German Acute Hepatitis B Study: a double-blind placebo-controlled randomised two-armed parallel-group phase IIb multi-centre trial

ISRCTN ISRCTN07772084
DOI https://doi.org/10.1186/ISRCTN07772084
EudraCT/CTIS number 2005-005987-94
Secondary identifying numbers N/A
Submission date
10/01/2007
Registration date
22/02/2007
Last edited
09/05/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Prof Hans Ludger Tillmann
Scientific

Universität Leipzig
Medizinische Klinik II
Philipp Rosenthal Str. 27
Leipzig
04103
Germany

Phone +49 (0) 341 9712231
Email hans.tillmann@medizin.uni-leipzig.de

Study information

Study designDouble-blind placebo-controlled randomised two-armed parallel-group phase IIb multi-centre trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleGerman Acute Hepatitis B Study: a double-blind placebo-controlled randomised two-armed parallel-group phase IIb multi-centre trial
Study acronymGAHB-Study
Study objectivesEarly intervention with the antiviral drug lamivudine leads to earlier recovery from acute hepatitis B
Ethics approval(s)Ethics committee of University Leipzig, approved on 29.11.2006, Bearbeitungs-Nr. 101-06 ff
Health condition(s) or problem(s) studiedAcute Hepatitis B
InterventionAdministration of lamivudine versus placebo
Intervention typeOther
Primary outcome measureTwo primary endpoints are to be considered:
1. Time until Bilirubin < 2 mg/dl
2. Time to hospital discharge
They are ranked according to their relevance and reliability
Secondary outcome measuresThe secondary endpoints are grouped into three categories according to their meaning:

1. Endpoints related to antiviral response:
1.1 Time to clear HBsAg (HBsAg negative)
1.2 In initially HBeAg positive patients: Time to clear HBeAg (HBeAG negative)
1.3 Rate of HBsAg positive patients at 6 and 12 months, respectively, after start of therapy
1.4 Time to first occurrence of anti-HBs
1.5 In initially HBeAg positive patients: Time to first occurrence of anti-HBe
1.6 Time to clear HBV-DNA (HBV-DNA below level of detection)

2. Endpoints related to liver function:
2.1 Time to normalisation of prothrombin time (Quick >=70% ), if initially abnormal
2.2 Time to normalisation of liver enzymes ALAT, ASAT (according to the appropriate reference levels of the central laboratory)
2.3 Rate of patients progressing to fulminant hepatitis

3. Patient related endpoints:
3.1 Rate of adverse and serious adverse events
3.2 For patients with ongoing employment relationship: time to end of absence from work
Overall study start date31/12/2006
Completion date31/12/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexNot Specified
Target number of participants140
Total final enrolment35
Key inclusion criteria1. Acute hepatitis
2. HBsAg positive
3. Compensated liver function (Quick > 50%)
4. Bilirubin > 5mg/dl (i.e. >85µmol/l)
5. ALAT > 10 times upper normal range
6. Age >= 18 years
7. Hospitalization caused by acute hepatitis
8. Time since diagnosis < 8 days
9. Written informed consent of the patient
Key exclusion criteria1. Known or obvious pre-existing liver disease
2. Ongoing interferon therapy or stop of interferon less than 3 months ago
3. Ongoing drug abuse
4. HIV positive
5. Anti-HCV or HCV-RNA positive
6. Anti-HDV positive
7. Renal insufficiency (creatinine >1.5mg/dl or 135µmol/l)
8. Pregnant or nursing women
9. Women with child bearing potential (< 2 years after last menstruation) without effective contraception
10. Use of oral contraception
11. Patient with transplanted organs
12. Any disease requiring immunosuppressive therapy, incl. cancer chemotherapy
13. Any acute infectious disease requiring administration of sulphonamide/ trimethoprim
14. Evidence of any other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates use of an investigational drug, or patient at high risk from treatment complications
15. Known hypersensitivity to any of the study drugs or its ingredients
16. Current or recent (within 30 days prior to start of trial treatment) treatment with another investigational drug or participation in another investigational trial
17. Expected low compliance (e.g. by travel distance to trial site)
Date of first enrolment31/12/2006
Date of final enrolment31/12/2009

Locations

Countries of recruitment

  • Germany

Study participating centre

Universität Leipzig
Leipzig
04103
Germany

Sponsor information

University of Leipzig (Germany)
University/education

Ritterstr. 26
Leipzig
04103
Germany

Phone +49 (0) 341 9712231
Email hans.tillmann@medizin.uni-leipzig.de
ROR logo "ROR" https://ror.org/03s7gtk40

Funders

Funder type

Government

The GAHB-Study is funded by a grant of the Bundesministerium für Bildung und Forschung Förderkennzeichen 01KG0507

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/10/2014 09/05/2019 Yes No

Editorial Notes

09/05/2019: Publication reference and total final enrolment added.