Study of Entecavir for Reducing the Risk of Hepatocellular Carcinoma in Chronic Hepatitis B Patients

Last updated: November 22, 2020
Sponsor: CHA University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Hepatitis

Hepatitis B

Liver Disorders

Treatment

N/A

Clinical Study ID

NCT04646928
EN-REACH
  • Ages 20-75
  • All Genders

Study Summary

To analyze the incidence of liver cancer after entecavir administration among patients with low viral load and cirrhosis due to chronic hepatitis B infection.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • A subject who has consented to participate in this clinical trial
  • A subject aged between ≥20 to ≤75 years old
  • A subject with positive HBsAg for more than 24 weeks (may be confirmed by medicalhistory)
  • HBV DNA ≥26 IU/mL or ≤ 2,000 IU/mL at the time of screening
  • A subject diagnosed with cirrhosis with one of the following:
  1. Subject with confirmed liver cirrhosis in the screening period or liver biopsyperformed within 1 year from the time of screening (METAVIR score> 3, ISHAKscore> 4)
  2. Two or more confirmed typical findings suggesting liver cirrhosis from imagingsuch as liver ultrasound and CT performed within 24 weeks of screening or duringscreening period (nodularity of the liver surface, atrophy of the inner right andleft lobes, thickening of the left and tail lobes, hepatic portal systemexpansion of surrounding space, expansion of hepatic portal system (>1.3 cm) andsplenomegaly (>12 cm))
  3. One or more confirmed typical findings suggesting liver cirrhosis from imagingsuch as liver ultrasound and CT performed within 24 weeks of screening or duringscreening period (nodularity of the liver surface, atrophy of the inner right andleft lobes, thickening of the left and tail lobes, hepatic portal systemexpansion of surrounding space, expansion of hepatic portal system (>1.3 cm) andsplenomegaly (>12 cm)) or findings including the following:
  • Confirmed thrombocytopenia (<150,000/mm3) at the screening period or blood testsconducted within 24 weeks from the time of screening
  • Confirmed identification of esophageal varicose veins or gastric varicose veins byendoscopy or CT performed within one year from the screening period or at screening
  • Liver stiffness measurement (LSM)> 11.5 kilopascal (kPa) (F4) as a result of liverfibrosis scan, performed within 1 year from screening period or at screening

Exclusion

Exclusion Criteria:

  • A subject with non compensated cirrhosis and any of the following:
  1. Serum bilirubin> 3 mg/dL
  2. Prothrombin time> 6 seconds prolonged or International Normalized Ratio (INR) >1.6
  3. Serum albumin <2.8 g/dL
  4. History of ascites, varicose bleeding, hepatorenal syndrome, hepaticencephalopathy (hepatic coma) requiring treatment within 5 years from screening
  5. Child-Pugh score ≥ 8
  • A subject who have received interferon or other oral nucleic acid analogues (nucleos(t)ide analogues) (However, if the treatment duration was less than 30 days inthe past and the treatment was treated 24 weeks before the screening, participation ispossible)
  • A subject diagnosed with liver cancer in the past or present
  • Renal function decline (creatinine clearance <50 mL/min, estimated by theCockcroft-Gault formula)
  • A subject with serious concomitant diseases such as congestive heart failure, chronickidney disease, blood disease, or malignant tumors in the past or present
  • A subject infected with hepatitis C virus (HCV) or human immunodeficiency virus (HIV)
  • A subject who consume excessive alcohol (men: 30g/day or more, women: 20g/day or more)
  • A subject with liver diseases such as autoimmune hepatitis, hemochromatosis, orWilson's disease
  • Pregnant or breastfeeding women
  • Previous organ transplant recipients
  • A subject unable to complete the clinical trial or to have any medical condition thatmay interfere with the evaluation of the efficacy of this clinical trial

Study Design

Total Participants: 245
Study Start date:
March 17, 2017
Estimated Completion Date:
August 26, 2022

Study Description

To analyze the incidence of liver cancer after entecavir administration among patients with low viral load (HBV DNA titer<2,000 IU/mL (104 copies/mL)) and cirrhosis due to chronic hepatitis B infection.

Connect with a study center

  • Soon Chun Hyang University Hospital Bucheon

    Bucheon,
    Korea, Republic of

    Active - Recruiting

  • Soon Chun Hyang University Hospital Cheonan

    Cheonan,
    Korea, Republic of

    Active - Recruiting

  • Bundang Jesaeng Hospital

    Gyeonggi-do,
    Korea, Republic of

    Active - Recruiting

  • CHA Bundang Medical Center

    Gyeonggi-do,
    Korea, Republic of

    Active - Recruiting

  • Catholic University of Korea, Uijeongbu ST. Mary's Hospital

    Gyeonggi-do,
    Korea, Republic of

    Active - Recruiting

  • Seoul National University Bundang Hospital

    Gyeonggi-do,
    Korea, Republic of

    Active - Recruiting

  • Samsung Medical Center

    Seoul,
    Korea, Republic of

    Active - Recruiting

  • Seoul National University Hospital

    Seoul,
    Korea, Republic of

    Active - Recruiting

  • Ajou University Hospital

    Suwon,
    Korea, Republic of

    Active - Recruiting

  • The Catholic University of Korea, St. Vincent's Hospital

    Suwon,
    Korea, Republic of

    Active - Recruiting

  • Gachon University, Donginchoen Gil Hospital

    Sŏngnam,
    Korea, Republic of

    Active - Recruiting

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