Detecting HBsAg Reversion in Hepatitis B Patients
Official title: Improved Sensitivity Detection of Serum HBsAg in Chronic Hepatitis B Patients Achieving Functional Cure and Its Association With HBsAg Reversion
Run by Huashan Hospital · NCT06550622 · Data updated 2026-11-12
This study is testing how well a new blood test can find if hepatitis B patients who have stopped treatment might have their virus levels come back after being cleared.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | Huashan Hospital Academic / other |
| Locations | 1 site (Shanghai, Shanghai Municipality) |
| Status | Recruiting |
| Started | August 10, 2024 |
| Main results expected | August 10, 2027 |
| Study ends | August 10, 2027 |
| Registry record updated | August 13, 2024 |
| Trial ID | NCT06550622 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are chronic hepatitis B patients who have achieved HBsAg loss and are HBsAg-negative by the Abbott's HBsAg Test.
✕Probably not a fit
Patients with advanced liver disease, such as cirrhosis or other chronic liver conditions, may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to evaluate the rate of HBsAg reversion in patients who have achieved HBsAg loss after treatment for chronic hepatitis B. It utilizes the HBsAg NEXT assay, which has improved sensitivity compared to the current ARCHITECT HBsAg assay. Patients who are HBsAg-negative will be monitored for 48 weeks after discontinuing treatment, and their HBsAg levels will be analyzed to determine the reversion rates. The study compares the effectiveness of the two assays in detecting HBsAg reversion.
Why it matters
Potential benefit: If successful, this study could lead to better monitoring and understanding of HBsAg reversion, potentially improving management strategies for chronic hepatitis B patients.
How similar studies have gone: While there have been studies on HBsAg detection, this approach using the HBsAg NEXT assay for reversion rates is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * HBsAg-negative by Abbott's HBsAg Test and HBeAg-negative; * Having serum specimens retained at baseline and at 48 weeks off treatment follow up; * Being willing to follow up regularly for 1 year. Exclusion Criteria: * Patients with hepatitis B cirrhosis in the compensated and decompensated stages: this includes patients with a clear history of cirrhosis (imaging or histological evidence) or Child-Pugh score ≥5 prior to NUC treatment, or who have had complications of the decompensated stage of cirrhosis, such as ascites, hepatic encephalopathy, or ruptured oesophago-gastric fundal varices bleeding; * Combined HAV, HCV, HDV, HEV, HIV infections, alcoholic liver disease, inherited metabolic liver disease, pharmacological liver disease, non-alcoholic fatty liver disease, autoimmune liver disease and other chronic liver diseases; * Primary hepatocellular carcinoma or those with AFP greater than 100 ng/ml at screening and imaging suggestive of possible malignant hepatic occupancy; or patients with AFP greater than 100 ng/ml for a sustained period of 3 months; * Patients with a combination of other malignant tumours (excluding those who have been cured); * Patients with severe diseases or uncontrolled disease * Those who are also participating in other clinical studies; * Patients deemed unsuitable by the investigator to participate in this study.
Where it's running
-
Fahong Li
Shanghai, Shanghai Municipality, China Recruiting
Study contacts
- Study coordinator: Fahong Li
- Email: minelihong@163.com
- Phone: 13524212580
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.