Clinical trial Recruiting at 1 site Interventional Ages 18 to 65

Treatment for Hepatitis B with Nucleoside Analogues

Official title: Study on Therapeutic Effects and Safety of Nucleoside (Acid) Analogues Treatment in Patients With Chronic Hepatitis B With Normal Alanine Aminotransferase and Positive Hepatitis B Virus DNA: a Randomized Controlled Trial

Run by Third Affiliated Hospital, Sun Yat-Sen University · NCT04231565 · Data updated 2026-11-12

This study is testing if a new medication can help people with Hepatitis B who have normal liver enzyme levels and active virus to lower the virus in their body and protect their liver.

Quick facts

Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment200 (estimated)
SponsorThird Affiliated Hospital, Sun Yat-Sen University
Academic / other
Locations1 site (Guangzhou, Guangdong)
StatusRecruiting
StartedJune 4, 2020
Main results expectedJune 1, 2024
Study endsJuly 1, 2027
Registry record updatedMarch 1, 2024
Trial IDNCT04231565 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults aged 18 to 65 with positive Hepatitis B surface antigen and normal ALT levels.

Probably not a fit

Patients with other active liver diseases, malignancies, or those who have received antiviral treatment in the past six months 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 study investigates the efficacy and safety of nucleoside analogues in treating patients with Hepatitis B who have normal levels of Alanine Aminotransferase (ALT) and positive Hepatitis B virus DNA. The research aims to address the gap in current clinical guidelines, which do not recommend antiviral therapy for this patient group despite evidence linking viral replication to increased risks of cirrhosis and liver tumors. By using Tenofovir alafenamide Fumarate, the study seeks to reduce HBV viral load, minimize inflammation, and promote liver cell regeneration. The treatment is noted for its low adverse reaction rate, enhancing its safety profile.

Why it matters

Potential benefit: If successful, this treatment could significantly improve outcomes for patients with Hepatitis B by reducing the risk of severe liver complications.

How similar studies have gone: Previous studies have shown promise in using nucleoside analogues for Hepatitis B treatment, indicating a potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Positive hepatitis b surface antigen and hepatitis b antibody \> 0.5 year;
* Age from 18 to 65 years old;
* Serum Alanine Aminotransferase(ALT) ≤1×ULN at least 12 weeks;
* Positive Hepatitis b virus(HBV);
* Do not receive nucleotide/nucleoside analogues or interferon treatment in the past half year.

Exclusion Criteria:

* Other active liver diseases;
* Hepatocellular carcinoma or other malignancy;
* Pregnancy or lactation;
* Human immunodeficiency virus infection or congenital immune deficiency diseases; 5.Severe diabetes, autoimmune diseases; 6.Other important organ dysfunctions; 7.Using glucocorticoid; 8.Patients can not follow-up; 9.Investigator considering inappropriate.

Where it's running

  • Third Affiliated Hospital of Sun Yat-sen University
    Guangzhou, Guangdong, China
    Recruiting

Study contacts

  • Principal investigator: Liang Peng, Doctor — Third Affiliated Hospital, Sun Yat-Sen University
  • Study coordinator: Qiumin Luo, Doctor
  • Email: lqiumin@126.com
  • Phone: +8613632399075

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.