The Investigation of Peginterferon Alfa-2a on the RFS of the Subjects With HCC Who Have Been Treated by Resection

Study Overview
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Brief Summary
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The current study is a prospective, randomized, open, multi-center investigation. The aim of current study is to investigate whether the Recurrence-free Survival Rate (RFS）of the hepatitis B related -hepatocellular carcinoma subjects who have been treated by resection can be improved by peginterferon alfa-2a

Detailed Description
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The subjects who have been treated by resection due to hepatocellular carcinoma (HCC) will be randomized into 2 groups: the subjects in group A will be treated by Nucleotide analogues (NAs)( ETV, 0.5mg，qd；tenofovir disoproxil fumarate(TDF)，300mg，qd；ADV，10mg，qd）for 96 weeks; the subjects in group B will be treated by peginterferon alfa-2a （135μg/week）combination with NAs (ETV\TDF\ADV)for 96 weeks.

Official Title
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A Prospective, Randomized, Multicenter, Open-label, Exploratory Study of Utilizing of Peginterferon Alfa-2a on the Relapse Rate of the Subjects With Hepatocellular Carcinoma Who Have Been Treated by Resection

Conditions
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Chronic Hepatitis b, Hepatic Carcinoma

Intervention / Treatment
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* Drug: ETV；TDF；ADV
* Drug: Peginterferon Alfa-2a


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female patients with age ≥18 and ≤70 years; Expected survival time >3 months; There should be evidences that chronic hepatitis B or hepatitis have been positive, hepatitis B virus (HBV) DNA detectable or undetectable, Alanine aminotransferase(ALT)<upper limit of normal (ULN) or ≥ULN； The patients have been treated by resection due to HCC; The characteristic of tumor should be:Barcelona Clinic Liver Cancer(BCLC): 0,A,B Child-Pugh scores:A Agree to participate in the study and sign the patient informed consent form. Exclusion Criteria: Patients that have been treated by live transplantation、chemoembolization、radiotherapy、chemotherapy、molecular targeted therapy and biotherapy before the resection; Patients that are treated by hepatotoxicity drugs 、immunosuppressant or adjuvant chemotherapy after the resection; Patients who be treated by transcatheter arterial chemoembolization(TACE) after resection; BCLC(Barcelona Clinic Liver Cancer):C、D before the resection; History or other evidence of malignant tumor: except by basal cell carcinoma or squamous cell carcinoma which are cured 、carcinoma in situs of cervix Allergic history to interferon; Co-infection with active hepatitis A, hepatitis C, hepatitis D and/or human immunodeficiency virus (HIV); History or other evidence of a medical condition associated with chronic liver disease other than viral hepatitis (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures, thalassemia); absolute neutrophil count(ANC)<1.5x 10^9/L or platelet count(PLT)<70x 10^9/L Creatinine over upper limit of normal; History of severe psychiatric disease, especially depression. Severe psychiatric disease is defined as major depression or psychosis that treated with antidepressant medication or a major tranquilizer at therapeutic doses respectively at any time prior to 3 months or any history of the following: a suicidal attempt hospitalization for psychiatric disease, or a period of disability due to a psychiatric disease; History of severe cardiac disease (e.g., New York Heart Association Functional Class III or IV, myocardial infarction within 6 months, ventricular tachyarrhythmias requiring ongoing treatment, unstable angina or other significant cardiovascular diseases); History of thyroid disease poorly controlled on prescribed medications; Evidence of severe retinopathy or clinically relevant ophthalmologic disorder; History of other severe disease or evidence of other severe disease or any other illness or conditions that the investigator believe that patients are not suitable to join in the study; Evidence of postoperative complications: infectious、bleeding, etc,. at baseline; or evidence of recurrence or metastasis at baseline; Child-Pugh scores :B、C Patients included in another trial or having been given investigational drugs within 12 weeks prior to screening; Other disease should exclusive considered by the investigator.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Group A<br>The subjects will be treated by NAs (ETV, 0.5mg，qd；TDF，300mg，qd；ADV，10mg，qd）for 96 weeks | Drug: ETV；TDF；ADV<br>* NAs<br>* Other names: entecavir;tenofovir disoproxil fumarate;adefovir;|
| Experimental: Group B<br>The subjects will be treated by peginterferon alfa-2a （135μg/week）combination with NAs(ETV\TDF\ADV) for 96 weeks. | Drug: ETV；TDF；ADV<br>* NAs<br>* Other names: entecavir;tenofovir disoproxil fumarate;adefovir;Drug: Peginterferon Alfa-2a<br>* peginterferon<br>* Other names: pegasys;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recurrence-free Survival Rate (RFS） | Number of subjects without Recurrence in the total subjects | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recurrence-free Survival Rate (RFS） | Number of subjects without Recurrence in the total subjects | 1 year | 
| Overall Survival Rate (OS） | Number of subjects with survival in the total subjects | 2 years | 
| Overall Survival Rate (OS） | Number of subjects with survival in the total subjects | 1 year |