Therapeutic Hepatitis B Vaccine (Mimogen-based) Joint Entecavir in Treating Chronic Hepatitis B Patients
Chronic Hepatitis B
About this trial
This is an interventional treatment trial for Chronic Hepatitis B focused on measuring Therapeutic HBV Vaccine, Chronic Hepatitis B, HBeAg positive, HBV-specific Cytotoxic T Lymphocyte
Eligibility Criteria
Inclusion Criteria:
- Aged 18-65 years, male or female;
Conforming to diagnosis standard of chronic hepatitis B according to " 2005 Guideline for Prevention and Treatment of Hepatitis B " , (with positive HBsAg for more than 6 months), never have systemic treatment of anti-HBV viral ,and
- HBV-DNA ≥ 1.72×10^4 IU/ml;
- HBeAg (+), HBeAb (-);
- ALT within 2 to 10 times of ULN (upper limits of normal);
- HLA-A2 positive;
Compensatory liver disease having following hematological and biochemical parameters:
- WBC ≥ 3.5×10^9/L;
- ANC ≥ 1.5×10^9/L;
- PLT ≥ 80×10^9/L;
- Hb ≥ 100g/L;
- TBil ≤ 1.5 ULN;
- ALB not lower than low limit of normal value;
- BUN no more than high limit of normal value;
- Cr ≤ 1.5 ULN high limit of normal value;
- PT elongation ≤ 3 sec, APTT in normal value;
- Fasting blood glucose ≤ 7.0mmol/L;
- TSH in normal value;
- AFP test result no more than high limit of normal value;
- Take effective contraception for subject with child-bearing potential (including females and female partners of males);
- Understand and sign ICF approved by EC;
- Willing to comply with the study procedures and complete the study.
Exclusion Criteria:
- Antibodies of HCV, HDV or HIV is positive;
- ANA titer > 1:100;
- Decompensated liver disease (such as gullet and pylorus varicose veins, hepatic encephalopathy);
Have the following illness or with severe disease inappropriate to participate in the study in the view of the investigator, in cardiovascular system: instable or significant cardiovascular illness such as angina pectoris, heart attack of myocardial infarction, congestive heart failure, severe hypertension, significant arrhythmia or abnormal ECG etc;
- Respiratory system: bronchiectasia, bronchial asthma, chronic obstructive pulmonary disease, respiratory failure, etc;
- Endocrine, metabolism diseases: diabetes mellitus, uncontrolled thyroid diseases, etc;
- Others: autoimmune disorder, active tuberculosis, malignancies (e.g.: tumor), neuropathic, metal, acute or chronic pancreatitis illness history, etc.
- Have used anti-HBV drug ( Interferon, Lamivudine, Adefovir Dipivoxil, Entecavir and Telbivudine ) and immunomodulator ( Thymic peptide, etc ) to the administration of study medication;
- Have allergic diathesis or have suspected allergy to εPA-44;
- Female in pregnancy, lactation or those who plan to pregnancy during the course of the study;
- Have history of alcohol abuse (Alcohol consumption for more than 5 years, with daily consumption over 40g for males and over 20g for females) and known drug dependence;
- Have history of organ transplantation (except corneal transplantation and hair transplantation);
- Have participated in any other drug clinical investigations within 3 months;
- Any other factors inappropriate for enroll in the study or study completion in the view of the investigator.
Sites / Locations
- The First Affiliated of Anhui Medical University
- Beijing Youan Hosptial,Capital Medical University
- The Third People's Hosptial of Shenzhen
- Renmin Hosptial of Wuhan University
- The Second Xiangya Hospital of Central South University
- Xiangya Hospital Central South University
- 81th Hospital of PLA
- Jiangsu Province Hospital
- The Second Hospital of Nanjing
- TangDu Hospital
- First Affiliated Hospital of Kunming Medical University
- The First Affiliated Hospital of Zhejiang University
- The First Affiliated Hospital of Wenzhou Medical University
- 302 Militray Hosptial of China
- Southwest Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Therapeutic HBV vaccine+Entecavir
placebo+Entecavir
Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 and Oral intake entecavir 0.5mg per day.
Placebo comparator: Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 and Oral intake entecavir 0.5mg per day.