Safety and Efficacy of Therapeutic Hepatitis B Adenovirus Injection (T101) Combined With Nucleoside (Acid) Analogues in Chronic Hepatitis B Patients
Primary Purpose
Hepatitis B Virus (HBV)
Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
ETV/TDF+T101 No.1
ETV/TDF+T101 No.2
ETV or TDF
ETV/TDF+Peg-IFNα-2b
Sponsored by
About this trial
This is an interventional treatment trial for Hepatitis B Virus (HBV) focused on measuring Hepatitis B Virus (HBV) infection
Eligibility Criteria
Inclusion Criteria:
Patients must meet all the following inclusion criteria to be enrolled in this study:
- 1. Patients between the ages of 18 and 60 years, male or female;
- 2. Body weight is no less than 45kg for female and no less than 50kg for male;
- 3. Meets the diagnosis and treatment standards of chronic hepatitis B in China's 2015 Guidelines for the Prevention and Treatment of Chronic Hepatitis B;
- 4. Currently, should have taken nucleoside (acid) analogues for 1 year or more;
- 5. HBV DNA<100 IU/ml; HBsAg is positive and no more than 3000 IU/ml;HBeAg is negative;
- 6. Be able to understand and sign informed consent.
Exclusion Criteria:
Patients with any of the following items will not be enrolled in this study:
- 1. Pregnant or lactating women; male or female who have planned to have children from the start of the study to sixth month after the end of the study.
- 2. Have received interferon treatment within 6 months prior to the screening;
- 3. Have taken strong immunomodulators (such as adrenocortical hormone, thymosin alpha 1, thymosin 5, etc.) within 6 months before the screening, and the course of treatment was more than 2 weeks;
- 4. Have taken hepatotoxic drugs (such as dapsone, erythromycin, fluconazole, ketoconazole, rifampicin) within 6 months before screening, and the course of treatment was more than 2 weeks;
- 5. Currently or previously diagnosed or suspected with cirrhosis or liver cancer; or AFP > 50ng/ml;
- 6. Liver diseases caused by other causes: including alcoholic hepatitis, drug hepatitis, autoimmune liver disease;
- 7. Currently be infected of HAV, HCV, HDV, HEV, HIV and syphilis;
- 8. Have mental diseases, including but not limited to depression, anxiety, mania, schizophrenia;
- 9. Uncontrolled epilepsy;
- 10. Complicated with serious systemic diseases, including but not limited to: autoimmune diseases (such as psoriasis, systemic lupus erythematosus, etc.); not well controlled cardiovascular disease (such as high blood pressure, unstable angina pectoris, heart failure, etc.), endocrine system disease (such as thyroid function hyperfunction or loss, diabetes, etc.), respiratory system diseases (such as pulmonary infection, chronic obstructive pulmonary disease and pulmonary interstitial diseases, etc.), digestive system diseases (e.g., chronic colitis, etc.), kidney disease (such as chronic kidney disease, renal insufficiency, etc.), blood system diseases (such as autoimmune anemia, hemophilia, etc.); currently or previously diagnosed or suspected with malignant tumor;
- 11. Fundus diseases, such as not well controlled retinopathy, etc.;
- 12. Laboratory neutrophil count<1.5×109/L; platelet count <90×109/L;
- 13. Prothrombin time was extended by more than 3 seconds compared with the upper limit of normal reference value (ULN);
- 14. ALT>1.5×ULN; TBIL>2×ULN; SCR>1.5×ULN; serum creatine kinase >3×ULN; ALB<35g/L;
- 15. ANA>1:1000, anti-smooth muscle antibody>1:1000, thyrotropic hormone receptor antibody >2×ULN;
- 16. Allergic constitution or allergic to experimental drugs and excipients;
- 17. Plan to receive or have already had an organ transplant;
- 18. Participated in any clinical trial or taken any IMP (investigational medical product) within 3 months prior to the trial;
- 19. Other cases that could not be enrolled in the judgement of the investigators.
Sites / Locations
- Beijing Youan Hospital,Capital Medical University
- Beijing Ditan Hospital Capital Medical University
- Tianjin Second People's Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Arm Label
Group1
Group2
Group3
Group4
Arm Description
T101+ETV(Entecavir) /TDF(Tenofovir)
T101+ETV/TDF
ETV or TDF
Peg-IFNα-2b+ETV/TDF
Outcomes
Primary Outcome Measures
All the observed or reported AEs (adverse events)
observe and record all the AEs of patients during the clinical trial and determine their correlation with the investigational medical product
HBsAg change
evaluate the HBsAg change from the baseline to evaluate the efficacy of T101
Secondary Outcome Measures
The percentage of Subjects' HBsAg decrease ≥ 1 log
to evaluate the efficacy of T101
The percentage of Subjects' HBsAg decrease ≥ 0.5 log
to evaluate the efficacy of T101
Negative convention rate of HBsAg
to evaluate the efficacy of T101
Positive convention rate of HBsAb
to evaluate the efficacy of T101
Full Information
NCT ID
NCT04189276
First Posted
November 3, 2019
Last Updated
February 5, 2021
Sponsor
Tasly Tianjin Biopharmaceutical Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT04189276
Brief Title
Safety and Efficacy of Therapeutic Hepatitis B Adenovirus Injection (T101) Combined With Nucleoside (Acid) Analogues in Chronic Hepatitis B Patients
Official Title
A Phase II Clinical Trial to Evaluate the Safety and Efficacy of Therapeutic Hepatitis B Adenovirus Injection (T101) Combined With Nucleoside (Acid) Analogues in Chronic Hepatitis B Patients
Study Type
Interventional
2. Study Status
Record Verification Date
February 2021
Overall Recruitment Status
Unknown status
Study Start Date
December 10, 2019 (Actual)
Primary Completion Date
June 30, 2021 (Anticipated)
Study Completion Date
December 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tasly Tianjin Biopharmaceutical Co., Ltd.
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
A multi-center, randomized, open-label, group controlled study to evaluate the safety and efficacy of T101 combined with nucleoside (acid) analogues in chronic hepatitis B patients.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis B Virus (HBV)
Keywords
Hepatitis B Virus (HBV) infection
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
100 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group1
Arm Type
Active Comparator
Arm Description
T101+ETV(Entecavir) /TDF(Tenofovir)
Arm Title
Group2
Arm Type
Active Comparator
Arm Description
T101+ETV/TDF
Arm Title
Group3
Arm Type
Active Comparator
Arm Description
ETV or TDF
Arm Title
Group4
Arm Type
Active Comparator
Arm Description
Peg-IFNα-2b+ETV/TDF
Intervention Type
Biological
Intervention Name(s)
ETV/TDF+T101 No.1
Intervention Description
Patients will be injected with T101 once on Day1 (Week0), Day8 (Week1), Day15 (Week2), Day106 (Week15), Day113 (Week16), Day120 (Week17), Day211 (Week30), Day218 (Week31), Day225 (Week32), Day316 (Week45), Day323 (Week46), Day330 (Week47); ETV or TDF will be administrated once each day successively until Day420.
Intervention Type
Biological
Intervention Name(s)
ETV/TDF+T101 No.2
Intervention Description
Patients will be injected with T101 once on Day1 (Week0), Day106 (Week15), Day211 (Week30), Day316 (Week45); ETV or TDF will be administrated once each day successively until Day420.
Intervention Type
Biological
Intervention Name(s)
ETV or TDF
Intervention Description
Patients will be administrated ETV or TDF once each day successively until Day420.
Intervention Type
Biological
Intervention Name(s)
ETV/TDF+Peg-IFNα-2b
Intervention Description
Patients will be administrated Peg-IFNα-2b successively once a week until Day330 (Week47); ETV or TDF will be administrated once each day successively until Day420.
Primary Outcome Measure Information:
Title
All the observed or reported AEs (adverse events)
Description
observe and record all the AEs of patients during the clinical trial and determine their correlation with the investigational medical product
Time Frame
through study completion, an average of 60 weeks
Title
HBsAg change
Description
evaluate the HBsAg change from the baseline to evaluate the efficacy of T101
Time Frame
Day106 (Week15), Day211 (Week30), Day316 (Week45), Day337 (Week48), Day421 (Week60) after administration
Secondary Outcome Measure Information:
Title
The percentage of Subjects' HBsAg decrease ≥ 1 log
Description
to evaluate the efficacy of T101
Time Frame
Day106 (Week15), Day211 (Week30), Day316 (Week45), Day337 (Week48), Day421 (Week60) after administration
Title
The percentage of Subjects' HBsAg decrease ≥ 0.5 log
Description
to evaluate the efficacy of T101
Time Frame
Day106 (Week15), Day211 (Week30), Day316 (Week45), Day337 (Week48), Day421 (Week60) after administration
Title
Negative convention rate of HBsAg
Description
to evaluate the efficacy of T101
Time Frame
Day316 (Week45), Day337 (Week48), Day421 (Week60) after administration
Title
Positive convention rate of HBsAb
Description
to evaluate the efficacy of T101
Time Frame
Day316 (Week45), Day337 (Week48), Day421 (Week60) after administration
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients must meet all the following inclusion criteria to be enrolled in this study:
1. Patients between the ages of 18 and 60 years, male or female;
2. Body weight is no less than 45kg for female and no less than 50kg for male;
3. Meets the diagnosis and treatment standards of chronic hepatitis B in China's 2015 Guidelines for the Prevention and Treatment of Chronic Hepatitis B;
4. Currently, should have taken nucleoside (acid) analogues for 1 year or more;
5. HBV DNA<100 IU/ml; HBsAg is positive and no more than 3000 IU/ml;HBeAg is negative;
6. Be able to understand and sign informed consent.
Exclusion Criteria:
Patients with any of the following items will not be enrolled in this study:
1. Pregnant or lactating women; male or female who have planned to have children from the start of the study to sixth month after the end of the study.
2. Have received interferon treatment within 6 months prior to the screening;
3. Have taken strong immunomodulators (such as adrenocortical hormone, thymosin alpha 1, thymosin 5, etc.) within 6 months before the screening, and the course of treatment was more than 2 weeks;
4. Have taken hepatotoxic drugs (such as dapsone, erythromycin, fluconazole, ketoconazole, rifampicin) within 6 months before screening, and the course of treatment was more than 2 weeks;
5. Currently or previously diagnosed or suspected with cirrhosis or liver cancer; or AFP > 50ng/ml;
6. Liver diseases caused by other causes: including alcoholic hepatitis, drug hepatitis, autoimmune liver disease;
7. Currently be infected of HAV, HCV, HDV, HEV, HIV and syphilis;
8. Have mental diseases, including but not limited to depression, anxiety, mania, schizophrenia;
9. Uncontrolled epilepsy;
10. Complicated with serious systemic diseases, including but not limited to: autoimmune diseases (such as psoriasis, systemic lupus erythematosus, etc.); not well controlled cardiovascular disease (such as high blood pressure, unstable angina pectoris, heart failure, etc.), endocrine system disease (such as thyroid function hyperfunction or loss, diabetes, etc.), respiratory system diseases (such as pulmonary infection, chronic obstructive pulmonary disease and pulmonary interstitial diseases, etc.), digestive system diseases (e.g., chronic colitis, etc.), kidney disease (such as chronic kidney disease, renal insufficiency, etc.), blood system diseases (such as autoimmune anemia, hemophilia, etc.); currently or previously diagnosed or suspected with malignant tumor;
11. Fundus diseases, such as not well controlled retinopathy, etc.;
12. Laboratory neutrophil count<1.5×109/L; platelet count <90×109/L;
13. Prothrombin time was extended by more than 3 seconds compared with the upper limit of normal reference value (ULN);
14. ALT>1.5×ULN; TBIL>2×ULN; SCR>1.5×ULN; serum creatine kinase >3×ULN; ALB<35g/L;
15. ANA>1:1000, anti-smooth muscle antibody>1:1000, thyrotropic hormone receptor antibody >2×ULN;
16. Allergic constitution or allergic to experimental drugs and excipients;
17. Plan to receive or have already had an organ transplant;
18. Participated in any clinical trial or taken any IMP (investigational medical product) within 3 months prior to the trial;
19. Other cases that could not be enrolled in the judgement of the investigators.
Facility Information:
Facility Name
Beijing Youan Hospital,Capital Medical University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100069
Country
China
Facility Name
Beijing Ditan Hospital Capital Medical University
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Tianjin Second People's Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300150
Country
China
12. IPD Sharing Statement
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Safety and Efficacy of Therapeutic Hepatitis B Adenovirus Injection (T101) Combined With Nucleoside (Acid) Analogues in Chronic Hepatitis B Patients
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