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Maternal Screening and Antiviral Therapy in Pregnant Women to Reduce Mother-to-infant Transmission of Hepatitis B Virus

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National Taiwan University

Status and phase

Unknown
Phase 4

Conditions

Hepatitis B Virus Infection

Treatments

Drug: Tenofovir Alafenamide

Study type

Interventional

Funder types

Other

Identifiers

NCT03695029
201010078M

Details and patient eligibility

About

To investigate the efficacy of using antiviral therapy in third trimester of pregnancy to reduce mother-to-infant HBV transmission, and to access the safety of such treatment for mothers and infants.

Full description

This is a multi-centered study conducted in 12-16 collaborative hospitals in Taiwan, using tenofovir as antiviral therapy to reduce mother-to-infant transmission. The study group recruited pregnant women at 2nd to 3rd trimester receive tenofovir disoproxil fumurate (TDF) 2011-2018, June, and receive tenofovir alafenamide (TAF) 2018-2021. Control group did not receive antiviral treatment. Both group receive mother and infant follow-up up to 12 months after delivery.

Enrollment

120 estimated patients

Sex

Female

Ages

20 to 40 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Women aged 20-45 years in 28 to 32 weeks of pregnancy
  • Positive HBsAg and HBeAg
  • Serum viral load above 6 log10 IU/mL

Exclusion criteria

  • Major systemic disease of the mother or fetus
  • Positive anti-HIV or anti-HCV
  • Under treatment of antiviral therapy
  • Pregnant woman whose ultrasonographic examination reveals congenital anomaly of the fetus
  • Pregnant woman whose amniocentesis reveals any genetic abnormality

Trial design

Primary purpose

Prevention

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

120 participants in 2 patient groups

treatment group
Experimental group
Description:
Pregnant women receiving tenofovir alafenamide 25 mg per day since 26-32 weeks of pregnancy to 2-4 weeks postpartum.
Treatment:
Drug: Tenofovir Alafenamide
control group
No Intervention group
Description:
control group receive no drug, only follow-up

Trial contacts and locations

1

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Central trial contact

Mei-Hwei Chang

Data sourced from clinicaltrials.gov

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