This study is a multi-center, randomized, prospective, open-label Phase III Clinical trial to assess the efficacy and safety of combination and sequential treatment with Y peginterferon Alfa-2b,entecavir and GMCSF in chronic hepatitis B patients nucleotides or nucleosides experienced. Patients were randomized to one of 3 groups to receive different antiviral treatment.
Patients who have been pretreated with and responded to one or two nucleotides or nucleosides for at least one year, with HBV (Hepatitis B Virus) DNA less than 1000 copies/ml and HBsAg less 3000 IU/ml were randomized to one of 3 groups, to receive Y peginterferon Alfa-2b 180mcg/week for 96 weeks, entecavir 0.5 mg po daily for 48 weeks plus GMCSF (Granulocyte-macrophage colony stimulating factor) for 48 weeks, or Y peginterferon Alfa-2b 180mcg/week for 96 weeks and entecavir 0.5 mg po daily for 48 weeks, or only ETV for 96 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
300
In arm 2 and 3, Y peginterferon alfa-2b is used for 96 weeks
In arm 3, Granulocyte-macrophage colony stimulating factor is used for 48 weeks intermittently
In arm 1, Entecavir and or adefovir dipivoxil are used for 96 weeks and the follow up 24 weeks as conventional control, In arm 2 and 3, Entecavir and or adefovir dipivoxil are used for 48 weeks.
Beijing Youan Hospital
Beijing, Beijing Municipality, China
RECRUITINGTongji Hospital
Wuhan, Hubei, China
RECRUITINGXiangya Hospital, Central South University
Changsha, Hunan, China
RECRUITINGPercentage of HBsAg loss at week 96
Change from baseline in Percentage of HBsAg loss at week 96
Time frame: week 96
Change from baseline in HBsAg quantification and HBsAg decline at week 96
HBsAg quantification and HBsAg decline from baseline are measured.
Time frame: week 96
Change from baseline in HBsAg seroconversion at week 96
HBsAg seroconversion from baseline is measured.
Time frame: week 96
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The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, China
RECRUITING