Effect of Babao Dan Capsule Combined With Antiviral Therapy on the Incidence of Hepatocellular Carcinoma in Patients With Hepatitis B-related Cirrhosis

This study aims to establish a prospective, multicenter, randomized, double-blind, placebo-controlled parallel-group clinical trial cohort. The cohort will include high-risk populations for hepatitis B cirrhosis-related hepatocellular carcinoma (HCC) from multiple centers nationwide, who meet the criteria of traditional Chinese medicine syndrome differentiation as Shi-re-du-yun syndrome and have an aMAP score \>60 points. The objective is to evaluate whether combining Babao Dan Capsule with standard anti-hepatitis B virus therapy can further reduce the incidence of HCC in this high-risk population.

Inclusion Criteria: 1. Voluntarily signed informed consent form 2. Aged 18-65 years 3. Traditional Chinese Medicine (TCM) syndrome type of Shi-re-du-yun 4. Meeting the diagnostic criteria for hepatitis B-related cirrhosis 5. aMAP score \> 60 Exclusion Criteria: 1. Previously diagnosed with or treated for hepatocellular carcinoma (HCC) or other malignancies 2. Pregnant or lactating women 3. Decompensated cirrhosis (e.g., presence of obvious ascites, hepatic encephalopathy, or gastrointestinal bleeding) 4. Concomitant liver diseases, including but not limited to hepatitis C virus infection, human immunodeficiency virus infection, alcoholic liver disease, autoimmune liver disease, or drug-induced liver injury 5. Severe cardiac, renal, respiratory, or hematopoietic system diseases 6. Determined by the investigator to be unsuitable for participation in this trial