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A Clinical Trials to Evaluate the Efficacy and Safety of Tenofovir With and Without DWPUR001 in Patients With HBV

Primary Purpose

Hepatitis; Virus, Chronic, Type B

Status
Unknown status
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
DWPUR001
Placebo
Sponsored by
Uijeongbu St. Mary Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis; Virus, Chronic, Type B

Eligibility Criteria

19 Years - 69 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients at the age in between 19 and 69 years at the time of agreement
  2. Patients who had HBsAg-positive at least within 24 weeks or had a diagnosis with chronic hepatic disease by image test within 24 weeks from the time of screening.
  3. Patients who had HBeAg-positive and HBV DNA level≥20,000 IU/mL, or HBeAg-negative and HBV DNA level≥2,000 IU/mL
  4. Patients never treated with Tenofovir
  5. Patients whose ALT level is more than 2 times of UNL at the time of screening
  6. Patients prothrombin time prolonged≤4sec at the time of screening
  7. Patients Total bilirubin level≤3.0mg/dL at the time of screening
  8. Patients albumin level≥3.0g/dL at the time of screening
  9. Patients ELF score≥8.5 at the time of screening
  10. Patients who agree with the clinical trial voluntarily and sign on the agreement

Exclusion Criteria:

  1. HIV, HCV or HDV infedted patients
  2. Patients who have abnormal liver function caused by other diseases (e.g. hematochromatosis, Wilson's disease, alcoholic hepatitis, Nonalcoholic steatohepatitis, alpha 1 antitrypsin deficiency)
  3. Patients who had suffered from variceal haemorrhage or hepatic encephalopathy
  4. Patients who need/had liver transplant
  5. Patients who have severe biliary obstruction, fulminant hepatic failure, radio-opacity gallstone, non-functional gall bladder, acute cholecystitis, Lactic acidosis/ adiposis
  6. Patients who have enteritis and colitis like peptic ulcer or Crohn's disease
  7. Patients who have significant kidney disease, cardiovascular disease, lung disease, nervous disease, self-immune disease, bone disease (ex: osteomalacia, osteopenia, chronic osteomyelitis, osteopsathyrosis, osteochondrosis, multiple fracture) or malignant tumor.
  8. Patients who have systemic infection
  9. Patients who have hypersensitivity to ursodeoxycholic acid or Tenofovir
  10. Patients who have the generic problem as galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
  11. Patients described as below at the time of screening

    • Hb<8g/dL
    • eGFR<60mL/min/1.73m2
    • AFP level>200ng/mL or had a diagnosis with hepatocellular carcinoma based on the radiology result within 24 weeks
  12. Patients who had immune- or cytokine-based antiviral agents treatment (ex. Interferon α, Peginterferon α), or immunosuppression therapy (ex. Cyclosporine, Tacrolimus) in 24 weeks at the time of screening
  13. Patients who have to use the contraindication of comedication drugs during clinical trial or can't get the wash-out period
  14. Women of child-bearing potential not using an effective birth control method
  15. Patients who have psychiatric disorders or drug or alcohol abuse, so can't understand the purpose and process of this clinical trial
  16. Patients who participated in other clinical trial in 30 days prior to the enrollment in this study
  17. Patients who were determined inappropriate by the investigator to participate in this study

Sites / Locations

  • Korea University Ansan HospitalRecruiting
  • Bundang CHA medical centerRecruiting
  • Incheon St. Mary HospitalRecruiting
  • Severance HospitalRecruiting
  • Ajou University Medical CenterRecruiting
  • Uijeongbu St. Mary HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Tenofovir 300mg qd + DWPUR001 500mg bid

Tenofovir 300mg qd + DWPUR001 300mg bid

Tenofovir 300mg qd + DWPUR001 Placebo bid

Arm Description

Tenofovir 300mg qd + DWPUR001 500mg bid for up to 12 months

Tenofovir 300mg qd + DWPUR001 300mg bid for up to 12 months

Tenofovir 300mg qd + DWPUR001 Placebo bid for up to 12 months

Outcomes

Primary Outcome Measures

The proportion of normalization of ALT level (≤1× ULN)(%)

Secondary Outcome Measures

The proportion of normalization of ALT level (≤1× ULN)(%)
The change of fibrosis marker(ELF score) compared with the baseline
The change of immunological marker(PD-1, CTLA-4, FoxP3) compared with baseline
The change of anti-oxidant/anti-inflammatory marker(SOD, MDA, TNF-α)
The change of HBV DNA level compared with baseline (IU/mL)

Full Information

First Posted
November 15, 2016
Last Updated
September 21, 2017
Sponsor
Uijeongbu St. Mary Hospital
Collaborators
Daewoong Pharmaceutical Co. LTD.
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1. Study Identification

Unique Protocol Identification Number
NCT02966964
Brief Title
A Clinical Trials to Evaluate the Efficacy and Safety of Tenofovir With and Without DWPUR001 in Patients With HBV
Official Title
An Exploratory, Randomized, Double-blinded, Placebo-controlled Study to Evaluate the Efficacy and Safety of Tenofovir With and Without DWPUR001 in Patients With Hepatitis B Virus(HBV)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2017
Overall Recruitment Status
Unknown status
Study Start Date
April 2015 (undefined)
Primary Completion Date
November 2018 (Anticipated)
Study Completion Date
February 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Uijeongbu St. Mary Hospital
Collaborators
Daewoong Pharmaceutical Co. LTD.

4. Oversight

5. Study Description

Brief Summary
The patient who meets the inclusion/exclusion criteria is assigned to Test1 group or Test 2 group or control group randomly. All subjects take one pill of Viread® Tab. (Tenofovir Disoproxil Fumarate 300mg) once a day for 48 weeks. At the same time, all randomized subjects take two pills of DWPUR001 or Placebo of DWPUR001 twice a day for 48 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis; Virus, Chronic, Type B

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Tenofovir 300mg qd + DWPUR001 500mg bid
Arm Type
Experimental
Arm Description
Tenofovir 300mg qd + DWPUR001 500mg bid for up to 12 months
Arm Title
Tenofovir 300mg qd + DWPUR001 300mg bid
Arm Type
Experimental
Arm Description
Tenofovir 300mg qd + DWPUR001 300mg bid for up to 12 months
Arm Title
Tenofovir 300mg qd + DWPUR001 Placebo bid
Arm Type
Placebo Comparator
Arm Description
Tenofovir 300mg qd + DWPUR001 Placebo bid for up to 12 months
Intervention Type
Drug
Intervention Name(s)
DWPUR001
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
The proportion of normalization of ALT level (≤1× ULN)(%)
Time Frame
At the 4 weeks
Secondary Outcome Measure Information:
Title
The proportion of normalization of ALT level (≤1× ULN)(%)
Time Frame
At the 2, 8, 12, 24, 36, 48 weeks
Title
The change of fibrosis marker(ELF score) compared with the baseline
Time Frame
At the 48 weeks
Title
The change of immunological marker(PD-1, CTLA-4, FoxP3) compared with baseline
Time Frame
At the 12, 24, 48 weeks
Title
The change of anti-oxidant/anti-inflammatory marker(SOD, MDA, TNF-α)
Time Frame
At the 24, 48 weeks
Title
The change of HBV DNA level compared with baseline (IU/mL)
Time Frame
At the 12, 24, 36, 48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
69 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients at the age in between 19 and 69 years at the time of agreement Patients who had HBsAg-positive at least within 24 weeks or had a diagnosis with chronic hepatic disease by image test within 24 weeks from the time of screening. Patients who had HBeAg-positive and HBV DNA level≥20,000 IU/mL, or HBeAg-negative and HBV DNA level≥2,000 IU/mL Patients never treated with Tenofovir Patients whose ALT level is more than 2 times of UNL at the time of screening Patients prothrombin time prolonged≤4sec at the time of screening Patients Total bilirubin level≤3.0mg/dL at the time of screening Patients albumin level≥3.0g/dL at the time of screening Patients ELF score≥8.5 at the time of screening Patients who agree with the clinical trial voluntarily and sign on the agreement Exclusion Criteria: HIV, HCV or HDV infedted patients Patients who have abnormal liver function caused by other diseases (e.g. hematochromatosis, Wilson's disease, alcoholic hepatitis, Nonalcoholic steatohepatitis, alpha 1 antitrypsin deficiency) Patients who had suffered from variceal haemorrhage or hepatic encephalopathy Patients who need/had liver transplant Patients who have severe biliary obstruction, fulminant hepatic failure, radio-opacity gallstone, non-functional gall bladder, acute cholecystitis, Lactic acidosis/ adiposis Patients who have enteritis and colitis like peptic ulcer or Crohn's disease Patients who have significant kidney disease, cardiovascular disease, lung disease, nervous disease, self-immune disease, bone disease (ex: osteomalacia, osteopenia, chronic osteomyelitis, osteopsathyrosis, osteochondrosis, multiple fracture) or malignant tumor. Patients who have systemic infection Patients who have hypersensitivity to ursodeoxycholic acid or Tenofovir Patients who have the generic problem as galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption Patients described as below at the time of screening Hb<8g/dL eGFR<60mL/min/1.73m2 AFP level>200ng/mL or had a diagnosis with hepatocellular carcinoma based on the radiology result within 24 weeks Patients who had immune- or cytokine-based antiviral agents treatment (ex. Interferon α, Peginterferon α), or immunosuppression therapy (ex. Cyclosporine, Tacrolimus) in 24 weeks at the time of screening Patients who have to use the contraindication of comedication drugs during clinical trial or can't get the wash-out period Women of child-bearing potential not using an effective birth control method Patients who have psychiatric disorders or drug or alcohol abuse, so can't understand the purpose and process of this clinical trial Patients who participated in other clinical trial in 30 days prior to the enrollment in this study Patients who were determined inappropriate by the investigator to participate in this study
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Chang Wook Kim, M.D., Ph.D.
Phone
+82-31-847-2719
Email
cwkim@catholic.ac.kr
Facility Information:
Facility Name
Korea University Ansan Hospital
City
Ansan-si
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Bundang CHA medical center
City
Bundang
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Incheon St. Mary Hospital
City
Incheon
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Severance Hospital
City
Seoul
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Ajou University Medical Center
City
Suwon-si
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Uijeongbu St. Mary Hospital
City
Uijongbu
Country
Korea, Republic of
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

A Clinical Trials to Evaluate the Efficacy and Safety of Tenofovir With and Without DWPUR001 in Patients With HBV

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