Combination of ETV, TQ-A3334 and TQ-B2450 for CHB (Neptune Study) (Neptune)
Chronic Hepatitis b
About this trial
This is an interventional treatment trial for Chronic Hepatitis b
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.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Active Comparator
Experimental
Experimental
Active Comparator
Experimental
Experimental
Naive:ETV
Naive:ETV+TQ-A3334
Naive:ETV+TQ-A3334+TQ-B2450
Experienced:ETV
Experienced:ETV+TQ-A3334
Experienced:ETV+TQ-A3334+TQ-B2450
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