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CompletedNCT00962533EFFORTUpdated Jan 31, 2013

EFFicacy Optimization Research of Telbivudine Therapy

A Phase 4 interventional study of telbivudine and telbivudine in Hepatitis B, Chronic, sponsored by Nanfang Hospital, Southern Medical University. Completed at 24 sites in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2013-01-31.

Sponsored by Nanfang Hospital, Southern Medical University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
606
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this trial is to prove that the strategy of treatment adjustment at W24 according to virological response based on ROADMAP concept is better than standard of care strategy.

02

Conditions studied

  • Hepatitis B, Chronic

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Keywords

  • Chronic Hepatitis B
03

In context

Hepatitis B, Chronic

954 studies on the registry are indexed under Hepatitis B, Chronic; 147 are open to participants now.

This study's enrollment of 606 is above the median of 100 across 692 interventional studies indexed under Hepatitis B, Chronic.

Browse Hepatitis B, Chronic studies →

Lead sponsor

Nanfang Hospital, Southern Medical University is the lead sponsor of 488 studies on the registry; 213 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female, from 18 (inclusive) to 65 (inclusive) years of age
  • HBsAg and HBeAg positive for over six months
  • Patient is willing and able to comply with the study drug regimen and all other study requirements
  • Patients must give written informed consent before any assessment is performed

Exclusion criteria

Exclusion Criteria:

  • Detected M204I/V, N236T, A181V/T mutation in patient serum HBV DNA at Screening visit
  • Patient has a history of or clinical signs/symptoms of hepatic decompensation
  • Patient has a history of hepatocellular carcinoma (HCC) or findings suggestive of possible HCC
  • Other protocol-defined inclusion/exclusion criteria may apply
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
606 participants (actual)

Study arms

  • Experimental
    ROADMAP Group (Group I)

    Patients were to take telbivudine 600 mg orally daily from Baseline.At Week 24, patients in Group I were split into Group I-A or Group I-B based on their virologic load: * Group I-A: This group of patients was those with HBV DNA ≥300 copies/mL at Week 24 and adefovir was to be added at Week 28; * Group I-B: This group of patients was those with HBV DNA \<300 copies/mL at Week 24. Telbivudine monotherapy was to be continued until there was a viral breakthrough (confirmed by two examinations with at least 1 month interval with compliance factor excluded) and then adefovir was to be added; The total treatment duration was 104 weeks.

    Drug: telbivudine

  • Active comparator
    SOC (Standard of Care) Group (Group II)

    patients were to take telbivudine 600 mg monotherapy from Baseline until Week 104. If viral breakthrough (defined as HBV DNA 1 log10 above nadir) was confirmed (by two examinations with at least a 1 month interval with compliance factor excluded), adefovir 10 mg daily was to be added.

    Drug: telbivudine

Interventions

  • telbivudine, 600mg, oral, daily

    Also known as: Sebivo®

  • telbivudine, 600mg, oral, daily

    Also known as: Sebivo®

06

What researchers measure

Primary outcomes

  1. To demonstrate the percentage of patients achieving HBV DNA< 300copies/mL at Week 104 in Group I is superior than that in Group II

    Time frame: Week 104

Secondary outcomes

  1. Percentage of patients achieving HBV DNA <60IU/mL (300copies/mL) at Week 52

    Time frame: week 52

  2. Serum HBV DNA reduction from baseline at week 104

    Time frame: week 104

  3. Percentage of patients with HBeAg loss & HBeAg seroconversion at week104 in patients with HBeAg positive at baseline

    Time frame: week 104

  4. Percentage of patients with HBV DNA<300copies/mL AND HBeAg loss or seroconversion at Week 104 in patients with positive HBeAg at baseline

    Time frame: week 104

  5. Serum HBV DNA reduction from baseline at week 52

    Time frame: week 52

07

Study locations

24 sites
  • 302 Military Hospital of China
    Beijing, Beijing Municipality, China
  • Beijing Ditan Hospita
    Beijing, Beijing Municipality, China
  • Beijing Friendship Hospital Attached to the Capital Medical University
    Beijing, Beijing Municipality, China
  • BeiJing YouAn Hospital ,Capital Medical University
    Beijing, Beijing Municipality, China
  • Department of infectious disease, First Hospital of Peking University
    Beijing, Beijing Municipality, China
  • People'S Hospital Under Beijnig University
    Beijing, Beijing Municipality, China
  • The Second Affiliated of ChongQing University of Medical Science
    Chongqing, Chongqing Municipality, China
  • Department of infectious disease, Nanfang Hospital
    Guangzhou, Guangdong, China
  • No. 8 People's Hospital In GuangZhou
    Guangzhou, Guangdong, China
  • The Third Hospital of Sun Yat-Sen University
    Guangzhou, Guangdong, China
  • Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology
    Wuhan, Hubei, China
  • Xiangya Hospital Central-South Univrsity
    Changsha, Hunan, China
  • No.81 Hospital of PLA
    Nanjing, Jiangsu, China
  • First Hospital .Jilin Unniversity
    Changchun, Jilin, China
  • ShengJing Hospital of China Medical University
    Shenyang, Liaoning, China
  • JiNan Infectious Diseases Hospital
    Jinan, Shandong, China
  • Changhai Hospital affiliated to Second Military Medical University
    Shanghai, Shanghai Municipality, China
  • Huashan Hospital,Fudan University
    Shanghai, Shanghai Municipality, China
  • No.85 Hospital of PLA
    Shanghai, Shanghai Municipality, China
  • Shanghai Ruijin Hospital
    Shanghai, Shanghai Municipality, China
  • Tangdu Hospital
    XiAn, Shanxi, China
  • West China Hospital.SiChuan University
    Chengdu, Sichuan, China
  • The First Affiliated Hospital of College of Medicine ,Zhejiang University
    Hangzhou, Zhejiang, China
  • The Sixth People's Hospital of Hangzhou
    Hangzhou, Zhejiang, China
08

References and documents

Publications

  • Keeffe EB, Zeuzem S, Koff RS, Dieterich DT, Esteban-Mur R, Gane EJ, Jacobson IM, Lim SG, Naoumov N, Marcellin P, Piratvisuth T, Zoulim F. Report of an international workshop: Roadmap for management of patients receiving oral therapy for chronic hepatitis B. Clin Gastroenterol Hepatol. 2007 Aug;5(8):890-7. doi: 10.1016/j.cgh.2007.05.004. Epub 2007 Jul 13. PubMed 17632041 ↗
  • Huang Q, Zhou B, Cai D, Zong Y, Wu Y, Liu S, Mercier A, Guo H, Hou J, Colonno R, Sun J. Rapid Turnover of Hepatitis B Virus Covalently Closed Circular DNA Indicated by Monitoring Emergence and Reversion of Signature-Mutation in Treated Chronic Hepatitis B Patients. Hepatology. 2021 Jan;73(1):41-52. doi: 10.1002/hep.31240. Epub 2020 Dec 1. PubMed 32189364 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Aug 2009, a primary completion of Apr 2012 and a completion of Aug 2012. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 18, 2009
First posted
Aug 20, 2009
Start
Aug 2009
Primary completionActual
Apr 2012
CompletionActual
Aug 2012
Last update
Jan 31, 2013
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 31, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00962533
Collaborators
Major Science and Technology Special Project of China Eleventh Five-year, Novartis
Responsible party
Sponsor
First posted
Aug 20, 2009
Start date
Aug 2009
Primary completion
Apr 2012
Completion
Aug 2012
Last update
Jan 31, 2013

Study contacts

Jinlin Hou, MD
principal investigator · Nanfang Hospital, Southern Medical University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2012. You cannot join it, but the record below documents what was studied.

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