DNA-EVAL: Evaluation of cccDNA and Total HBV DNA Kinetics in Lymphocytes, Total Blood and Serum in Chronic Hepatitis B Patients Treated With Adefovir Dipivoxil and Peg Interferon Alpha 2a
Study Details
Study Description
Brief Summary
Serum HBV DNA is a referent but insufficient marker of therapeutic follow-up in chronic hepatitis B treatment. Intra hepatic cccDNA disappearance reflects HBV eradication in the liver.
Intra lymphocyte cccDNA could be a new marker of HBV eradication after treatment.
The major interest of this marker is that it can be measured by a simple blood test instead of a liver biopsy.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
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Studying intra lymphocyte and blood cccDNA: before inclusions, D0 then each month during the first three months each three months during treatment and follow-up.
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Viral kinetics:Before inclusions, at D0, then monthly till the end of treatment and follow-up: Evolution of quantitative viraemia in serum Evolution of quantitative viraemia in circulating lymphocytes Evolution of quantitative viraemia in total blood
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Studying viral genotypes
Study Design
Outcome Measures
Primary Outcome Measures
- Kinetic cccDNA [6 months]
Studying the kinetics of cccDNA in cells and whole blood
Eligibility Criteria
Criteria
Inclusion Criteria:
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Male and female patients >18 years of age and <70 years of age
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Patients AgHbs+ and AgHbe+ or AgHbe-, and B viral DNA >104 copies/ml PCR COBAS MONITOR
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Patients treated with adefovir dipivoxil and peg interferon alpha 2a
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Chronic liver disease consistent with chronic hepatitis B infection on a biopsy obtained within the past 24 months
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Naïve patients or patients having a relapse or a therapeutic failure after monotherapy lamivudine or interferon, or bitherapy interferon alpha-lamivudine
Exclusion Criteria:
- Co-infection HIV, HCV
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Service d'Hépato-gastroentérologie | Limoges | France | ||
2 | Service de Médecine Interne | Limoges | France | ||
3 | Service de Virologie | Limoges | France | ||
4 | Service des Maladies Infectieuses et Tropicales | Limoges | France |
Sponsors and Collaborators
- University Hospital, Limoges
- Hoffmann-La Roche
Investigators
- Principal Investigator: Véronique Loustaud-Ratti, MD, University Hospital, Limoges
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- I04002