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NCT Number: NCT04139850

The Establishment of Korean Hepatitis B Patients Cohort

According to the World Health Organization about 1,400,000 deaths reported annually, are related to chronic liver disease. Chronic liver disease is very prevalent in South Korea, placing a large economic burden nationwide. Subsequently, an effective and systematized approach to managing chronic hepatitis is imperative in Korea.

The natural history of chronic liver disease differs greatly according to race and ethnicity. However, there is scarcity of epidemic data on chronic hepatitis based on Korean patients. Therefore, the investigators plan to establish a prospective multicenter cohort for chronic hepatitis B based on Korean patients that may be utilized for various future clinical studies on chronic hepatitis B in Korea, and thereby serve as a basis for the establishment and distribution of clinical guidelines for Korean patients with chronic hepatitis B, as part of a nationwide project supported by the Centers for Disease Control (CDC), Korea.

The investigators plan to collect more than 2,000 cases per year with 6 months of regular follow-up interval as have been advised by the CDC during 10 years of the study period (from Sep. 2015) from 5 tertiary hospitals located in Korea. The investigators plan to register available cases from those who are available to agree to give written informed consent and provide their blood samples to participate in this study prospectively, according to the inclusion and exclusion criteria.

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Key information

Conditions

Chronic Hepatitis B Blood-Borne Infections Chronic Disease Communicable Diseases DNA Virus Infections Digestive System Diseases Disease Attributes Hepadnaviridae Infections Hepatitis Hepatitis B Hepatitis B, Chronic Hepatitis, Chronic Hepatitis, Viral, Human Infections Liver Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms Virus Diseases

Age range

19 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Department of Internal Medicine, Yonsei University College of Medicine

Seoul, 120-752, South Korea

Location status: Recruiting

Location contact

Sang Hoon Ahn, MD

CONTACT

[email protected]

+82-2-2228-1936

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • age above 19 years;
  • CHB diagnosis with more than 6 months of HBsAg positive;
  • Patients who followed up regularly by medical institutions due to CHB;
  • Patients who can be followed up according to the research protocol;
  • Patients who have consented to the written consent of the applicant or guardian.

Exclusion criteria

  • HCC diagnosis before enrollment;
  • Malignant tumor other than HCC within 5 years;
  • Hepatitis C virus or human immunodeficiency virus co-infection;
  • Fatal conditions such as decompensated liver function, end stage renal disease and severe heart failure;
  • not be suitable for the research purpose.

Treatment and study plan

Discontinuation of antiviral treatment in chronic hepatitis B cohort patients

Drug

For the selective patients in the cohort with long-term antiviral therapy and with conditions such as HBeAg negative or loss more than one year, antiviral therapy is able to be discontinued with an intensive inspection who agreed to the process. If there are need of this intervention, another multicenter IRB approval will be taken.

Primary outcomes

  1. Development of liver cirrhosis, decompensation or liver cancer

    Time frame: Time of registration of patient to cohort complement (10 years)

    This study aims for the establishment of chronic hepatitis B cohort and has no other primary end point other than the registration of the patient. (For Time-to-Event outcome measures, the development of events including HCC, ascitic decompensation, variceal bleeding, hepatic encephalopathy, transplantation, and death will be followed up to 10 years after enrollment. Time to the development of each kind of event will be calculated from the date of enrollment and the respective date of event development.) Safety issue: No

Secondary outcomes

  1. Safety and efficacy for patients with or without antiviral therapy

    Time frame: Time of registration of patient to cohort complement (10 years)

    Virologic response, HBsAg loss or seroconversion, development of resistance to medication, side effect with or without antiviral therapy Virologic breakthrough/development of liver cirrhosis, decompensation or HCC after discontinuation of antiviral therapy

Study contacts

Contact information is provided by the study sponsor or research team.

Sang Hoon Ahn

CONTACT

[email protected]

+82-2-2228-1936

Sponsors and collaborators

Lead sponsor

Yonsei University

Other

Registry information

Important dates

Study start
2015
Primary completion
2026
Study completion
2026
First posted
Oct 25, 2019
Registry last updated
Oct 25, 2019

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

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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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