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CompletedNCT02075294Updated Oct 28, 2014

Efficacy and Safety Study of Adefovir and Entecavir for Elderly With Chronic Hepatitis B

An observational study in Hepatitis B, Chronic, sponsored by Ying-Jie Ji. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-10-28.

Sponsored by Ying-Jie Ji · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
242
Ages
18 Years and older
Sex
All
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Study summary

It is estimated that 350-400 million people have chronic infection with hepatitis B virus (HBV) all over the world. In china, 93 million individuals suffer from this chronic condition. Currently, seven medications are approved for the treatment of hepatitis B: two formulations of interferon and four nucleos(t)ide analogues. The Chinese population has one of the longer average life spans, and the size of the aged population has been increasing rapidly. As a result, the prevalence of elderly patients with HBV has increased, and the potential for development of cirrhosis or hepatocellular carcinoma in such patients is real. Hence, treatment of elderly patients with HBV is an important issue. However, ADV or ETV has become first choice due to the more side effect of INF and the resistant of LAM and LdT. But treatment outcomes with ADV and ETV in elderly are not known yet. In this study, we will evaluate and compare the efficacy and tolerability of ADV and ETV between younger and older patients with HBV. The aims of the present study are (1)to assess the benefits of ADV or ETV therapy for elderly patients with chronic hepatitis B, and (2)to determine differences in the emergence rate of side effect.

02

Conditions studied

  • Hepatitis B, Chronic

Keywords

  • Aged
  • Hepatitis B, Chronic
  • Antiviral Agents
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In context

Hepatitis A

2,710 studies on the registry are indexed under Hepatitis A; 142 are open to participants now.

This study's enrollment of 242 is close to the median of 250 across 687 observational studies indexed under Hepatitis A.

Browse Hepatitis A studies →

Lead sponsor

This is the only study on the registry with Ying-Jie Ji as lead sponsor.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

We retrospectively analyzed a consecutive cohort of chronic hepatitis B patients treated with ADV, 10mg, daily, or with ETV,0.5mg,daily between January 2010 and December 2013 in a single tererral referral hospital in Beijing. Data were retrieved from a prospectively maintined database.

Inclusion criteria

  1. Age≥18 years
  2. HBsAg positive for more than 6 months before enrollment
  3. Serum HBVDNA >2×104IU/ml and serum ALT >80U/L or TBIL \< 34 umol/L for chronic hepatitis B
  4. Serum ALT \< 80U/L, but hepatic inflammation scores ≥ G2 or hepatic fibrosis stage ≥ S2 for chronic hepatitis B
  5. Serum HBVDNA >40 IU/ml for cirrhosis regardless of ALT and TBIL

Exclusion criteria

Exclusion Criteria:

  1. Co-infected with HCV, HDV or HIV, or autoimmune liver diseases combined
  2. received antiviral therapy or immunosuppressant drugs before 6 months prior to enrollment
  3. Renal function: creatinine >1.5 ULN or eGFR\< 50ml/min/1.73m2 before therapy
  4. Combined with hepatocarcinoma before therapy
  5. suspend therapy voluntarily
  6. use other nephrotoxic drugs
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
242 participants (actual)
Patient registry
No

Groups and cohorts

  • youth

    \<45years Adefovir dipivoxil or Entecavir Participants who received 10mg ADV more than 3 years or switch to other agent due to Renal dysfunction will be recruited. Participants who received 0.5mg ETV more than 3 years will be recruited.

    Drug: Adefovir dipivoxil or Entecavir

  • middle age

    ≥45years and\<65years Adefovir dipivoxil or Entecavir Participants who received 10mg ADV more than 3 years or switch to other agent due to Renal dysfunction will be recruited. Participants who received 0.5mg ETV more than 3 years will be recruited.

    Drug: Adefovir dipivoxil or Entecavir

  • elderly

    ≥65 years Adefovir dipivoxil or Entecavir Participants who received 10mg ADV more than 3 years or switch to other agent due to Renal dysfunction will be recruited. Participants who received 0.5mg ETV more than 3 years will be recruited.

    Drug: Adefovir dipivoxil or Entecavir

Interventions

  • DrugAdefovir dipivoxil or Entecavir

    Adefovir tablet, 10mg, take orally, once per day, more than 3years, exact duration depend on specific conditions and guidelines. Entecavir tablet, 0.5mg, take orally, once per day, more than 3years, exact duration depend on specific conditions and guidelines

    Also known as: ADV, Hepsera,, ETV, Baraclude

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What researchers measure

Primary outcomes

  1. the rates of serum HBVDNA undetectable and Renal dysfunction

    Time frame: 3years

Secondary outcomes

  1. the rate of normalisation of ALT

    Time frame: at week 2、4、12、24、36、48、60、72、84、96

  2. the rate of HBsAg negative

    Time frame: at week48、96、144

  3. the rate of HBeAg seroconversion

    Time frame: at week 24、48、72、96、120、144

  4. the rate of HBeAg negative

    Time frame: at week 24、48、72、96、120、144

07

Study locations

1 site
  • 302 military hospital of China
    Beijing, Beijing 100039, China
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References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 28, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02075294
Lead sponsor
Ying-Jie Ji
Responsible party
Ying-Jie Ji (MD, Beijing 302 Hospital) — Sponsor-investigator
First posted
Mar 3, 2014
Start date
Jan 2010
Primary completion
Oct 2012
Completion
Oct 2012
Last update
Oct 28, 2014

Study contacts

Ying-Jie Ji, MD.
principal investigator · Beijing 302 Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2014. You cannot join it, but the record below documents what was studied.

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