Hepatitis B Virus Mutants and the Therapeutic Effect of Peginterferon Alfa-2a in HBeAg-Positive Chronic Hepatitis B
Recruitment status was Not yet recruiting
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
In order to clarify the association between HBV mutations appearing before and during interferon therapy and the therapeutic effects, serial serum samples from 100 HBeAg-positive CHB patients undergoing peginterferon alfa-2a therapy will be collected and analyzed for the mutations of preS/S gene and BCP-preC/C region, particularly for the deletion mutations. Furthermore, Real-Time PCR will be performed to measure the ratios of wild-type HBV and deletion mutant HBV before and at the end of peginterferon alfa-2a therapy. Finally, statistical analysis will be done to elucidate whether the mutations of preS/S gene and BCP-preC/C region have any relation with the therapeutic effect of peginterferon alfa-2a.
| Condition | Intervention |
|---|---|
|
Hepatitis B, Chronic |
Drug: Peginterferon alfa-2a |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Retrospective |
| Official Title: | Relation of Hepatitis B Virus Mutants and the Therapeutic Effect of Peginterferon Alfa-2a in HBeAg-Positive Chronic Hepatitis B |
- Therapeutic response to Peginterferon Alfa-2a in HBeAg-Positive Chronic Hepatitis B [ Time Frame: 24 weeks after the end of 24 weeks of Peginterferon alfa-2a treatment ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples With DNA
Serum specimens
| Estimated Enrollment: | 100 |
| Study Start Date: | March 2011 |
| Estimated Study Completion Date: | February 2012 |
| Estimated Primary Completion Date: | February 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
| Peginterferon alfa-2a |
Drug: Peginterferon alfa-2a
Peginterferon alfa-2a at 180 ug weekly for 24 weeks
Other Name: Pegasys
|
Detailed Description:
Hepatitis B virus (HBV) infection is a serious worldwide health issue. Approximately 400 million people worldwide are chronic hepatitis B (CHB) patients. Currently, two therapeutic methods can be used to treat CHB. One is the nucleos(t)ide analogues, the other is the interferon alfa. Interferon alfa acts mainly by enhancing the immune system and directly inhibits the virus to a limited extent. It is known that mutations at preS, S, basal core promoter, precore and core gene are associated with an increased risk of HCC. However, it remains to be clarified as to the relation between HBV mutations and the therapeutic responses to interferon treatment. In order to clarify the association between HBV mutations appearing before and during interferon therapy and the therapeutic effects, serial serum samples from 100 HBeAg-positive CHB patients undergoing peginterferon alfa-2a therapy will be collected and analyzed for the mutations of preS/S gene and BCP-preC/C region, particularly for the deletion mutations. Furthermore, Real-Time PCR will be performed to measure the ratios of wild-type HBV and deletion mutant HBV before and at the end of peginterferon alfa-2a therapy. Finally, statistical analysis will be done to elucidate whether the mutations of preS/S gene and BCP-preC/C region have any relation with the therapeutic effect of peginterferon alfa-2a.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
HBeAg-positive chronic hepatitis B
Inclusion Criteria:
HBeAg-positive chronic hepatitis B patients on Peginterferon therapy
Exclusion Criteria:
HBeAg-negative chronic hepatitis B patients HBeAg-positive chronic hepatitis B patients on other kinds of therapy
Contacts and Locations| Contact: Cheng-Yuan Peng, MD, PhD | 886-4-22052121 ext 2264 | cypeng@mail.cmuh.org.tw |
| Taiwan | |
| China Medical University Hospital | Not yet recruiting |
| Taichung, Taiwan, 404 | |
| Contact: Cheng-Yuan Peng, MD, PhD 886-4-22052121 ext 2264 cypeng@mail.cmuh.org.tw | |
| Principal Investigator: Cheng-Yuan Peng, MD, PhD | |
| Principal Investigator: | Cheng-Yuan Peng, MD, PhD | China Medical University Hospital |
More Information
Publications:
| Responsible Party: | Cheng-Yuan Peng, China Medical University Hospital |
| ClinicalTrials.gov Identifier: | NCT01311947 History of Changes |
| Other Study ID Numbers: | DMR99-IRB-313 |
| Study First Received: | March 8, 2011 |
| Last Updated: | March 8, 2011 |
| Health Authority: | Taiwan: Department of Health |
Keywords provided by China Medical University Hospital:
|
Chronic hepatitis B Peginterferon alfa-2a |
Additional relevant MeSH terms:
|
Hepatitis B Hepatitis B, Chronic Hepatitis Hepatitis A Hepatitis, Chronic Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Virus Diseases Enterovirus Infections Picornaviridae Infections |
RNA Virus Infections Hepadnaviridae Infections DNA Virus Infections Peginterferon alfa-2a Interferon-alpha Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Immunologic Factors Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on June 18, 2013