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An Study to Evaluate Safety and Efficacy of QL-007 Tablets in Combination With Tenofovir in Naive Patients With Chronic Hepatitis b

Primary Purpose

Chronic Hepatitis b

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
TDF tablet
QL-007
Sponsored by
Qilu Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis b focused on measuring HBeAg-positive chronic hepatitis B

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients aged 18-70 years (inclusive) with chronic HBV infection prior to baseline;
  2. Positive for HBeAg;
  3. Patients who had not previously received anti-HBV treatment (including nucleoside or interferon) or had not received antiviral treatment for HBV (including nucleoside or interferon) within 6 months prior to the first taking the study drug;
  4. HBV DNA≥20,000 IU/mL;
  5. ALT levels > upper limit of normal value (ULN) and<5 times ULN;
  6. Participants must have understood and signed the ICF.

Exclusion Criteria:

  1. Known co-infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis D virus (HDV);
  2. History of liver disease other than chronic hepatitis B, which may affect the judgment of the effectiveness or safety of the study drug
  3. History of Gilbert's Disease;
  4. History of decompensated liver disease or any sign of decompensated liver disease in the screening period;
  5. Evidence of moderate or severe fibrosis or cirrhosis;
  6. Evidence of HCC or AFP > 50 ng / ml in the screening period ;
  7. Any Clinical laboratory values meet certain standards in the screening period;
  8. subjects have clinically significant, uncontrolled heart disease and/or recent cardiac event (within 6 months);
  9. Risks of serious kidney and respiratory diseases;
  10. Impaired gastrointestinal (GI) function or GI disease that may alter absorption of QL-007 as determined by the Investigator;
  11. Receiving medications that meet one of the following criteria and that cannot be discontinued ≥1 week prior to the start of treatment QL-007:

    • Medication with a known risk of prolonging the QT interval or inducing Torsades de Pointes;
    • Moderate or strong inhibitors or strong inducers of CYP3A4
  12. Intake of any drugs that can reduce enzyme activity;
  13. History of bleeding diathesis;
  14. Risks of mental and nervous system diseases during screening;
  15. Pregnant or lactating female subjects; Female subjects of childbearing age who were not willing to use effective contraception throughout the study period or male subjects whose partners were fertile but were not willing to use effective contraception;
  16. Volunteers who took an Investigational Product within 3 months or who have been within 5 half-lives of other trial drugs before the randomization.
  17. Any other condition , which in the opinion of investigator would make a patient unfit for participation in a clinical study.

Sites / Locations

  • Southern Hospital of Southern Medical UniversityRecruiting
  • The first hospital of Jilin universityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Active Comparator

Arm Label

QL-007 100 mg QD + TDF

QL-007 200 mg QD + TDF

QL-007 400 mg QD+ TDF

QL-007 200 mg BID+ TDF

TDF monotherapy

Arm Description

QL-007 tablet 100 mg QD was combined with TDF tablet 300mg

QL-007 tablets 200 mg QD were combined with TDF tablet 300mg

QL-007 tablets 400 mg QD were combined with TDF tablet 300mg

QL007 tablets 200 mg BID were combined with TDF tablet 300mg

TDF tablet 300mg

Outcomes

Primary Outcome Measures

To evaluate the efficacy of QL-007 in combination with TDF in patients with HBeAg-positive chronic hepatitis b: HBV DNA level
The change of HBV DNA level at week 24 of treatment compared to baseline

Secondary Outcome Measures

serological indexs
The changes of HBsAg and HBeAg level from baseline at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96
serological indexs
The percentage of subjects with HBsAg and HBeAg serological clearance and/or seroconversion at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96
Virological indexs
The changes of HBV DNA level compared to baseline at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96
Virological indexs
The rate of HBV DNA negative subjects (HBV DNA <60 IU/mL) at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96
biochemistry index
The changes of ALT at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96 compared to baseline
biochemistry index
The percentage of subjects with normal ALT level at weeks 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84 and 96
Other evaluation indexes of pharmacodynamics exploration
The changes of HBV RNA and HBcrAg level compared with baseline at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84 and 96
To evaluate the tolerance of QL-007 in combination with TDF: incidence of adverse events
The incidence of adverse events

Full Information

First Posted
November 6, 2019
Last Updated
November 7, 2019
Sponsor
Qilu Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04157699
Brief Title
An Study to Evaluate Safety and Efficacy of QL-007 Tablets in Combination With Tenofovir in Naive Patients With Chronic Hepatitis b
Official Title
An Open-Label Phase 2 Study to Evaluate Safety and Efficacy of QL-007 Tablets in Combination With Tenofovir in Naive Patients With Chronic Hepatitis b: a Multicenter, Randomized, Positive Controlled Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Unknown status
Study Start Date
July 26, 2019 (Actual)
Primary Completion Date
December 2020 (Anticipated)
Study Completion Date
October 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Qilu Pharmaceutical 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
This is an open label, randomized, multi-center, comparative study. Subjects will be screened prior to study entry to establish eligibility. 100 Subjects who meet all the selection criteria will be randomly assigned 1:1:1:1:1 to (A) QL007 100 mg QD+ Tenofovir dipirofurate fumarate (TDF)300 mg QD, (B) QL007 200 mg QD+ TDF 300 mg QD, (C) QL007 400 mg QD+ TDF 300 mg QD, (D) QL007 200 mg BID+ TDF 300 mg QD, (E) TDF 300 mg QD. The purpose of this study was to evaluate the efficacy and safety of QL-007 in combination with TDF in HBeAg positive patients with chronic hepatitis b, and to recommend a reasonable regimen for phase III study.
Detailed Description
The subjects received the drug treatment for a total of 96 weeks, which was divided into two stages: the first stage: 0-24 weeks as the core treatment period and 25-48 weeks as the extended treatment period. The second stage: 49-96 weeks is the extended treatment period,subjects will enter the second stage of treatment according to the dose of the first stage. When the efficacy data of the first phase determine the optimal dose of QL-007, all subjects entering the second phase will receive the optimal dose of QL-007 and continue treatment with tenofovir dipirofurate fumarate (QL-007 XX mg+TDF) for the second phase 49-96 weeks of extended treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis b
Keywords
HBeAg-positive chronic hepatitis B

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
QL-007 100 mg QD + TDF
Arm Type
Experimental
Arm Description
QL-007 tablet 100 mg QD was combined with TDF tablet 300mg
Arm Title
QL-007 200 mg QD + TDF
Arm Type
Experimental
Arm Description
QL-007 tablets 200 mg QD were combined with TDF tablet 300mg
Arm Title
QL-007 400 mg QD+ TDF
Arm Type
Experimental
Arm Description
QL-007 tablets 400 mg QD were combined with TDF tablet 300mg
Arm Title
QL-007 200 mg BID+ TDF
Arm Type
Experimental
Arm Description
QL007 tablets 200 mg BID were combined with TDF tablet 300mg
Arm Title
TDF monotherapy
Arm Type
Active Comparator
Arm Description
TDF tablet 300mg
Intervention Type
Drug
Intervention Name(s)
TDF tablet
Other Intervention Name(s)
Tenofovir disoproxil fumarate tablet
Intervention Description
TDF tablet 300mg QD
Intervention Type
Drug
Intervention Name(s)
QL-007
Intervention Description
QL-007 tablet
Primary Outcome Measure Information:
Title
To evaluate the efficacy of QL-007 in combination with TDF in patients with HBeAg-positive chronic hepatitis b: HBV DNA level
Description
The change of HBV DNA level at week 24 of treatment compared to baseline
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
serological indexs
Description
The changes of HBsAg and HBeAg level from baseline at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96
Time Frame
96 weeks
Title
serological indexs
Description
The percentage of subjects with HBsAg and HBeAg serological clearance and/or seroconversion at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96
Time Frame
96 weeks
Title
Virological indexs
Description
The changes of HBV DNA level compared to baseline at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96
Time Frame
96 weeks
Title
Virological indexs
Description
The rate of HBV DNA negative subjects (HBV DNA <60 IU/mL) at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96
Time Frame
96 weeks
Title
biochemistry index
Description
The changes of ALT at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96 compared to baseline
Time Frame
96 weeks
Title
biochemistry index
Description
The percentage of subjects with normal ALT level at weeks 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84 and 96
Time Frame
96 weeks
Title
Other evaluation indexes of pharmacodynamics exploration
Description
The changes of HBV RNA and HBcrAg level compared with baseline at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84 and 96
Time Frame
96 weeks
Title
To evaluate the tolerance of QL-007 in combination with TDF: incidence of adverse events
Description
The incidence of adverse events
Time Frame
96 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients aged 18-70 years (inclusive) with chronic HBV infection prior to baseline; Positive for HBeAg; Patients who had not previously received anti-HBV treatment (including nucleoside or interferon) or had not received antiviral treatment for HBV (including nucleoside or interferon) within 6 months prior to the first taking the study drug; HBV DNA≥20,000 IU/mL; ALT levels > upper limit of normal value (ULN) and<5 times ULN; Participants must have understood and signed the ICF. Exclusion Criteria: Known co-infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis D virus (HDV); History of liver disease other than chronic hepatitis B, which may affect the judgment of the effectiveness or safety of the study drug History of Gilbert's Disease; History of decompensated liver disease or any sign of decompensated liver disease in the screening period; Evidence of moderate or severe fibrosis or cirrhosis; Evidence of HCC or AFP > 50 ng / ml in the screening period ; Any Clinical laboratory values meet certain standards in the screening period; subjects have clinically significant, uncontrolled heart disease and/or recent cardiac event (within 6 months); Risks of serious kidney and respiratory diseases; Impaired gastrointestinal (GI) function or GI disease that may alter absorption of QL-007 as determined by the Investigator; Receiving medications that meet one of the following criteria and that cannot be discontinued ≥1 week prior to the start of treatment QL-007: Medication with a known risk of prolonging the QT interval or inducing Torsades de Pointes; Moderate or strong inhibitors or strong inducers of CYP3A4 Intake of any drugs that can reduce enzyme activity; History of bleeding diathesis; Risks of mental and nervous system diseases during screening; Pregnant or lactating female subjects; Female subjects of childbearing age who were not willing to use effective contraception throughout the study period or male subjects whose partners were fertile but were not willing to use effective contraception; Volunteers who took an Investigational Product within 3 months or who have been within 5 half-lives of other trial drugs before the randomization. Any other condition , which in the opinion of investigator would make a patient unfit for participation in a clinical study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Anbo Xiang, PhD
Phone
18815317378
Email
anbo.xiang@qilu-pharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jinlin Hou, PhD
Organizational Affiliation
Southern Hospital of Southern Medical University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Junqi Niu, PhD
Organizational Affiliation
The First Hospital of Jilin University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Southern Hospital of Southern Medical University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jinlin Hou, PhD
First Name & Middle Initial & Last Name & Degree
Jinlin Hou, PhD
Facility Name
The first hospital of Jilin university
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Junqi Niu, PhD

12. IPD Sharing Statement

Learn more about this trial

An Study to Evaluate Safety and Efficacy of QL-007 Tablets in Combination With Tenofovir in Naive Patients With Chronic Hepatitis b

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