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Safety and Efficacy of Therapeutic Hepatitis B Adenovirus Injection (T101) in Chronic Hepatitis B Patients

Primary Purpose

Hepatitis B Virus (HBV)

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
T101 Group
Placebo Group
Sponsored by
Tasly Tianjin Biopharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis B Virus (HBV) focused on measuring Hepatitis B virus (HBV) infection

Eligibility Criteria

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

Inclusion Criteria:

  • 1) Signed, written Independent Ethics Committee (IEC)-approved informed consent.
  • 2) Patients can cooperate to finish the trial in accordance with the requirements of protocol.
  • 3)Patients (including partners) are willing to have no pregnancy program and take effective contraceptive measures voluntarily from the initiation of trial to 6 months after the last administration.
  • 4) 18 through 65 years of age, inclusive.
  • 5)Body weight is no less than 50 kg for male or no less than 45 kg for female and body mass index(BMI) must be within the range of 18-30kg/m2.
  • 6)Compensated liver disease; defined as total bilirubin ≤2 × ULN, PT ≤ 1.2 ×ULN, platelets ≥100,000/mm3(100*109/L), serum albumin ≥35 g/L, and no prior history of clinical hepatic decompensation (eg, ascites, jaundice, encephalopathy, variceal hemorrhage).
  • 7) Patients must be receiving antiviral treatment with nucleoside analog and have negative HBV DNA(defined HBV DNA <20 IU/Ml).
  • 8) Chronic hepatitis B patients have positive HBsAg.
  • 9) ALT ≤ 1.5×ULN.
  • 10) Haemoglobin ≥ 10 g/L
  • 11) Creatinine clearance > 50mL/min.
  • 12) Neutrophils ≥1,200/mm3(1.2*109/L).
  • 13) FibroScan score ≤ 17.5 kPa within 6 months prior to screening or during screening, or proven not to have cirrhosis according to liver tissues within 12 months.

Exclusion Criteria:

  • 1) Addicted to smoking (>5 cigarettes per day) for 3 months prior to the initiation of trial.
  • 2) Subjects susceptible to allergies, including a history of allergy to investigational medical product (IMP) or its buffer.
  • 3) History of drug abuse and/or alcohol abuse(≥14 units of alcohol per week; 1 unit = 285 mL of beer, or 25 mL of spirits, or 100 mL of wine).
  • 4) Patients who have donated or lost an amount of blood> 450ml within 3 months prior to the screening of the trial.
  • 5) Patients who are positive urine test of drug on screening or a history of drug abuse or use of narcotic drugs during the past five years.
  • 6) Patients who have used any drug that can alter the enzyme activity of liver within 28 days prior to screening.
  • 7) Patients who have taken any prescription, nonprescription, vitamin product or herbal medicine within 14 days prior to the screening(except for nucleoside analogues).
  • 8) Patients who have taken a special diet (including dragon fruit, mango, grapefruit, etc.) within 2 weeks prior to screening, or have strenuous exercise, or other factors that affect drug absorption, distribution, metabolism and excretion.
  • 9) Patients who are taking inhibitors or inducers of CYP3A4, P-gp or Bcrp such as itraconazole, ketoconazole or dronedarone.
  • 10) Patients who have significant changes in diet or exercise habit.
  • 11) Patients who have participated in any clinical trial or taken any IMP within 3 months prior to the trial.
  • 12) Patients with an clinically significant and abnormal ECG.
  • 13) Female patients who are pregnant, breast-feeding or positive result of pregnancy test.
  • 14) Patients with abnormal laboratory test results that have clinically significant or clinically significant disease(including but not limited to the gastrointestinal tract, kidney, liver, neurological, haematological, endocrine, lung, immune, mental or cardiovascular disease).
  • 15) Patients with α-fetoprotein > 50 ng/Ml.
  • 16) Patients with positive hepatitis C antibody, HIV antibody, or Treponema pallidum antibody on screening.
  • 17) Patients who could not be enrolled in the judgement of the investigators.
  • 18) Patients with acute disease or accompanied medication on screening.
  • 19) Patients who have taken chocolate or any food and drink that are rich in caffeine or xanthine within 48 hours prior to the administration of IMP.
  • 20) Patients who have taken any alcohol product within 24 hours prior to the administration of IMP.

Sites / Locations

  • The First Hospital of Jilin University

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

T101 Group

Placebo Group

Arm Description

The study will consist of 2 cohorts: Single Dose (SD) Cohort: 9 chronic hepatitis B patients will be enrolled and be divided into 3 groups, with 3 patients in each group. Multiple Dose (MD) Cohort: 18 chronic hepatitis B patients will be enrolled and be divided into 2 groups, with 9 patients in each group.

The study will consist of 2 cohorts: Single Dose (SD) Cohort: 3 chronic hepatitis B patients will be enrolled in this group. Multiple Dose (MD) Cohort: 6 chronic hepatitis B patients will be enrolled in this group.

Outcomes

Primary Outcome Measures

Adverse events
Observe all the adverse events of all patients, record their clinical features, severity, time of occurence, end time, duration, treatment measures, recovery and determine their correlation with T101
Vital signs index
vital signs measure: include body temperature, pulse rate, respiratory rate and blood pressure, to observe whether there are abnormal index, especially whether there are abnormal index caused by acute allergic reaction.
Routine blood test
Observe the blood routine tests results of all patients, compare the change of each index before and after the treatment, and determine their correlation with T101 if abnormal index occur.
Blood biochemical test
Observe the blood biochemical tests results of all patients, compare the change of each index before and after the treatment, and determine their correlation with T101 if abnormal index occur.
Coagulation function test
Observe the coagulation function tests results of all patients, compare the change of each index before and after the treatment, and determine their correlation with T101 if abnormal index occur.
Routine urinalysis
Observe the routine urinalysis tests results of all patients, compare the change of each index before and after the treatment, and determine their correlation with T101 if abnormal index occur.

Secondary Outcome Measures

HBsAg quantitative levels
Evaluate the efficacy of T101
HBeAg quantitative levels
Evaluate the efficacy of T101
Ad5 neutralizing antibodies
Use Analysis of luciferase Ad5 neutralizing antibody method to evaluate the changes of NAd5 titers after T101 administration
Cellular and humoral immune responses
Detect the T-cell responses by interferon-γ(INF-γ) ELISPOT

Full Information

First Posted
October 24, 2019
Last Updated
December 2, 2019
Sponsor
Tasly Tianjin Biopharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04168333
Brief Title
Safety and Efficacy of Therapeutic Hepatitis B Adenovirus Injection (T101) in Chronic Hepatitis B Patients
Official Title
A Phase I, Single Center, Randomized, Double-blind, Placebo Controlled, Single Dose (SD) and Multiple Dose (MD), Dose-escalation Clinical Trial to Evaluate the Tolerability and Preliminary Antiviral Activity of Therapeutic Hepatitis B Adenovirus Injection (T101) in Chronic Hepatitis B Patients
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
January 8, 2018 (Actual)
Primary Completion Date
October 14, 2019 (Actual)
Study Completion Date
October 14, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tasly Tianjin Biopharmaceutical Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
Hepatitis B virus (HBV) infection is a worldwide health problem. It has been proved that the persistence of HBV is associated with the failure to stimulate an efficient HBV-specific immune response. T101, the Chinese counterpart of TG1050, is a replication-defective adenovirus serotype 5 (Ad5) expressing multiple HBV-specific antigens (core, polymerase and envelope) and is used as therapeutic vaccine for chronic hepatitis B patients. The application of T101 aims at inducing a broad HBV-specific cellular immune response and ultimately eliminating HBV infection.
Detailed Description
This study is a randomized, double-blind, placebo-controlled, single dose (SD) and multiple dose (MD) administration study. Primary Objective: Safety and tolerability; Secondary Objective: Antiviral activity of T101 (HBsAg levels). Cellular (HBV-specific) and humoral (AD5 neutralizing antibodies, NAd5) immune responses to T101. Key Inclusion Criteria: Chronic hepatitis B patients with positive HBsAg. Patients must be receiving antiviral treatment with nucleoside analogs and have negative HBV DNA (defined as HBV DNA <20 IU/mL).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis B Virus (HBV)
Keywords
Hepatitis B virus (HBV) infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
T101 Group
Arm Type
Active Comparator
Arm Description
The study will consist of 2 cohorts: Single Dose (SD) Cohort: 9 chronic hepatitis B patients will be enrolled and be divided into 3 groups, with 3 patients in each group. Multiple Dose (MD) Cohort: 18 chronic hepatitis B patients will be enrolled and be divided into 2 groups, with 9 patients in each group.
Arm Title
Placebo Group
Arm Type
Placebo Comparator
Arm Description
The study will consist of 2 cohorts: Single Dose (SD) Cohort: 3 chronic hepatitis B patients will be enrolled in this group. Multiple Dose (MD) Cohort: 6 chronic hepatitis B patients will be enrolled in this group.
Intervention Type
Biological
Intervention Name(s)
T101 Group
Intervention Description
Single Dose (SD) Cohort: In each group, 3 of chronic hepatitis B patients will be subcutaneously injected with different dose level of T101 at 1.0E+9VP (Group1)/1.0E+10VP (Group2)/1.0E+11VP (Group 3) on D1. Multiple Dose (MD) Cohort: In each group, 9 of chronic hepatitis B patients will be subcutaneously injected with different dose level of T101 at 1.0E+10VP (Group1)/1.0E+11VP (Group2) on D1, D8, D15.
Intervention Type
Biological
Intervention Name(s)
Placebo Group
Intervention Description
Single Dose (SD) Cohort: 3 of chronic hepatitis B patients will be subcutaneously injected with placebo on D1. Multiple Dose (MD) Cohort: 6 of chronic hepatitis B patients will be subcutaneously injected with placebo on D1, D8, D15.
Primary Outcome Measure Information:
Title
Adverse events
Description
Observe all the adverse events of all patients, record their clinical features, severity, time of occurence, end time, duration, treatment measures, recovery and determine their correlation with T101
Time Frame
through study completion, an average of 1 year
Title
Vital signs index
Description
vital signs measure: include body temperature, pulse rate, respiratory rate and blood pressure, to observe whether there are abnormal index, especially whether there are abnormal index caused by acute allergic reaction.
Time Frame
Single Dose Group: baseline, Day-1, Day1, Day8, Day15, Day2ine9; Multiple Dose Group: baseline, Day-1, Day7, Day8, Day14, Day15, Day22, Day29, Day43, Day71, Day99.
Title
Routine blood test
Description
Observe the blood routine tests results of all patients, compare the change of each index before and after the treatment, and determine their correlation with T101 if abnormal index occur.
Time Frame
Single Dose Group: baseline, Day-1, Day8, Day15, Day29; Multiple Dose Group: baseline, Day-1, Day7, Day14, Day22, Day29, Day43, Day71, Day99, Day 197, Day379.
Title
Blood biochemical test
Description
Observe the blood biochemical tests results of all patients, compare the change of each index before and after the treatment, and determine their correlation with T101 if abnormal index occur.
Time Frame
Single Dose Group: baseline, Day-1, Day8, Day15, Day29; Multiple Dose Group: baseline, Day-1, Day7, Day14, Day22, Day29, Day43, Day71, Day99, Day 197, Day379.
Title
Coagulation function test
Description
Observe the coagulation function tests results of all patients, compare the change of each index before and after the treatment, and determine their correlation with T101 if abnormal index occur.
Time Frame
Single Dose Group: baseline, Day-1, Day8, Day15, Day29; Multiple Dose Group: baseline, Day-1, Day7, Day14, Day22, Day29, Day43, Day71, Day99, Day 197, Day379.
Title
Routine urinalysis
Description
Observe the routine urinalysis tests results of all patients, compare the change of each index before and after the treatment, and determine their correlation with T101 if abnormal index occur.
Time Frame
Single Dose Group: baseline, Day-1, Day8, Day15, Day29; Multiple Dose Group: baseline, Day-1, Day7, Day14, Day22, Day29, Day43, Day71, Day99, Day 197, Day379.
Secondary Outcome Measure Information:
Title
HBsAg quantitative levels
Description
Evaluate the efficacy of T101
Time Frame
Single Dose Group: Day1, Day29; Multiple Dose Group: Day1, Day29, Day43, Day71, Day99, Day197, Day379.
Title
HBeAg quantitative levels
Description
Evaluate the efficacy of T101
Time Frame
Single Dose Group: Day1, Day29; Multiple Dose Group: Day1, Day29, Day43, Day71, Day99, Day197, Day379.
Title
Ad5 neutralizing antibodies
Description
Use Analysis of luciferase Ad5 neutralizing antibody method to evaluate the changes of NAd5 titers after T101 administration
Time Frame
Single Dose Group: Day1, Day15, Day29; Multiple Dose Group: Day1, Day29, Day43, Day71, Day99, Day197, Day379.
Title
Cellular and humoral immune responses
Description
Detect the T-cell responses by interferon-γ(INF-γ) ELISPOT
Time Frame
Single Dose Group: Day1, Day15, Day29; Multiple Dose Group: Day1, Day29, Day43, Day71, Day99, Day197, Day379.

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: 1) Signed, written Independent Ethics Committee (IEC)-approved informed consent. 2) Patients can cooperate to finish the trial in accordance with the requirements of protocol. 3)Patients (including partners) are willing to have no pregnancy program and take effective contraceptive measures voluntarily from the initiation of trial to 6 months after the last administration. 4) 18 through 65 years of age, inclusive. 5)Body weight is no less than 50 kg for male or no less than 45 kg for female and body mass index(BMI) must be within the range of 18-30kg/m2. 6)Compensated liver disease; defined as total bilirubin ≤2 × ULN, PT ≤ 1.2 ×ULN, platelets ≥100,000/mm3(100*109/L), serum albumin ≥35 g/L, and no prior history of clinical hepatic decompensation (eg, ascites, jaundice, encephalopathy, variceal hemorrhage). 7) Patients must be receiving antiviral treatment with nucleoside analog and have negative HBV DNA(defined HBV DNA <20 IU/Ml). 8) Chronic hepatitis B patients have positive HBsAg. 9) ALT ≤ 1.5×ULN. 10) Haemoglobin ≥ 10 g/L 11) Creatinine clearance > 50mL/min. 12) Neutrophils ≥1,200/mm3(1.2*109/L). 13) FibroScan score ≤ 17.5 kPa within 6 months prior to screening or during screening, or proven not to have cirrhosis according to liver tissues within 12 months. Exclusion Criteria: 1) Addicted to smoking (>5 cigarettes per day) for 3 months prior to the initiation of trial. 2) Subjects susceptible to allergies, including a history of allergy to investigational medical product (IMP) or its buffer. 3) History of drug abuse and/or alcohol abuse(≥14 units of alcohol per week; 1 unit = 285 mL of beer, or 25 mL of spirits, or 100 mL of wine). 4) Patients who have donated or lost an amount of blood> 450ml within 3 months prior to the screening of the trial. 5) Patients who are positive urine test of drug on screening or a history of drug abuse or use of narcotic drugs during the past five years. 6) Patients who have used any drug that can alter the enzyme activity of liver within 28 days prior to screening. 7) Patients who have taken any prescription, nonprescription, vitamin product or herbal medicine within 14 days prior to the screening(except for nucleoside analogues). 8) Patients who have taken a special diet (including dragon fruit, mango, grapefruit, etc.) within 2 weeks prior to screening, or have strenuous exercise, or other factors that affect drug absorption, distribution, metabolism and excretion. 9) Patients who are taking inhibitors or inducers of CYP3A4, P-gp or Bcrp such as itraconazole, ketoconazole or dronedarone. 10) Patients who have significant changes in diet or exercise habit. 11) Patients who have participated in any clinical trial or taken any IMP within 3 months prior to the trial. 12) Patients with an clinically significant and abnormal ECG. 13) Female patients who are pregnant, breast-feeding or positive result of pregnancy test. 14) Patients with abnormal laboratory test results that have clinically significant or clinically significant disease(including but not limited to the gastrointestinal tract, kidney, liver, neurological, haematological, endocrine, lung, immune, mental or cardiovascular disease). 15) Patients with α-fetoprotein > 50 ng/Ml. 16) Patients with positive hepatitis C antibody, HIV antibody, or Treponema pallidum antibody on screening. 17) Patients who could not be enrolled in the judgement of the investigators. 18) Patients with acute disease or accompanied medication on screening. 19) Patients who have taken chocolate or any food and drink that are rich in caffeine or xanthine within 48 hours prior to the administration of IMP. 20) Patients who have taken any alcohol product within 24 hours prior to the administration of IMP.
Facility Information:
Facility Name
The First Hospital of Jilin University
City
Changchun
Country
China

12. IPD Sharing Statement

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Safety and Efficacy of Therapeutic Hepatitis B Adenovirus Injection (T101) in Chronic Hepatitis B Patients

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