To provide open-label entecavir to subjects who have completed previous blinded entecavir trials in Japan and are assessed by the investigator as likely to benefit from additional anti-hepatitis B therapy
Study Type
INTERVENTIONAL
Purpose
TREATMENT
Masking
NONE
Enrollment
282
Tablet, P.O. 0.5, 1 mg, once daily
To provide open-label entecavir to subjects who have completed previous blinded entecavir trials in Japan and are assessed by the investigator as likely to benefit from additional anti-hepatitis B therapy
Time frame: 24 weeks
Incidence of clinical adverse events and discontinuations due to adverse events of entecavir for each cohort
Time frame: Week 2, 4, 6, 8, 10, 12, 16, 20 and 24 post dosing
Incidence of laboratory abnormalities of of entecavir for each cohort
Time frame: Week 2, 4, 6, 8, 10, 12, 16, 20 and 24 post dosing
Proportion of subjects HBeAg-positive at baseline who have loss of HBeAg from serum
Time frame: Day 1, Week 12, Week 24 and every subsequent 24 week during dosing
Proportion of subjects HBeAg-positive at baseline who achieve seroconversion (loss of HBeAg and appearance of HBeAb)
Time frame: Day 1, Week 12, Week 24 and every subsequent 24 week during dosing
Proportion of subjects with abnormal ALT at baseline who achieve normalization of serum ALT at Week 48
Time frame: Day 1, Week 48
Proportion of subjects who achieve HBV DNA levels by PCR assay less than the limit of quantification (LOQ)
Time frame: Day 1, Week 12, 24, and subsequent 24 week during dosing
Proportion of subjects positive for HBeAg at baseline who achieve HBV DNA levels by PCR assay less than LOQ, normal serum ALT, and seroconversion
Time frame: Week 8, 16, 24 post dosing
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Local Institution
Aichi-Gun, Aichi-ken, Japan
Local Institution
Nagoya, Aichi-ken, Japan
Local Institution
Nagoya, Aichi-ken, Japan
Local Institution
Nagoya, Aichi-ken, Japan
Local Institution
Chiba, Chiba, Japan
Local Institution
Onsen-Gun, Ehime, Japan
Local Institution
Fukuoka, Fukuoka, Japan
Local Institution
Kurume, Fukuoka, Japan
Local Institution
Gifu, Gifu, Japan
Local Institution
Ogaki-Shi, Gifu, Japan
...and 38 more locations
Proportion of subjects negative for HBeAg at baseline who achieve HBV DNA levels by PCR assay less than LOQ and normal ALT and remain negative for HBeAg
Time frame: Day 1, Week 12, Week 24 and every subsequent 24 weeks during dosing
Proportion of subjects who achieved Complete Response during therapy, who have sustained Complete Response for 24 weeks after stopping drug
Time frame: 24 Week post dosing
Proportion of subjects with histological improvement in the liver at Wks 48 & 96 [improvement in necroinflammatory score and no worsening of fibrosis at Wks 48 & 96 liver biopsy compared to baseline & to baseline in previous study]
Time frame: Week 48, 96
NChanges in liver histology as assessed by the New Inuyama Classification for histological assessment of chronic hepatitis
Time frame: Week 48 & Week 96
Incidence of genotypic changes in HBV DNA polymerase conferring resistance to entecavir in subjects with confirmed ≥1 log10 increase in HBV DNA from nadir on treatment
Time frame: Week 2, 4, ± days, Week 8 every 4 weeks ± 7 days