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出境医 / 临床实验 / Real World Study of Chronic Viral Hepatitis

Real World Study of Chronic Viral Hepatitis

Study Description
Brief Summary:
This study is aimed to collect and analyze clinical data of patients with chronic viral hepatitis in the real world, to investigate the long-term outcome of these patients and to optimize treatment options based on these data.

Condition or disease
Hepatitis, Chronic

Detailed Description:

Chronic viral hepatitis is defined as infectious liver disease caused by persistent virus infection for more than six months. Sustained viral replication and ongoing liver inflammation can eventually lead to liver fibrosis/cirrhosis or even hepatocellular carcinoma. Chronic viral hepatitis infection causes at least 80% of all liver cancers.

Though chronic viral hepatitis is a major global health concern, there is still a lack of evidence in high quality about the management of chronic viral hepatitis and the long-term outcome of patients. The concept of real-world data and research has been officially introduced into China since 2010. Real-world evidence, based on real-world data, can help practitioners have better understanding of the characteristics of the patients with different treatment strategies.

This study is aimed to collect and analyze clinical data of patients with chronic viral hepatitis in the real world, to investigate the long-term outcome of these patients and to optimize treatment options based on these data.

Study Design
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Study Type : Observational [Patient Registry]
Estimated Enrollment : 10000 participants
Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration: 5 Years
Official Title: Real World Study of Chronic Viral Hepatitis
Estimated Study Start Date : July 20, 2019
Estimated Primary Completion Date : August 1, 2024
Estimated Study Completion Date : August 1, 2029
Arms and Interventions
Group/Cohort
chronic hepatitis B
No intervention. The clinical data of patients (including demographic information, details of antiviral therapy, imaging and laboratory testings) will be collected and analyzed.
chronic hepatitis C
No intervention. The clinical data of patients (including demographic information, details of antiviral therapy, imaging and laboratory testings) will be collected and analyzed.
Outcome Measures
Primary Outcome Measures :
  1. Virologic responses(for both chronic hepatitis B and C) [ Time Frame: 24 weeks after treatment initiation ]
    Sustained virological response (Able to sustain an undetectable viral load for a period)

  2. Serological responses(for chronic hepatitis B only) [ Time Frame: 48 weeks after treatment initiation ]
    Hepatitis B e antigen (HBeAg) seroconversion(HBeAg loss and presence of anti-HBe) and hepatitis B surface antigen(HBsAg) seroconversion (HBsAg loss and presence of anti-HBs)


Secondary Outcome Measures :
  1. Histological responses(for both chronic hepatitis B and C) [ Time Frame: 48 weeks after treatment initiation ]
    Significant improvement in fibrosis was defined as a decrease in the Ishak score of at least 1 point; (the Ishak score describes six stages of fibrosis, 0 for No fibrosis and 6 for Cirrhosis; higher the Ishak score is, more severe the fibrosis is).


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Sampling Method:   Non-Probability Sample
Study Population
Patients with chronic viral hepatitis.
Criteria

Inclusion Criteria:

  1. Informed consent of patients.
  2. Evidence of persistent virus infection for greater than six months [hepatitis C virus(HCV) RNA positive, hepatitis B surface antigen(HBsAg) or hepatitis B virus(HBV) DNA positive]

Exclusion Criteria:

  1. Serious psychiatric history, especially depression.

    • Severe mental illness is defined as major depression or psychosis, suicide attempts, hospitalization due to mental illness or a period of disability due to mental illness.
  2. Patients with serious diseases of heart, lung, kidney, brain, blood and other important organs.
  3. Patients with malignant tumors (excluding those cured).
Contacts and Locations

Contacts
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Contact: Yiqi Yu, Doctor 13601637563 ext 02152887969 yyq19890619@126.com

Locations
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China, Shanghai
Huashan Hospital Recruiting
Shanghai, Shanghai, China, 200000
Contact: Yiqi Yu, doctor    13601637563    yyq19890619@126.com   
Sponsors and Collaborators
Huashan Hospital
Investigators
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Study Chair: Wenhong Zhang, Professor Huashan Hospital
Tracking Information
First Submitted Date July 7, 2019
First Posted Date July 19, 2019
Last Update Posted Date July 19, 2019
Estimated Study Start Date July 20, 2019
Estimated Primary Completion Date August 1, 2024   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: July 18, 2019)
  • Virologic responses(for both chronic hepatitis B and C) [ Time Frame: 24 weeks after treatment initiation ]
    Sustained virological response (Able to sustain an undetectable viral load for a period)
  • Serological responses(for chronic hepatitis B only) [ Time Frame: 48 weeks after treatment initiation ]
    Hepatitis B e antigen (HBeAg) seroconversion(HBeAg loss and presence of anti-HBe) and hepatitis B surface antigen(HBsAg) seroconversion (HBsAg loss and presence of anti-HBs)
Original Primary Outcome Measures Same as current
Change History No Changes Posted
Current Secondary Outcome Measures
 (submitted: July 18, 2019)
Histological responses(for both chronic hepatitis B and C) [ Time Frame: 48 weeks after treatment initiation ]
Significant improvement in fibrosis was defined as a decrease in the Ishak score of at least 1 point; (the Ishak score describes six stages of fibrosis, 0 for No fibrosis and 6 for Cirrhosis; higher the Ishak score is, more severe the fibrosis is).
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Real World Study of Chronic Viral Hepatitis
Official Title Real World Study of Chronic Viral Hepatitis
Brief Summary This study is aimed to collect and analyze clinical data of patients with chronic viral hepatitis in the real world, to investigate the long-term outcome of these patients and to optimize treatment options based on these data.
Detailed Description

Chronic viral hepatitis is defined as infectious liver disease caused by persistent virus infection for more than six months. Sustained viral replication and ongoing liver inflammation can eventually lead to liver fibrosis/cirrhosis or even hepatocellular carcinoma. Chronic viral hepatitis infection causes at least 80% of all liver cancers.

Though chronic viral hepatitis is a major global health concern, there is still a lack of evidence in high quality about the management of chronic viral hepatitis and the long-term outcome of patients. The concept of real-world data and research has been officially introduced into China since 2010. Real-world evidence, based on real-world data, can help practitioners have better understanding of the characteristics of the patients with different treatment strategies.

This study is aimed to collect and analyze clinical data of patients with chronic viral hepatitis in the real world, to investigate the long-term outcome of these patients and to optimize treatment options based on these data.

Study Type Observational [Patient Registry]
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration 5 Years
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Patients with chronic viral hepatitis.
Condition Hepatitis, Chronic
Intervention Not Provided
Study Groups/Cohorts
  • chronic hepatitis B
    No intervention. The clinical data of patients (including demographic information, details of antiviral therapy, imaging and laboratory testings) will be collected and analyzed.
  • chronic hepatitis C
    No intervention. The clinical data of patients (including demographic information, details of antiviral therapy, imaging and laboratory testings) will be collected and analyzed.
Publications *
  • Maucort-Boulch D, de Martel C, Franceschi S, Plummer M. Fraction and incidence of liver cancer attributable to hepatitis B and C viruses worldwide. Int J Cancer. 2018 Jun 15;142(12):2471-2477. doi: 10.1002/ijc.31280. Epub 2018 Feb 9.
  • Polaris Observatory Collaborators. Global prevalence, treatment, and prevention of hepatitis B virus infection in 2016: a modelling study. Lancet Gastroenterol Hepatol. 2018 Jun;3(6):383-403. doi: 10.1016/S2468-1253(18)30056-6. Epub 2018 Mar 27. Review.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: July 18, 2019)
10000
Original Estimated Enrollment Same as current
Estimated Study Completion Date August 1, 2029
Estimated Primary Completion Date August 1, 2024   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  1. Informed consent of patients.
  2. Evidence of persistent virus infection for greater than six months [hepatitis C virus(HCV) RNA positive, hepatitis B surface antigen(HBsAg) or hepatitis B virus(HBV) DNA positive]

Exclusion Criteria:

  1. Serious psychiatric history, especially depression.

    • Severe mental illness is defined as major depression or psychosis, suicide attempts, hospitalization due to mental illness or a period of disability due to mental illness.
  2. Patients with serious diseases of heart, lung, kidney, brain, blood and other important organs.
  3. Patients with malignant tumors (excluding those cured).
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years to 75 Years   (Adult, Older Adult)
Accepts Healthy Volunteers Not Provided
Contacts
Contact: Yiqi Yu, Doctor 13601637563 ext 02152887969 yyq19890619@126.com
Listed Location Countries China
Removed Location Countries  
 
Administrative Information
NCT Number NCT04025944
Other Study ID Numbers KY2019-RWS(CVH)
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No
IPD Sharing Statement
Plan to Share IPD: Undecided
Responsible Party Wen-hong Zhang, Huashan Hospital
Study Sponsor Huashan Hospital
Collaborators Not Provided
Investigators
Study Chair: Wenhong Zhang, Professor Huashan Hospital
PRS Account Huashan Hospital
Verification Date July 2019