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Re-compensation and Its Clinical Characteristics in HBV Decompensated Cirrhosis

7. oktober 2021 opdateret af: Hong You, Beijing Friendship Hospital

Re-compensation and Its Clinical Characteristics in Treatment-naïve HBV Decompensated Cirrhosis on Antiviral Therapy

In this study, treatment-naïve HBV-related cirrhosis patients were retrospectively enrolled at the first episode of decompensation (ascites or variceal hemorrhage). Patients were followed up every 6 months until death /liver transplantation or for 5 years. Clinical data from medical records about past history, first decompensated events, second /further decompensated events, HCC, and death/ liver transplantation were retrospectively collected. In this retrospective study, the incidence of re-compensation and its clinical characteristics were mainly explored.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

In this study, treatment-naïve HBV-related cirrhosis patients were retrospectively enrolled at the first episode of decompensation (ascites or variceal hemorrhage). Patients were followed up every 6 months until death /liver transplantation or for 5 years. WBC, RBC, HGB, PLT, CRP, PT, PTA, INR, ALT, AST, TB, DB, ALB, GLO, ALP, GGT, CHE, BUN, Cr, Na, GLU, CHOL, TG, HDL-C, LDL-C, AFP, HBsAg, HBV-DNA, LSM, BUS, MRI/CT and gastroscope from medical records about past history, first decompensated events, second /further decompensated events, HCC, and death/ liver transplantation were retrospectively collected. This retrospective study aimed to explore the incidence of re-compensation and its clinical characteristics.

Undersøgelsestype

Observationel

Tilmelding (Forventet)

600

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Kina
    • Beijing
      • Beijing, Beijing, Kina, 100050
        • Beijing Friendship Hospital, Capital Medical University
        • Ledende efterforsker:
          • Hong You, Doctor
        • Kontakt:
        • Kontakt:
      • Beijing, Beijing, Kina, 10069
        • Beijing Youan Hospital, Capital Medical University
        • Kontakt:
        • Ledende efterforsker:
          • Zhongjie Hu
    • Hunan
      • Changsha, Hunan, Kina, 410011
        • Xiangya Hospital Central South University
        • Kontakt:
    • Inner Mongolia
      • Baotou, Inner Mongolia, Kina
        • The Second Affiliated Hospital of Baotou Medical Coll
    • Shandong
      • Jinan, Shandong, Kina, 250021
        • Shandong Provincial Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Chunqing Zhang, Docote
      • Qingdao, Shandong, Kina, 266000
        • The Affiliated Hospital of Qingdao University
        • Kontakt:
        • Ledende efterforsker:
          • Wei Rao, Docotr
    • Shanxi
      • Taiyuan, Shanxi, Kina, 030001
        • First Hospital of Shanxi Medical University
        • Kontakt:
        • Ledende efterforsker:
          • Yanqin Hao, Doctor
        • Ledende efterforsker:
          • Liaoyun Zhang, Doctor

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Sandsynlighedsprøve

Studiebefolkning

HBV-decompensated cirrhosis patients who occurred first decompensated events and initiated antiviral therapy within 3 months.

Beskrivelse

Inclusion Criteria:

  1. Ascites and/or variceal hemorrhage (VH) as the first decompensated events;
  2. Initiating antiviral therapy within 3 months of the first decompensated events;
  3. Clinical parameters were available at the first decompensated events, including PLT, ALT, ALB, TB, PT/INR, Cr, HBV DNA, BUS,

  4. Clinical outcomes were classified:

    1. Without further decompensation: medical records at year-1, year 2 to 4, and year-5 were available.
    2. With ≥ 2 episodes of decompensation: medical records for decompensation were available.

Exclusion Criteria:

  1. Hepatocellular carcinoma prior to /within 6 months of first decompensated events;
  2. Liver transplantation /death within 6 months of first decompensated events;
  3. complicated with other chronic liver diseases, including HCV, DILI, AIH, NAFLD, ALD.
  4. Any complication of severe heart, lung, kidney, brain, blood diseases or other severe systematic diseases;
  5. Pregnant women.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
early stage decompensation cohort
Patients occurred first decompensated events and initiating nucleoside analogs (NUCs) based treatment within 3 months were retrospectively included.
Andet: no intervention
This is a retrospective and observational study.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Cumulative incidence of re-compensation
Tidsramme: Year 5
Patients who did not occur further decompensation
Year 5

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Cumulative incidence of re-compensation
Tidsramme: Year 1, 2, 3, and 4
Patients who did not occur further decompensation
Year 1, 2, 3, and 4
Annual incidence of second decompensation
Tidsramme: Year 1, 2, 3, 4, and 5
Patients who occurred second decompensation
Year 1, 2, 3, 4, and 5
Cumulative incidence of liver-related death / liver transplantation
Tidsramme: Year 1, 2, 3, 4, and 5
Patients who died of decompensation
Year 1, 2, 3, 4, and 5
Cumulative incidence of HCC
Tidsramme: Year 1, 2, 3, 4, and 5
Patients who occurred HCC
Year 1, 2, 3, 4, and 5
Dynamic changes of Child-Pugh score in re-compensated and not re-compensated group
Tidsramme: Year 1, 2, 3, 4, and 5
Child-Pugh
Year 1, 2, 3, 4, and 5
Dynamic changes of MELD score in re-compensated and not re-compensated group
Tidsramme: Year 1, 2, 3, 4, and 5
MELD
Year 1, 2, 3, 4, and 5
Dynamic changes of APRI score in re-compensated and not re-compensated group
Tidsramme: Year 1, 2, 3, 4, and 5
APRI
Year 1, 2, 3, 4, and 5
Dynamic changes of FIB-4 score in re-compensated and not re-compensated group
Tidsramme: Year 1, 2, 3, 4, and 5
FIB-4
Year 1, 2, 3, 4, and 5
Dynamic changes of liver stiffness values measured by Transient Elastography in re-compensated and not re-compensated group
Tidsramme: Year 1, 2, 3, 4, and 5
Liver stiffness
Year 1, 2, 3, 4, and 5

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Beijing Friendship Hospital

Samarbejdspartnere

Xiangya Hospital of Central South University
Beijing YouAn Hospital
The Affiliated Hospital of Qingdao University
Shandong Provincial Hospital
The First Affiliated Hospital of Shanxi Medical University
The Second Affiliated Hospital of Baotou Medical College

Efterforskere

  • Ledende efterforsker: Hong You, Doctor, Beijing Friendship Hospita

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Forventet)

15. oktober 2021

Primær færdiggørelse (Forventet)

1. juni 2022

Studieafslutning (Forventet)

30. december 2022

Datoer for studieregistrering

Først indsendt

19. september 2021

Først indsendt, der opfyldte QC-kriterier

7. oktober 2021

Først opslået (Faktiske)

21. oktober 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

21. oktober 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. oktober 2021

Sidst verificeret

1. oktober 2021

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 2021-P2-224-01

Plan for individuelle deltagerdata (IPD)

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