Diabetes drug may shield hepatitis b patients from liver failure
NCT ID NCT06364930
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This 5-year study tests whether dapagliflozin, a diabetes drug, can prevent serious liver complications in people with chronic hepatitis B and diabetes who already have early liver scarring. 412 participants will receive either dapagliflozin or a placebo daily. The goal is to see if the drug reduces the risk of liver cancer, fluid buildup, bleeding, or other liver-related events.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dapagliflozin
- What this could lead to
- If it works, this could show that dapagliflozin reduces the risk of serious liver problems like liver cancer or fluid buildup in people with hepatitis B and diabetes.
- What could go wrong
- This is a Phase 4 trial, so dapagliflozin is already approved for diabetes, but its benefit for liver complications is unproven. The 5-year study may not show a clear effect, and side effects are possible.
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.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 412 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Mar 2031
An estimate. End dates often move.
- Lead sponsor
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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.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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. Patients with chronic hepatitis B on ETV, TDF or TAF monotherapy for at least 12 months. 2. Known or newly diagnosed type 2 diabetes mellitus (T2D), defined as HbA1c ≥5.7% or fasting blood sugar ≥5.6 mmol/L, or random blood sugar ≥11.1 mmol/L, or 2 hours sugar after oral glucose tolerance test ≥7.8 mmol/L. 3. Stable use of anti-diabetic drugs in the last three months. 4. Presence of compensated advanced chronic liver disease (cACLD) with liver stiffness measurement \>10.0 kPa, or significant portal hypertension (spleen stiffness measurement \> 41.3 kPa), or presence any sign of portal hypertension (e.g. splenomegaly, ascites, varices) 5. Aged 18 years old or above. 6. Written informed consent obtained. Exclusion Criteria: 1. Patients with hepatitis C virus (HCV) infection as indicated by a positive antibody to HCV (anti-HCV) serology test. 2. Patients with history of cirrhotic complications or hepatocellular carcinoma 3. Patients with organ transplantation 4. Patients receiving a SGLT2i 5. Contraindications to SGLT2i due to renal insufficiency (GFR \< 45 mL/min/1.73m2) 6. Poor glycaemic control with HbA1c \>9.0% 7. Use of multiple anti-diabetic drugs (3 or more) 8. Change in anti-diabetic drugs in the last three months. 9. Serious medical illnesses or malignancy 10. Age \< 18 years 11. No patient consents
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Prince of Wales Hospital
RECRUITINGHong Kong, Hong Kong
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