ClinicalTrials.gg
Not yet recruitingNCT07120750PRTRAS 001Updated Aug 13, 2025

Post-Radical Treatment Antiviral Strategies in HBV-Related Liver Cancer: Impact on Tumor Prognosis

An observational study in Hepatocellular Carcinoma (HCC) and Chronic Hepatitis B, sponsored by Shenzhen Third People's Hospital. Not yet recruiting. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-08-13.

Sponsored by Shenzhen Third People's Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
332
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if peginterferon alfa-2b can reduce the recurrence of HBV-related liver cancer in patients who have undergone radical treatment. The study will also explore the potential benefits of peginterferon alfa-2b in achieving clinical cure and its impact on reducing liver cancer recurrence.

The trial is designed as a single-center, non-randomized, open-label study. Participants will be HBV-related liver cancer patients who have received radical treatment. The study will compare two groups: one receiving nucleos(t)ide analogues (NAs) alone and the other receiving NAs combined with peginterferon alfa-2b. The main question it aims to answer is:

Can peginterferon alfa-2b lower the 3-year recurrence rate in HBV-related liver cancer patients after radical treatment?

Participants will undergo regular follow-ups, including imaging studies and blood tests, to monitor for cancer recurrence and assess the safety of the treatment.

Read the detailed description
  1. Study Background The 3-year recurrence rate of HBV-related liver cancer after radical surgery is as high as 40% to 70%. This study aims to explore whether the addition of peginterferon alfa-2b (Peg-IFNα-2b) to nucleoside (acid) analogues (NAs) can reduce the risk of recurrence through immune modulation.
  2. Key Mechanism Hypotheses

    Peg-IFNα-2b may reduce the reactivation of micrometastases through:

    • Enhancing HBV-specific T-cell responses
    • Lowering serum HBsAg levels
    • Inhibiting immune suppression in the tumor microenvironment
  3. Detection Methods

    • Imaging Monitoring: Abdominal MRI (using LI-RADS v2018 criteria) every 12 weeks ± 7 days.
    • Laboratory Tests:
    • HBV DNA: COBAS® TaqMan HBV Test (LLOQ = 10 IU/mL)
    • Quantitative HBsAg: Architect HBsAg QT assay
    • PBMC Immune Profile: Flow cytometry (proportion of CD8+/PD-1+ T cells)
    • Tissue Biomarkers: Postoperative tumor tissue PD-L1 immunohistochemistry (22C3 antibody) and T-cell infiltration score.
  4. Statistical Design

    • Sample size: 332 cases (power 80%, α = 0.05, expected HR = 0.6)
    • Primary endpoint analysis: 3-year cumulative recurrence rate (Kaplan-Meier method + Log-rank test)
    • Covariate adjustment: Cox model includes age, BCLC stage, and baseline HBsAg level.
02

Conditions studied

  • Hepatocellular Carcinoma (HCC)
  • Chronic Hepatitis B

Keywords

  • Hepatocellular carcinoma
  • Peginterferon alfa-2b
  • Nucleos(t)ide analogues
  • Post-radical treatment
  • Clinical cure
03

In context

Carcinoma, Hepatocellular

3,648 studies on the registry are indexed under Carcinoma, Hepatocellular; 1,061 are open to participants now.

This study's planned enrollment of 332 is above the median of 200 across 850 observational studies indexed under Carcinoma, Hepatocellular.

Browse Carcinoma, Hepatocellular studies →

Lead sponsor

Shenzhen Third People's Hospital is the lead sponsor of 10 studies on the registry; 9 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population comprises adults aged 18 to 70 with HBV-related liver cancer who have undergone radical treatment (surgery or ablation). They are HBsAg-positive, with pathological confirmation of HCC and BCLC staging of 0 or A. Participants must have adequate liver function (Child-Pugh A), an expected survival of over 3 months, and provide informed consent. The study excludes those with prior systemic cancer treatments, other active malignancies, allergies to interferon, severe liver or renal dysfunction, and other significant health issues.

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

  • Age: Participants must be between 18 and 70 years of age.
  • Positive: Participants must be positive for hepatitis B surface antigen (HBsAg).
  • Confirmed Hepatocellular Carcinoma (HCC): Participants must have a pathological confirmation of HCC via surgical resection or local ablation.
  • BCLC Staging: Participants must have a Barcelona Clinic Liver Cancer (BCLC) staging of 0 or A.
  • Liver Function: Participants must have normal or well-compensated liver function, classified as A.
  • Expected Survival: Participants must have an expected survival of more than 3 months.
  • : Participants must sign an informed consent form and agree to comply with the study requirements. If a participant is unable to sign the consent form, a legal guardian or agent must do so.

Exclusion criteria

Exclusion Criteria:

  • Prior Systemic Cancer Treatments: Participants who have received prior systemic cancer treatments such as liver transplantation, chemotherapy, targeted therapy, or biological therapy will be excluded.
  • Other Active : Participants with a history or presence of other active malignancies, except for skin basal cell carcinoma or squamous cell carcinoma that has been cured, or cervical carcinoma in situ, will be excluded.
  • Allergies to Interferon: Participants who are allergic to interferon or any of its components, or whom the investigator deems unsuitable for interferon therapy, will be excluded.
  • Other Chronic Liver Diseases: Participants with other chronic liver diseases such as hepatitis A, C, D, or E virus infection, alcoholic liver disease, genetic metabolic liver disease, or drug-induced liver disease will be excluded.
  • Diseases:Participants with autoimmune diseases,including autoimmune liver disease and psoriasis, will be excluded.
  • Severe Liver Dysfunction: Participants with severe liver dysfunction or decompensated cirrhosis will be excluded.
  • Renal Impairment: Participants with serum creatinine levels exceeding 1.5 times the will be excluded.
  • Severe Systemic Diseases:Participants with severe systemic diseases affecting the heart,lungs,kidneys,brain,or blood will be excluded.
  • Severe Neuropsychiatric Disorders:Participants with severe neuropsychiatric disorders such as epilepsy, depression, mania, or schizophrenia will be excluded.
  • Unstable Medical Conditions:Participants with unstable diabetes,hypertension,hyperthyroidism,or other endocrine diseases will be excluded.
  • Retinopathy:Participants with a history of severe retinopathy or other evidence of retinopathy will be excluded.
  • Substance Abuse:Participants with a history of drug abuse or alcoholism will be excluded.
  • Pregnancy or Breastfeeding:Pregnant or breastfeeding women, or women planning to become pregnant during the study period who are unwilling to use , will be excluded.
  • Investigator's Judgment:Participants whom the investigator deems unsuitable for the study based on their current medical condition will be excluded.
  • Concurrent Participation in Other Trials:Participants who are concurrently involved in other clinical research trials will be excluded.
Terms in these criteria, in plain language(7)

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.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
332 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • DrugIntervention for Group 1

    Participants will receive standard NAs therapy, which may include entecavir (ETV), tenofovir disoproxil fumarate (TDF), tenofovir alafenamide fumarate (TAF), or tenofovir amibufenamide (TMF). NAs are antiviral medications used to suppress HBV replication and manage chronic hepatitis B infection.

  • DrugIntervention for Group 2

    Participants will receive Peg-IFNα-2b in addition to NAs therapy. Peg-IFNα-2b is an antiviral medication that works by boosting the immune system and has additional antiviral, antifibrotic, and anti-tumor effects. It is used to treat chronic hepatitis B and may help reduce the recurrence of liver cancer.

06

What researchers measure

Primary outcomes

  1. 3-Year Cumulative Recurrence Rate via MRI (LI-RADS)

    1. Measurement Tool: Liver Imaging Reporting and Data System (LI-RADS v2018) 1.1 Primary modality: Dynamic contrast-enhanced MRI 1.2 Confirmatory criteria: 1.2.1 LI-RADS 5 (definite HCC): 1.2.1.1 Arterial hyperenhancement + 1.2.1.2 Portal venous washout ± 1.2.1.3 Capsule/threshold growth 1.2.2 Histopathology (biopsy) for equivocal cases 2. Definition: Proportion of participants with new intrahepatic lesions meeting LI-RADS 5 criteria or histologically confirmed HCC metastases within 3 years post-radical treatment. 3. Clinical Significance: Recurrence defined as: 3.1 Local (original site) 3.2 Intrahepatic (\>2 cm from resection margin) 3.3 Extrahepatic (metastases with biopsy confirmation)

    Time frame: 3 years post-radical treatment.

Secondary outcomes

  1. 2-Year HBsAg Seroclearance Rate

    * Measurement Tool: Architect HBsAg QT Assay * Definition: Proportion with HBsAg loss (\<0.05 IU/mL) * Directionality: Lower HBsAg levels indicate better response * Confirmation: Required at two timepoints ≥24 weeks apart

    Time frame: 2 years post-treatment initiation.

  2. 2-Year HBV DNA undetectable rate

    * Measurement Tool: COBAS® TaqMan HBV Test v2.0 * Definition: Proportion of participants achieving HBV DNA \<10 IU/mL (LLOQ) in two consecutive tests ≥6 months apart * Directionality: Lower values indicate better virological control

    Time frame: 2 years post-treatment initiation.

  3. Incidence of Adverse Events (AEs)

    * Measurement Tool: CTCAE v5.0 grading system * Definition: Frequency of all-cause AEs, categorized by: * Severity: Grade 1 (mild) to 5 (death) * Relatedness: Definite/probable/possible vs. unrelated * Range: 1-5 scale (higher grade = worse severity) * Reporting Threshold: All events ≥Grade 2

    Time frame: Throughout the 3-year follow-up period.

  4. Serious Adverse Event (SAE) Rate

    * Measurement Tool: CTCAE v5.0 * Definition: Events meeting ≥1 SAE criterion: Death/life-threatening Hospitalization/prolonged hospitalization Persistent disability Congenital anomaly -Causality Assessment: Using WHO-UMC system

    Time frame: Throughout the 3-year follow-up period.

  5. Liver Function Deterioration Rate

    * Measurement tool: Change in Child-Pugh score ≥ 2 points * Range: 5 - 15 points (the higher the score, the worse the liver function) * Definition: The proportion of patients with an increase in Child-Pugh score of ≥ 2 points during treatment compared to the baseline.

    Time frame: Throughout the 3-year follow-up period.

  6. Quality of Life Change

    * Measurement tool: EORTC QLQ-C30 * Range: 0-100 (higher scores on functional dimensions indicate better status; higher scores on symptom dimensions indicate worse status) * Definition: Change from baseline in global health status/QoL over 3 years, analyzed with a mixed-effects linear model.

    Time frame: Throughout the 3-year follow-up period.

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — Data Availability: De-identified individual participant data will be made available upon reasonable request after the completion of the study and publication of the primary results. Time Frame: Data will be available starting from six months after the publication of the primary study results and for a period of five years thereafter. Access Criteria: (1) Requests for data access will be reviewed by the study's data monitoring committee. (2) Data will be shared for research purposes that are consistent with the original study objectives and for the advancement of scientific knowledge. (3) Researchers requesting access must submit a detailed proposal outlining their research question, methods, and analysis plan. 4. Data Sharing Process: Data will be provided in a de-identified format, ensuring participant confidentiality. Along with the data, relevant documentation such as the study protocol, statistical analysis plan, and data dictionary will be made available to facili

Supporting information: Study protocol, Statistical analysis plan, Clinical study report, Analytic code

Time frame: Start Date: Six months after the publication of the primary study results. End Date: Five years following the start date. Description: "De-identified individual participant data will be available starting six months after the publication of the primary study results and for a period of five years thereafter."

Access criteria: Who Can Access: Researchers who submit a valid research proposal outlining a scientific objective that is consistent with the original study aims. What Can Be Accessed: De-identified dataset along with relevant study documentation (e.g., protocol, statistical analysis plan, data dictionary). How to Access: By submitting a formal request to the principal investigator, including a detailed research proposal and data usage plan. Access will be granted upon approval by the study's data monitoring committee. Description: "Access to the de-identified individual participant data and supporting documentation will be granted to qualified researchers upon approval of a formal request and research proposal. Researchers must demonstrate that their objectives align with the original study's scope."

Data sharing details ↗ · www.szsdsrmyy.com

No publications or documents are linked to this record.

09

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

Start is estimated for Sep 2025; primary completion for Dec 2029, 51 months later.

Of 302 non-industry observational studies under Carcinoma, Hepatocellular, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 35 and three quarters within 114. This study's planned 51 months is close to that.

Counting every sponsor, half of 351 studies reached it within 51 months; a quarter within 32 and three quarters within 108.

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

Registered
Jul 8, 2025
First posted
Aug 13, 2025
StartEst.
Sep 1, 2025
Primary completionEst.
Dec 31, 2029
CompletionEst.
Dec 31, 2030
Last update
Aug 13, 2025
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 Aug 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07120750
Lead sponsor
Shenzhen Third People's Hospital
Responsible party
Sponsor
First posted
Aug 13, 2025
Start date
Sep 1, 2025 (estimated)
Primary completion
Dec 31, 2029 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
Aug 13, 2025

Study contacts

Qingxian Cai, Doctor
Contact
41180423@163.com
+86-18127814825

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2025. 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