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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT02585947
Other study ID # TenoCore
Secondary ID
Status Recruiting
Phase Phase 4
First received October 22, 2015
Last updated December 20, 2016
Start date November 2015
Est. completion date September 2018

Study information

Verified date December 2016
Source Seoul National University Hospital
Contact Yoon Jun Kim, M.D., Ph.D.
Phone 822-2072-3081
Email yoonjun@snu.ac.kr
Is FDA regulated No
Health authority South Korea: Ministry of Food and Drug Safety
Study type Interventional

Clinical Trial Summary

The objective of this study is to analyze factors affecting Hepatitis B Virus (HBV) reactivation in anti-HBc positive patients with Non-Hodgkin's lymphoma treated with rituximab and compare HBV reactivation rates by duration of prophylactic treatment with tenofovir to contribute to the establishment of an effective prevention strategy.


Description:

This study will be conducted in a randomized, open-label, multi-center design. On Day 1 of chemotherapy, approximately 90 subjects screened and determined eligible will be randomized to either Group A or Group B in a 1:1 manner for study participation.

- Group A: Upon the EOC, subjects will receive tenofovir 300mg for approximately 6 months (24 weeks) and undergo treatment and follow-up every 12 weeks for up to 72 weeks post chemotherapy.

- Group A: Upon the EOC, subjects will receive tenofovir 300mg for approximately 12 months (48 weeks) and undergo treatment and follow-up every 12 weeks for up to 72 weeks post chemotherapy.


Recruitment information / eligibility

Status Recruiting
Enrollment 90
Est. completion date September 2018
Est. primary completion date June 2018
Accepts healthy volunteers No
Gender Both
Age group 19 Years to 81 Years
Eligibility Inclusion Criteria:

1. Age of = 18 (Women must not be pregnant or breast-feeding; all females of childbearing potential must have a blood test or urine study during screening to rule out pregnancy. / A woman of childbearing potential must be using an adequate method of contraception to avoid pregnancy throughout the study and for up to 26 weeks after the last dose of tenofovir. / If the Investigator obtains information concerning the pregnancy of a female patient, the Investigator must terminate the study drug immediately in that patient, and report the information to IRB in the same manner as for SAE reporting)

2. CD 20 positive patients with Non-Hodgkin's lymphoma who are planned to receive anticancer treatment with rituximab based chemotherapy and A. ECOG performance status 0-2 B. Adequate renal function: serum creatinine level < 2 mg/dL (177 µmol/L) C. Adequate hematological function: hemoglobin = 9g/dL, absolute neutrophil count (ANC) = 1,500/µL, platelet count = 75,000/µL, unless abnormalities are due to bone marrow involvement by lymphoma D. Expected residual life = 6 months

3. Serum HBsAg negative, anti-HCV negative, but anti-HBc positive

4. ALT < 80IU/mL, serum bilirubin < 3.0mg/dL, unless abnormalities are due to liver involvement by lymphoma or tumor lysis syndrome

5. Individuals who were given and understood detailed explanations about this study, voluntarily decided to participate in the study, and provided written informed consent

Exclusion Criteria:

1. Child-Pugh class C

2. Other chronic liver diseases such as autoimmune hepatitis or Wilson's disease

3. Patient who has hypersensitivity to study drug

4. Patient who has galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption

5. Patient who is pregnant or on lactating. Or who has plans for pregnant or lactation during study period even the partner of the male patient

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention


Related Conditions & MeSH terms


Intervention

Drug:
Tenofovir
Anti-HBc positive patients with Non-Hodgkin's lymphoma planned to receive rituximab based chemotherapy will be randomized to either Group A or Group B in a 1:1 ratio and will be monitored every 12 weeks from the start of treatment for up to 72 weeks after the end of chemotherapy (EOC).

Locations

Country Name City State
Korea, Republic of Seoul National University Seoul

Sponsors (3)

Lead Sponsor Collaborator
Seoul National University Hospital Gilead Sciences, Konkuk University Hospital

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type Measure Description Time frame Safety issue
Primary HBV reactivation: defined as an increase in HBV DNA at least 10 folds from nadir or reappearance of HBsA or HBeAg in blood during treatment. after 48 week from the End of treatment No
Secondary Hepatitis flare: defined as elevation of HBV viral load more than 2,000IU/ml from the baseline or by the reappearance of HBsAg and elevation of ALT at least 100IU/ml from the baseline. after 48 week from the End of treatment No