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Combination of ETV, TQ-A3334 and TQ-B2450 for CHB (Neptune Study) (Neptune)

Primary Purpose

Chronic Hepatitis b

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
ETV
TQ-A3334
TQ-B2450
Sponsored by
Tongji Hospital
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. Male and female patients from 18 to 65 years of age;
  2. Chronic hepatitis B infection
  3. Negative urine or serum pregnancy test (for women of childbearing potential) documented within the 24-hour period prior to the first dose of test drug;
  4. Agree to participate in the study and sign the patient informed consent.

Exclusion Criteria:

  1. Patients who had NAs resistance;
  2. Other antiviral, anti-neoplastic or immunomodulatory treatment;
  3. Women with ongoing pregnancy or breast-feeding;
  4. Co-infection with active hepatitis A, hepatitis C, hepatitis D(Those hospitals which have the ability to do the test will do) and/or human immunodeficiency virus (HIV);
  5. ALT >10 ULN;
  6. LSM >9kPa ;
  7. History or other evidence of a medical condition associated with chronic liver disease other than viral hepatitis (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures, thalassemia);
  8. Signs or symptoms of hepatocellular carcinoma;
  9. Neutrophil count < 1500 cells/mm3 or platelet count <90,000 cells/mm3 at screening;
  10. Hemoglobin < 11.5 g/dL for females and <12.5 g/dL for men;
  11. Serum creatinine level > 1.5 ULN in screening period.
  12. Phosphorus < 0.65 mmol/L;
  13. ANA > 1:100;
  14. History of severe psychiatric disease;
  15. History of a severe seizure disorder or current anticonvulsant use;
  16. History of immunologically mediated disease, (e.g., inflammatory bowel disease, idiopathic thrombocytopenic purpura, lupus erythematosus, autoimmune hemolytic anemia, scleroderma, rheumatoid arthritis etc.);
  17. History of chronic pulmonary disease associated with functional limitation;
  18. Diseases that IFN and Nucleotides or nucleosides are not suitable.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm Type

    Active Comparator

    Experimental

    Experimental

    Active Comparator

    Experimental

    Experimental

    Arm Label

    Naive:ETV

    Naive:ETV+TQ-A3334

    Naive:ETV+TQ-A3334+TQ-B2450

    Experienced:ETV

    Experienced:ETV+TQ-A3334

    Experienced:ETV+TQ-A3334+TQ-B2450

    Arm Description

    Entecavir 0.5 mg po daily for 24 weeks in naive patients

    Entecavir 0.5 mg po daily plus TQ-A3334 for 24 weeks in naive patients

    Entecavir 0.5 mg po daily plus TQ-A3334 plus inhibitor of TQ-B2450 for 24 weeks in naive patients

    Entecavir 0.5 mg po daily for 24 weeks in treatment experienced patients

    Entecavir 0.5 mg po daily plus TQ-A3334 for 24 weeks in treatment experienced patients

    Entecavir 0.5 mg po daily plus TQ-A3334 plus TQ-B2450 for 24 weeks in treatment experienced patients

    Outcomes

    Primary Outcome Measures

    Change from baseline in HBsAg quantification at week 24
    HBsAg quantification are measured

    Secondary Outcome Measures

    HBsAg loss rates at week 24
    HBsAg loss rates are measured
    HBsAg seroconversion rates at week 24
    HBsAg seroconversion rates are measured
    HBeAg loss rates at week 24
    HBeAg loss rates are measured
    HBeAg seroconversion rates at week 24
    HBeAg seroconversion rates are measured
    HBV DNA<20IU/mL rates at week 24
    HBV DNA<20IU/mL rates are measured

    Full Information

    First Posted
    December 15, 2019
    Last Updated
    December 17, 2019
    Sponsor
    Tongji Hospital
    Collaborators
    Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04202653
    Brief Title
    Combination of ETV, TQ-A3334 and TQ-B2450 for CHB (Neptune Study)
    Acronym
    Neptune
    Official Title
    New Combination of ETV, TQ-A3334 and TQ-B2450 for the Treatment of Chronic Hepatitis B Virus Infection
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2019
    Overall Recruitment Status
    Unknown status
    Study Start Date
    January 1, 2020 (Anticipated)
    Primary Completion Date
    December 31, 2020 (Anticipated)
    Study Completion Date
    June 30, 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Tongji Hospital
    Collaborators
    Chia Tai Tianqing Pharmaceutical Group 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
    This study is a single-center, randomized, prospective, open-label Phase 2 Clinical trial to evaluate efficacy and safety of ETV and TQ-A3334 combinated with/without inhibitor of TQ-B2450 versus ETV alone in chronic hepatitis B patients. Patients were randomized to one of 3 different antiviral treatment.

    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
    Randomized
    Enrollment
    30 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Naive:ETV
    Arm Type
    Active Comparator
    Arm Description
    Entecavir 0.5 mg po daily for 24 weeks in naive patients
    Arm Title
    Naive:ETV+TQ-A3334
    Arm Type
    Experimental
    Arm Description
    Entecavir 0.5 mg po daily plus TQ-A3334 for 24 weeks in naive patients
    Arm Title
    Naive:ETV+TQ-A3334+TQ-B2450
    Arm Type
    Experimental
    Arm Description
    Entecavir 0.5 mg po daily plus TQ-A3334 plus inhibitor of TQ-B2450 for 24 weeks in naive patients
    Arm Title
    Experienced:ETV
    Arm Type
    Active Comparator
    Arm Description
    Entecavir 0.5 mg po daily for 24 weeks in treatment experienced patients
    Arm Title
    Experienced:ETV+TQ-A3334
    Arm Type
    Experimental
    Arm Description
    Entecavir 0.5 mg po daily plus TQ-A3334 for 24 weeks in treatment experienced patients
    Arm Title
    Experienced:ETV+TQ-A3334+TQ-B2450
    Arm Type
    Experimental
    Arm Description
    Entecavir 0.5 mg po daily plus TQ-A3334 plus TQ-B2450 for 24 weeks in treatment experienced patients
    Intervention Type
    Drug
    Intervention Name(s)
    ETV
    Intervention Description
    entecavir 0.5 mg qd
    Intervention Type
    Drug
    Intervention Name(s)
    TQ-A3334
    Intervention Description
    TQ-A3334 po qw
    Intervention Type
    Drug
    Intervention Name(s)
    TQ-B2450
    Intervention Description
    TQ-B2450 q3w iv
    Primary Outcome Measure Information:
    Title
    Change from baseline in HBsAg quantification at week 24
    Description
    HBsAg quantification are measured
    Time Frame
    week 24
    Secondary Outcome Measure Information:
    Title
    HBsAg loss rates at week 24
    Description
    HBsAg loss rates are measured
    Time Frame
    week 24
    Title
    HBsAg seroconversion rates at week 24
    Description
    HBsAg seroconversion rates are measured
    Time Frame
    week 24
    Title
    HBeAg loss rates at week 24
    Description
    HBeAg loss rates are measured
    Time Frame
    week 24
    Title
    HBeAg seroconversion rates at week 24
    Description
    HBeAg seroconversion rates are measured
    Time Frame
    week 24
    Title
    HBV DNA<20IU/mL rates at week 24
    Description
    HBV DNA<20IU/mL rates are measured
    Time Frame
    week 24

    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: Male and female patients from 18 to 65 years of age; Chronic hepatitis B infection Negative urine or serum pregnancy test (for women of childbearing potential) documented within the 24-hour period prior to the first dose of test drug; Agree to participate in the study and sign the patient informed consent. Exclusion Criteria: Patients who had NAs resistance; Other antiviral, anti-neoplastic or immunomodulatory treatment; Women with ongoing pregnancy or breast-feeding; Co-infection with active hepatitis A, hepatitis C, hepatitis D(Those hospitals which have the ability to do the test will do) and/or human immunodeficiency virus (HIV); ALT >10 ULN; LSM >9kPa ; History or other evidence of a medical condition associated with chronic liver disease other than viral hepatitis (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures, thalassemia); Signs or symptoms of hepatocellular carcinoma; Neutrophil count < 1500 cells/mm3 or platelet count <90,000 cells/mm3 at screening; Hemoglobin < 11.5 g/dL for females and <12.5 g/dL for men; Serum creatinine level > 1.5 ULN in screening period. Phosphorus < 0.65 mmol/L; ANA > 1:100; History of severe psychiatric disease; History of a severe seizure disorder or current anticonvulsant use; History of immunologically mediated disease, (e.g., inflammatory bowel disease, idiopathic thrombocytopenic purpura, lupus erythematosus, autoimmune hemolytic anemia, scleroderma, rheumatoid arthritis etc.); History of chronic pulmonary disease associated with functional limitation; Diseases that IFN and Nucleotides or nucleosides are not suitable.

    12. IPD Sharing Statement

    Learn more about this trial

    Combination of ETV, TQ-A3334 and TQ-B2450 for CHB (Neptune Study)

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