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For HBeAg (+) hepatitis B patients who have been treated by entecavir for 48 weeks but without HBeAg loss, switching to peg-interferon may increase the response rate. In the investigators study, patients were divided into two groups. In Group A, patients continued entecavir for another 72 weeks. In Group B, patients switched to peg-interferon-2a monotherapy for 48 weeks, then followed up 24 weeks.
For HBeAg positive hepatitis B patients who have been treated by entecavir for 48 weeks but without HBeAg loss, switching to peg-interferon may increase the response rate. In our study, patients without HBeAg loss to 48 weeks entecavir treatment were divided into two groups. In Group A, patients continued entecavir for another 72 weeks. In Group B, patients switched to peg-interferon-2a monotherapy for 48 weeks, then followed up 24 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| entecavir | Active Comparator | patients continue to use entecavir |
|
| peg-interferon | Experimental | patients switch to sequential peg-interferon α-2a |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Entecavir | Drug | entecavir 0.5mg per day |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| HBeAg sericonversion rate | 72 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| HBeAg loss rate | 72 weeks | |
| HBeAg quantification dynamic change | 72 weeks | |
| HBsAg loss rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Zhiliang Gao | The Third Affliated Hospital of Sun Yat-sen University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Third Affliated Hospital of Sun Yat-sen University | Guangzhou | Guangdong | China |
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| ID | Term |
|---|---|
| D006509 | Hepatitis B |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D018347 | Hepadnaviridae Infections |
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| ID | Term |
|---|---|
| C413685 | entecavir |
| C100416 | peginterferon alfa-2a |
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| Peginterferon alfa-2a | Drug | Peginterferon alfa-2a 180ug per week |
|
|
| 72 weeks |
| HBsAg seroconversion rate | 72 weeks |
| HBsAg quantification dynamic change | 72 weeks |
| ALT normalization rate | 72 weeks |
| D004266 |
| DNA Virus Infections |
| D014777 | Virus Diseases |
| D006525 | Hepatitis, Viral, Human |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |