ClinicalTrials.gg
RecruitingNCT03920618HBVUpdated Nov 29, 2024

Three Types of Nucleotide/Nucleoside Analogues Treatment in HBV Related ACLF

An interventional study of Entecavir and Tenofovir Disoproxil Fumarate in Hepatitis B and Acute-On-Chronic Liver Failure, sponsored by Third Affiliated Hospital, Sun Yat-Sen University. Recruiting at 1 site in China. Open to participants aged 12 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-11-29.

Sponsored by Third Affiliated Hospital, Sun Yat-Sen University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 10 months ago, but the record still lists the study as recruiting.
  • Started Feb 2019; still recruiting 7 years 8 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Non-randomized
Ages
12 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 21 studies testing tenofovir alafenamide in Hepatitis B — 10 open to participants now, 12 under way, 1 of them phase 3. tenofovir alafenamide · Hepatitis B.

Planned enrollment
7th of 21
150 · median 120
Started
2019
with 4 others
No phase
5 of 21
4 open now
Primary completion
2024-12
later than 2 of 11 live
Registered
9th of 21
by date
Lead sponsor
3 of 21
Third Affiliated Hospital, Sun Yat-Sen University

Among the 21 studies testing tenofovir alafenamide in Hepatitis B, this one is the 7th largest by planned enrollment, is one of 5 that started in 2019, is one of 5 with no phase, reaches primary completion later than 2 of the 11 other live ones, and was the 9th registered.

Hepatitis B

1,046 studies on the registry are indexed under Hepatitis B; 139 are open to participants now.

Browse Hepatitis B studies →

Open to participants now

10 of the 21 studies testing tenofovir alafenamide in Hepatitis B are open now, in 3 countries. Recruiting first, the newest first:

4 more — sign in →

By country, each count listing its studies:

All 10 open studies →

About tenofovir alafenamide

tenofovir alafenamide: first FDA approval 2015 (GENVOYA), first EMA approval 2015. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 80 Hepatitis B studies recruiting now, 40 (50%) set no upper age limit and 35 (44%) stop at 75 or younger; 14 take children under 18; 20 take healthy volunteers.

This study: 12 Years to 65 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 21 studies testing tenofovir alafenamide in Hepatitis B, or all of them as a file.
02

Study summary

This study is to investigate the clinical efficacy of three types of nucleotide/nucleoside analogues in treatment of HBV-related acute-on-chronic liver failure.

Read the detailed description

Hepatitis b virus (HBV) related acute-on-chronic liver failure (ACLF) is a serious condition with high mortality rate in China. Nucleotide/nucleoside analogues are used for anti-virus treatment in these patients. Entecavir, Tenofovir Disoproxil Fumarate and Tenofovir Alafenamide are first line drug in China. But there still lacks of data of Tenofovir Alafenamide in treatment of HBV related ACLF. This study is to investigate the clinical efficacy of three types of nucleotide/nucleoside analogues in treatment of HBV related ACLF.

03

Conditions studied

  • Hepatitis B
  • Acute-On-Chronic Liver Failure

Keywords

  • hepatitis b virus
  • acute-on-chronic liver failure
  • nucleotide
  • nucleoside
04

Who can participate

Ages eligible
12 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

  1. Positive surface antigen or hepatitis b virus DNA > 0.5 year;
  2. Age from 12 to 65 years old;
  3. Serum total level > 10 times ;
  4. activity \< 40% or prothrombin time international ratio > 1.5;
  5. Do not receive nucleotide/nucleoside analogues treatment in the past half year.

Exclusion criteria

Exclusion Criteria:

  1. Other active liver diseases;
  2. Hepatocellular carcinoma or other ;
  3. Pregnancy or lactation;
  4. infection or congenital immune deficiency diseases;
  5. Severe diabetes, diseases;
  6. Other important organ dysfunctions;
  7. Using ;
  8. Patients can not follow-up;
  9. Investigator considering inappropriate.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Active comparator
    ETV group

    50 patients would receive treatment of oral entecavir (ETV) 0.5 mg once per day from baseline to life-long.

    Drug: Entecavir

  • Active comparator
    TDF group

    50 patients would receive treatment of oral tenofovir disoproxil fumarate (TDF) 300 mg once per day from baseline to life-long.

    Drug: Tenofovir Disoproxil Fumarate

  • Experimental
    TAF group

    50 patients would receive treatment of oral tenofovir alafenamide (TAF) 25 mg once per day from baseline to life-long.

    Drug: Tenofovir Alafenamide

Interventions

  • Patients would receive treatment of oral entecavir (ETV) 0.5 mg once per day.

    Also known as: Baraclude

  • Patients would receive treatment of oral tenofovir disoproxil fumarate (TDF) 300 mg once per day.

    Also known as: Viread

  • Patients would receive treatment of oral tenofovir alafenamide (TAF) 25 mg once per day.

    Also known as: Vemlidy

06

What researchers measure

Primary outcomes

  1. Survival rate in the follow-up

    Whether patients will survive after treatment is observed in the follow-up.

    Time frame: 144 week

Secondary outcomes

  1. Model for end-stage liver disease (MELD) score is recorded after treatment

    The calculation of model for end-stage liver disease (MELD) score is: R=0.378ln\[serum total bilirubin (mg/dl)\]+1.12ln(prothrombin time international normalized ratio)+0.95ln\[serum creatinin(mg/dl)\]+0.64. The higher the MELD score, the higher the mortality rate. MELD score is recorded after treatment.

    Time frame: 0 week, 4 week, 8 week, 12 week, 24 week, 48 week, 72 week,144 week

  2. Ratio of patients with undetectable hepatitis b virus DNA after treatment

    Hepatitis b virus DNA would be tested to know the ratio of patients with undetectable hepatitis b virus DNA at 7 time points after treatment.

    Time frame: 4 week, 8 week, 12 week, 24 week, 48 week, 72 week,144 week

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2019 (actual). Primary completion is estimated for Dec 2024, 70 months after the start.

Of 62 non-industry interventional studies with no phase under Hepatitis B, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 47. This study's planned 70 months is above that.

Counting every sponsor, half of 68 studies reached it within 29 months; a quarter within 11 and three quarters within 47.

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

Registered
Apr 16, 2019
First posted
Apr 19, 2019
StartActual
Feb 21, 2019
Primary completionEst.
Dec 31, 2024
CompletionEst.
Dec 31, 2024
Last update
Nov 29, 2024
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 Nov 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03920618
Responsible party
Liang Peng (Professer, Third Affiliated Hospital, Sun Yat-Sen University) — Principal investigator
First posted
Apr 19, 2019
Start date
Feb 21, 2019
Primary completion
Dec 31, 2024 (estimated)
Completion
Dec 31, 2024 (estimated)
Last update
Nov 29, 2024

Study contacts

Wenxiong Xu, Doctor
Contact
xwx1983@163.com
+8613760783281
Liang Peng, Doctor
Contact
pzp33@hotmail.com
+8613533978874
Liang Peng, Doctor
principal investigator · Third Affiliated Hospital, Sun Yat-Sen University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Tenofovir alafenamide

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