Chinese Herbal Medicine Combined with Entecavir for HBeAg Positive Chronic Hepatitis B: Study Protocol for a Multi-Center, Double-Blind Randomized-Controlled Trial
机构:[1]Institute of Liver Diseases, Beijing University of ChineseMedicine, Dongzhimen Hospital affiliated to Beijing Universityof Chinese Medicine, Beijing (100700), China[2]Departmentof Hepatology, Shenzhen Traditional Chinese MedicineHospital, Shenzhen, Guangdong Province (518033), China深圳市康宁医院深圳医学信息中心[3]Department of Hepatology, Guangdong Hospital ofTraditional Chinese Medicine, Guangzhou (510006), China[4]Department of Hepatology, Mengchao Hepatobiliary Hospital ofFujian Medical University, Fuzhou (350025), China[5]Departmentof Hepatology, Public Health Clinical Center of Chengdu, Chengdu(610066), China[6]Department of Hepatology, Liaoning Hospitalof Traditional Chinese Medicine, Shenyang (110032), China[7]Department of Hepatology, the First Affiliated Hospital ofGuangxi University of Chinese Medicine, Nanning (530023), China[8]Department of Hepatology, the Third People's Hospital ofShenzhen, Shenzhen, Guangdong Province (518112), China深圳市康宁医院深圳医学信息中心[9]Department of Hepatology, Beijing Ditan Hospital, Beijing(100015), China[10]Department of Hepatology, the Sixth People's Hospital of Shenyang, Shenyang (110006), China[11]Departmentof Hepatology, Shaanxi Hospital of Traditional Chinese Medicine,Xi'an (710003), China[12]Department of Hepatology, Shandong Hospital of Traditional Chinese Medicine, Jinan (250011), China[13]Department of Hepatology, the Second People's Hospital of Tianjin, Tianjin (300000), China[14]Department of Hepatology, Xixi Hospital of Hangzhou, Hangzhou (310023), China[15]Department of Hepatology, 302 Military Hospital of China, Beijing (100039), China[16]Department of Hepatology, the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin (300000), China
The domestic prevalence of chronic hepatitis B (CHB) in China is 7.18% in 2006, imposing great societal healthcare burdens. Nucleot(s)ide analogues (NUCs) anti-hepatitis B virus (HBV) therapies are widely applied despite the relatively low rate of seroconversion and high risk of drug-resistant mutation. More effective treatments for CHB deserve further explorations. Combined therapy of NUCs plus Chinese herbal medicine (CHM) is widely accepted in China, which is recognized as a prospective alternative approach. The study was primarily designed to confirm the hypothesis that Tiaogan-Yipi Granule (e degrees integral e,ec > Se"3/4e cent uc(2)', TGYP) or Tiaogan-Jianpi-Jiedu Granule (e degrees integral e,ea<yen>e"3/4e ae pound<overline>'e cent uc(2)', TGJPJD) plus entecavir tablet (ETV) was superior over ETV monotherapy in enhancing HBeAg loss rate. The study was a nationwide, large-scale, multi-center, double-blind, randomized, placebo-controlled trial with a designed duration of 108 weeks. A total of 16 hospitals and 596 eligible Chinese HBeAg positive CHB patients were enrolled from November 2012 to September 2013 and randomly allocated into 2 groups in 1:1 ratio via central randomization system: experimental group (EG) and control group (CG). Subjects in EG received CM formulae (TGYP or TGJPJD, 50 g per dose, twice daily) plus ETV tablet (or ETV placebo) 0.5 mg per day in the first 24 weeks (stage 1), and CHM granule plus ETV tablet (0.5 mg per day) from week 25 to 108 (stage 2). Subjects in CG received CHM Granule placebo plus ETV tablet (0.5 mg per day) for 108 weeks throughout the trial. The assessments of primary outcomes (HBV serum markers and HBV-DNA) were conducted by a third-party College of American Pathologists (CAP) qualified laboratory. Adverse effects were observed in the hospitals of recruitment. The study was designed to compare the curative effect of CM plus ETV and ETV monotherapy in respect of HBeAg loss, which is recognized by the European Association for the Study of the Liver as "a valuable endpoint". We believe this trial could provide a reliable status for patients' "journey" towards durable responses after treatment discontinuation. The trial was registered before recruitment on Chinese Clinical trial registry (No. ChiCTR-TRC-12002784, Version 1.0, 2015/12/23).
基金:
China National Science and Technology Major Projects 12th 5-year Plan [2012ZX10005004]
第一作者机构:[1]Institute of Liver Diseases, Beijing University of ChineseMedicine, Dongzhimen Hospital affiliated to Beijing Universityof Chinese Medicine, Beijing (100700), China
通讯作者:
推荐引用方式(GB/T 7714):
Ye Yong-an,Li Xiao-ke,Zhou Da-qiao,et al.Chinese Herbal Medicine Combined with Entecavir for HBeAg Positive Chronic Hepatitis B: Study Protocol for a Multi-Center, Double-Blind Randomized-Controlled Trial[J].CHINESE JOURNAL OF INTEGRATIVE MEDICINE.2018,24(9):653-660.doi:10.1007/s11655-018-3011-5.
APA:
Ye Yong-an,Li Xiao-ke,Zhou Da-qiao,Chi Xiao-ling,Li Qin...&Li Zhi-guo.(2018).Chinese Herbal Medicine Combined with Entecavir for HBeAg Positive Chronic Hepatitis B: Study Protocol for a Multi-Center, Double-Blind Randomized-Controlled Trial.CHINESE JOURNAL OF INTEGRATIVE MEDICINE,24,(9)
MLA:
Ye Yong-an,et al."Chinese Herbal Medicine Combined with Entecavir for HBeAg Positive Chronic Hepatitis B: Study Protocol for a Multi-Center, Double-Blind Randomized-Controlled Trial".CHINESE JOURNAL OF INTEGRATIVE MEDICINE 24..9(2018):653-660