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An Study to Evaluate Safety and Efficacy of QL-007 Tablets in Combination With Entecavir or Tenofovir in Patients With Chronic Hepatitis b Who Have Received Nucleoside (Acid) Therapy

Primary Purpose

Chronic Hepatitis b

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
TDF tablet
Entecavir Tablet
QL-007
Sponsored by
Qilu Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis b focused on measuring nucleoside (acid) therapy

Eligibility Criteria

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

Inclusion Criteria:

  1. Patients aged 18-70 years (inclusive) with chronic HBV infection prior to baseline;
  2. Subjects who have received a entecavir or tenofovir ester treatment for more than 1 year before screening ;
  3. HBsAg > 250 IU/mL and HBV DNA < 60 IU/mL at screening period;
  4. ALT≤ 2×ULN;
  5. Participants must have understood and signed the ICF.

Exclusion Criteria:

  1. Confirmed co-infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis D virus (HDV);
  2. History of liver disease other than chronic hepatitis B;
  3. History of Gilbert's Disease;
  4. History of decompensated liver disease or any sign of decompensated liver disease at the screening period;
  5. Evidence of moderate or severe fibrosis or cirrhosis;
  6. Evidence of HCC or AFP > 50 ng/ml at the screening period.
  7. Any Clinical laboratory values meet the certain standards at the screening period;
  8. Subjects have clinically significant, uncontrolled heart disease and/or recent cardiac event;
  9. Risks of serious kidney and respiratory diseases;
  10. Impaired gastrointestinal (GI) function or GI disease that may alter absorption of QL-007 as determined by the Investigator;
  11. Receiving medications that meet one of the following criteria and that cannot be discontinued ≥1 week prior to the start of treatment QL-007:

    • Medication with a known risk of prolonging the QT interval or inducing Torsades de Pointes;
    • Moderate or strong inhibitors or strong inducers of CYP3A4
  12. Intake of any drugs that can reduce enzyme activity;
  13. History of bleeding diathesis;
  14. Risks of mental and nervous system diseases during screening;
  15. Pregnant or lactating female subjects; Female subjects of childbearing age who were not willing to use effective contraception throughout the study period or male subjects whose partners were fertile but were not willing to use effective contraception;
  16. Volunteers who took an Investigational Product within 3 months or who have been within 5 half-lives of other trial drugs before the randomization;
  17. Any other condition , which in the opinion of investigator would make a patient unfit for participation in a clinical study.

Sites / Locations

  • Southern Hospital of Southern Medical UniversityRecruiting
  • The first hospital of jilin universityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Active Comparator

Active Comparator

Arm Label

QL-007 +TDF

QL-007 +Entecavir

TDF monotherapy

Entecavir monotherapy

Arm Description

QL-007 200 mg BID +TDF 300 mg QD

QL-007 200 mg BID +Entecavir 0.5 mg QD

TDF tablet 300 mg QD

Entecavir tablet 0.5 mg QD

Outcomes

Primary Outcome Measures

Main index of pharmacodynamics
The change of HBsAg levels at week 24 compared to baseline

Secondary Outcome Measures

The secondary pharmacodynamic index
The changes of HBsAg and HBeAg level at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96 compared to baseline
The secondary pharmacodynamic index
The percentage of subjects with HBsAg and HBeAg serological clearance and/or seroconversion at 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96 weeks
The secondary pharmacodynamic index
The percentage of subjects with normal ALT level at weeks 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84 and 96
Other evaluation indexes of pharmacodynamics exploration
The changes of HBV RNA and HBcrAg compared with baseline at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84 and 96
To evaluate the safety of QL-007 in combination with TDF or Entecavir: incidence of adverse events
The incidence of adverse events

Full Information

First Posted
November 6, 2019
Last Updated
November 7, 2019
Sponsor
Qilu Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04157257
Brief Title
An Study to Evaluate Safety and Efficacy of QL-007 Tablets in Combination With Entecavir or Tenofovir in Patients With Chronic Hepatitis b Who Have Received Nucleoside (Acid) Therapy
Official Title
An Open-Label Phase 2 Study to Evaluate Safety and Efficacy of QL-007 Tablets in Combination With Entecavir or Tenofovir in Patients With Chronic Hepatitis b Who Have Received Nucleoside (Acid) Therapy : a Multicenter, Randomized, Positive Controlled Clinical Trialcontrolled Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Unknown status
Study Start Date
July 26, 2019 (Actual)
Primary Completion Date
December 2020 (Anticipated)
Study Completion Date
October 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Qilu 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
This is an open label, randomized, multi-center, comparative study. Subjects will be screened prior to study entry to establish eligibility. 60 Subjects who meet all the selection criteria will be randomly assigned to (A) QL007 200mg BID+ Tenofovir dipirofurate fumarate (TDF)300 mg QD, (B) QL007 200 mg BID+ Entecavir 0.5 mg QD, (C)TDF 300 mg QD, (D) Entecavir 0.5 mg QD. The purpose of this study was to evaluate the efficacy and safety of QL-007 tables in combination with TDF or Entecavir in patients with chronic hepatitis b who have received nucleoside (acid) therapy, and to recommend a reasonable regimen for phase III study.
Detailed Description
The subjects received the drug treatment for a maximum of 96 weeks: divided into two stages: the first stage: 0-24 weeks as the core treatment period, 25-48 weeks as the extended treatment period. The second stage: 49-96 weeks is the extended treatment period. Stage 2: subjects in stage 1 group A and C were grouped into group E(QL-007 200 mg BID或XX mg +TDF 300 mg QD), and subjects in group B and D were grouped into group F(QL-007 200 mg BID或XX mg + Entecavir 0.5 mg QD). Subjects in group E and F entered the second stage of treatment according to 200 mg BID. After the efficacy data of the original treatment clinical trial (protocol 201) determine the optimal dose of 007, all subjects entering the second phase will receive the optimal dose of 007 and continue treatment withTDF or Entecavir tablets (007 XXmg+TDF or ETV) into the second phase 49-96 weeks of extended treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis b
Keywords
nucleoside (acid) therapy

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
QL-007 +TDF
Arm Type
Experimental
Arm Description
QL-007 200 mg BID +TDF 300 mg QD
Arm Title
QL-007 +Entecavir
Arm Type
Experimental
Arm Description
QL-007 200 mg BID +Entecavir 0.5 mg QD
Arm Title
TDF monotherapy
Arm Type
Active Comparator
Arm Description
TDF tablet 300 mg QD
Arm Title
Entecavir monotherapy
Arm Type
Active Comparator
Arm Description
Entecavir tablet 0.5 mg QD
Intervention Type
Drug
Intervention Name(s)
TDF tablet
Other Intervention Name(s)
Tenofovir dipirofurate fumarate tablet
Intervention Description
TDF tablet 300mg QD
Intervention Type
Drug
Intervention Name(s)
Entecavir Tablet
Other Intervention Name(s)
Entecavir
Intervention Description
Entecavir tablet 0.5mg QD
Intervention Type
Drug
Intervention Name(s)
QL-007
Other Intervention Name(s)
QL-007 tablet
Intervention Description
QL-007 tablets 200mg BID
Primary Outcome Measure Information:
Title
Main index of pharmacodynamics
Description
The change of HBsAg levels at week 24 compared to baseline
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
The secondary pharmacodynamic index
Description
The changes of HBsAg and HBeAg level at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96 compared to baseline
Time Frame
96 weeks
Title
The secondary pharmacodynamic index
Description
The percentage of subjects with HBsAg and HBeAg serological clearance and/or seroconversion at 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96 weeks
Time Frame
96 weeks
Title
The secondary pharmacodynamic index
Description
The percentage of subjects with normal ALT level at weeks 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84 and 96
Time Frame
96 weeks
Title
Other evaluation indexes of pharmacodynamics exploration
Description
The changes of HBV RNA and HBcrAg compared with baseline at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84 and 96
Time Frame
96 weeks
Title
To evaluate the safety of QL-007 in combination with TDF or Entecavir: incidence of adverse events
Description
The incidence of adverse events
Time Frame
96 weeks

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: Patients aged 18-70 years (inclusive) with chronic HBV infection prior to baseline; Subjects who have received a entecavir or tenofovir ester treatment for more than 1 year before screening ; HBsAg > 250 IU/mL and HBV DNA < 60 IU/mL at screening period; ALT≤ 2×ULN; Participants must have understood and signed the ICF. Exclusion Criteria: Confirmed co-infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis D virus (HDV); History of liver disease other than chronic hepatitis B; History of Gilbert's Disease; History of decompensated liver disease or any sign of decompensated liver disease at the screening period; Evidence of moderate or severe fibrosis or cirrhosis; Evidence of HCC or AFP > 50 ng/ml at the screening period. Any Clinical laboratory values meet the certain standards at the screening period; Subjects have clinically significant, uncontrolled heart disease and/or recent cardiac event; Risks of serious kidney and respiratory diseases; Impaired gastrointestinal (GI) function or GI disease that may alter absorption of QL-007 as determined by the Investigator; Receiving medications that meet one of the following criteria and that cannot be discontinued ≥1 week prior to the start of treatment QL-007: Medication with a known risk of prolonging the QT interval or inducing Torsades de Pointes; Moderate or strong inhibitors or strong inducers of CYP3A4 Intake of any drugs that can reduce enzyme activity; History of bleeding diathesis; Risks of mental and nervous system diseases during screening; Pregnant or lactating female subjects; Female subjects of childbearing age who were not willing to use effective contraception throughout the study period or male subjects whose partners were fertile but were not willing to use effective contraception; Volunteers who took an Investigational Product within 3 months or who have been within 5 half-lives of other trial drugs before the randomization; Any other condition , which in the opinion of investigator would make a patient unfit for participation in a clinical study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Anbo Xiang, PhD
Phone
18815317378
Email
anbo.xiang@qilu-pharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jinlin Hou, PhD
Organizational Affiliation
Southern Hospital of Southern Medical University
Official's Role
Principal Investigator
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
Southern Hospital of Southern Medical University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jinlin Hou, PhD
Facility Name
The first hospital of jilin university
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Junqi Niu, PhD

12. IPD Sharing Statement

Learn more about this trial

An Study to Evaluate Safety and Efficacy of QL-007 Tablets in Combination With Entecavir or Tenofovir in Patients With Chronic Hepatitis b Who Have Received Nucleoside (Acid) Therapy

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