Should older hepatitis b patients with normal ALT get antivirals? new study explores
NCT ID NCT07637214
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study followed 250 chronic hepatitis B patients over age 30 who had detectable virus but normal liver enzyme levels (ALT). All had never received antiviral treatment before. Researchers measured how many became virus-negative after 48 weeks of antiviral therapy, and how many normalized their ALT levels. The goal is to understand whether treating this group is beneficial.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- antiviral therapy (nucleoside analogues or interferon-α)
- What this could lead to
- If successful, this could help doctors decide whether to treat chronic hepatitis B patients who have normal liver enzyme levels, potentially preventing future liver damage.
- What could go wrong
- This is an observational study, not a controlled trial, so results may not prove cause and effect. The sample size is moderate, and findings may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
250 people
The number who actually took part.
- Started
-
Mar 2023
- Finished
-
Jun 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The research population is CHB patients who have never received antiviral treatment and come to Tongji hospital for consultation and reexamination.
- Ages
-
30 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. CHB patients over 30 years old ; 2. HBV DNA \>20IU/ml and ALT level ≤40U/L; 3. All of them have never received any antiviral treatment(including NAs and interferon-α)。 Exclusion Criteria: 1. pregnancy status; 2. Patients with compensated/decompensated cirrhosis and liver cancer have been diagnosed by imaging or other indicators; 3. HCV, HIV, EB virus/cytomegalovirus infection, schistosomiasis liver disease, drug-induced liver injury, autoimmune hepatitis and alcoholic liver disease; 4. Use immunosuppressants ; 5. Previous history of liver cancer, organ transplantation and alcoholism (male ≥30 g/d, female ≥20 g/d); 6. Insufficient follow-up time and imperfect clinical/laboratory informations; 7. Combined with other major diseases.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Tongji Hospital,Wuhan,Hubei
Wuhan, Hubei, 430000, China
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