Real-world Study Optimizing Nucleotide-analogues

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-80
SponsorHuashan Hospital

About this trial

The goal of this multicenter, observational, prospective study is to observe and compare different anti-viral treatment strategies in a real-world cohort of patients with CHB managed in routine clinical settings in China. The main questions it aims to answer are:

1. To evaluate the benefits of initiating first-line nucleos(t)ide analogue in patients with chronic HBV infection who are recommended in the updated Chinese Guideline 2022, but not recommended in the Chinese Guideline 2019. 2. To evaluate the Chinese Guideline recommends initiation of treatment, but at least one foreign authoritative guideline (eg. AASLD, EASL) does not recommend the benefit of initiating first-line nucleos(t)ide analogue in patients with chronic HBV infection who initiate treatment. 3. To compare the treatment effect of different alternatives with patients who have partial response after treatment with first-line nucleos(t)ide analogues.

Eligibility criteria

Qualifiers

CHB defined as positive hepatitis B surface antigen at least 6 months, or HBV-related histological changes within 1 year if HBsAg positive less than 6 months.

Age between 18-80 years.

Patient who reads and signs informed consent.

Meet any conditions of the group listed below

Disqualifiers

Have poor compliance;

Received contraindicated concomitant drugs (subjects receiving prohibited drugs will need at least 30 days of washing out period) and known hypersensitivity reactions to the study drug, metabolites, or formulated excipients;

Any other clinical symptoms or previous treatment that the investigator considers that the individual subject is not suitable for this study or cannot comply with the administration requirements

Trial design

Treatments tested in this trial

  • ETV/TAF/TDF/TMF/IFN
  • ETV/TAF/TDF/TMF

Treatment groups

20,000 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Huashan Hospital

Lead sponsor

The First Affiliated Hospital of Anhui Medical University

Collaborator

Anhui Provincial Hospital

Collaborator

Beijing YouAn Hospital

Collaborator

Peking University People's Hospital

Collaborator

Peking University First Hospital

Collaborator

Xiamen Hospital of Traditional Chinese Medicine

Collaborator

First Affiliated Hospital of Fujian Medical University

Collaborator

LanZhou University

Collaborator

Third Affiliated Hospital, Sun Yat-Sen University

Collaborator

First Affiliated Hospital of Guangxi Medical University

Collaborator

The Affiliated Hospital Of Guizhou Medical University

Collaborator

Hainan General Hospital

Collaborator

Hebei Medical University Third Hospital

Collaborator

The First Affiliated Hospital of Henan University of Traditional Chinese Medicine

Collaborator

Henan Provincial People's Hospital

Collaborator

The Second Affiliated Hospital of Harbin Medical University

Collaborator

Tongji Hospital

Collaborator

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Collaborator

Renmin Hospital of Wuhan University

Collaborator

Central South University

Collaborator

Xiangya Hospital of Central South University

Collaborator

The First Hospital of Jilin University

Collaborator

the Second Hospital of Nangjing

Collaborator

The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

Collaborator

The First Affiliated Hospital with Nanjing Medical University

Collaborator

The Affiliated Hospital of Xuzhou Medical University

Collaborator

The First Affiliated Hospital of Nanchang University

Collaborator

Shengjing Hospital

Collaborator

Qingdao Sixth People's Hospital

Collaborator

Shandong Provincial Hospital

Collaborator

The Second Hospital of Shandong University

Collaborator

The First Affiliated Hospital of Shanxi Medical University

Collaborator

Tang-Du Hospital

Collaborator

First Affiliated Hospital Xi'an Jiaotong University

Collaborator

Ruijin Hospital

Collaborator

West China Hospital

Collaborator

Tianjin Second People's Hospital

Collaborator

First Affiliated Hospital of Xinjiang Medical University

Collaborator

The First People's Hospital of Yunnan

Collaborator

Shulan (Hangzhou) Hospital

Collaborator

Zhejiang University

Collaborator

Southwest Hospital, China

Collaborator

The Second Affiliated Hospital of Chongqing Medical University

Collaborator

Sichuan Provincial People's Hospital

Collaborator