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A Phase 1 Study of GC1102 (Recombinant Hepatitis B Immunoglobulin) in Chronic Hepatitis B Patients

Primary Purpose

Chronic Hepatitis B

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
GC1102
Sponsored by
Green Cross Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis B

Eligibility Criteria

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

Inclusion Criteria:

  • Patients with chronic hepatitis B or those who diagnosed with chronic hepatitis B carrier who given written informed consent.
  • Patients aged ≥19 and ≤ 65 years
  • If Naïve for the Nucleos(t)ide analogs therapy, HBeAg (-), HBsAg 1,000 IU/mL or less and HBV DNA 2,000IU/mL or less Or If currently receiving Nucleos(t)ide analogs therapy, HBeAg (±), HBsAg 1,000 IU/mL or less and HBV DNA (-: limit of detection of 60 IU/mL or less).

Exclusion Criteria:

  • Patients who currently involved or has participated in any other clinical trial within 30 days.
  • Patients co-infected with HAV, HCV or HIV
  • Patients with history of malignant tumor within 5 years except basal cell carcinoma of skin, cervical intraepithelial neoplasia.
  • Patients who have active infection except chronic hepatitis infection.
  • Patients with liver disease who had complications such as gastroesophageal variceal, ascites and hepatic encephalopathy.
  • Having eGFR 59 mL/min/1.73m2 or less with MDRD Evaluation phase (moderate reduction in GFR or more )
  • Having blood or protein 1+ or more by the urine analysis with microscopic examination.
  • Patients who have a clinically significant kidney disease including glomerulonephritis, anuria, acute renal failure, dialysis and renal transplantation.
  • Patients with Vasculitis.
  • Having leukocytes <3.0 x109/L
  • Having Absolute Neutrophil Count<1.5x109/L
  • Having platelet <750,000/mm3 during screening
  • Having hemoglobin <10g/dL
  • Having positive sign of serum cryoglobulin level.
  • Having serum anti-nuclear antibody (ANA) 1:160 or more
  • Patients who showed positive sign of serum perinuclear anti-Neutrophil Cytoplasmic Antibodies (p-ANCA).
  • Patients who showed positive sign of serum cytoplasmic anti-Neutrophil Cytoplasmic Antibodies (c-ANCA).
  • Patients who had history or be suspected of immune disease
  • Patients who had experienced cardiovascular attack, myocardiac infarction, heart failure, PTCA or coronary artery bypass, angina, arrhythmia, any other clinically meaningful valvular heart disease, cerebral infarction or cerebral hemorrhage within 6 months.
  • Patients who had history of anaphylaxis against the main component or subcomponent of study drug.
  • Patients who had been administered live vaccine parentally (measles vaccine, parotitis vaccine, rubella vaccine, cholera combined vaccine, varicella vaccine) within 3 months prior to the dosing of study drug.
  • Patients who had been received an immunosuppressant, immunity-modifying drug including interferon agents, cytotoxic chemotherapy that can affect their immune system, or radiation therapy within 3 months prior to the dosing of study drug
  • Patients who had been treated with any other immunoglobulin within 3 months prior to the dosing of study drug
  • Patients who had been treated with systemic steroid Therapy(more than 20 mg/day of prednisolone or its equivalence administered every day for more than 14 days, or more than 700 mg of a cumulative dose during the same period of time) within 3 months prior to the dosing of study drug (topical administration such as topical ointments, eye drops, inhalants or intranasal use, intra-articular injection, or tendon injection is acceptable; alternative-day treatment is acceptable even though administered for more than 14 days)
  • Women who showed positive sign of pregnancy test before administered study drug.
  • Those who do not agree to use appropriate contraceptive methods (condom, diaphoretic, an intrauterine device, oral contraceptive hormones, or a vasectomy of male sex partner) during the clinical trials.
  • Those who had experienced bleeding more 400ml or a blood donation within 8 weeks prior to the dosing of study drug.
  • Those who had been abused alcohol or any other drug within 6 months.
  • Those who are judged disqualified to join clinical trials by investigator for other clinically significant medical or psychiatric condition.

Sites / Locations

  • Severance Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

GC1102 80,000 IU(Single does)

GC1102 120,000 IU(Single does)

GC1102 180,000 IU(Single does)

GC1102 240,000 IU(Single does)

GC1102 80,000 IU(Multiple does)

GC1102 120,000 IU(Multiple does)

GC1102 180,000 IU(Multiple does)

GC1102 240,000 IU(Multiple does)

Arm Description

GC1102 80,000 IU(Single does) I.V.

GC1102 120,000 IU(Single does) I.V.

GC1102 180,000 IU(Single does) I.V.

GC1102 240,000 IU(Single does) I.V.

GC1102 80,000 IU(Multiple does) I.V.

GC1102 120,000 IU(Multiple does) I.V.

GC1102 180,000 IU(Multiple does) I.V.

GC1102 240,000 IU(Multiple does) I.V.

Outcomes

Primary Outcome Measures

Dose Limiting Toxicity after the administration of GC1102
Adverse events after the administration of GC1102
Clinical findings in physical examination, vital signs and clinical laboratory after the administration of GC1102

Secondary Outcome Measures

HBsAg sero-conversion rate from positive to negative after the administration of GC1102 till End of Study visit
Geometric mean titer of serum HBsAg at each measurement point after the administration of GC1102
Geometric mean titer of serum HBV DNA of each measurement point after the administration of GC1102
Occurrence rate of anti-GC1102 antibody
Occurrence rate of HBV DNA sequence changes after the administration of GC1102

Full Information

First Posted
October 5, 2015
Last Updated
October 13, 2017
Sponsor
Green Cross Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02569372
Brief Title
A Phase 1 Study of GC1102 (Recombinant Hepatitis B Immunoglobulin) in Chronic Hepatitis B Patients
Official Title
A Prospective, Open-label, Dose-escalation, Single-center, Phase I Trial to Explore the Tolerability, Safety and Pharmacokinetics/Pharmacodynamics of GC1102 (Recombinant Hepatitis B Human Immunoglobulin)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
November 9, 2015 (Actual)
Primary Completion Date
October 12, 2017 (Actual)
Study Completion Date
October 12, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Green Cross Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is SAD(Single Ascending Dose)/MAD(Multiple Ascending Dose) study to Explore the Tolerability, Safety and Pharmacokinetics/Pharmacodynamics of GC1102 (Recombinant Hepatitis B Human Immunoglobulin) in Chronic Hepatitis B Patients.
Detailed Description
GC1102 is a new recombinant hepatitis B human immunoglobulin. This study is composed with 2 Parts, Part A for SAD and Part B for MAD and total 4 dosing program which is escalated after confirming safety. Maximum 48 subjects will be participated in the study.

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 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
53 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GC1102 80,000 IU(Single does)
Arm Type
Experimental
Arm Description
GC1102 80,000 IU(Single does) I.V.
Arm Title
GC1102 120,000 IU(Single does)
Arm Type
Experimental
Arm Description
GC1102 120,000 IU(Single does) I.V.
Arm Title
GC1102 180,000 IU(Single does)
Arm Type
Experimental
Arm Description
GC1102 180,000 IU(Single does) I.V.
Arm Title
GC1102 240,000 IU(Single does)
Arm Type
Experimental
Arm Description
GC1102 240,000 IU(Single does) I.V.
Arm Title
GC1102 80,000 IU(Multiple does)
Arm Type
Experimental
Arm Description
GC1102 80,000 IU(Multiple does) I.V.
Arm Title
GC1102 120,000 IU(Multiple does)
Arm Type
Experimental
Arm Description
GC1102 120,000 IU(Multiple does) I.V.
Arm Title
GC1102 180,000 IU(Multiple does)
Arm Type
Experimental
Arm Description
GC1102 180,000 IU(Multiple does) I.V.
Arm Title
GC1102 240,000 IU(Multiple does)
Arm Type
Experimental
Arm Description
GC1102 240,000 IU(Multiple does) I.V.
Intervention Type
Biological
Intervention Name(s)
GC1102
Intervention Description
GC1102(Recombinant Hepatitis B Human Immunoglobulin)
Primary Outcome Measure Information:
Title
Dose Limiting Toxicity after the administration of GC1102
Time Frame
Part A: 4weeks, Part B: 7 weeks
Title
Adverse events after the administration of GC1102
Time Frame
Part A: 4weeks, Part B: 7 weeks
Title
Clinical findings in physical examination, vital signs and clinical laboratory after the administration of GC1102
Time Frame
Part A: 4weeks, Part B: 7 weeks
Secondary Outcome Measure Information:
Title
HBsAg sero-conversion rate from positive to negative after the administration of GC1102 till End of Study visit
Time Frame
Part A: 4weeks, Part B: 7 weeks
Title
Geometric mean titer of serum HBsAg at each measurement point after the administration of GC1102
Time Frame
Part A: 4weeks, Part B: 7 weeks
Title
Geometric mean titer of serum HBV DNA of each measurement point after the administration of GC1102
Time Frame
Part A: 4weeks, Part B: 7 weeks
Title
Occurrence rate of anti-GC1102 antibody
Time Frame
Part A: 4weeks, Part B: 7 weeks
Title
Occurrence rate of HBV DNA sequence changes after the administration of GC1102
Time Frame
Part A: 4weeks, Part B: 7 weeks
Other Pre-specified Outcome Measures:
Title
Ctrough for Part B
Time Frame
7 weeks
Title
Terminal elimination half-life (t½β)
Time Frame
Part A: 4weeks, Part B: 7 weeks
Title
Area under the time concentration curve from 0 to last and infinity (AUClast, AUC0-∞)
Time Frame
Part A: 4weeks, Part B: 7 weeks
Title
Maximum plasma concentration(Cmax)
Time Frame
Part A: 4weeks, Part B: 7 weeks
Title
Time to maximum plasma concentration (Tmax)
Time Frame
Part A: 4weeks, Part B: 7 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with chronic hepatitis B or those who diagnosed with chronic hepatitis B carrier who given written informed consent. Patients aged ≥19 and ≤ 65 years If Naïve for the Nucleos(t)ide analogs therapy, HBeAg (-), HBsAg 1,000 IU/mL or less and HBV DNA 2,000IU/mL or less Or If currently receiving Nucleos(t)ide analogs therapy, HBeAg (±), HBsAg 1,000 IU/mL or less and HBV DNA (-: limit of detection of 60 IU/mL or less). Exclusion Criteria: Patients who currently involved or has participated in any other clinical trial within 30 days. Patients co-infected with HAV, HCV or HIV Patients with history of malignant tumor within 5 years except basal cell carcinoma of skin, cervical intraepithelial neoplasia. Patients who have active infection except chronic hepatitis infection. Patients with liver disease who had complications such as gastroesophageal variceal, ascites and hepatic encephalopathy. Having eGFR 59 mL/min/1.73m2 or less with MDRD Evaluation phase (moderate reduction in GFR or more ) Having blood or protein 1+ or more by the urine analysis with microscopic examination. Patients who have a clinically significant kidney disease including glomerulonephritis, anuria, acute renal failure, dialysis and renal transplantation. Patients with Vasculitis. Having leukocytes <3.0 x109/L Having Absolute Neutrophil Count<1.5x109/L Having platelet <750,000/mm3 during screening Having hemoglobin <10g/dL Having positive sign of serum cryoglobulin level. Having serum anti-nuclear antibody (ANA) 1:160 or more Patients who showed positive sign of serum perinuclear anti-Neutrophil Cytoplasmic Antibodies (p-ANCA). Patients who showed positive sign of serum cytoplasmic anti-Neutrophil Cytoplasmic Antibodies (c-ANCA). Patients who had history or be suspected of immune disease Patients who had experienced cardiovascular attack, myocardiac infarction, heart failure, PTCA or coronary artery bypass, angina, arrhythmia, any other clinically meaningful valvular heart disease, cerebral infarction or cerebral hemorrhage within 6 months. Patients who had history of anaphylaxis against the main component or subcomponent of study drug. Patients who had been administered live vaccine parentally (measles vaccine, parotitis vaccine, rubella vaccine, cholera combined vaccine, varicella vaccine) within 3 months prior to the dosing of study drug. Patients who had been received an immunosuppressant, immunity-modifying drug including interferon agents, cytotoxic chemotherapy that can affect their immune system, or radiation therapy within 3 months prior to the dosing of study drug Patients who had been treated with any other immunoglobulin within 3 months prior to the dosing of study drug Patients who had been treated with systemic steroid Therapy(more than 20 mg/day of prednisolone or its equivalence administered every day for more than 14 days, or more than 700 mg of a cumulative dose during the same period of time) within 3 months prior to the dosing of study drug (topical administration such as topical ointments, eye drops, inhalants or intranasal use, intra-articular injection, or tendon injection is acceptable; alternative-day treatment is acceptable even though administered for more than 14 days) Women who showed positive sign of pregnancy test before administered study drug. Those who do not agree to use appropriate contraceptive methods (condom, diaphoretic, an intrauterine device, oral contraceptive hormones, or a vasectomy of male sex partner) during the clinical trials. Those who had experienced bleeding more 400ml or a blood donation within 8 weeks prior to the dosing of study drug. Those who had been abused alcohol or any other drug within 6 months. Those who are judged disqualified to join clinical trials by investigator for other clinically significant medical or psychiatric condition.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sang-Hoon An, M.D.
Organizational Affiliation
Severance Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Chin Kim
Organizational Affiliation
Green Cross Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Severance Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Learn more about this trial

A Phase 1 Study of GC1102 (Recombinant Hepatitis B Immunoglobulin) in Chronic Hepatitis B Patients

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