DREAM-2: Standardising Care for Hepatitis Delta in the Netherlands
Study Details
Study Description
Brief Summary
Rationale: Hepatitis delta virus (HDV) is a defective RNA virus that requires presence of hepatitis B virus (HBV) to complete virion assembly and secretion. HBV-HDV coinfection ("hepatitis delta") has been associated with severe liver injury that may result in rapid progression to cirrhosis and hepatic decompensation, as well as a higher risk of liver cancer when compared to patients with HBV mono-infection. Given the low incidence of hepatitis D, experience in caring for individuals with hepatitis delta is limited and management practices vary.
Objective: Generate prospective follow-up data to increase our understanding of this rare disease.
Study design: Prospective observational cohort study spanning 5 years, during which we will collect standard clinical data as well as blood samples and quality of life questionnaires.
Study population: hepatitis delta patients aged ≥18 years Intervention (if applicable): not applicable Main study parameters/endpoints: Incidence of liver related events (liver cancer, (decompensation of) cirrhosis, liver transplantation) during follow-up and changes in markers of viral replication, inflammatory activity and liver stiffness over time.
Nature and extent of the burden and risks associated with participation, benefit and group relatedness: The risks associated with participation can be considered negligible and the burden can be considered minimal. The only additional action that the participants must perform are the filling out of two annual quality of life questionnaires, which are considered non-invasive, and collection of 10 ml blood during regular blood sample collections
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Hepatitis delta cohort hepatitis delta patients aged ≥18 years |
Outcome Measures
Primary Outcome Measures
- Prospective population based follow-up data [5 year]
Generate prospective population based follow-up data of a homogeneously managed hepatitis delta cohort
Eligibility Criteria
Criteria
Inclusion Criteria:
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Active hepatitis delta based on a positive anti-HDV and a positive HDV-RNA test
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Patients must be ≥18 years
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Written informed consent
Exclusion Criteria:
- None
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Erasmus Medical Center
- Maag Lever Darm Stichting
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 10022