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A Study to Assess Efficacy and Safety of HH-003 Injection in Subjects With Chronic Hepatitis Delta Virus Infection

Primary Purpose

Chronic Hepatitis Delta Virus Infection

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
HH-003(20mg/kg)
HH-003(10mg/kg)
TAF
Sponsored by
Huahui Health
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis Delta Virus Infection

Eligibility Criteria

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

Inclusion Criteria: Signed the informed consent form; Male or female aged 18 to 70 years; Positive HBsAg at screening; History of chronic HDV infection for at least 6 months prior to randomization. For subjects also recommended for anti-HBV therapy, previous first line NrtIs treatment (ETV, TDF, TAF) within at least 12 weeks prior to the planned start of study treatment or subject's willingness to take first line NrtIs treatment for at least 12 weeks prior to the planned start of study treatment is required; Positive HDV antibody at screening; HDV RNA ≥100 IU/mL at screening; 1×ULN<Alanine aminotransferase (ALT) <10×ULN at screening; Exclusion Criteria: Subjects with known hypersensitivity to HH-003 and its components, history of severe allergic reaction to other therapeutic antibodies or severe allergic diseases; Subjects with contraindications for TAF; History of interferon therapy within 3 months before randomization; Any of the following lab test results at screening: Total bilirubin >2×ULN (except for subjects with Gilbert syndrome); Direct bilirubin > 1.5×ULN ; Platelets<80,000/mm3 (80×109/L); Serum Albumin <35 g/L; Prothrombin time international normalized ratio (INR) >1.3; Hemoglobin <100 g/L; Absolute neutrophils<1,500/mm3 (1.5×109/L); Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73m2 (according to the calculation equation of CKD-MDRD); Concomitant decompensated cirrhosis (cirrhosis with complications of portal hypertension and/or decreased hepatic function). The diagnosis of cirrhosis is based on, but not limited to: liver imaging assessment within 6 months prior to randomization (including screening period) (e.g.: liver ultrasound) or cirrhosis indicated by histopathology of liver biopsy, or liver stiffness measurement LSM≥17 kPa at screening, refer to more serious reported findings; Hepatic insufficiency within 3 months prior to randomization (including but not limited to: ascites, hepatic encephalopathy, upper gastrointestinal hemorrhage); Previous or current hepatocellular carcinoma (HCC) or suspicion for HCC suggested by liver histopathology or liver imaging; or serum alpha-fetoprotein (AFP) ≥ 50 ng/mL at screening; Subjects with history of alcoholic liver disease, nonalcoholic steatohepatitis, autoimmune liver disease or other hereditary liver diseases, drug-induced liver disease or other clinically significant chronic liver diseases not caused by HDV/HBV; History of other malignancies other than HCC, unless the subject's malignancy has been in complete remission within 3 years prior to screening and does not require chemotherapy and additional medical or surgical intervention; invasive medical devices within 1 month before randomization.

Sites / Locations

  • Beijing Ditan Hospital Captial Medical UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Other

Arm Label

HH-003 (20mg/kg)+TAF

HH-003 (10mg/kg)+TAF

TAF

Arm Description

Subjects will receive HH-003 20 mg/kg Q2W intravenously and TAF 25 mg QD orally during 48-week treatment period, and receive TAF 25 mg QD orally during 24-week follow-up period.

Subjects will receive HH-003 10 mg/kg Q2W intravenously and TAF 25 mg QD orally during 48-week treatment period, and receive TAF 25 mg QD orally during 24-week follow-up period.

Subjects will receive TAF 25 mg QD orally during 48-week treatment period and 24-week follow-up period.

Outcomes

Primary Outcome Measures

Proportion of subjects with serum HDV RNA below the lower limit of detection or a decrease of ≥2 log10 IU/mL from baseline and ALT normalization

Secondary Outcome Measures

Proportion of subjects with serum HDV RNA below the lower limit of detection or a decrease of ≥2 log10 IU/mL from baseline
Proportion of subjects with ALT normalization
Change from baseline in liver stiffness measurement (LSM)
Proportion of subjects with serum HDV RNA below the lower limit of detection or a decrease of ≥2 log10 IU/mL from baseline and ALT normalization
Proportion of subjects with serum HDV RNA below the lower limit of detection or a decrease of ≥2 log10 IU/mL from baseline
Proportion of subjects with ALT normalization
Change from baseline in liver stiffness measurement (LSM)
Proportion of subjects with serum HDV RNA below the lower limit of detection or a decrease of ≥2 log10 IU/mL from baseline
Proportion of subjects with ALT normalization
Change from baseline in liver stiffness measurement (LSM)
Change from baseline in serum HDV RNA levels at different time points
Change from baseline in serum ALT levels at different time points

Full Information

First Posted
May 7, 2023
Last Updated
October 7, 2023
Sponsor
Huahui Health
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1. Study Identification

Unique Protocol Identification Number
NCT05861674
Brief Title
A Study to Assess Efficacy and Safety of HH-003 Injection in Subjects With Chronic Hepatitis Delta Virus Infection
Official Title
A Multicenter, Randomized, Controlled, Open-label Phase IIb Study to Assess Efficacy and Safety of HH-003 Injection in Subjects With Chronic Hepatitis Delta Virus Infection
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 16, 2023 (Actual)
Primary Completion Date
June 30, 2024 (Anticipated)
Study Completion Date
June 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Huahui Health

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 is a multicenter, randomized, controlled, open-label, Phase IIb study of HH-003 injection, HH-003 injection is a monoclonal antibody targeting Hepatitis B virus. This study aims to assess efficacy and safety in subjects with chronic hepatitis delta virus infection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis Delta Virus Infection

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
HH-003 (20mg/kg)+TAF
Arm Type
Experimental
Arm Description
Subjects will receive HH-003 20 mg/kg Q2W intravenously and TAF 25 mg QD orally during 48-week treatment period, and receive TAF 25 mg QD orally during 24-week follow-up period.
Arm Title
HH-003 (10mg/kg)+TAF
Arm Type
Experimental
Arm Description
Subjects will receive HH-003 10 mg/kg Q2W intravenously and TAF 25 mg QD orally during 48-week treatment period, and receive TAF 25 mg QD orally during 24-week follow-up period.
Arm Title
TAF
Arm Type
Other
Arm Description
Subjects will receive TAF 25 mg QD orally during 48-week treatment period and 24-week follow-up period.
Intervention Type
Biological
Intervention Name(s)
HH-003(20mg/kg)
Intervention Description
20 mg/kg Q2W intravenously for 48 weeks
Intervention Type
Biological
Intervention Name(s)
HH-003(10mg/kg)
Intervention Description
10 mg/kg Q2W intravenously for 48 weeks
Intervention Type
Drug
Intervention Name(s)
TAF
Intervention Description
TAF 25 mg QD orally during 48-week treatment period and 24-week follow-up period
Primary Outcome Measure Information:
Title
Proportion of subjects with serum HDV RNA below the lower limit of detection or a decrease of ≥2 log10 IU/mL from baseline and ALT normalization
Time Frame
At Week 24 of the treatment period
Secondary Outcome Measure Information:
Title
Proportion of subjects with serum HDV RNA below the lower limit of detection or a decrease of ≥2 log10 IU/mL from baseline
Time Frame
At Week 24 of the treatment period
Title
Proportion of subjects with ALT normalization
Time Frame
At Week 24 of the treatment period
Title
Change from baseline in liver stiffness measurement (LSM)
Time Frame
At Week 24 of the treatment period
Title
Proportion of subjects with serum HDV RNA below the lower limit of detection or a decrease of ≥2 log10 IU/mL from baseline and ALT normalization
Time Frame
At Week 48 of the treatment period
Title
Proportion of subjects with serum HDV RNA below the lower limit of detection or a decrease of ≥2 log10 IU/mL from baseline
Time Frame
At Week 48 of the treatment period
Title
Proportion of subjects with ALT normalization
Time Frame
At Week 48 of the treatment period
Title
Change from baseline in liver stiffness measurement (LSM)
Time Frame
At Week 48 of the treatment period
Title
Proportion of subjects with serum HDV RNA below the lower limit of detection or a decrease of ≥2 log10 IU/mL from baseline
Time Frame
At Week 24 of the follow-up period
Title
Proportion of subjects with ALT normalization
Time Frame
At Week 24 of the follow-up period
Title
Change from baseline in liver stiffness measurement (LSM)
Time Frame
At Week 24 of the follow-up period
Title
Change from baseline in serum HDV RNA levels at different time points
Time Frame
Up to Week 72
Title
Change from baseline in serum ALT levels at different time points
Time Frame
Up to Week 72

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: Signed the informed consent form; Male or female aged 18 to 70 years; Positive HBsAg at screening; History of chronic HDV infection for at least 6 months prior to randomization. For subjects also recommended for anti-HBV therapy, previous first line NrtIs treatment (ETV, TDF, TAF) within at least 12 weeks prior to the planned start of study treatment or subject's willingness to take first line NrtIs treatment for at least 12 weeks prior to the planned start of study treatment is required; Positive HDV antibody at screening; HDV RNA ≥100 IU/mL at screening; 1×ULN<Alanine aminotransferase (ALT) <10×ULN at screening; Exclusion Criteria: Subjects with known hypersensitivity to HH-003 and its components, history of severe allergic reaction to other therapeutic antibodies or severe allergic diseases; Subjects with contraindications for TAF; History of interferon therapy within 3 months before randomization; Any of the following lab test results at screening: Total bilirubin >2×ULN (except for subjects with Gilbert syndrome); Direct bilirubin > 1.5×ULN ; Platelets<80,000/mm3 (80×109/L); Serum Albumin <35 g/L; Prothrombin time international normalized ratio (INR) >1.3; Hemoglobin <100 g/L; Absolute neutrophils<1,500/mm3 (1.5×109/L); Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73m2 (according to the calculation equation of CKD-MDRD); Concomitant decompensated cirrhosis (cirrhosis with complications of portal hypertension and/or decreased hepatic function). The diagnosis of cirrhosis is based on, but not limited to: liver imaging assessment within 6 months prior to randomization (including screening period) (e.g.: liver ultrasound) or cirrhosis indicated by histopathology of liver biopsy, or liver stiffness measurement LSM≥17 kPa at screening, refer to more serious reported findings; Hepatic insufficiency within 3 months prior to randomization (including but not limited to: ascites, hepatic encephalopathy, upper gastrointestinal hemorrhage); Previous or current hepatocellular carcinoma (HCC) or suspicion for HCC suggested by liver histopathology or liver imaging; or serum alpha-fetoprotein (AFP) ≥ 50 ng/mL at screening; Subjects with history of alcoholic liver disease, nonalcoholic steatohepatitis, autoimmune liver disease or other hereditary liver diseases, drug-induced liver disease or other clinically significant chronic liver diseases not caused by HDV/HBV; History of other malignancies other than HCC, unless the subject's malignancy has been in complete remission within 3 years prior to screening and does not require chemotherapy and additional medical or surgical intervention; invasive medical devices within 1 month before randomization.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jiaying Wen
Phone
+86-13552466248
Email
wenjiaying@hhhbio.com
First Name & Middle Initial & Last Name or Official Title & Degree
Mengwei Li
Phone
+86-18810689680
Email
limengwei@hhhbio.com
Facility Information:
Facility Name
Beijing Ditan Hospital Captial Medical University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100015
Country
China
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

A Study to Assess Efficacy and Safety of HH-003 Injection in Subjects With Chronic Hepatitis Delta Virus Infection

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