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The Safety and Dose-range Study of Metacavir Enteric-coated Capsules in Patients With Chronic Hepatitis B

Primary Purpose

Chronic Hepatitis B

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Metacavir Enteric-coated Capsules 80mg
Metacavir Enteric-coated Capsules 160mg
Metacavir Enteric-coated Capsules 320mg
Metacavir Enteric-coated Capsules Placebo 240mg
Metacavir Enteric-coated Capsules Placebo 160mg
Metacavir Enteric-coated Capsules Placebo 320mg
Adefovir Dipivoxil Capsule10mg
Adefovir Dipivoxil Capsule Placebo 10mg
Sponsored by
Guangzhou Yipinhong 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 Chronic Hepatitis B

Eligibility Criteria

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

Inclusion Criteria:

  • Are at least 18 years of age and no older than 65;
  • Subjects,with an established clinical history of HBV at Screening,has a positive HBsAg test(>6months) regardless of a positive/negative HBeAg test;
  • At Screening,HBV-DNA>10^5 copies/ml in HBeAg positive or HBV-DNA>10^4 copies/ml in HBeAg negative(HBV-DNA was evaluated by polymerase chain reaction fluorescent labeling.);
  • Subjects with abnormal liver function test defined as alanine aminotransferase(ALT) was 2~10 times upper limit of normal in HBeAg positive or 1.5~10 times upper limit of normal in HBeAg negative;
  • Subjects who are willing to require any other treatment for anti-hepatitis B during the study period;
  • Subjects who are willing to take measures for effective non-pharmaceutical contraception;
  • Given their signed written informed consent to participate;

Exclusion Criteria:

  • Subjects with hepatitis C(HCV),hepatitis D(HDV),autoimmune hepatitis,hereditary liver disease or any other active hepatitis;
  • A positive human immunodeficiency virus(HIV) test result;
  • Subjects,who in the opinion of the investigator,have a current diagnosis of hepatocellular carcinoma or serum α-fetoprotein(AFP)>100ug/L;
  • Subjects with severe hepatitis or decompensated liver disease defined as hepatic encephalopathy,ascites,low protein blood syndrome(albumin ≤30g/l) or variceal bleeding;
  • Serum Creatinine(SCr) exceeds upper limit of normal;
  • At Screening,ALT>10 times upper limit of normal,Total Bilirubin(TBIL)>double upper limit of normal or transient hepatic decompensation caused by condition aggravation;
  • Subjects who required treatment with nucleoside antiviral drugs such as lamivudine,Adefovir dipivoxil,Telbivudine,Tenofovir disoproxil or Entecavir before Screening;
  • Subjects who require treatment with interferon-α,thymosin α-1 or other antiviral therapy,immunosuppressive agents,immune modulators within 6 months before Screening;
  • Subjects with cardiac disease,hematological system disease,cancer,impaired immunity or psychiatric disease;
  • Hemoglobin<10g/dl,white blood cell count<3.5 10^9/L,platelets<80 10^9/L;
  • Subjects,who in the opinion of the investigator,have a current diagnosis of pancreatitis pre-dose within 24 weeks;
  • History of hypersensitivity or allergy to any of the study drugs;
  • Subjects who participate in other clinical trials within 3 months prior to Screening;
  • Women who are pregnant or lactating or planning a pregnancy recently;
  • Subjects in the opinion of the investigator,could not participate in the study.

Sites / Locations

  • 81 Military Hospital of ChinaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Active Comparator

Placebo Comparator

Active Comparator

Placebo Comparator

Arm Label

Metacavir Enteric-coated Capsule 80mg

Metacavir Enteric-coated Capsules 160mg

Metacavir Enteric-coated Capsules 320mg

Adefovir Dipivoxil Capsule

Placebo

Arm Description

Metacavir Enteric-coated Capsules 80mg Metacavir Enteric-coated Capsules Placebo 240mg Adefovir Dipivoxil Capsule Placebo 10mg;

Metacavir Enteric-coated Capsules 160mg Metacavir Enteric-coated Capsules Placebo 160mg Adefovir Dipivoxil Capsule Placebo 10mg;

Metacavir Enteric-coated Capsules 320mg Adefovir Dipivoxil Capsule Placebo 10mg

Metacavir Enteric-coated Capsules Placebo 320mg Adefovir Dipivoxil Capsule 10mg;

Metacavir Enteric-coated Capsules Placebo 320mg Adefovir Dipivoxil Capsule Placebo 10mg;

Outcomes

Primary Outcome Measures

The change from baseline in the logarithms of measurement data of HBV-DNA at Week 12 of treatment.
The change from baseline in the logarithms of measurement data of HBV-DNA at Week 12 of treatment.(Unit:log10)

Secondary Outcome Measures

Incidence of treatment-chronic hepatitis B
The proportion of subjects whose HBV-DNA are down to double logarithms at Week 12 of treatment.(Unit:%) The proportion of subjects whose HBV-DNA are not detected or less than upper limit of normal at Week 12 of treatment.(Unit:%) The proportion of subjects (HBeAg positive at baseline) whose is changed at Week 12 of treatment.(Unit:%) The proportion of subjects whose HBsAg is changed to negative at Week 12 of treatment.(Unit:%)
Incidence of Adverse Events(AEs)

Full Information

First Posted
September 1, 2016
Last Updated
November 21, 2016
Sponsor
Guangzhou Yipinhong Pharmaceutical CO.,LTD
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1. Study Identification

Unique Protocol Identification Number
NCT02965859
Brief Title
The Safety and Dose-range Study of Metacavir Enteric-coated Capsules in Patients With Chronic Hepatitis B
Official Title
A Randomized,Double-blind,Double-dummy,Multiple-dose Parallel Control,Multiple Centers Study to Assess the Safety and Dose-range of Metacavir Enteric-coated Capsules for Patients With Chronic Hepatitis B
Study Type
Interventional

2. Study Status

Record Verification Date
August 2016
Overall Recruitment Status
Unknown status
Study Start Date
December 2012 (undefined)
Primary Completion Date
December 2018 (Anticipated)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Guangzhou Yipinhong Pharmaceutical CO.,LTD

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study objective is to evaluate the safety and effectiveness of different doses of Metacavir Enteric-coated Capsules in treatment of chronic hepatitis B,as well as to find an appropriate clinical dosage by comparing the effect of different doses of treatment,in order to provide references of clinical trial of the next phase.
Detailed Description
180 eligible subjects will be included.According to the set grouping method of dose escalation.Subjects will be randomized in a 1:1:1:1 proportion of Metacavir Enteric-coated Capsules(80mg/160mg/320mg) group,positive control group or placebo control group.Each group has 36 subjects. 1.Subjects will use the study medication(2 hours before or after meal,once a day) from Visit 3 to Visit 5. Metacavir Enteric-coated Capsules 80mg Group:Metacavir Enteric-coated Capsules 80mg,Metacavir Enteric-coated Capsules Placebo 240mg,Adefovir Dipivoxil Capsule Placebo 10mg; Metacavir Enteric-coated Capsules 160mg Group:Metacavir Enteric-coated Capsules 160mg,Metacavir Enteric-coated Capsules Placebo 160mg,Adefovir Dipivoxil Capsule Placebo 10mg; Metacavir Enteric-coated Capsules 320mg Group:Metacavir Enteric-coated Capsules 320mg,Adefovir Dipivoxil Capsule Placebo 10mg; Positive Control(Adefovir Dipivoxil Capsule) Group:Metacavir Enteric-coated Capsules Placebo 320mg,Adefovir Dipivoxil Capsule 10mg; Placebo Control Group:Metacavir Enteric-coated Capsules Placebo 320mg,Adefovir Dipivoxil Capsule Placebo 10mg;

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Metacavir Enteric-coated Capsule 80mg
Arm Type
Experimental
Arm Description
Metacavir Enteric-coated Capsules 80mg Metacavir Enteric-coated Capsules Placebo 240mg Adefovir Dipivoxil Capsule Placebo 10mg;
Arm Title
Metacavir Enteric-coated Capsules 160mg
Arm Type
Active Comparator
Arm Description
Metacavir Enteric-coated Capsules 160mg Metacavir Enteric-coated Capsules Placebo 160mg Adefovir Dipivoxil Capsule Placebo 10mg;
Arm Title
Metacavir Enteric-coated Capsules 320mg
Arm Type
Placebo Comparator
Arm Description
Metacavir Enteric-coated Capsules 320mg Adefovir Dipivoxil Capsule Placebo 10mg
Arm Title
Adefovir Dipivoxil Capsule
Arm Type
Active Comparator
Arm Description
Metacavir Enteric-coated Capsules Placebo 320mg Adefovir Dipivoxil Capsule 10mg;
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Metacavir Enteric-coated Capsules Placebo 320mg Adefovir Dipivoxil Capsule Placebo 10mg;
Intervention Type
Drug
Intervention Name(s)
Metacavir Enteric-coated Capsules 80mg
Intervention Description
Metacavir Enteric-coated Capsules 80mg
Intervention Type
Drug
Intervention Name(s)
Metacavir Enteric-coated Capsules 160mg
Intervention Description
Metacavir Enteric-coated Capsules 160mg
Intervention Type
Drug
Intervention Name(s)
Metacavir Enteric-coated Capsules 320mg
Intervention Description
Metacavir Enteric-coated Capsules 320mg
Intervention Type
Drug
Intervention Name(s)
Metacavir Enteric-coated Capsules Placebo 240mg
Intervention Description
Metacavir Enteric-coated Capsules Placebo 240mg
Intervention Type
Drug
Intervention Name(s)
Metacavir Enteric-coated Capsules Placebo 160mg
Intervention Description
Metacavir Enteric-coated Capsules Placebo 160mg
Intervention Type
Drug
Intervention Name(s)
Metacavir Enteric-coated Capsules Placebo 320mg
Intervention Description
Metacavir Enteric-coated Capsules Placebo 320mg
Intervention Type
Drug
Intervention Name(s)
Adefovir Dipivoxil Capsule10mg
Intervention Description
Adefovir Dipivoxil Capsule10mg
Intervention Type
Drug
Intervention Name(s)
Adefovir Dipivoxil Capsule Placebo 10mg
Intervention Description
Adefovir Dipivoxil Capsule Placebo 10mg
Primary Outcome Measure Information:
Title
The change from baseline in the logarithms of measurement data of HBV-DNA at Week 12 of treatment.
Description
The change from baseline in the logarithms of measurement data of HBV-DNA at Week 12 of treatment.(Unit:log10)
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Incidence of treatment-chronic hepatitis B
Description
The proportion of subjects whose HBV-DNA are down to double logarithms at Week 12 of treatment.(Unit:%) The proportion of subjects whose HBV-DNA are not detected or less than upper limit of normal at Week 12 of treatment.(Unit:%) The proportion of subjects (HBeAg positive at baseline) whose is changed at Week 12 of treatment.(Unit:%) The proportion of subjects whose HBsAg is changed to negative at Week 12 of treatment.(Unit:%)
Time Frame
12 weeks
Title
Incidence of Adverse Events(AEs)
Time Frame
48 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: Are at least 18 years of age and no older than 65; Subjects,with an established clinical history of HBV at Screening,has a positive HBsAg test(>6months) regardless of a positive/negative HBeAg test; At Screening,HBV-DNA>10^5 copies/ml in HBeAg positive or HBV-DNA>10^4 copies/ml in HBeAg negative(HBV-DNA was evaluated by polymerase chain reaction fluorescent labeling.); Subjects with abnormal liver function test defined as alanine aminotransferase(ALT) was 2~10 times upper limit of normal in HBeAg positive or 1.5~10 times upper limit of normal in HBeAg negative; Subjects who are willing to require any other treatment for anti-hepatitis B during the study period; Subjects who are willing to take measures for effective non-pharmaceutical contraception; Given their signed written informed consent to participate; Exclusion Criteria: Subjects with hepatitis C(HCV),hepatitis D(HDV),autoimmune hepatitis,hereditary liver disease or any other active hepatitis; A positive human immunodeficiency virus(HIV) test result; Subjects,who in the opinion of the investigator,have a current diagnosis of hepatocellular carcinoma or serum α-fetoprotein(AFP)>100ug/L; Subjects with severe hepatitis or decompensated liver disease defined as hepatic encephalopathy,ascites,low protein blood syndrome(albumin ≤30g/l) or variceal bleeding; Serum Creatinine(SCr) exceeds upper limit of normal; At Screening,ALT>10 times upper limit of normal,Total Bilirubin(TBIL)>double upper limit of normal or transient hepatic decompensation caused by condition aggravation; Subjects who required treatment with nucleoside antiviral drugs such as lamivudine,Adefovir dipivoxil,Telbivudine,Tenofovir disoproxil or Entecavir before Screening; Subjects who require treatment with interferon-α,thymosin α-1 or other antiviral therapy,immunosuppressive agents,immune modulators within 6 months before Screening; Subjects with cardiac disease,hematological system disease,cancer,impaired immunity or psychiatric disease; Hemoglobin<10g/dl,white blood cell count<3.5 10^9/L,platelets<80 10^9/L; Subjects,who in the opinion of the investigator,have a current diagnosis of pancreatitis pre-dose within 24 weeks; History of hypersensitivity or allergy to any of the study drugs; Subjects who participate in other clinical trials within 3 months prior to Screening; Women who are pregnant or lactating or planning a pregnancy recently; Subjects in the opinion of the investigator,could not participate in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Maorong Wang
Phone
025-80864021
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Maorong Wang
Organizational Affiliation
81 Military Hospital of China
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Yonggang Li
Organizational Affiliation
Beijing 302 Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Yongfeng Yang
Organizational Affiliation
The Second Hospital of Nanjing Medical University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Yanlin Yu
Organizational Affiliation
Wannan Medical College Yijishan Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jun Li
Organizational Affiliation
The First Affiliated Hospital with Nanjing Medical University
Official's Role
Principal Investigator
Facility Information:
Facility Name
81 Military Hospital of China
City
Nanjing
State/Province
Jiangsu
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maorong Wang
Phone
025-80864021
First Name & Middle Initial & Last Name & Degree
Maorong Wang

12. IPD Sharing Statement

Learn more about this trial

The Safety and Dose-range Study of Metacavir Enteric-coated Capsules in Patients With Chronic Hepatitis B

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