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A Phase II Dose Response Study in Japan in Chronic Hepatitis B

Primary Purpose

Chronic Hepatitis B

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Entecavir
Sponsored by
Bristol-Myers Squibb
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis B

Eligibility Criteria

20 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Positive for HBsAg OR, negative for IgM core antibody and confirmation of chronic hepatitis B on liver biopsy,
  • Positive for HBeAg OR negative for HBeAg with positive HBeAb,
  • Documented HBV Viremia on 2 or more occasions: Viremia on sample drawn AND HBV DNA of ≥ 40 MEq/mL by Quantiplex assay at the screening visit

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    Entecavir (0.01 mg)

    Entecavir (0.1 mg)

    Entecavir (0.5 mg)

    Arm Description

    Outcomes

    Primary Outcome Measures

    Mean change from baseline in HBV DNA levels as measured by by PCR (log10 copies/mL)

    Secondary Outcome Measures

    Incidence of clinical adverse events and discontinuations due to adverse events in each entecavir group in comparison to lamivudine
    Incidence of laboratory abnormalities in each entecavir group in comparison to lamivudine
    HBV DNA as measured by PCR (log10 copies/mL) at Week 22 [to demonstrate non-inferiority of at least one dose of entecavir as compared with lamivudine]
    Proportion of subjects in each treatment group who achieve HBV DNA reduced by ≥2 log10 and/or below the limit of quantification (LOQ) (<400 copies/mL) as measured by PCR assay
    Proportion of subjects in each treatment group who achieve HBV DNA below the limit of detection (0.7 MEq/mL) of the Quantiplex branched DNA hybridization assay (Quantiplex assay)
    Proportion of subjects in each treatment group who achieve normalization of ALT (ALT <1.25 x UKN)
    Proportion of subjects in each treatment group who achieve loss of HBeAg at Week 22 among HBeAg-positive subjects at baseline
    Proportion of subjects in each treatment group who achieve seroconversion at Week 22 among of HBeAg-positive subjects at baseline
    Proportion of HBeAg-positive subjects at baseline who achieve responder status (defined as: HBV DNA <0.7 MEq/mL by the Quantiplex assay; loss of HBeAg and normal serum ALT)
    Proportion of HBeAg-negative subjects at baseline who achieve responder status (defined as HBV DNA <0.7 MEq/mL by the Quantiplex assay and normal serum ALT)
    Incidence of genotypic resistance of HBV isolates in subjects who have a ε 1 log10 increase in HBV DNA as measured by PCR assay after achieving the lowest value while on study drug
    Relationship of HBV isolates (genotypes A, B, C etc) at baseline compared to response

    Full Information

    First Posted
    November 30, 2009
    Last Updated
    January 29, 2010
    Sponsor
    Bristol-Myers Squibb
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01022801
    Brief Title
    A Phase II Dose Response Study in Japan in Chronic Hepatitis B
    Official Title
    A Phase II Study in Japan of the Safety and Antiviral Activity of Entecavir (BMS-200475) vs Lamivudine in Adults With Chronic Hepatitis B Infection
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2009
    Overall Recruitment Status
    Completed
    Study Start Date
    August 2003 (undefined)
    Primary Completion Date
    March 2005 (Actual)
    Study Completion Date
    March 2005 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Bristol-Myers Squibb

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    To demonstrate the dose response of entecavir in Japanese patients as measured by HBV DNA levels by PCR (log10 copies/mL) at Week 22

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    120 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Entecavir (0.01 mg)
    Arm Type
    Experimental
    Arm Title
    Entecavir (0.1 mg)
    Arm Type
    Experimental
    Arm Title
    Entecavir (0.5 mg)
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Entecavir
    Other Intervention Name(s)
    Baraclude, BMS-200475
    Intervention Description
    Capsule, P.O., 0.01, 0.1 or 0.5 mg, once daily for 24 weeks
    Primary Outcome Measure Information:
    Title
    Mean change from baseline in HBV DNA levels as measured by by PCR (log10 copies/mL)
    Time Frame
    at Week 22
    Secondary Outcome Measure Information:
    Title
    Incidence of clinical adverse events and discontinuations due to adverse events in each entecavir group in comparison to lamivudine
    Time Frame
    Through Week 24 (end of dosing) plus 5 days
    Title
    Incidence of laboratory abnormalities in each entecavir group in comparison to lamivudine
    Time Frame
    Through Week 24 (end of dosing) plus 5 days
    Title
    HBV DNA as measured by PCR (log10 copies/mL) at Week 22 [to demonstrate non-inferiority of at least one dose of entecavir as compared with lamivudine]
    Time Frame
    Week 22
    Title
    Proportion of subjects in each treatment group who achieve HBV DNA reduced by ≥2 log10 and/or below the limit of quantification (LOQ) (<400 copies/mL) as measured by PCR assay
    Time Frame
    Week 12, Week 22
    Title
    Proportion of subjects in each treatment group who achieve HBV DNA below the limit of detection (0.7 MEq/mL) of the Quantiplex branched DNA hybridization assay (Quantiplex assay)
    Time Frame
    Week 22
    Title
    Proportion of subjects in each treatment group who achieve normalization of ALT (ALT <1.25 x UKN)
    Time Frame
    Week 22
    Title
    Proportion of subjects in each treatment group who achieve loss of HBeAg at Week 22 among HBeAg-positive subjects at baseline
    Time Frame
    Baseline, Week 22
    Title
    Proportion of subjects in each treatment group who achieve seroconversion at Week 22 among of HBeAg-positive subjects at baseline
    Time Frame
    Week 22
    Title
    Proportion of HBeAg-positive subjects at baseline who achieve responder status (defined as: HBV DNA <0.7 MEq/mL by the Quantiplex assay; loss of HBeAg and normal serum ALT)
    Time Frame
    Week 22
    Title
    Proportion of HBeAg-negative subjects at baseline who achieve responder status (defined as HBV DNA <0.7 MEq/mL by the Quantiplex assay and normal serum ALT)
    Time Frame
    Week 22
    Title
    Incidence of genotypic resistance of HBV isolates in subjects who have a ε 1 log10 increase in HBV DNA as measured by PCR assay after achieving the lowest value while on study drug
    Time Frame
    Through Week 24
    Title
    Relationship of HBV isolates (genotypes A, B, C etc) at baseline compared to response
    Time Frame
    Week 22

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Positive for HBsAg OR, negative for IgM core antibody and confirmation of chronic hepatitis B on liver biopsy, Positive for HBeAg OR negative for HBeAg with positive HBeAb, Documented HBV Viremia on 2 or more occasions: Viremia on sample drawn AND HBV DNA of ≥ 40 MEq/mL by Quantiplex assay at the screening visit
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Bristol-Myers Squibb
    Organizational Affiliation
    Bristol-Myers Squibb
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Phase II Dose Response Study in Japan in Chronic Hepatitis B

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