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The Clinical Trial of the Anti Hepatitis B Placenta Transfer Factor Injection

Primary Purpose

HBeAg Positive Chronic Hepatitis B

Status
Unknown status
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Anti-HBV placenta transfer factor injection
Placebo
Sponsored by
Shineway Pharmaceutical Co.,Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HBeAg Positive Chronic Hepatitis B focused on measuring HBeAg positive chronic hepatitis B, HBeAg serum conversion rate, HBeAg serum disappearance rate, HBeAg and HBsAg titer

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. aged 18-65, sex not limited;
  2. patients with HBeAg positive chronic hepatitis B: Screening HBsAg positive for more than 6 months; screening HBeAg positive; screening serum HBV DNA≥1.0×105U/ml;
  3. 2 * ULN (2 times the upper limit of normal value) < ALT <10 * ULN (10 times the upper limit of normal value);;
  4. total bilirubin <51μmol/L;
  5. hepatitis B virus resistance gene sequencing negative;
  6. agree in the process of the study, do not participate in any other clinical studies or other anti HBV therapy;
  7. before the beginning of the study, understand and sign the informed consent form approved by the ethics committee, and cooperate to conduct clinical research according to the requirements for the study.

Exclusion Criteria:

  1. by the following evidences prompt suspected hepatocellular carcinoma: B ultrasound or imaging examination discover occupying lesion;B ultrasound normal but serum alpha fetoprotein (AFP) level has a continuous increasing trend; AFP > 100ng/ml, and after review, still so.
  2. with liver disease acute exacerbation cause a transient liver function decompensation disease or baseline with clinical performance of decompensated liver disease;
  3. serum creatinine ≥1.5mg/dl (≥130μmol/l);
  4. the serum amylase > 2 times the normal reference upper limit value;
  5. hemoglobin (male <100g/L, female <90g/L), white blood cell< 3.5* 109/L, platelet< 60 * 109/L;
  6. combined with infection of HCV (anti -HCV positive), HIV, anti -HAV IgM positive, anti -HDV IgM positive, anti -HEV IgM positive, anti -EBV IgM positive, anti -CMV IgM positive, autoimmune hepatitis(such as the titer of anti nuclear antibody> 1:160) or activite liver disease caused by other known or unknown reason;
  7. investigators consider that may interfere with the treatment,evaluation or compliance of the subjects, including any uncontrolled clinical significance of kidneys, heart, lungs, blood vessels, neurogenic, digestive system, metabolic diseases (diabetes, hyperthyroidism, adrenal disease), immune function disorder or tumor;
  8. subjects with a history of alcoholism or drug abuse,investigators consider the subjects cannot comply with this protocol or affect the results analysis;
  9. pregnancy,lactation or female subjects plan to conceive or the companions of male subjects plan to conceive during the study
  10. 6 months before the study medication used immunosuppressants,immunomodulators(thymosin alpha), cytotoxic drugs;
  11. 6 months before the study medication used anti HBV drug therapy (interferon, Lamivudine, Adefovir, Entecavir and Telbivudine, Tenofovir,etc);
  12. plan or have had liver transplantation;
  13. received other study drug treatment within 3 months prior to screening;
  14. drug allergy history or allergic for Nucleoside or Nucleotide drug;
  15. the subjects non compliance with the protocol or subjects exist any situation which investigators considered not suitable for participation in this study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Experimental Group

    Comparator Group

    Arm Description

    Anti-HBV Placenta Transfer Factor Injection: 2mg/4ml, intramuscular injection, the 0-24 week, once every other day; week 24-48, 2 times / week; entecavir tablets: 0.5mg/ tablet / time, daily bedtime fasting oral once, treatment course 96 weeks

    Physiological saline injection: 2mg/4ml, intramuscular injection,the 0-24 week, once every other day, week 24-48, 2 times / week; entecavir tablets: 0.5mg/ tablet / time, daily bedtime fasting oral once, treatment course 96 weeks

    Outcomes

    Primary Outcome Measures

    HBeAg serum conversion rate
    The HBeAg serum conversion rate of the Test Group and the Control Group after 48 weeks treatment

    Secondary Outcome Measures

    HBeAg serum conversion rate
    The HBeAg serum conversion rate of the Test Group and the Control Group for treatment week 24, week 72
    HBeAg disappearance rate
    The HBeAg disappearance rate of the Test Group and the Control Group for treatment week 24, week 48 and week 72
    HBV DNA titer
    The proportion of subjects for each observation point in HBV DNA titer decreased 2 logarithmic
    The proportion of subjects for the HBV DNA can not be detected
    The proportion of subjects for the HBV DNA can not be detected in treatment week 24, week 48 and week 72
    HBeAg and HBsAg titer
    The changes of HBeAg and HBsAg titer at each observation point
    The quantitative changes of anti -HBc
    The quantitative changes of anti -HBc in each observation point
    The variation of ALT
    The variation of ALT in each observation point
    The seroconversion rate of HBsAb and HBeAb
    The seroconversion rate of HBsAb and HBeAb in each observation point
    The resistance mutation rate of HBsAb and HBeAb
    The resistance mutation ncidence of HBsAb and HBeAb in each observation point
    The cumulative incidence of virologic breakthroughrate of HBsAb and HBeAb
    The cumulative incidence of virologic breakthroughrate of HBsAb and HBeAb in each observation point
    The changes of relative immune parameters of the transfer factor in peripheral blood(the number of T lymphocytes and the expression levels of cytokines)
    The changes of relative immune parameters of the transfer factor in peripheral blood

    Full Information

    First Posted
    March 10, 2015
    Last Updated
    April 5, 2015
    Sponsor
    Shineway Pharmaceutical Co.,Ltd
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02412319
    Brief Title
    The Clinical Trial of the Anti Hepatitis B Placenta Transfer Factor Injection
    Official Title
    The Efficacy and Safety of the Anti Hepatitis B Placenta Transfer Factor Injection in the Treatment of HBeAg Positive Chronic Hepatitis B, Randomized, Double Blind, Placebo Controlled, Multi Center Clinical Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2015
    Overall Recruitment Status
    Unknown status
    Study Start Date
    October 2014 (undefined)
    Primary Completion Date
    December 2016 (Anticipated)
    Study Completion Date
    December 2017 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Shineway Pharmaceutical Co.,Ltd

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Asses the efficacy and safety of the Anti hepatitis B placenta transfer factor injection in the treatment of HBeAg positive chronic hepatitis B.
    Detailed Description
    This study using entecavir tablets as basic therapy, is a randomized, double-blind, placebo-controlled multi center study, including the screening period (-4 weeks), baseline and treatment period (96 weeks). The treatment period of first 48 weeks, using entecavir tablets as basic treatment, placebo-controlled trials; the second 48 weeks, taking entecavir tablets alone, continue observation experiment.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    HBeAg Positive Chronic Hepatitis B
    Keywords
    HBeAg positive chronic hepatitis B, HBeAg serum conversion rate, HBeAg serum disappearance rate, HBeAg and HBsAg titer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    288 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Experimental Group
    Arm Type
    Experimental
    Arm Description
    Anti-HBV Placenta Transfer Factor Injection: 2mg/4ml, intramuscular injection, the 0-24 week, once every other day; week 24-48, 2 times / week; entecavir tablets: 0.5mg/ tablet / time, daily bedtime fasting oral once, treatment course 96 weeks
    Arm Title
    Comparator Group
    Arm Type
    Placebo Comparator
    Arm Description
    Physiological saline injection: 2mg/4ml, intramuscular injection,the 0-24 week, once every other day, week 24-48, 2 times / week; entecavir tablets: 0.5mg/ tablet / time, daily bedtime fasting oral once, treatment course 96 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Anti-HBV placenta transfer factor injection
    Intervention Description
    Anti-HBV Placenta Transfer Factor Injection: 2mg/4ml, intramuscular injection, the 0-24 week, once every other day; week 24-48, 2 times / week; entecavir tablets: 0.5mg/ tablet / time, daily bedtime fasting oral once, treatment course 96 weeks
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Intervention Description
    Physiological saline injection: 2mg/4ml, intramuscular injection,the 0-24 week, once every other day, week 24-48, 2 times / week; entecavir tablets: 0.5mg/ tablet / time, daily bedtime fasting oral once, treatment course 96 weeks
    Primary Outcome Measure Information:
    Title
    HBeAg serum conversion rate
    Description
    The HBeAg serum conversion rate of the Test Group and the Control Group after 48 weeks treatment
    Time Frame
    Week 48
    Secondary Outcome Measure Information:
    Title
    HBeAg serum conversion rate
    Description
    The HBeAg serum conversion rate of the Test Group and the Control Group for treatment week 24, week 72
    Time Frame
    Week 24, 72
    Title
    HBeAg disappearance rate
    Description
    The HBeAg disappearance rate of the Test Group and the Control Group for treatment week 24, week 48 and week 72
    Time Frame
    Week 24, 48 and 72
    Title
    HBV DNA titer
    Description
    The proportion of subjects for each observation point in HBV DNA titer decreased 2 logarithmic
    Time Frame
    Week-4, 0,12,24,48,72 and 96
    Title
    The proportion of subjects for the HBV DNA can not be detected
    Description
    The proportion of subjects for the HBV DNA can not be detected in treatment week 24, week 48 and week 72
    Time Frame
    Week 24, 48 and 72
    Title
    HBeAg and HBsAg titer
    Description
    The changes of HBeAg and HBsAg titer at each observation point
    Time Frame
    Week-4, 0,12,24,48,72 and 96
    Title
    The quantitative changes of anti -HBc
    Description
    The quantitative changes of anti -HBc in each observation point
    Time Frame
    Week-4, 0,12,24,48,72 and 96
    Title
    The variation of ALT
    Description
    The variation of ALT in each observation point
    Time Frame
    Week-4,24,48,72 and 96
    Title
    The seroconversion rate of HBsAb and HBeAb
    Description
    The seroconversion rate of HBsAb and HBeAb in each observation point
    Time Frame
    Week-4, 0,12,24,48,72 and 96
    Title
    The resistance mutation rate of HBsAb and HBeAb
    Description
    The resistance mutation ncidence of HBsAb and HBeAb in each observation point
    Time Frame
    Week-4, 0,12,24,48,72 and 96
    Title
    The cumulative incidence of virologic breakthroughrate of HBsAb and HBeAb
    Description
    The cumulative incidence of virologic breakthroughrate of HBsAb and HBeAb in each observation point
    Time Frame
    Week-4, 0,12,24,48,72 and 96
    Title
    The changes of relative immune parameters of the transfer factor in peripheral blood(the number of T lymphocytes and the expression levels of cytokines)
    Description
    The changes of relative immune parameters of the transfer factor in peripheral blood
    Time Frame
    Week 0, 12, 24, 48, 72, 96

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: aged 18-65, sex not limited; patients with HBeAg positive chronic hepatitis B: Screening HBsAg positive for more than 6 months; screening HBeAg positive; screening serum HBV DNA≥1.0×105U/ml; 2 * ULN (2 times the upper limit of normal value) < ALT <10 * ULN (10 times the upper limit of normal value);; total bilirubin <51μmol/L; hepatitis B virus resistance gene sequencing negative; agree in the process of the study, do not participate in any other clinical studies or other anti HBV therapy; before the beginning of the study, understand and sign the informed consent form approved by the ethics committee, and cooperate to conduct clinical research according to the requirements for the study. Exclusion Criteria: by the following evidences prompt suspected hepatocellular carcinoma: B ultrasound or imaging examination discover occupying lesion;B ultrasound normal but serum alpha fetoprotein (AFP) level has a continuous increasing trend; AFP > 100ng/ml, and after review, still so. with liver disease acute exacerbation cause a transient liver function decompensation disease or baseline with clinical performance of decompensated liver disease; serum creatinine ≥1.5mg/dl (≥130μmol/l); the serum amylase > 2 times the normal reference upper limit value; hemoglobin (male <100g/L, female <90g/L), white blood cell< 3.5* 109/L, platelet< 60 * 109/L; combined with infection of HCV (anti -HCV positive), HIV, anti -HAV IgM positive, anti -HDV IgM positive, anti -HEV IgM positive, anti -EBV IgM positive, anti -CMV IgM positive, autoimmune hepatitis(such as the titer of anti nuclear antibody> 1:160) or activite liver disease caused by other known or unknown reason; investigators consider that may interfere with the treatment,evaluation or compliance of the subjects, including any uncontrolled clinical significance of kidneys, heart, lungs, blood vessels, neurogenic, digestive system, metabolic diseases (diabetes, hyperthyroidism, adrenal disease), immune function disorder or tumor; subjects with a history of alcoholism or drug abuse,investigators consider the subjects cannot comply with this protocol or affect the results analysis; pregnancy,lactation or female subjects plan to conceive or the companions of male subjects plan to conceive during the study 6 months before the study medication used immunosuppressants,immunomodulators(thymosin alpha), cytotoxic drugs; 6 months before the study medication used anti HBV drug therapy (interferon, Lamivudine, Adefovir, Entecavir and Telbivudine, Tenofovir,etc); plan or have had liver transplantation; received other study drug treatment within 3 months prior to screening; drug allergy history or allergic for Nucleoside or Nucleotide drug; the subjects non compliance with the protocol or subjects exist any situation which investigators considered not suitable for participation in this study.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Guiqiang Wang, Doctor
    Organizational Affiliation
    Peking University First Hospital
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Maorong Wang, Doctor
    Organizational Affiliation
    China People's Liberation Army No. Eight One Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Zheling Wang, Doctor
    Organizational Affiliation
    Qingdao Infectious Diseases Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Zhiqiang zou, Doctor
    Organizational Affiliation
    Yantai Infectious Diseases Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Peili Zhao, Doctor
    Organizational Affiliation
    The Third Hospital of Qinhuangdao City
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Dexing Jia, Doctor
    Organizational Affiliation
    Weifang People's Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Zhenghua Zhao, Doctor
    Organizational Affiliation
    Tai'an Central Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Feng Gao, Doctor
    Organizational Affiliation
    Linyi People's Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Sikui Wang, Doctor
    Organizational Affiliation
    Liaocheng People's Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    lingdao Huo, Doctor
    Organizational Affiliation
    The Third People's Hospital of Taiyuan
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Yuping Ma, Doctor
    Organizational Affiliation
    Xi'an Eighth Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Hongxu Zhang, Doctor
    Organizational Affiliation
    Luohe Central Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Xu Zhang, Doctor
    Organizational Affiliation
    General Hospital of Ningxia Medical University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    The Clinical Trial of the Anti Hepatitis B Placenta Transfer Factor Injection

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