Adjuvant Entecavir or Tenofovir for Postoperative HBV-HCC
Study Details
Study Description
Brief Summary
This study aims to compare the effect of antiviral therapy with entecavir or tenofovir for hepatitis B virus-related hepatocellular carcinoma after radical hepatectomy. Included patients will randomly divide into two groups.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 3 |
Detailed Description
Hepatocellular carcinoma (HCC) is associated with a poor prognosis, and its incidence has increased dramatically in many countries. Hepatectomy is a radical therapy for early-stage HCC. However, even after radical resection, the prognosis for HCC patients remains discouraging because of the high recurrence rate and frequent incidence of intrahepatic metastasis. Therefore, preventing HCC recurrence is very important.
Hepatitis B virus (HBV) infection is the major risk factor for HCC development in China. Some retrospective studies have shown that tenofovir or entecavir treatment for HBV-related HCC patients can effectively reduce the HCC recurrence rate and increase the survival rate after hepatectomy. However, which drug has more efficacy has not been addressed.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Entecavir Patients will be received entecavir (10 mg/d) after 3 days of liver resection. |
Drug: Entecavir
Patients will be received entecavir (10 mg/d) before liver resection.
Other Names:
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Active Comparator: Tenofovir Patients will be received tenofovir (1#/d) after 3 days of liver resection. |
Drug: Tenofovir
Patients will be received tenofovir before liver resection.
|
Outcome Measures
Primary Outcome Measures
- overall survival [1-year]
Secondary Outcome Measures
- Recurrence rate [1-year]
Other Outcome Measures
- Perioperative reactivation of hepatitis B virus replication [1-month]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Underwent hepatic resection.
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Diagnosis of HCC was confirmed by postoperative histopathology.
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Positive of HBsAg, HBeAg, or HBV DNA.
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Child-Pugh A or B liver function.
Exclusion Criteria:
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Anti-HCV(+)
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Diagnosis of HCC was not confirmed by postoperative histopathology of surgical samples after surgery.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Hepatobilliary Surgery, Affiliated Tumor of Guangxi University | Nanning | Guangxi | China | 530021 |
Sponsors and Collaborators
- Guangxi Medical University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- AEVT-HCC