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RecruitingNCT04231565ALTHBVUpdated Mar 1, 2024

Nucleoside (Acid) Analogues Treatment in Patients With Normal ALT and Positive HBVDNA.

An interventional study of Tenofovir alafenamide Fumarate in Hepatitis B Virus, sponsored by Third Affiliated Hospital, Sun Yat-Sen University. Recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-03-01.

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

From the registry’s dates

  • Primary completion was expected by Jun 2024, 2 years 4 months ago, but the record still lists the study as recruiting.
  • Started Jun 2020; still recruiting 6 years 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study is to investigate the clinical efficacy and safety of Nucleoside (acid) analogues treatment in patients with normal Alanine Aminotransferase and positive Hepatitis B virus DNA.

Read the detailed description

Hepatitis b virus infection has always been a global public health problem that endangers national health. Current clinical guidelines do not recommend antiviral therapy for people with positive hepatitis b-DNA and normal Alanine Aminotransferase, but studies have found that viral replication is associated with an increased risk of cirrhosis and liver tumors. Nucleoside (acid) analogues can effectively inhibit viral reverse transcriptase, reduce HBV viral load in the blood, thereby reducing secondary inflammation, and contribute to liver cell regeneration and disease recovery. And its side effect is small, adverse reaction rate is low, use safety.

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Conditions studied

  • Hepatitis B Virus

Keywords

  • hepatitis B virus
  • nucleoside
  • nucleotide
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In context

Hepatitis A

2,709 studies on the registry are indexed under Hepatitis A; 142 are open to participants now.

This study's planned enrollment of 200 is above the median of 100 across 1,886 interventional studies indexed under Hepatitis A.

Browse Hepatitis A studies →

Lead sponsor

Third Affiliated Hospital, Sun Yat-Sen University is the lead sponsor of 130 studies on the registry; 34 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Positive hepatitis b surface antigen and hepatitis b antibody > 0.5 year;
  • Age from 18 to 65 years old;
  • Serum Alanine Aminotransferase(ALT) ≤1×ULN at least 12 weeks;
  • Positive Hepatitis b virus(HBV);
  • Do not receive nucleotide/nucleoside analogues or interferon treatment in the past half year.

Exclusion criteria

Exclusion Criteria:

  • Other active liver diseases;
  • Hepatocellular carcinoma or other malignancy;
  • Pregnancy or lactation;
  • Human immunodeficiency virus infection or congenital immune deficiency diseases; 5.Severe diabetes, autoimmune diseases; 6.Other important organ dysfunctions; 7.Using glucocorticoid; 8.Patients can not follow-up; 9.Investigator considering inappropriate.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Active comparator
    TAF group

    100 patients would receive treatment of oral Tenofovir alafenamide Fumarate(TAF) 25 mg once per day from baseline to life-long unless the patient achieves HBsAg loss.

    Drug: Tenofovir alafenamide Fumarate

  • No intervention
    Observation group

    100 patients would not receive treatment from baseline to life-long.

Interventions

  • DrugTenofovir alafenamide Fumarate

    Patients would receive treatment of oral Tenofovir alafenamide Fumarate(TAF)once per day.

    Also known as: Vemlidy

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What researchers measure

Primary outcomes

  1. hepatitis b s antigen decrease from baseline

    Magnitude of decrease in hepatitis B antigen quantification from baseline to week 144.

    Time frame: 48 week, 96 week, 144 week

Secondary outcomes

  1. hepatitis b e antigen loss rate

    Hepatitis b e antigen would be tested to know the ratio of patients with negative hepatitis B e antigen.

    Time frame: 48 week, 96 week, 144 week

  2. hepatitis b virus(HBV) DNA undetectable rate

    Hepatitis b virus DNA would not be detected if it below the upper limit of test value

    Time frame: 48 week, 96 week, 144 week

  3. hepatitis b virus(HBV) RNA undetectable rate

    Hepatitis b virus RNA would not be detected if it below the upper limit of test value

    Time frame: 48 week, 96 week, 144 week

  4. hepatitis b s antigen loss rate

    Hepatitis b s antigen become negative and quantitative analysis below the upper limit of test value

    Time frame: 48 week, 96 week, 144 week

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Study locations

1 of 1 sites recruiting
  • Third Affiliated Hospital of Sun Yat-sen University
    Guangzhou, Guangdong 510630, China
    Recruiting
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References and documents

Publications

  • Wang L, Zhu S, Liu Y, Zheng L, Xu W, Luo Q, Zhang Y, Deng H, Li X, Xie C, Peng L. Prognostic value of decline in model for end-stage liver disease score and hepatic encephalopathy in hepatitis B-related acute-on-chronic liver failure patients treated with plasma exchange. Scand J Gastroenterol. 2022 Sep;57(9):1089-1096. doi: 10.1080/00365521.2022.2063032. Epub 2022 Apr 17. PubMed 35435091 ↗
  • Wang L, Xu W, Li X, Chen D, Zhang Y, Chen Y, Wang J, Luo Q, Xie C, Peng L. Long-term prognosis of patients with hepatitis B virus-related acute-on-chronic liver failure: a retrospective study. BMC Gastroenterol. 2022 Apr 2;22(1):162. doi: 10.1186/s12876-022-02239-4. PubMed 35366805 ↗
  • Wang L, Wu L, Li X, Zhang Y, Lai J, Zhu X, Xie C, Peng L. Tenofovir alafenamide fumarate therapy in subjects with positive HBV-DNA and normal levels of alanine transaminase: a study protocol for a randomised controlled trial. BMJ Open. 2021 Aug 18;11(8):e048410. doi: 10.1136/bmjopen-2020-048410. PubMed 34408049 ↗

Individual participant data

Plan to share: Yes — Individual participant data that underline the results reported in this article (text, tables, figures and appendices) will be shared.

Supporting information: Study protocol, Sap, Icf, Csr, Analytic code

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04231565
Lead sponsor
Third Affiliated Hospital, Sun Yat-Sen University
Responsible party
Liang Peng (Professer, Third Affiliated Hospital, Sun Yat-Sen University) — Principal investigator
First posted
Jan 18, 2020
Start date
Jun 4, 2020
Primary completion
Jun 1, 2024 (estimated)
Completion
Jul 1, 2027 (estimated)
Last update
Mar 1, 2024

Study contacts

Qiumin Luo, Doctor
Contact
lqiumin@126.com
+8613632399075
Liang Peng, Doctor
Contact
pzp33@hotmail.com
+8613533978874
Liang Peng, Doctor
principal investigator · Third Affiliated Hospital, Sun Yat-Sen University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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