subjects treated with ETV over 1 year will be able to be enrolled in the study.
  • Subjects with 20 ≤ HBV-DNA < 2000 IU/mL at screening (including intermittent and continuous low-level viraeima).
  • Must be willing and able to comply with all study requirements.

Who cannot join

  • Female patients who are pregnant or breastfeeding or who plan to become pregnant during the study period.
  • Men and women of childbearing potential who are unwilling to use an "effective" method of contraception as defined in the protocol during the study period.
  • Co-infection with HAV HCV, HIV, HDV or HEV; or co-infection with autologous liver, metabolism-related fatty liver, or drug-induced liver injury.
  • Diagnosis of hepatocellular carcinoma by imaging (with evidence of hepatocellular carcinoma)
  • Patients who have received a solid organ or bone marrow transplant
  • History of malignancy within 5 years prior to screening, except for specific tumors cured by surgical resection (basal cell dermal skin cancer, etc.); patients evaluated for probable malignancy were ineligible.
Show all 13Show fewer
  • Currently receiving treatment with immunomodulators (e.g., corticosteroids), investigational drugs, nephrotoxic drugs, or drugs capable of regulating renal excretion. Drugs that modulate renal excretion.
  • Renal, cardiovascular, pulmonary, or neurological disease that is considered severe by the investigator.
  • Severe bone disease (e.g., osteochondrosis, chronic osteomyelitis, osteogenesis imperfecta, chondromalacia) or multiple fractures.
  • Subjects receiving a contraindicated combination drug (subjects receiving a contraindicated drug require a minimum 30-day washout period) and known hypersensitivity reactions to study drugs, metabolites or formulation excipients.
  • Current alcohol or drug abuse that, in the investigator's judgment, may interfere with the subject's compliance with study requirements.
  • Any other clinical condition that, in the opinion of the investigator, would render the subject unsuitable for the study or unable to comply with the dosing requirements medical condition or prior treatment.
  • Prior or existing clinical liver failure (Child-Pugh score ≥ grade B).

Trial locations and contacts

13 sites in 1 country.

13 sites in 1 country

China13 sites, 13 recruiting
  • The Second Affiliated Hospital of Chongqing Medical University

    Chongqing, Chongqing Municipality, 400010

    Peng Hu, PhD, +86 13608338064, hp_cq@163.com

    Recruiting
  • Chongqing University Three Gorges Central Hospital

    Chongqing, 400010

    Xuan An

    Not yet recruiting
  • Affiliated Hospital of Guangxi Medical University

    Guangxi

    Minghua Su

    Not yet recruiting
  • Hepatobiliary disease of Jilin Province

    Jilin City

    Hui Chen

    Not yet recruiting
  • The First People's Hospital of Yunnan Province

    Kunming

    Jiawei Geng

    Not yet recruiting
  • the Second People's Hospital of Yunnan Province

    Kunming

    Hui Li

    Not yet recruiting
  • Nanjing Second Hospital

    Nanjing

    Wei Ye

    Not yet recruiting
  • The Second Hospital of Ningbo

    Ningbo

    Airong HU

    Recruiting
  • Shanghai East Hospital

    Shanghai

    Lihong QU

    Recruiting
  • Shuguang Hospital, Shanghai, China.

    Shanghai

    Xuehua Sun

    Not yet recruiting
  • The Sixth People's Hospital of Shenyang

    Shenyang

    Xiaofeng Wu

    Not yet recruiting
  • The First People's Hospital of Taicang

    Taicang

    Yonglan Pu

    Not yet recruiting
  • The Fourth People's Hospital of Zibo

    Zibo

    Gang Li

    Not yet recruiting

Other trials in China

About this study

Official title: To Evaluate the Efficacy and Safety of Tenofovir Amibufenamide in Chronic Hepatitis B (CHB) Patients With Low-level Viraemia (LLV) After Entecavir Treatment

The goal of this observational study is to explore the efficacy and safety of Tenofovir Amibufenamide (TMF) in Entecavir (ETV) treated chronic hepatitis B patients with low-level viraemia. The main question it aims to answer is:

  • The efficacy and safety of TMF in chronic hepatitis B patients with low-level viraemia.
  • What is the appropriate treatment for ETV treated chronic hepatitis B patients with low-level viraemia.
Read more

Participants will choose to maintain their original regimen (ETV) or switch to TMF After being fully informed of the benefits and risks of treatment.

Researchers will compare ETV and TMF to see if there is a difference in the efficacy of the two drugs in chronic hepatitis B patients with low-level viraemia.

Being tested
TMF
Keywords
Chronic Hepatitis b, Entecavir, Tenofovir Amibufenamide, Low-level viraemia
Medical subject headings
Hepatitis B, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TMFDrug

    Also called Heng Mu

    switch ETV to TMF

Study groups in NCT05755776
Study groupRoleWhat they receive
ETV groupParticipants in this group will continue ETV daily until the end of the study.
TMF groupParticipants in this group will switch to TMF 25 mg, daily until the end of the study.
Receives: Drug: TMF

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The proportions of undetectable HBV DNA in patients treated with ETV and TMF at week 48.

    Undetectable HBV DNA is defined as below 20 IU/mL.

    Measured: 48 weeks

Secondary outcomes (9)
  1. The proportions of undetectable HBV DNA in patients treated with ETV and TMF at week 24.

    Undetectable HBV DNA is defined as below 20 IU/mL.

    Measured: 24 weeks

  2. The proportions of ALT normalization in patients treated with ETV and TMF at week 24 and 48.

    There are two criteria for ALT normalization. Criteria1: below 40 U/L. Criteria2: Males: ALT<30U/L, female: ALT<19U/L.

    Measured: 24 weeks and 48 weeks

  3. Comparing pgRNA levels from baseline at week 24 and 48.

    Measured: 24 weeks and 48 weeks

  4. Comparing HBcrAg levels from baseline at week 24 and 48.

    Measured: 24 weeks and 48 weeks

  5. The proportions of undetectable pgRNA in patients treated with ETV and TMF at week 24 and 48.

    Undetectable pgRNA is defined as below 100 pg/mL.

    Measured: 24 weeks and 48 weeks

  6. The proportions of undetectable HBcrAg in patients treated with ETV and TMF at week 24 and 48.

    Measured: 24 weeks and 48 weeks

  7. Comparing degree of liver fibrosis from baseline at week 24 and 48.

    Evaluation of liver fibrosis including Fibroscan, APRI and FIB-4.

    Measured: 24 weeks and 48 weeks

  8. Comparing the change of creatinine clearance rate from baseline at week 24 and 48.

    Measured: 24 weeks and 48 weeks

  9. The types, incidence and severity of adverse events and serious adverse events during treatment were evaluated in both groups

    Measured: Week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Mar 2023
  2. Study start1 Mar 2023
  3. Primary completionDec 2024 (estimated)
  4. Study completionDec 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
204 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05755776
Sponsor's protocol ID
HS-10234-A005
Acronym
POWER
Status last verified
Oct 2022
First submitted
23 Feb 2023
Last updated
21 Sep 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Liu J, Liang W, Jing W, Liu M. Countdown to 2030: eliminating hepatitis B disease, China. Bull World Health Organ. 2019 Mar 1;97(3):230-238. doi: 10.2471/BLT.18.219469. Epub 2019 Jan 28.

    PubMed 30992636
  • Chen CJ, Yang HI, Su J, Jen CL, You SL, Lu SN, Huang GT, Iloeje UH; REVEAL-HBV Study Group. Risk of hepatocellular carcinoma across a biological gradient of serum hepatitis B virus DNA level. JAMA. 2006 Jan 4;295(1):65-73. doi: 10.1001/jama.295.1.65.

    PubMed 16391218
  • Terrault NA, Lok ASF, McMahon BJ, Chang KM, Hwang JP, Jonas MM, Brown RS Jr, Bzowej NH, Wong JB. Update on prevention, diagnosis, and treatment of chronic hepatitis B: AASLD 2018 hepatitis B guidance. Hepatology. 2018 Apr;67(4):1560-1599. doi: 10.1002/hep.29800. No abstract available.

    PubMed 29405329
  • Sun Y, Wu X, Zhou J, Meng T, Wang B, Chen S, Liu H, Wang T, Zhao X, Wu S, Kong Y, Ou X, Wee A, Theise ND, Qiu C, Zhang W, Lu F, Jia J, You H. Persistent Low Level of Hepatitis B Virus Promotes Fibrosis Progression During Therapy. Clin Gastroenterol Hepatol. 2020 Oct;18(11):2582-2591.e6. doi: 10.1016/j.cgh.2020.03.001. Epub 2020 Mar 6.

    PubMed 32147592
  • Kim JH, Sinn DH, Kang W, Gwak GY, Paik YH, Choi MS, Lee JH, Koh KC, Paik SW. Low-level viremia and the increased risk of hepatocellular carcinoma in patients receiving entecavir treatment. Hepatology. 2017 Aug;66(2):335-343. doi: 10.1002/hep.28916. Epub 2016 Dec 24.

    PubMed 28012257
  • Wang J, Sheng Q, Ding Y, Chen R, Sun X, Chen X, Dou X, Lu F. HBV RNA virion-like particles produced under nucleos(t)ide analogues treatment are mainly replication-deficient. J Hepatol. 2018 Apr;68(4):847-849. doi: 10.1016/j.jhep.2017.10.030. Epub 2017 Nov 4. No abstract available.

    PubMed 29113914
  • Yuen MF, Seto WK, Fung J, Wong DK, Yuen JC, Lai CL. Three years of continuous entecavir therapy in treatment-naive chronic hepatitis B patients: VIRAL suppression, viral resistance, and clinical safety. Am J Gastroenterol. 2011 Jul;106(7):1264-71. doi: 10.1038/ajg.2011.45. Epub 2011 Mar 1.

    PubMed 21364549
  • Korean Association for the Study of the Liver (KASL). KASL clinical practice guidelines for management of chronic hepatitis B. Clin Mol Hepatol. 2019 Jun;25(2):93-159. doi: 10.3350/cmh.2019.1002. Epub 2019 Jun 12. No abstract available.

    PubMed 31185710
  • Ogawa E, Nomura H, Nakamuta M, Furusyo N, Koyanagi T, Dohmen K, Ooho A, Satoh T, Kawano A, Kajiwara E, Takahashi K, Azuma K, Kato M, Shimoda S, Hayashi J; Kyushu University Liver Disease Study (KULDS) Group. Tenofovir alafenamide after switching from entecavir or nucleos(t)ide combination therapy for patients with chronic hepatitis B. Liver Int. 2020 Jul;40(7):1578-1589. doi: 10.1111/liv.14482. Epub 2020 Apr 30.

    PubMed 32304611
  • Liu Z, Jin Q, Zhang Y, Gong G, Wu G, Yao L, Wen X, Gao Z, Huang Y, Yang D, Chen E, Mao Q, Lin S, Shang J, Gong H, Zhong L, Yin H, Wang F, Hu P, Xiao L, Li C, Wu Q, Sun C, Niu J, Hou J; TMF Study Group. Randomised clinical trial: 48 weeks of treatment with tenofovir amibufenamide versus tenofovir disoproxil fumarate for patients with chronic hepatitis B. Aliment Pharmacol Ther. 2021 Nov;54(9):1134-1149. doi: 10.1111/apt.16611. Epub 2021 Sep 29.

    PubMed 34587302

Questions about this trial

What is this clinical trial studying?

An observational study of Chronic Hepatitis B, run by The Second Affiliated Hospital of Chongqing Medical University at 13 sites 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 6 inclusion and 13 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: status not confirmed, as of the sponsor's last update on 21 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jie Wu (+86 18652100702, wuj6@hspharm.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The proportions of undetectable HBV DNA in patients treated with ETV and TMF at week 48. (time frame: 48 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05755776, which also lists 10 linked publications.

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 21 Sep 2023.

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