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Nabi-HB Administered Subcutaneously in Patients With Hepatitis B Virus Post Liver Transplantation (Nabi-HB-SC)

Primary Purpose

Hepatitis B, Chronic

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Nabi-HB
Sponsored by
Biotest Pharmaceuticals Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis B, Chronic focused on measuring Chronic hepatitis B liver disease

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female patients 18 years old or older as of visit one.
  • If female is not trying to conserve, not lactating, and has a negative serum pregnancy test and use an acceptable method of contraception or be at least one year post-menopausal or surgically sterile.
  • Able to provide written informed consent.
  • First time liver transplant recipient.
  • Primary, single organ recipient (deceased donor <65 years old).
  • receive regular long-term HBIG prophylaxis with stabilized HBIG dosage and administration intervals.
  • Have negative quantifiable HBV-DNA and HBsAg results prior to dosing at visit 2.
  • Following the last IV administration of HBIG, have a baseline serum anti-HBs level of >150 IU/ML prior to dosing at visit 2.

Exclusion Criteria

  • Positive HCV or HIV test results.
  • Unexplained elevated liver function tests.
  • Serum creatinine level >2.0 times the upper limit of normal.
  • life expectancy <6 months.
  • liver transplantation with ongoing acute rejection episode. Donor liver that was from a hepatitis Bor C positive donor. Underwent a liver transplant <12 months prior to visit 1.
  • Know history of cancer, suspected cancer, or cancer therapy within 12 months.
  • History of autoimmune disease.
  • History/current evidence of coagulation disorder, severe cardiac disease, unhealed gastric or duodenal ulcer, or other significant disease.
  • Evidence of any other unresolved infection and any unresolved opportunistic infection requiring treatment.
  • Known immunoglobulin A deficiency.
  • History of use of immunosupressive or immunomodulatory drug within 3 month prior to visit 1. (except low dose glucocorticoid therapy, <10 mg of prednisone or equivalent per day.)
  • received and investigational drug 30 days prior to visit 1.
  • use of plasma preparations or other immunoglobulins during the study.
  • Know intolerance to proteins of human origin, immunoglobulin, or comparable products.
  • Evidence of alcohol and/or drug abuse within 6 month of visit 2 or inability/unwillingness to abstain from alcohol for the duration of the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Arm One: Nabi-HB

    Arm Description

    All subjects will be administered Nabi HB Subcutaneously

    Outcomes

    Primary Outcome Measures

    To evaluate the efficacy of Nabi-HB administered subcutaneously weekly for a total of 14 weeks in patients who previously underwent a liver transplant. Levels will provide evidence if effective anti-HB levels >150 IU/ML can be maintained.

    Secondary Outcome Measures

    To evaluate the safety of Nabi-HB administered subcutaneously weekly for a total of 14 weeks.

    Full Information

    First Posted
    November 26, 2008
    Last Updated
    January 15, 2016
    Sponsor
    Biotest Pharmaceuticals Corporation
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00800787
    Brief Title
    Nabi-HB Administered Subcutaneously in Patients With Hepatitis B Virus Post Liver Transplantation
    Acronym
    Nabi-HB-SC
    Official Title
    A Phase 3, Multicenter, Open Label Study to Assess the Safety and Efficacy of Nabi-HB Administered Subcutaneously in Patients With Hepatitis B Virus Associated Liver Disease Who Underwent Liver Transplantation
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2010
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    New sponsor's existing product under evaluation for this indication
    Study Start Date
    April 2010 (undefined)
    Primary Completion Date
    August 2010 (Anticipated)
    Study Completion Date
    September 2010 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Biotest Pharmaceuticals Corporation

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    A phase 3, multicenter, open label study to assess the safety and efficacy of Nabi-HB, administered subcutaneously in patients with Hepatitis B Virus Associated Liver Disease who underwent liver transplantation.
    Detailed Description
    This is a phase 3 prospective, single arm open label study to be conducted t approximately 4 study sited located in th e USA. Approximately 25 HBV DNA negative patients who underwent liver transplant at least one year prior, due to chronic hepatitis B infection will bwe eligible for study participation. The study consist of a total of 16 study visit and the duration of participation will be 20 weeks for each patients. Patients will be converted from the intravenous standard HBIG to Nabi-HB subcutaneous administration according to the individual scheduled dosing interval.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hepatitis B, Chronic
    Keywords
    Chronic hepatitis B liver disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Arm One: Nabi-HB
    Arm Type
    Experimental
    Arm Description
    All subjects will be administered Nabi HB Subcutaneously
    Intervention Type
    Biological
    Intervention Name(s)
    Nabi-HB
    Other Intervention Name(s)
    Hepatitis B Immune Globulin (Human)
    Intervention Description
    Hepatitis b Immune Globulin (Human)(Nabi-HB) 312 IU/L per dose administered subcutaneously. Dosage will be according to each patients body weight, as follow: < 75 kg: 500 IU weekly ( may be increase to 1,000 IU weekly if anti-HBs levels are <150 IU/ML > 75 Kg: 1,000 IU weekly
    Primary Outcome Measure Information:
    Title
    To evaluate the efficacy of Nabi-HB administered subcutaneously weekly for a total of 14 weeks in patients who previously underwent a liver transplant. Levels will provide evidence if effective anti-HB levels >150 IU/ML can be maintained.
    Time Frame
    14 weeks
    Secondary Outcome Measure Information:
    Title
    To evaluate the safety of Nabi-HB administered subcutaneously weekly for a total of 14 weeks.
    Time Frame
    14 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: Male or female patients 18 years old or older as of visit one. If female is not trying to conserve, not lactating, and has a negative serum pregnancy test and use an acceptable method of contraception or be at least one year post-menopausal or surgically sterile. Able to provide written informed consent. First time liver transplant recipient. Primary, single organ recipient (deceased donor <65 years old). receive regular long-term HBIG prophylaxis with stabilized HBIG dosage and administration intervals. Have negative quantifiable HBV-DNA and HBsAg results prior to dosing at visit 2. Following the last IV administration of HBIG, have a baseline serum anti-HBs level of >150 IU/ML prior to dosing at visit 2. Exclusion Criteria Positive HCV or HIV test results. Unexplained elevated liver function tests. Serum creatinine level >2.0 times the upper limit of normal. life expectancy <6 months. liver transplantation with ongoing acute rejection episode. Donor liver that was from a hepatitis Bor C positive donor. Underwent a liver transplant <12 months prior to visit 1. Know history of cancer, suspected cancer, or cancer therapy within 12 months. History of autoimmune disease. History/current evidence of coagulation disorder, severe cardiac disease, unhealed gastric or duodenal ulcer, or other significant disease. Evidence of any other unresolved infection and any unresolved opportunistic infection requiring treatment. Known immunoglobulin A deficiency. History of use of immunosupressive or immunomodulatory drug within 3 month prior to visit 1. (except low dose glucocorticoid therapy, <10 mg of prednisone or equivalent per day.) received and investigational drug 30 days prior to visit 1. use of plasma preparations or other immunoglobulins during the study. Know intolerance to proteins of human origin, immunoglobulin, or comparable products. Evidence of alcohol and/or drug abuse within 6 month of visit 2 or inability/unwillingness to abstain from alcohol for the duration of the study.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Shailesh Chavan, MD
    Organizational Affiliation
    Sponsor GmbH
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Nabi-HB Administered Subcutaneously in Patients With Hepatitis B Virus Post Liver Transplantation

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