Clinical trial Recruiting at 16 sites Observational Ages 18 to 80

Monitoring hepatitis B reactivation and antiviral side effects in people starting immunosuppressive treatment

Official title: Management and Monitoring of HBV Reactivation in Immunocompromised Patients in Turkey (REANT STUDY)

Run by Guven Health Group · NCT07529171 · Data updated 2026-11-12

This 4-year, multicenter project will follow adults with past hepatitis B exposure (anti-HBc IgG positive) who start antiviral prophylaxis with immunosuppressive therapy to see if the antivirals cause long-term bone, kidney, or metabolic problems.

More HBV trials

Quick facts

Study typeObservational
Ages18 Years to 80 Years
SexAll
Enrollment490 (estimated)
SponsorGuven Health Group
Academic / other
Locations16 sites (Adana and 15 other locations)
StatusRecruiting
StartedMarch 9, 2026
Main results expectedAugust 30, 2026
Study endsDecember 31, 2029
Registry record updatedAugust 4, 2026
Trial IDNCT07529171 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18 years or older) who are anti-HBc IgG positive and are candidates for immunosuppressive therapy and HBV prophylaxis are the ideal participants.

Probably not a fit

People without prior HBV exposure (anti-HBc negative), those not receiving antiviral prophylaxis, or individuals unable to attend regular follow-up visits are unlikely to benefit from this cohort.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The REANT Cohort is a 4-year prospective, multicenter cohort enrolling adults who are anti-HBc IgG positive and initiating HBV prophylaxis because of planned immunosuppressive therapy. Participants will undergo regular longitudinal assessments of bone mineral density, renal filtration and tubular function, and metabolic profiles, with data captured in a centralized e-CRF. The study will analyze relationships between specific antiviral agents, baseline comorbidities, and subsequent organ dysfunction over time. Each participating center aims to enroll approximately 35 patients with enrollment scheduled to finish by June 30, 2026.

Why it matters

Potential benefit: If successful, the study could clarify which antiviral approaches minimize long-term bone, kidney, and metabolic harm and help clinicians choose safer prophylaxis for patients on immunosuppression.

How similar studies have gone: Prior studies show antiviral prophylaxis prevents HBV reactivation and have reported renal and bone toxicity with certain agents, but prospective multicenter long-term cohort data specifically in immunosuppressed patients are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Aged 18 years or older
* Positive for Anti-HBc IgG
* Must be candidate for immunosuppressive therapy.

Exclusion Criteria:

* Voluntary Withdrawal
* Failure to attend follow-up visits

Where it's running

  • Cukurova University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Adana, Turkey (Türkiye)
    Recruiting
  • Ankara Gazi University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Ankara, Turkey (Türkiye)
    Recruiting
  • Bilkent City Hospital Department of Infectious Diseases and Clinical Microbiology
    Ankara, Turkey (Türkiye)
    Recruiting
  • Akdeniz University, Faculty of Medicine, Department of Infectious Diseases and Clinical Mİcrobiology
    Antalya, Turkey (Türkiye)
    Recruiting
  • Dicle University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Diyarbakır, Turkey (Türkiye)
    Recruiting
  • Diyarbakir, Memorial Hospital Department of Infectious Diseases and Clinical Microbiology
    Diyarbakır, Turkey (Türkiye)
    Recruiting
Show 10 more locations
  • Bolu Düzce University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Düzce, Turkey (Türkiye)
    Recruiting
  • Gaziantep University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Gaziantep, Turkey (Türkiye)
    Recruiting
  • Istanbul Haydarpaşa Numune Training and Research Hospital
    Istanbul, Turkey (Türkiye)
    Recruiting
  • Istanbul Sancaktepe Martyr Prof. Dr. İlhan Varank Training and Research Hospital
    Istanbul, Turkey (Türkiye)
    Recruiting
  • Ege University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Izmir, Turkey (Türkiye)
    Recruiting
  • Kocaeli University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Kocaeli, Turkey (Türkiye)
    Recruiting
  • Rize Recep Tayyip Erdogan University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Rize, Turkey (Türkiye)
    Recruiting
  • Samsun Ondokuz Mayıs University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Samsun, Turkey (Türkiye)
    Recruiting
  • Şanlıurfa Harran University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Sanliurfa, Turkey (Türkiye)
    Recruiting
  • Sivas Cumhuriyet University, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology
    Sivas, Turkey (Türkiye)
    Recruiting

Study contacts

  • Principal investigator: cigdem Mermutluoglu — Dicle University, Medical Faculty
  • Study coordinator: Cigdem Mermutluoglu, MD, Assoc. Prof.
  • Email: cigdemmermut@gmail.com
  • Phone: +905052252700

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.