Entecavir 0.5 mg vs 1.0 mg daily in adults with HBV-related decompensated cirrhosis
Official title: Comparison of Viral Suppression With 0.5 mg and 1.0 mg Daily Doses of Entecavir in Decompensated HBV Cirrhosis of Liver
Run by Bangladesh Medical University · NCT07816094 · Data updated 2026-11-12
This trial tests whether 0.5 mg or 1.0 mg of entecavir once daily can better lower HBV DNA in adults with HBV-related decompensated cirrhosis over 24 weeks.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 48 (estimated) |
| Sponsor | Bangladesh Medical University Academic / other |
| Locations | 1 site (Dhaka, Dhaka Division) |
| Status | Recruiting |
| Started | January 1, 2026 |
| Main results expected | January 19, 2027 |
| Study ends | January 19, 2027 |
| Registry record updated | September 11, 2026 |
| Trial ID | NCT07816094 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years and older with HBV-related decompensated cirrhosis and detectable HBV DNA, without hepatocellular carcinoma or coinfections.
✕Probably not a fit
Patients with hepatocellular carcinoma at baseline, coinfection with HCV, ongoing antiviral therapy, other cirrhosis etiologies, or known entecavir hypersensitivity may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, open-label study comparing two daily doses of entecavir in adults with HBV-related decompensated liver cirrhosis. A total of 48 participants will be assigned equally to the 0.5 mg and 1.0 mg groups and followed for 24 weeks. The primary endpoint is the change in serum HBV DNA at week 24, with secondary outcomes including changes in Child-Pugh and MELD scores, HBeAg seroconversion, progression of hepatic decompensation, incidence of hepatocellular carcinoma, and overall safety. Eligible participants are adults with HBV-related decompensation, detectable HBV DNA, and no evidence of hepatocellular carcinoma or co-infections.
Why it matters
Potential benefit: If successful, the study could identify which dose provides effective viral suppression with acceptable safety for patients with advanced liver disease.
How similar studies have gone: Previous studies in HBV treatment have shown dose-specific antiviral effects in compensated disease, but data in decompensated cirrhosis are limited, making this approach largely exploratory for this population.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age: 18 years or older. 2. HBV-related decompensated cirrhosis of liver based on clinical, biochemical and radiological evidence. 3. Detectable level of HBV DNA irrespective of HBeAg status. Exclusion Criteria: 1. Clinical, biochemical, or radiological evidence of hepatocellular carcinoma. 2. Coinfection with HCV. 3. Patient is ongoing antiviral treatment. 4. Cirrhosis due to other causes. 5. Acute-on-chronic liver failure, defined according to the criteria established by APASL. 6. Pregnancy. 7. Patients with known hypersensitivity or allergy to Entecavir.
Where it's running
-
Bangladesh Medical university
Dhaka, Dhaka Division, Bangladesh Recruiting
Study contacts
- Study coordinator: Hanif Uddin, MBBS
- Email: mdhanifuddin173@gmail.com
- Phone: +8801710099830
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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.