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Safety and Antiviral Activity Study of Clevudine 30 mg QD in Patients With HBeAg(-) Chronic HBV

Primary Purpose

Hepatitis B

Status
Terminated
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Clevudine
Sponsored by
Bukwang Pharmaceutical
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis B

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients who were between 18 and 60, inclusive Patients with HBV DNA levels 1 x 105 copies/mL within 30 days of baseline. Patients who were documented to be HBsAg positive for > 6 months (documentation of positive HBsAg for the previous 6 months included previous laboratory reports showing HBsAg positive at least 6 month ago OR lab results showing IgM anti-HBc negative and IgG anti-HBc positive at screening). Patients who were HBeAg negative and HBeAb positive. Patients with ALT levels which were in the range of ≥1.2 and < 15 times the upper limit of normal (ULN) and bilirubin levels less than 2.0 mg/dL, prothrombin time of less than 1.7 (INR), a serum albumin level of at least 3.5 g/dL. Women of childbearing potential with a negative serum (β-HCG) pregnancy test taken within 14 days of starting therapy. Patients who were able to give written informed consent prior to study start and to comply with the study requirements. Exclusion Criteria: Patients who were currently receiving antiviral, immunomodulatory or corticosteroid therapy. Patients previously treated with lamivudine, lobucavir, famciclovir, adefovir or any other investigational nucleoside for HBV infection. Previous treatment with interferon that had ended less than 6 months prior to the screening visit. Patients with a history of ascites, variceal hemorrhage or hepatic encephalopathy. Patients coinfected with HCV, HDV or HIV. Patients with clinical evidence of liver mass or with alfa-fetoprotein > 50 ng/mL Patients who were pregnant or breast-feeding. Patients who were unwilling to use an "effective" method of contraception during the treatment period and for up to 3 months after cessation of therapy. For males, condoms should be used. Females had to be surgically sterile (via hysterectomy or bilateral tubal ligation) or post-menopausal or using at least medically acceptable barrier method of contraception (i.e. IUD, barrier methods with spermicide or abstinence) Patients with a clinically relevant history of abuse of alcohol or drugs. Patients with a significant gastrointestinal, renal, hepatic (decompensated), broncho-pulmonary, biliary diseases except asymptomatic GB stone, neurological, cardiovascular, oncologic or allergic disease. The patient with a benign tumor was excluded if judged by an investigator that the continuation of study would be interfered by benign tumor. Patients with creatinine clearance less than 60mL/min as estimated by the following formula: (140-age in years) (body weight [kg])/(72) (serum creatinine [mg/dL]) [Note: multiply estimates by 0.85 for women]

Sites / Locations

  • St. Mercy's Hospital
  • Kangbuk Samsung Hospital
  • Keimyumg University Dongsan Medical Center
  • Chonnam National University Hospital
  • Korea University Guro Hospital
  • Wonkwang University Hospital
  • Chonbuk National University Hospital
  • Seoul National University Hospital
  • Inha University Hospital
  • Yongdong Severance Hospital
  • Seoul Asan Medical Center
  • National Cancer Center
  • St. Holly Family Mary's Hospital
  • Pochon CHA University Hospital
  • Yeungnam University Medical Center
  • Gil Medical Center
  • Nowon Eulji Hospital
  • St. Vincent's Hospital
  • Pusan Paik Hospital
  • Pusan National University Hospital
  • Kosin Medical Center
  • KangNam St. Mary's Hospital
  • Severance Hospital
  • Seoul Paik Hospital
  • Samsung Medical Center
  • Korea University Anam Hospital
  • Ehwa Womans University Mokdong Hospital
  • Kangnam Sacred Heart Hospital
  • Soon Chun Hyang University Hospital
  • St. Mary's Hospital

Outcomes

Primary Outcome Measures

Efficacy:
Antiviral activity (change from baseline in HBV DNA (log 10))
Safety:
Laboratory tests
Adverse Events
Vital signs
ECG

Secondary Outcome Measures

Efficacy
Antiviral activity: proportion of patients with HBV DNA below the assay limit of detection (<4,700 copies/mL by Digene Hybrid Capture II assay)
Biochemical improvement (e.g. ALT normalization )

Full Information

First Posted
April 11, 2006
Last Updated
January 30, 2017
Sponsor
Bukwang Pharmaceutical
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1. Study Identification

Unique Protocol Identification Number
NCT00313274
Brief Title
Safety and Antiviral Activity Study of Clevudine 30 mg QD in Patients With HBeAg(-) Chronic HBV
Official Title
A Double-Blind, Randomized, Parallel, Placebo-Controlled Phase III Study to Evaluate the Safety and Antiviral Activity of Clevudine (L-FMAU) 30 mg QD in Patients With HBeAg Negative Chronic Hepatitis B
Study Type
Interventional

2. Study Status

Record Verification Date
April 2006
Overall Recruitment Status
Terminated
Study Start Date
July 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
December 2004 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Bukwang Pharmaceutical

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine safety and efficacy of 30mg daily dose of clevudine (L-FMAU) at 24 weeks of treatment in chronic HBV infected patients with HBeAg negative

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis B

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
80 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Clevudine
Primary Outcome Measure Information:
Title
Efficacy:
Title
Antiviral activity (change from baseline in HBV DNA (log 10))
Title
Safety:
Title
Laboratory tests
Title
Adverse Events
Title
Vital signs
Title
ECG
Secondary Outcome Measure Information:
Title
Efficacy
Title
Antiviral activity: proportion of patients with HBV DNA below the assay limit of detection (<4,700 copies/mL by Digene Hybrid Capture II assay)
Title
Biochemical improvement (e.g. ALT normalization )

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients who were between 18 and 60, inclusive Patients with HBV DNA levels 1 x 105 copies/mL within 30 days of baseline. Patients who were documented to be HBsAg positive for > 6 months (documentation of positive HBsAg for the previous 6 months included previous laboratory reports showing HBsAg positive at least 6 month ago OR lab results showing IgM anti-HBc negative and IgG anti-HBc positive at screening). Patients who were HBeAg negative and HBeAb positive. Patients with ALT levels which were in the range of ≥1.2 and < 15 times the upper limit of normal (ULN) and bilirubin levels less than 2.0 mg/dL, prothrombin time of less than 1.7 (INR), a serum albumin level of at least 3.5 g/dL. Women of childbearing potential with a negative serum (β-HCG) pregnancy test taken within 14 days of starting therapy. Patients who were able to give written informed consent prior to study start and to comply with the study requirements. Exclusion Criteria: Patients who were currently receiving antiviral, immunomodulatory or corticosteroid therapy. Patients previously treated with lamivudine, lobucavir, famciclovir, adefovir or any other investigational nucleoside for HBV infection. Previous treatment with interferon that had ended less than 6 months prior to the screening visit. Patients with a history of ascites, variceal hemorrhage or hepatic encephalopathy. Patients coinfected with HCV, HDV or HIV. Patients with clinical evidence of liver mass or with alfa-fetoprotein > 50 ng/mL Patients who were pregnant or breast-feeding. Patients who were unwilling to use an "effective" method of contraception during the treatment period and for up to 3 months after cessation of therapy. For males, condoms should be used. Females had to be surgically sterile (via hysterectomy or bilateral tubal ligation) or post-menopausal or using at least medically acceptable barrier method of contraception (i.e. IUD, barrier methods with spermicide or abstinence) Patients with a clinically relevant history of abuse of alcohol or drugs. Patients with a significant gastrointestinal, renal, hepatic (decompensated), broncho-pulmonary, biliary diseases except asymptomatic GB stone, neurological, cardiovascular, oncologic or allergic disease. The patient with a benign tumor was excluded if judged by an investigator that the continuation of study would be interfered by benign tumor. Patients with creatinine clearance less than 60mL/min as estimated by the following formula: (140-age in years) (body weight [kg])/(72) (serum creatinine [mg/dL]) [Note: multiply estimates by 0.85 for women]
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hyo-Suk Lee, MD. PhD
Organizational Affiliation
Seoul National University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
St. Mercy's Hospital
City
Bupyoung-dong
State/Province
Bupyoung-gu, Incheon
Country
Korea, Republic of
Facility Name
Kangbuk Samsung Hospital
City
Pyoung-dong
State/Province
Chongro-gu, Seoul
Country
Korea, Republic of
Facility Name
Keimyumg University Dongsan Medical Center
City
Jung-gu
State/Province
Daegu
Country
Korea, Republic of
Facility Name
Chonnam National University Hospital
City
Hak-1-dong
State/Province
Dong-gu, Gwangju-si
Country
Korea, Republic of
Facility Name
Korea University Guro Hospital
City
Seoul City
State/Province
Guro-gu
Country
Korea, Republic of
Facility Name
Wonkwang University Hospital
City
Iksan-City
State/Province
Jeonbuk
Country
Korea, Republic of
Facility Name
Chonbuk National University Hospital
City
Jeonju-city
State/Province
Jeonbuk
Country
Korea, Republic of
Facility Name
Seoul National University Hospital
City
Seoul
State/Province
Jongno-Gu
Country
Korea, Republic of
Facility Name
Inha University Hospital
City
Sinhung-dong
State/Province
Jung-gu, Incheon
Country
Korea, Republic of
Facility Name
Yongdong Severance Hospital
City
Dogok-dong
State/Province
Kangnam-gu, Seoul
Country
Korea, Republic of
Facility Name
Seoul Asan Medical Center
City
Pungnap-dong
State/Province
Kangnam-gu, Seoul
Country
Korea, Republic of
Facility Name
National Cancer Center
City
Ilsan-gu
State/Province
Kyounggi-do
Country
Korea, Republic of
Facility Name
St. Holly Family Mary's Hospital
City
Puch'onae
State/Province
Kyounggi-do
Country
Korea, Republic of
Facility Name
Pochon CHA University Hospital
City
Seongnam-gu
State/Province
Kyounggi-do
Country
Korea, Republic of
Facility Name
Yeungnam University Medical Center
City
Dae myoung-dong
State/Province
Nam-gu, Taegu
Country
Korea, Republic of
Facility Name
Gil Medical Center
City
Incheon
State/Province
Namdong-Gu
Country
Korea, Republic of
Facility Name
Nowon Eulji Hospital
City
Hagye 1-dong
State/Province
Nowon-gu, Seoul
Country
Korea, Republic of
Facility Name
St. Vincent's Hospital
City
Ji-dong
State/Province
Paldal-gu, Suwon
Country
Korea, Republic of
Facility Name
Pusan Paik Hospital
City
Gaegeum-dong
State/Province
Pusan
Country
Korea, Republic of
Facility Name
Pusan National University Hospital
City
Ami-dong
State/Province
Seo-gu, Pusan
Country
Korea, Republic of
Facility Name
Kosin Medical Center
City
Amnam-dong
State/Province
Seo-gu, Pusan
Country
Korea, Republic of
Facility Name
KangNam St. Mary's Hospital
City
Banpo-dong
State/Province
Seocho-gu, Seoul
Country
Korea, Republic of
Facility Name
Severance Hospital
City
Shinchon- dong
State/Province
Seodaemun-gu, Seoul
Country
Korea, Republic of
Facility Name
Seoul Paik Hospital
City
Jeo-dong
State/Province
Seoul
Country
Korea, Republic of
Facility Name
Samsung Medical Center
City
Ilwon-dong
State/Province
Songpa-gu, Seoul
Country
Korea, Republic of
Facility Name
Korea University Anam Hospital
City
Anam-dong
State/Province
Sungbuk-ku, Seoul
Country
Korea, Republic of
Facility Name
Ehwa Womans University Mokdong Hospital
City
Mokdong
State/Province
Yangcheon-gu, Seoul
Country
Korea, Republic of
Facility Name
Kangnam Sacred Heart Hospital
City
Daelim-dong
State/Province
Yongdeungpo-gu, Seoul
Country
Korea, Republic of
Facility Name
Soon Chun Hyang University Hospital
City
Hannam-dong
State/Province
Yongsan-gu, Seoul
Country
Korea, Republic of
Facility Name
St. Mary's Hospital
City
Seoul
State/Province
Yungdungpo-Gu
Country
Korea, Republic of

12. IPD Sharing Statement

Citations:
PubMed Identifier
17647293
Citation
Yoo BC, Kim JH, Kim TH, Koh KC, Um SH, Kim YS, Lee KS, Han BH, Chon CY, Han JY, Ryu SH, Kim HC, Byun KS, Hwang SG, Kim BI, Cho M, Yoo K, Lee HJ, Hwang JS, Kim YS, Lee YS, Choi SK, Lee YJ, Yang JM, Park JW, Lee MS, Kim DG, Chung YH, Cho SH, Choi JY, Kweon YO, Lee HY, Jeong SH, Yoo HW, Lee HS. Clevudine is highly efficacious in hepatitis B e antigen-negative chronic hepatitis B with durable off-therapy viral suppression. Hepatology. 2007 Oct;46(4):1041-8. doi: 10.1002/hep.21800.
Results Reference
derived

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Safety and Antiviral Activity Study of Clevudine 30 mg QD in Patients With HBeAg(-) Chronic HBV

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