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The Safety, Antiviral Activity, and Pharmacokinetics of Morphothiadine Mesilate Capsules

Primary Purpose

Chronic Hepatitis B

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
GLS4
RTV
Sponsored by
Sunshine Lake Pharma Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis B

Eligibility Criteria

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

Inclusion Criteria:

  1. Have signed informed consent form.
  2. Positive HBsAg, positive or negative HBeAg, negative immunoglobulin M( if immunoglobulin M is positive, subject should have laboratory report showed that subject had HBsAg or HBV DNA positive more than 6 months) ; Positive HBsAg, positive or negative HBeAg, liver biopsy report showed evidence of chronic HBV infection, in the case of liver biopsy results, the liver biopsy results shall prevail.
  3. Subjects who have not received any antiviral treatment; or if Subjects received treatment with interferon/Peg-interferon, or anti-HBV nucleoside drugs, the drugs should be discontinued at least 3 months prior to the screening.
  4. For the subject HBeAg is positive, HBV DNA≥1.0×105 IU/mL(PCR);For the subject HBeAg is negative , HBV DNA≥1.0×104 IU/mL(PCR)
  5. 1.3×ULN≤serum alanine aminotransferase(ALT) ≤5×ULN;
  6. 18~65 years old,

Exclusion Criteria:

  1. Investigator assessed subjects have other clinically significant abnormalities (other than HBV), such as uncontrollable heart disease, gastrointestinal, blood, nervous or other medical disorders, which may interfere with treatment, assessment, or compliance with the protocol;
  2. Laboratory results do not comply with the acceptance criteria at screening;
  3. People with positive urinalysis(Such as opioids, barbiturates, benzodiazepines, tricyclic antidepressants, phencyclidine, except for there is document proof that urinalysis positive result due to subject use short period or long period of prescription drug or over-the-counter(OTC) drug.
  4. Pregnant female or breast-feeding woman.
  5. The result of Fibroscan test was conducted within 6 months before screening is showed that fibroscan score 17.5, or Liver tissue test which was conducted within 24 months before screening showed cirrhosis

Sites / Locations

  • The First Hospital of Jilin University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

GLS4 120 mg+ RTV 100mg,bid

GLS4 120 mg+ RTV 100mg,tid

Arm Description

Patients with chronic HBV infection will receive GLS4 120 mg+ Ritonavir Tablet 100 mg twice daily for 48 weeks.

Patients with chronic HBV infection will receive GLS4 120 mg+ Ritonavir Tablet 100 mg three times daily for 48 weeks .

Outcomes

Primary Outcome Measures

The mean value of HBV DNA decreased from baseline
The mean value of HBV DNA (unit IU/ml) at different time points in each group was lowered compared with baseline.
Adverse events
To assess the safety and tolerability after dosing.

Secondary Outcome Measures

The mean value of serum HBsAg decreased from baseline.
The mean value of serum HBsAg at different time points in each group was lowered compared with baseline.
The mean value of serum HBeAg(if any) decreased from baseline.
The mean value of serum HBeAg (if any) at different time points in each group was lowered compared with baseline.
Cmax
Maximum observed plasma concentration of GLS4 and RTV.
AUC
Area under the plasma concentration-time curve (AUC)
Css_min
The Css_min of GLS4 and RTV.

Full Information

First Posted
July 25, 2018
Last Updated
July 21, 2020
Sponsor
Sunshine Lake Pharma Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03638076
Brief Title
The Safety, Antiviral Activity, and Pharmacokinetics of Morphothiadine Mesilate Capsules
Official Title
Un-randomized, Open, Multiple-Dose Study to Evaluate the Safety, Antiviral Activity, and Pharmacokinetics of Morphothiadine Mesilate Capsules (GLS4) /Ritonavir Tablets(RTV) in Patients With Chronic Hepatitis B
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
July 26, 2017 (Actual)
Primary Completion Date
November 22, 2018 (Actual)
Study Completion Date
November 29, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sunshine Lake Pharma Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The Safety, Antiviral Activity, and pharmacokinetics of Morphothiadine Mesilate Capsules/Ritonavir Tablets in Patients with Chronic Hepatitis B
Detailed Description
Un-randomized, open Multiple-Dose Study to Evaluate the Safety, Antiviral Activity, and pharmacokinetics of Morphothiadine Mesilate Capsules/Ritonavir Tablets in Patients with Chronic Hepatitis B 20 subjects with Chronic Hepatitis B will be enrolled. 10 subjects will be assigned to group A and receive Morphothiadine Mesilate Capsule 120mg and Ritonavir Tablet 100mg twice daily for 48 weeks. 10 subjects will be assigned to group B and receive Morphothiadine Mesilate Capsule 120mg and Ritonavir Tablet 100mg three times daily for 48 weeks.

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
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GLS4 120 mg+ RTV 100mg,bid
Arm Type
Experimental
Arm Description
Patients with chronic HBV infection will receive GLS4 120 mg+ Ritonavir Tablet 100 mg twice daily for 48 weeks.
Arm Title
GLS4 120 mg+ RTV 100mg,tid
Arm Type
Experimental
Arm Description
Patients with chronic HBV infection will receive GLS4 120 mg+ Ritonavir Tablet 100 mg three times daily for 48 weeks .
Intervention Type
Drug
Intervention Name(s)
GLS4
Other Intervention Name(s)
Morphothiadine Mesilate Capsule
Intervention Description
Subject in group A will receive Mesilate Capsule 120mg twice daily. Subject in group B will receive Mesilate Capsule 120mg three times daily.
Intervention Type
Drug
Intervention Name(s)
RTV
Other Intervention Name(s)
Ritonavir tablet
Intervention Description
Subject in group A will receive Ritonavir tablet 100mg twice daily.Subject in group B will receive Ritonavir tablet 100mg three times daily.
Primary Outcome Measure Information:
Title
The mean value of HBV DNA decreased from baseline
Description
The mean value of HBV DNA (unit IU/ml) at different time points in each group was lowered compared with baseline.
Time Frame
Prior to dosing and 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 28, 32, 36, 40, 44 and 48 weeks after dosing and 7 days after drug withdrawal.
Title
Adverse events
Description
To assess the safety and tolerability after dosing.
Time Frame
From the baseline to 7 days after drug withdrawal.
Secondary Outcome Measure Information:
Title
The mean value of serum HBsAg decreased from baseline.
Description
The mean value of serum HBsAg at different time points in each group was lowered compared with baseline.
Time Frame
Prior to dosing and 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 28, 32, 36, 40, 44 and 48 weeks after dosing and 7 days after drug withdrawal.
Title
The mean value of serum HBeAg(if any) decreased from baseline.
Description
The mean value of serum HBeAg (if any) at different time points in each group was lowered compared with baseline.
Time Frame
Prior to dosing and 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 28, 32, 36, 40, 44 and 48 weeks after dosing and 7 days after drug withdrawal.
Title
Cmax
Description
Maximum observed plasma concentration of GLS4 and RTV.
Time Frame
Intensive blood collection after each administration at day1, day7 and 12 weeks, and before the first administration at 2, 4, 8, 12, 14, 16, 18, 20, 22, 24, 28, 32, 36, 40, 44 and 48 week.
Title
AUC
Description
Area under the plasma concentration-time curve (AUC)
Time Frame
Intensive blood collection after each administration at day1, day7 and 12 weeks, and before the first administration at 2, 4, 8, 12, 14, 16, 18, 20, 22, 24, 28, 32, 36, 40, 44 and 48 week.
Title
Css_min
Description
The Css_min of GLS4 and RTV.
Time Frame
Intensive blood collection after each administration at day1, day7 and 12 weeks, and before the first administration at 2, 4, 8, 12, 14, 16, 18, 20, 22, 24, 28, 32, 36, 40, 44 and 48 week.

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: Have signed informed consent form. Positive HBsAg, positive or negative HBeAg, negative immunoglobulin M( if immunoglobulin M is positive, subject should have laboratory report showed that subject had HBsAg or HBV DNA positive more than 6 months) ; Positive HBsAg, positive or negative HBeAg, liver biopsy report showed evidence of chronic HBV infection, in the case of liver biopsy results, the liver biopsy results shall prevail. Subjects who have not received any antiviral treatment; or if Subjects received treatment with interferon/Peg-interferon, or anti-HBV nucleoside drugs, the drugs should be discontinued at least 3 months prior to the screening. For the subject HBeAg is positive, HBV DNA≥1.0×105 IU/mL(PCR);For the subject HBeAg is negative , HBV DNA≥1.0×104 IU/mL(PCR) 1.3×ULN≤serum alanine aminotransferase(ALT) ≤5×ULN; 18~65 years old, Exclusion Criteria: Investigator assessed subjects have other clinically significant abnormalities (other than HBV), such as uncontrollable heart disease, gastrointestinal, blood, nervous or other medical disorders, which may interfere with treatment, assessment, or compliance with the protocol; Laboratory results do not comply with the acceptance criteria at screening; People with positive urinalysis(Such as opioids, barbiturates, benzodiazepines, tricyclic antidepressants, phencyclidine, except for there is document proof that urinalysis positive result due to subject use short period or long period of prescription drug or over-the-counter(OTC) drug. Pregnant female or breast-feeding woman. The result of Fibroscan test was conducted within 6 months before screening is showed that fibroscan score 17.5, or Liver tissue test which was conducted within 24 months before screening showed cirrhosis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Junqi Niu, doctor
Organizational Affiliation
The First Hospital of Jilin University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The First Hospital of Jilin University
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130021
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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The Safety, Antiviral Activity, and Pharmacokinetics of Morphothiadine Mesilate Capsules

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