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Study on the Tolerability, Pharmacodynamics and Pharmacokinetics of GST-HG141 Tablets

Primary Purpose

Hepatitis B

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
GST-HG141 tablets
Matching Placebos for GST-HG141 tablets
Sponsored by
Fujian Cosunter Pharmaceutical Co. Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis B

Eligibility Criteria

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

Inclusion Criteria:

  1. Sign the informed consent before the study and fully understand the content and process of the study as well as the possible adverse drug reactions;
  2. Be able to complete the study in accordance with protocol requirements;
  3. Subjects (including partners) are willing to take effective contraceptive measures from completion of screening to 6 months after the last Administration;
  4. Ages ranged from 18 to 70 years old (including 18 and 70 years old);
  5. Male subjects weighing no less than 45 kg, and female subjects weighing no less than 40 kg. [Body mass index (BMI) = body weight (kg) / height 2 (m^2)], body mass index is in the range of 18 ~ 32 kg / m^2 (including critical value);
  6. Patients with HBsAg-positive for at least 6 months (based on outpatient/inpatient medical records or laboratory report; or with IgM HBcAb-negative and HBsAg-positive when screening;
  7. Patients without interferon/nucleoside analogue treatment when screening, or interferon treatment was stopped more than 1 year ago, and nucleoside analogue treatment was stopped more than 6 months ago.
  8. For HBeAg-positive patients, HBV DNA ≥ 2×10^5 IU/mL; For HBeAg-negative patients, HBV DNA ≥ 2×10^4 IU/mL;
  9. Patients with Serum ALT less than 5×ULN when screening.

Exclusion Criteria:

  1. Patients with suspected allergy to any component of the study drug or allergic constitution (multiple drug and food allergy);
  2. Patients who had major trauma or Large surgical operation within 3 months before screening or are planning to take surgical treatment during the study ;
  3. Patients who had blood donation or massive blood loss (≥400 mL), or had a blood transfusion within 3 months before screening; or had blood donation or massive blood loss (≥200 mL) within 1 months before screening;
  4. Patients with smoking more than 5 cigarettes per day within 3 months before the study or heavy drinking within 4 weeks before screening (drinking more than 14 units of alcohol per week: 1 unit = 285 mL of beer, or 25 mL of spirits, or 100 mL of wine);
  5. Patients who had used immunosuppressants, immunomodulators (thymosin) and cytotoxic drugs within 6 months before dosing, or had received live attenuated vaccine within 1 month before screening;
  6. Patients who used immunosuppressants, immunomodulators (thymosin) and cytotoxic drugs within 6 months before dosing, or who had received live attenuated vaccine within 1 month before screening;
  7. Patients with clinically significant acute or chronic liver disease caused by non HBV infection (fatty liver disease is ruled out or recruited by researcher);
  8. Patients with history of liver cirrhosis or progressive liver fibrosis (e.g., liver histopathology reported liver cirrhosis or endoscopy indicated esophageal and gastric varices);
  9. Patients with confirmed or suspected decompensated hepatitis B cirrhosis including but not limited to: hepatic encephalopathy, hepatorenal syndrome, esophageal and gastric variceal bleeding, splenomegaly, ascites, primary liver cancer, etc. ;
  10. Patients with history of other malignancies or complicating with other malignant tumors;
  11. Patients complicating with severe circulatory, digestive, respiratory, urinary, blood, metabolism, immune, nervous and other systemic;
  12. Patients with acute infection within 2 weeks before screening;
  13. Patients who had participated in clinical trials of drugs or medical devices within 1 month before screening;
  14. Patients who could not ban smoking, drinking, caffeinated food or drinks within 2 days before administration and during the study , and patients who have special dietary requirements and can not follow the unified diet;
  15. Laboratory examination: platelet count<90×10^9/L; leukocyte count<3.0×10^9/L; neutrophil absolute value<1.3×10^9/L; serum total bilirubin>2×ULN; albumin<30 g/L; creatinine clearance rate≤60ml/min (calculated by MDRD formula); international standardization ratio value of prothrombin time (INR) >1.5;
  16. Patients with Alpha fetoprotein (AFP) more than 50 UG / L or imaging findings of malignant liver lesions;
  17. Patients with HCAb-positive , AIDS Ag/Ab-positive, or positive syphilis spirochemical Ab simultaneously RPR test-positive;
  18. For patients with normal ALT or less than 2×ULN, LSM≥12.4 kPa; or for patients with ALT≥2×ULN, LSM≥17.0 kPa;
  19. Patients with positive urine drug screening (morphine, marijuana) or alcohol breath test;
  20. Patients with positive urine drug screening (morphine, marijuana) or alcohol breath test;
  21. Patients with other factors that are not suitable to participate in this study in researcher's thought.

Sites / Locations

  • The first hospital of Jilin University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

GST-HG141

Matching Placebo for GST-HG141

Arm Description

GST-HG141 tablets at varying dosages by mouth for 28 days

Placebos for GST-HG141 tablets at varying dosages by mouth for 28 days

Outcomes

Primary Outcome Measures

Number of patients with chronic HBV infection with treatment-related adverse events and laboratory abnormalities.
Symptoms and physical examination, clinical laboratory examination, vital signs,12 lead ECG and adrenal ultrasounds were collected and assessed by CTCAE v5.0.
Cmax of GST-HG141
Plasma samples were collected at different points for pharmacokinetic analysis
AUC of GST-HG141
Plasma samples were collected at different points for pharmacokinetic analysis
t1/2 of GST-HG141
Plasma samples were collected at different points for pharmacokinetic analysis
Cl/F of GST-HG141
Plasma samples were collected at different points for pharmacokinetic analysis

Secondary Outcome Measures

The value of serum HBV DNA decreased from baseline
Plasma samples were collected at different points for pharmacodynamics analysis
The value of serum HBV pgRNA decreased from baseline
Plasma samples were collected at different points for pharmacodynamics analysis
The value of serum HBsAg decreased from baseline
Plasma samples were collected at different points for pharmacodynamics analysis
The value of serum HBeAg decreased from baseline
Plasma samples were collected at different points for pharmacodynamics analysis

Full Information

First Posted
April 23, 2021
Last Updated
June 6, 2022
Sponsor
Fujian Cosunter Pharmaceutical Co. Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04868981
Brief Title
Study on the Tolerability, Pharmacodynamics and Pharmacokinetics of GST-HG141 Tablets
Official Title
To Evaluate the Tolerability, Pharmacodynamics and Pharmacokinetics of GST-HG141 Tablets in Multiple-center, Randomized, Double-blind, Placebo-controlled Multiple-dose, Multiple-administration Study in Patients With Chronic Hepatitis B
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
May 31, 2021 (Actual)
Primary Completion Date
February 23, 2022 (Actual)
Study Completion Date
March 14, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fujian Cosunter 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
To Evaluate the Tolerability, Pharmacodynamics and Pharmacokinetics of GST-HG141 Tablets in Multiple-center, Randomized, Double-blind, Placebo-controlled Multiple-dose, Multiple-administration Study in Patients With Chronic Hepatitis B (CHB)
Detailed Description
This study includes 3 cohorts of 25 mg BID, 50 mg BID and 100 mg BID. 30 patients with chronic hepatitis B will be enrolled in this study and each cohort will enroll 10 patients (GST-HG141 tablets : PBO=8:2). All enrolled patients will be given research drugs twice a day for 28 days (D28 was administered only once in the morning). And each cohort requires at least 4 subjects with elevated ALT. Tolerability, pharmacodynamics and pharmacokinetics will be evaluated according to the protocol.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis B

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
GST-HG141
Arm Type
Experimental
Arm Description
GST-HG141 tablets at varying dosages by mouth for 28 days
Arm Title
Matching Placebo for GST-HG141
Arm Type
Placebo Comparator
Arm Description
Placebos for GST-HG141 tablets at varying dosages by mouth for 28 days
Intervention Type
Drug
Intervention Name(s)
GST-HG141 tablets
Intervention Description
Administrate GST-HG141 tablets orally in fed state twice daily at 25 mg or 50mg or 100 mg doses
Intervention Type
Drug
Intervention Name(s)
Matching Placebos for GST-HG141 tablets
Intervention Description
Administrate the placebos for GST-HG141 tablets orally in fed state twice daily at 25 mg or 50mg or 100 mg doses
Primary Outcome Measure Information:
Title
Number of patients with chronic HBV infection with treatment-related adverse events and laboratory abnormalities.
Description
Symptoms and physical examination, clinical laboratory examination, vital signs,12 lead ECG and adrenal ultrasounds were collected and assessed by CTCAE v5.0.
Time Frame
Up to 33 days
Title
Cmax of GST-HG141
Description
Plasma samples were collected at different points for pharmacokinetic analysis
Time Frame
Measured on -0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12hours on Day1; -0.5 hours on Day 8, Day 15, Day22 and Day 27 for trough concentration; -0.5, 0.5 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 hours on Day 28.
Title
AUC of GST-HG141
Description
Plasma samples were collected at different points for pharmacokinetic analysis
Time Frame
Measured on -0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12hours on Day1; -0.5 hours on Day 8, Day 15, Day22 and Day 27 for trough concentration; -0.5, 0.5 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 hours on Day 28.
Title
t1/2 of GST-HG141
Description
Plasma samples were collected at different points for pharmacokinetic analysis
Time Frame
Measured on -0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12hours on Day1; -0.5 hours on Day 8, Day 15, Day22 and Day 27 for trough concentration; -0.5, 0.5 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 hours on Day 28.
Title
Cl/F of GST-HG141
Description
Plasma samples were collected at different points for pharmacokinetic analysis
Time Frame
Measured on -0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12hours on Day1; -0.5 hours on Day 8, Day 15, Day22 and Day 27 for trough concentration; -0.5, 0.5 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 hours on Day 28.
Secondary Outcome Measure Information:
Title
The value of serum HBV DNA decreased from baseline
Description
Plasma samples were collected at different points for pharmacodynamics analysis
Time Frame
Plasma samples were collected before administation on the morning of day 1 and day 15 and at any time on day 29 and day 33
Title
The value of serum HBV pgRNA decreased from baseline
Description
Plasma samples were collected at different points for pharmacodynamics analysis
Time Frame
Plasma samples were collected before administation on the morning of day 1 and day 15 and at any time on day 29 and day 33
Title
The value of serum HBsAg decreased from baseline
Description
Plasma samples were collected at different points for pharmacodynamics analysis
Time Frame
Plasma samples were collected before administation on the morning of day 1 and day 15 and at any time on day 29 and day 33
Title
The value of serum HBeAg decreased from baseline
Description
Plasma samples were collected at different points for pharmacodynamics analysis
Time Frame
Plasma samples were collected before administation on the morning of day 1 and day 15 and at any time on day 29 and day 33

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: Sign the informed consent before the study and fully understand the content and process of the study as well as the possible adverse drug reactions; Be able to complete the study in accordance with protocol requirements; Subjects (including partners) are willing to take effective contraceptive measures from completion of screening to 6 months after the last Administration; Ages ranged from 18 to 70 years old (including 18 and 70 years old); Male subjects weighing no less than 45 kg, and female subjects weighing no less than 40 kg. [Body mass index (BMI) = body weight (kg) / height 2 (m^2)], body mass index is in the range of 18 ~ 32 kg / m^2 (including critical value); Patients with HBsAg-positive for at least 6 months (based on outpatient/inpatient medical records or laboratory report; or with IgM HBcAb-negative and HBsAg-positive when screening; Patients without interferon/nucleoside analogue treatment when screening, or interferon treatment was stopped more than 1 year ago, and nucleoside analogue treatment was stopped more than 6 months ago. For HBeAg-positive patients, HBV DNA ≥ 2×10^5 IU/mL; For HBeAg-negative patients, HBV DNA ≥ 2×10^4 IU/mL; Patients with Serum ALT less than 5×ULN when screening. Exclusion Criteria: Patients with suspected allergy to any component of the study drug or allergic constitution (multiple drug and food allergy); Patients who had major trauma or Large surgical operation within 3 months before screening or are planning to take surgical treatment during the study ; Patients who had blood donation or massive blood loss (≥400 mL), or had a blood transfusion within 3 months before screening; or had blood donation or massive blood loss (≥200 mL) within 1 months before screening; Patients with smoking more than 5 cigarettes per day within 3 months before the study or heavy drinking within 4 weeks before screening (drinking more than 14 units of alcohol per week: 1 unit = 285 mL of beer, or 25 mL of spirits, or 100 mL of wine); Patients who had used immunosuppressants, immunomodulators (thymosin) and cytotoxic drugs within 6 months before dosing, or had received live attenuated vaccine within 1 month before screening; Patients who used immunosuppressants, immunomodulators (thymosin) and cytotoxic drugs within 6 months before dosing, or who had received live attenuated vaccine within 1 month before screening; Patients with clinically significant acute or chronic liver disease caused by non HBV infection (fatty liver disease is ruled out or recruited by researcher); Patients with history of liver cirrhosis or progressive liver fibrosis (e.g., liver histopathology reported liver cirrhosis or endoscopy indicated esophageal and gastric varices); Patients with confirmed or suspected decompensated hepatitis B cirrhosis including but not limited to: hepatic encephalopathy, hepatorenal syndrome, esophageal and gastric variceal bleeding, splenomegaly, ascites, primary liver cancer, etc. ; Patients with history of other malignancies or complicating with other malignant tumors; Patients complicating with severe circulatory, digestive, respiratory, urinary, blood, metabolism, immune, nervous and other systemic; Patients with acute infection within 2 weeks before screening; Patients who had participated in clinical trials of drugs or medical devices within 1 month before screening; Patients who could not ban smoking, drinking, caffeinated food or drinks within 2 days before administration and during the study , and patients who have special dietary requirements and can not follow the unified diet; Laboratory examination: platelet count<90×10^9/L; leukocyte count<3.0×10^9/L; neutrophil absolute value<1.3×10^9/L; serum total bilirubin>2×ULN; albumin<30 g/L; creatinine clearance rate≤60ml/min (calculated by MDRD formula); international standardization ratio value of prothrombin time (INR) >1.5; Patients with Alpha fetoprotein (AFP) more than 50 UG / L or imaging findings of malignant liver lesions; Patients with HCAb-positive , AIDS Ag/Ab-positive, or positive syphilis spirochemical Ab simultaneously RPR test-positive; For patients with normal ALT or less than 2×ULN, LSM≥12.4 kPa; or for patients with ALT≥2×ULN, LSM≥17.0 kPa; Patients with positive urine drug screening (morphine, marijuana) or alcohol breath test; Patients with positive urine drug screening (morphine, marijuana) or alcohol breath test; Patients with other factors that are not suitable to participate in this study in researcher's thought.
Overall Study Officials:
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
The first hospital of Jilin University
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130000
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Study on the Tolerability, Pharmacodynamics and Pharmacokinetics of GST-HG141 Tablets

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