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RecruitingNCT04025944Updated Jul 19, 2019

Real World Study of Chronic Viral Hepatitis

An observational study in Hepatitis, Chronic, sponsored by Huashan Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-07-19.

Sponsored by Huashan Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
10,000
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study is aimed to collect and analyze clinical data of patients with chronic viral hepatitis in the real world, to investigate the long-term outcome of these patients and to optimize treatment options based on these data.

Read the detailed description

Chronic viral hepatitis is defined as infectious liver disease caused by persistent virus infection for more than six months. Sustained viral replication and ongoing liver inflammation can eventually lead to liver fibrosis/cirrhosis or even hepatocellular carcinoma. Chronic viral hepatitis infection causes at least 80% of all liver cancers.

Though chronic viral hepatitis is a major global health concern, there is still a lack of evidence in high quality about the management of chronic viral hepatitis and the long-term outcome of patients. The concept of real-world data and research has been officially introduced into China since 2010. Real-world evidence, based on real-world data, can help practitioners have better understanding of the characteristics of the patients with different treatment strategies.

This study is aimed to collect and analyze clinical data of patients with chronic viral hepatitis in the real world, to investigate the long-term outcome of these patients and to optimize treatment options based on these data.

02

Conditions studied

03

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients with chronic viral hepatitis.

Inclusion criteria

  1. Informed consent of patients.
  2. Evidence of persistent virus infection for greater than six months [hepatitis C virus(HCV) RNA positive, hepatitis B surface antigen(HBsAg) or hepatitis B virus(HBV) DNA positive]

Exclusion criteria

Exclusion Criteria:

  1. Serious psychiatric history, especially depression.

    • Severe mental illness is defined as major depression or psychosis, suicide attempts, hospitalization due to mental illness or a period of disability due to mental illness.
  2. Patients with serious diseases of heart, lung, kidney, brain, blood and other important organs.
  3. Patients with malignant tumors (excluding those cured).
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
10,000 participants (estimated)
Target follow-up
5 Years
Patient registry
Yes

Groups and cohorts

  • chronic hepatitis B

    No intervention. The clinical data of patients (including demographic information, details of antiviral therapy, imaging and laboratory testings) will be collected and analyzed.

  • chronic hepatitis C

    No intervention. The clinical data of patients (including demographic information, details of antiviral therapy, imaging and laboratory testings) will be collected and analyzed.

05

What researchers measure

Primary outcomes

  1. Virologic responses(for both chronic hepatitis B and C)

    Sustained virological response (Able to sustain an undetectable viral load for a period)

    Time frame: 24 weeks after treatment initiation

  2. Serological responses(for chronic hepatitis B only)

    Hepatitis B e antigen (HBeAg) seroconversion(HBeAg loss and presence of anti-HBe) and hepatitis B surface antigen(HBsAg) seroconversion (HBsAg loss and presence of anti-HBs)

    Time frame: 48 weeks after treatment initiation

Secondary outcomes

  1. Histological responses(for both chronic hepatitis B and C)

    Significant improvement in fibrosis was defined as a decrease in the Ishak score of at least 1 point; (the Ishak score describes six stages of fibrosis, 0 for No fibrosis and 6 for Cirrhosis; higher the Ishak score is, more severe the fibrosis is).

    Time frame: 48 weeks after treatment initiation

06

Study locations

1 of 1 sites recruiting
  • Huashan Hospital
    Shanghai, Shanghai 200000, China
    Recruiting
07

References and documents

Publications

  • Maucort-Boulch D, de Martel C, Franceschi S, Plummer M. Fraction and incidence of liver cancer attributable to hepatitis B and C viruses worldwide. Int J Cancer. 2018 Jun 15;142(12):2471-2477. doi: 10.1002/ijc.31280. Epub 2018 Feb 9. PubMed 29388206 ↗
  • Polaris Observatory Collaborators. Global prevalence, treatment, and prevention of hepatitis B virus infection in 2016: a modelling study. Lancet Gastroenterol Hepatol. 2018 Jun;3(6):383-403. doi: 10.1016/S2468-1253(18)30056-6. Epub 2018 Mar 27. PubMed 29599078 ↗

Individual participant data

Plan to share: Undecided

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Registry details

Key details

Study ID
NCT04025944
Lead sponsor
Huashan Hospital
Responsible party
Wen-hong Zhang (Chief of department of infectious disease, Huashan Hospital) — Principal investigator
First posted
Jul 19, 2019
Start date
Jul 20, 2019 (estimated)
Primary completion
Aug 1, 2024 (estimated)
Completion
Aug 1, 2029 (estimated)
Last update
Jul 19, 2019

Study contacts

Yiqi Yu, Doctor
Contact
yyq19890619@126.com
13601637563 ext. 02152887969
Wenhong Zhang, Professor
study chair · Huashan Hospital

Oversight

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

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