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Completed

NCT Number: NCT00388674

Study of Entecavir in Patients With Chronic Hepatitis B Virus (HBV) Infection

The purpose of this study is to prospectively assess the long-term outcomes (benefits and risks) associated with entecavir (ETV) therapy as compared to other antivirals approved for the treatment of chronic HBV infection. For the China substudy, patients randomized to entecavir will have safety and efficacy assessments performed during the first year of the study.

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Key information

Age range

16 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Local Institution, Ciudad de Buenos Aires, Buenos Aires, Argentina

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Chronic HBV infection
  • HBV nucleoside/tide-naive or -experienced
  • Patients who, in opinion of investigator, are appropriate for initiating or modifying their HBV therapy and who are appropriate for a treatment regimen comprised of nucleoside/tide monotherapy with either ETV or another standard of care HBV nucleoside/tide analogue
  • Age 16 and older or minimum age required in a given country

Exclusion criteria

  • Women who are pregnant or breastfeeding
  • Patients who, in the opinion of the investigator, are expected to have a liver transplant-free survival of less than one year
  • Patients who, in the opinion of the investigator, are virologically controlled on their current treatment regimen and clinically responding to treatment, unless the regimen needs to be modified for medication intolerance
  • Coinfection with HIV
  • History of malignant neoplasm(s), including hepatocellular carcinoma (HCC) and carcinoma in situ (CIS), but excluding non-melanoma skin cancers
  • Patients with chronic renal insufficiency, defined as a creatinine clearance < 50 ml/min who do not have either of the following means of dose reducing ETV:

i. an approved country-specific ETV label which includes the extended interval ETV dose modification method and/or ii. an approved country specific label for the ETV oral solution AND access to the oral solution

  • History of dysplastic liver nodules
  • Known history of allergy to nucleoside/tide analogues
  • Prior or current treatment with entecavir
  • An investigator proposed study regimen which will include only interferon-alfa
  • An investigator proposed study regimen of combination (two or more) HBV nucleoside/tide analogues

Treatment and study plan

Entecavir

Drug

Tablets / Oral Solution, Oral, ETV = 0.5 mg - 1 mg, once daily, Investigator/Patient decision

Other names: Baraclude, BMS-200475

Other anti-HBV medication

Drug

Tablets / Oral Solution, Oral, depends on chosen active comparator, depends on chosen active comparator, Investigator/Patient decision

Primary outcomes

  1. Number of Participants With Adjudicated Overall Malignant Neoplasms

    Time frame: 10 years

    The number of participants with Overall Malignant Neoplasm, as adjudicated by Events Adjudication Committee (EAC)

  2. Number of Deaths

    Time frame: 10 years

    The number of deaths, as adjudicated by Events Adjudication Committee (EAC)

  3. Number of Participants With Liver-related HBV Disease Progression

    Time frame: 10 years

    The number of participants with Liver-related HBV disease progression, as adjudicated by Events Adjudication Committee (EAC)

Secondary outcomes

  1. Number of Participants With Non-HCC Malignant Neoplasm

    Time frame: 10 years

    The number of participants with non-HCC malignant neoplasm, as adjudicated by Events Adjudication Committee (EAC)

  2. Number of Participants With HCC Malignant Neoplasm

    Time frame: 10 years

    The number of participants with HCC malignant neoplasm, as adjudicated by Events Adjudication Committee (EAC)

  3. Number of Participants With Liver-related Death

    Time frame: 10 years

    The number of participants with Liver-related death, as adjudicated by Events Adjudication Committee (EAC)

Sponsors and collaborators

Lead sponsor

Bristol-Myers Squibb

Industry

Registry information

Official study title

Randomized, Observational Study of Entecavir to Assess Long-term Outcomes Associated With Nucleoside/Nucleotide Monotherapy for Patients With Chronic HBV Infection: The REALM Study

Important dates

Study start
2006
Primary completion
2016
Study completion
2016
First posted
Oct 17, 2006
Registry last updated
Jul 30, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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