CClinicalTrials.gg
CompletedNCT01726439EVOLVEUpdated Jul 15, 2020

Effectiveness of Nucleos(t)Ide Analogs (NUC) Therapy Among Naive CHB Patients in China

An observational study in Chronic Hepatitis B, sponsored by Bristol-Myers Squibb. Completed at 55 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-07-15.

Sponsored by Bristol-Myers Squibb · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3,434
Ages
18 Years and older
Sex
All
01

Study summary

To compare the effectiveness, in a real world practice setting in tier 2 cities of China, of Entecavir (ETV) monotherapy and Lamivudine (LAM) based therapies (including LAM monotherapy, de novo LAM + Adefovir [ADV] combination, and early add-on of ADV) among chronic hepatitis B (CHB) patients who are naive to NUC at enrollment to this study

Read the detailed description

Sampling Method: Consecutive patient sampling

Biospecimen Retention: Blood samples for HBV viral load testing along the treatment period of this study

02

Conditions studied

03

In context

Hepatitis B

1,656 studies on the registry are indexed under Hepatitis B; 196 are open to participants now.

This study's enrollment of 3,434 is above the median of 390 across 407 observational studies indexed under Hepatitis B.

Browse Hepatitis B studies →

Lead sponsor

Bristol-Myers Squibb is the lead sponsor of 1,538 studies on the registry; 116 are open to participants now.

Of its 429 completed or terminated interventional studies of FDA-regulated products, 223 (52%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Hospitals in Chinese tier 2 cities. The definition of these hospitals is the following:

  • Hospitals where 300 or more CHB patients are treated monthly
  • Hospitals where PCR can be performed in the hospital's laboratory to measure HBV DNA serum levels

Inclusion criteria

  • CHB patients, or CHB patients with compensated cirrhosis, as defined by the current Chinese guidelines
  • Male or female
  • ≥ 18 years of age
  • Either Hepatitis B e antigen (HBeAg) positive or negative
  • Naïve to NUC (defined as no previous exposure to NUC treatment as based on patient self-report)
  • Has compensated liver disease
  • Patients with compensated cirrhosis
  • Patients who consent to participate in this study
  • Local residents with medical reimbursement coverage preferred

Exclusion criteria

Exclusion Criteria:

  • Co-infected with hepatitis C virus (HCV)
  • CHB patients with decompensated cirrhosis, liver failure, hepatocellular carcinoma, or any other types of malignancy at the screening phase
  • CHB patients who are being treated by interferon therapy within 6 months immediately prior to the screening phase of this study
  • CHB patients with a confirmed pregnancy
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
3,434 participants (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • CHB patients who are naive to NUC treatment

    CHB patients who are naive to NUC at enrollment and be treated at hospitals at tier 2 cities in China

06

What researchers measure

Primary outcomes

  1. Proportion of patients who achieve virology response (defined as HBV DNA < 300 copies/mL) by ETV monotherapy in comparison with LAM-based therapy

    Virology response is defined as Hepatitis B virus (HBV) Deoxyribonucleic acid (DNA) \< 300 copies/mL by a highly sensitive assay such as Roche COBAS or Abbott Real Time Polymerase chain reaction (PCR) performed in a one central laboratory

    Time frame: 48 weeks after initial NUC antiviral therapy

Secondary outcomes

  1. Mean HBV DNA reductions after 48 weeks of treatment from baseline for ETV and LAM-based therapy patients (stratifying by the 3 LAM-based subgroups)

    Time frame: Baseline (Day 1) and 48 weeks

  2. Proportion of patients who achieve virology response by ETV in comparison with LAM-based therapy after 24 weeks and 96 weeks of treatment (stratifying by the 3 LAM based subgroups)

    Time frame: 24 weeks and 96 weeks

  3. Proportion of patients who modify their initial treatment options to manage suboptimal response or resistance after 24 weeks, 48 weeks, and 96 weeks of treatment among all treatment options

    Time frame: 24 weeks, 48 weeks and 96 weeks

  4. Proportion of patients who achieve virology response among other treatment options, including ADV, LdT, and combinations of NUCs, after 24 weeks, 48 weeks, 72 weeks, 96 weeks, 144 weeks, 192 weeks and 240 weeks of treatment

    HBV DNA levels at week 24 will be analyzed at the laboratories of hospitals where the patients are treated while evaluation of HBV DNA levels after 48 and 96 weeks of treatment will be conducted at the central laboratory

    Time frame: 24 weeks, 48 weeks, 72 weeks, 96 weeks, 144 weeks, 192 weeks and 240 weeks

  5. Cumulative incidence of patients who develop viral breakthrough and/or genotypic resistance

    Time frame: 24 weeks, 48 weeks, 72 weeks, 96 weeks, 144 weeks, 192 weeks and 240 weeks

  6. Cumulative incidence of clinical outcome (eg, HCC, death, decompensated cirrhosis) in ETV arm versus LAM-based and other treatment arms

    Time frame: 48 weeks, 96 weeks, 144 weeks, 192 weeks and 240 weeks

07

Study locations

55 sites
  • Local Institution
    Beijing, Beijing 100050, China
  • Local Institution
    Chongqing, Chongqing 400038, China
  • Local Institution
    Chongqing, Chongqing 710032, China
  • Local Institution
    Fuzhou, Fujian 350000, China
  • Local Institution
    Quanzhou, Fujian 362002, China
  • Local Institution
    Xiamen, Fujian 1361009, China
  • Local Institution
    Foshan, Guangdong 528000, China
  • Local Institution
    Shenzhen, Guangdong 528000, China
  • Local Institution
    Nanning, Guangxi 530000, China
  • Local institution
    Guiyang, Guizhou 550000, China
  • Local Institution
    Guiyang, Guizhou 55000, China
  • Local Institution
    Haikou, Hainan 570100, China
  • Local Institution
    Baoding, Hebei 071000, China
  • Local Institution
    Shijiazhuang, Hebei 050000, China
  • Local Institution
    Daqing, Heilongjiang 163461, China
  • Local Institution
    Haerbin, Heilongjiang 150086, China
  • Local Institution
    Zhengzhou, Henan 430000, China
  • Local Institution
    Zhengzhou, Henan 450000, China
  • Local Institution
    Shiyan, Hubei 430000, China
  • Local Institution
    Wuhan, Hubei 430022, China
  • Local Institution
    Wuhan, Hubei 430032, China
  • Local Institution
    Changsha, Hunan 410006, China
  • Local Institution
    Changsha, Hunan 410008, China
  • Local Institution
    Changsha, Hunan 410013, China
  • Local Institution
    Erdos, Inner Mongolia 17000, China
  • Local Institution
    Changshu, Jiangsu 215500, China
  • Local Institution
    Changzhou, Jiangsu 213001, China
  • Local Institution
    Nanjing, Jiangsu 210000, China
  • Local Institution
    Suzhou, Jiangsu 215000, China
  • Local Institution
    Nangchang, Jiangxi 330006, China
  • Local Institution
    Changchun, Jilin 130000, China
  • Local institution
    Yanji, Jilin 133000, China
  • Local Institution
    Dalian, Liaoning 116001, China
  • Local Instution
    Fushun, Liaoning 113000, China
  • Local Institution
    Shengyang, Liaoning, China
  • Local Institution
    Shenyang, Liaoning 110006, China
  • Local Institution
    Yinchuan, Ningxia 750000, China
  • Local Institution
    Jinan, Shandong 250000, China
  • Local Institution
    Qingdao, Shandong 266000, China
  • Local Institution
    Yantai, Shandong 264001, China
  • Local Institution
    Taiyuan, Shanxi 030000, China
  • Local Institution
    Taiyuan, Shanxi 30000, China
  • Local Institution
    Xi'an, Shanxi 710032, China
  • Local Institution
    Xi'an, Shanxi 710061, China
  • Local Institution
    Chengdu, Sichuan 610041, China
  • Local Institution
    Chengdu, Sichuan 610072, China
  • Local Institution
    Tianjin, Tianjin 300000, China
  • Local Institution
    Urumqi, Xinjiang 830001, China
  • Local Institution
    Wulumuqi, Xinjiang 830001, China
  • Local Institution
    Wulumuqi, Xinjiang 830052, China
  • Local institution
    Hangzhou, Zhejiang 310000, China
  • Local Institution
    Hangzhou, Zhejiang 310006, China
  • Local Institution
    Hangzhou, Zhejiang 310023, China
  • Local Institution
    Jinghua, Zhejiang 300000, China
  • Local Institution
    Ningbo, Zhejiang 315010, China
08

References and documents

Publications

  • Jia J, Shang J, Tang H, Jiang J, Ning Q, Dou X, Zhang S, Zhang M, Han T, Tan D, Zhou X, Chen G, Sheng J, Su Z, Chen H, Dai E, Ye Y, Guo Y, Shen Y, Yuan J, Wei Z, Zhu S; EVOLVE Study Group. Long-term outcomes in Chinese patients with chronic hepatitis B receiving nucleoside/nucleotide analogue therapy in real-world clinical practice: 5-year results from the EVOLVE study. Antivir Ther. 2020;25(6):293-304. doi: 10.3851/IMP3372. PubMed 33090970 ↗
  • Jia J, Tang H, Ning Q, Jiang J, Dou X, Zhang M, Zhang S, Shang J, Lu W, Ye Y, Wang X, Li M, Liu J, Bo Q, Tan W; EVOLVE Study Group. Real-world evidence for nucleoside/nucleotide analogues in a 5-year multicentre study of antiviral-naive chronic hepatitis B patients in China: 52-week results. Antivir Ther. 2018;23(3):201-209. doi: 10.3851/IMP3205. PubMed 29116050 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 15, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01726439
Lead sponsor
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Nov 15, 2012
Start date
Dec 2012
Primary completion
Dec 31, 2018
Completion
Dec 31, 2018
Last update
Jul 15, 2020

Study contacts

Bristol-Myers Squibb
study director · Bristol-Myers Squibb

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion