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A Study of RBD1016 in CHB Participants

Primary Purpose

Chronic Hepatitis b

Status
Recruiting
Phase
Phase 2
Locations
Sweden
Study Type
Interventional
Intervention
RBD1016
RBD1016+PegIFN-α
Sponsored by
Suzhou Ribo Life Science Co. Ltd.
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: Willing and able to give written informed consent for study participation; Male or female participants aged 18-65 years; Body mass index (BMI) within the range of 18-34 kilograms/square meter (kg/m2); Documented history of chronic hepatitis B virus (HBV) infection, by positive HBsAg and/or HBV DNA tests ≥ 6 months before screening; HBeAg positive or negative at screening; On a stable regimen (≥ 12 months before screening) of any approved first-line oral NAs; Serum alanine aminotransferase (ALT) ≤ 1.5 times the upper limit of normal (ULN); Liver transient elastography (FibroScan) results within 12 months before screening or at screening showing that the liver stiffness measurement (LSM) level is less than 9 kPa; or with liver biopsy within 24 months before screening showing that the Metavir score is F0-F2. Exclusion Criteria: Diagnosed with other liver diseases other than hepatitis B; History of liver cirrhosis or hepatic decompensation (e.g., ascites, varices bleeding, or hepatic encephalopathy) before or at screening; History of organ transplantation or previous or concurrent with hepatocellular carcinoma (HCC), or imaging findings suggesting a possibility of malignant liver lesions; Concurrent hepatitis C virus (HCV), human immunodeficiency virus (HIV), or diagnosis of syphilis, acute hepatitis A or acute hepatitis E; Laboratory results at screening as follows: serum alpha-fetoprotein (AFP) >50 μg/L; serum albumin concentration <3.0 g/dL; international normalized ratio (INR) >1.5; platelet count <90×10^9/L; serum direct bilirubin (DB) >2×ULN; serum creatinine concentration >1.5×ULN or creatinine clearance <60 mL/min (according to the Cockcroft-Gault equation); or any clinically significant laboratory outliers that the investigator believes may interfere with the interpretation of the efficacy and safety data in this study; Those who the investigator believes are not suitable to participate in the study due to other factors. Additional exclusion criteria for Part B: Participants who are judged not to be suitable for IFN treatment for any reason; History of IFN treatment within 12 months prior to screening; Other situations that the investigator believes are not suitable to participate in Part B.

Sites / Locations

  • Karolinska University HospitalRecruiting
  • Clinical Trial Consultants AB

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

RBD1016/placebo 100 mg Q4W group

RBD1016/placebo 200 mg Q4W group

RBD1016/placebo 200 mg Q12W group

RBD1016+PegIFN-α 200 mg Q4W group

Arm Description

Participants in the 100 mg Q4W dose group will receive corresponding doses of RBD1016 injection or placebo by subcutaneous injection on D1, D29, D57, and D85.

Participants in the 200 mg Q4W dose group will receive corresponding doses of RBD1016 injection or placebo by subcutaneous injection on D1, D29, D57, and D85.

Participants in the 200 mg Q12W dose group will receive corresponding doses of RBD1016 injection or placebo by subcutaneous injection on D1, and D85.

Participants in the 200 mg Q4W dose group will receive corresponding doses of RBD1016 injection by subcutaneous injection on D1, D29, D57, and D85, and also receive 180 µg PegIFN-α subcutaneously every week for 48 weeks

Outcomes

Primary Outcome Measures

safety: number and percentage of AEs
Number and percentage of participants with adverse events (AEs). All reported AE terms will be coded using Medical Dictionary for Drug Regulatory Affairs (MedDRA).
efficacy: the maximum decline of HBsAg level
The maximum decline (log value) of HBsAg level. Electro chmiluminescence method will be used to detect hepatitis B surface antigen (HBsAg).

Secondary Outcome Measures

efficacy: the proportion of HBsAg decline≥1 log10 IU/mL
The proportion of participants with HBsAg decline ≥1 log10 IU/mL. Electro chmiluminescence method will be used to detect HBsAg.
PK parameter Cmax
Maximum concentration (Cmax) will be calculated by PhoenixWinNonlin software (V8.0 or higher).
PK parameter Tmax
Time to maximum concentration (Tmax) will be calculated by PhoenixWinNonlin software (V8.0 or higher) will be used to calculate the PK parameter.
PK parameter AUC0-t
Area under the concentration-time curve from 0 to the collection time t (AUC0-t) will be calculated by PhoenixWinNonlin software (V8.0 or higher).
PK parameter t1/2
Half-Life (t1/2) will be calculated by PhoenixWinNonlin software (V8.0 or higher).
PK parameter Vd/F
Apparent volume of distribution (Vd/F) will be calculated by PhoenixWinNonlin software (V8.0 or higher).
PK parameter CL/F
Clearance (CL/F) will be calculated by PhoenixWinNonlin software (V8.0 or higher).

Full Information

First Posted
July 6, 2023
Last Updated
October 7, 2023
Sponsor
Suzhou Ribo Life Science Co. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05961098
Brief Title
A Study of RBD1016 in CHB Participants
Official Title
A Phase II Clinical Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of RBD1016 Injection in Participants With Chronic Hepatitis B
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 21, 2023 (Actual)
Primary Completion Date
August 21, 2025 (Anticipated)
Study Completion Date
March 15, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Suzhou Ribo Life Science 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
Yes

5. Study Description

Brief Summary
This study consists of Part A and Part B. Part A is a multi-center, randomized, double-blind, placebo-controlled clinical study to assess the safety, efficacy, PK and immunogenicity of RBD1016 injection combined with NAs in CHB participants. Part B is a multi-center, open clinical study to assess the safety, efficacy, PK and immunogenicity of RBD1016 injection combined with PegIFN-α and NAs in CHB participants.
Detailed Description
The study consists of screening period, treatment period, and follow up period. Part A is divided into 3 dose groups, namely 100 mg Q4W, 200 mg Q4W and 200 mg Q12W. Each group will enroll 28 eligible participants, with 21 participants receiving RBD1016 injection and 7 participants receiving placebo. Part B has a RBD1016 200mg dose group, which will enroll 20 participants to receive RBD1016 combined with PegIFN-α and NAs 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
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
104 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
RBD1016/placebo 100 mg Q4W group
Arm Type
Experimental
Arm Description
Participants in the 100 mg Q4W dose group will receive corresponding doses of RBD1016 injection or placebo by subcutaneous injection on D1, D29, D57, and D85.
Arm Title
RBD1016/placebo 200 mg Q4W group
Arm Type
Experimental
Arm Description
Participants in the 200 mg Q4W dose group will receive corresponding doses of RBD1016 injection or placebo by subcutaneous injection on D1, D29, D57, and D85.
Arm Title
RBD1016/placebo 200 mg Q12W group
Arm Type
Experimental
Arm Description
Participants in the 200 mg Q12W dose group will receive corresponding doses of RBD1016 injection or placebo by subcutaneous injection on D1, and D85.
Arm Title
RBD1016+PegIFN-α 200 mg Q4W group
Arm Type
Experimental
Arm Description
Participants in the 200 mg Q4W dose group will receive corresponding doses of RBD1016 injection by subcutaneous injection on D1, D29, D57, and D85, and also receive 180 µg PegIFN-α subcutaneously every week for 48 weeks
Intervention Type
Drug
Intervention Name(s)
RBD1016
Intervention Description
RBD1016 with NAs background treatment will be explored.
Intervention Type
Drug
Intervention Name(s)
RBD1016+PegIFN-α
Intervention Description
RBD1016 with PegIFN-α and NAs background treatment will be explored.
Primary Outcome Measure Information:
Title
safety: number and percentage of AEs
Description
Number and percentage of participants with adverse events (AEs). All reported AE terms will be coded using Medical Dictionary for Drug Regulatory Affairs (MedDRA).
Time Frame
24 weeks
Title
efficacy: the maximum decline of HBsAg level
Description
The maximum decline (log value) of HBsAg level. Electro chmiluminescence method will be used to detect hepatitis B surface antigen (HBsAg).
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
efficacy: the proportion of HBsAg decline≥1 log10 IU/mL
Description
The proportion of participants with HBsAg decline ≥1 log10 IU/mL. Electro chmiluminescence method will be used to detect HBsAg.
Time Frame
24 weeks
Title
PK parameter Cmax
Description
Maximum concentration (Cmax) will be calculated by PhoenixWinNonlin software (V8.0 or higher).
Time Frame
12 weeks
Title
PK parameter Tmax
Description
Time to maximum concentration (Tmax) will be calculated by PhoenixWinNonlin software (V8.0 or higher) will be used to calculate the PK parameter.
Time Frame
12 weeks
Title
PK parameter AUC0-t
Description
Area under the concentration-time curve from 0 to the collection time t (AUC0-t) will be calculated by PhoenixWinNonlin software (V8.0 or higher).
Time Frame
12 weeks
Title
PK parameter t1/2
Description
Half-Life (t1/2) will be calculated by PhoenixWinNonlin software (V8.0 or higher).
Time Frame
12 weeks
Title
PK parameter Vd/F
Description
Apparent volume of distribution (Vd/F) will be calculated by PhoenixWinNonlin software (V8.0 or higher).
Time Frame
12 weeks
Title
PK parameter CL/F
Description
Clearance (CL/F) will be calculated by PhoenixWinNonlin software (V8.0 or higher).
Time Frame
12 weeks

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: Willing and able to give written informed consent for study participation; Male or female participants aged 18-65 years; Body mass index (BMI) within the range of 18-34 kilograms/square meter (kg/m2); Documented history of chronic hepatitis B virus (HBV) infection, by positive HBsAg and/or HBV DNA tests ≥ 6 months before screening; HBeAg positive or negative at screening; On a stable regimen (≥ 12 months before screening) of any approved first-line oral NAs; Serum alanine aminotransferase (ALT) ≤ 1.5 times the upper limit of normal (ULN); Liver transient elastography (FibroScan) results within 12 months before screening or at screening showing that the liver stiffness measurement (LSM) level is less than 9 kPa; or with liver biopsy within 24 months before screening showing that the Metavir score is F0-F2. Exclusion Criteria: Diagnosed with other liver diseases other than hepatitis B; History of liver cirrhosis or hepatic decompensation (e.g., ascites, varices bleeding, or hepatic encephalopathy) before or at screening; History of organ transplantation or previous or concurrent with hepatocellular carcinoma (HCC), or imaging findings suggesting a possibility of malignant liver lesions; Concurrent hepatitis C virus (HCV), human immunodeficiency virus (HIV), or diagnosis of syphilis, acute hepatitis A or acute hepatitis E; Laboratory results at screening as follows: serum alpha-fetoprotein (AFP) >50 μg/L; serum albumin concentration <3.0 g/dL; international normalized ratio (INR) >1.5; platelet count <90×10^9/L; serum direct bilirubin (DB) >2×ULN; serum creatinine concentration >1.5×ULN or creatinine clearance <60 mL/min (according to the Cockcroft-Gault equation); or any clinically significant laboratory outliers that the investigator believes may interfere with the interpretation of the efficacy and safety data in this study; Those who the investigator believes are not suitable to participate in the study due to other factors. Additional exclusion criteria for Part B: Participants who are judged not to be suitable for IFN treatment for any reason; History of IFN treatment within 12 months prior to screening; Other situations that the investigator believes are not suitable to participate in Part B.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jidong Jia, doctor
Phone
0512-57017802
Ext
0512-57017805
Email
jiamd@263.net
First Name & Middle Initial & Last Name or Official Title & Degree
Jidong Jia
Phone
0512-57017802
Facility Information:
Facility Name
Karolinska University Hospital
City
Stockholm
ZIP/Postal Code
141 86
Country
Sweden
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Olsson
Email
annika.el.olsson@regionstockholm.se
First Name & Middle Initial & Last Name & Degree
Soo Aleman
Facility Name
Clinical Trial Consultants AB
City
Uppsala
ZIP/Postal Code
752 37
Country
Sweden
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lidström
Email
malte.lidstrom@ctc-ab.se

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of RBD1016 in CHB Participants

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