The Tolerability,Safety,PK/PD Study of rhTPO in the Patients With Liver Function Impairment
Primary Purpose
Liver Cirrhosis
Status
Unknown status
Phase
Early Phase 1
Locations
China
Study Type
Interventional
Intervention
Recombinant human thrombopoietin
Recombinant human thrombopoietin
Placebo
Recombinant human thrombopoietin
Placebo
recombinant human thrombopoietin
placebo
Recombinant human thrombopoietin
placebo
Sponsored by
About this trial
This is an interventional treatment trial for Liver Cirrhosis
Eligibility Criteria
Inclusion Criteria:
- 1. Patients with cirrhosis caused by chronic liver disease who have been diagnosed by biopsy/imaging (Child-Pugh class A, B, and C).
- 2. Life expectancy≥3 months.
- 3. Platelet count≤80×109/ L.
- 4. Fertile female subjects with a negative pregnancy test during the screening period and who agree to take effective contraceptive methods Throughout the study period will be eligible for this study.
- 5. Voluntary written informed consent.
Exclusion Criteria:
- 1 Subjects allergic to any component of investigational drug.
- 2 Subjects with cirrhosis caused by drug-induced liver injury.
- 3 Subjects with history of splenectomy or liver transplantation.
- 4 Liver cirrhosis with serious complications, including: hepatic encephalopathy, intractable ascites, upper gastrointestinal bleeding, etc.
- 5 Subjects with Liver failure.
- 6 Tthe presence of portal vein thrombosis or tumor thrombus was indicated by doppler ultrasound or CT or MRI and other imaging examinations within 3 months prior to the beginning of screening.
- 7 Subjects with history of arterial or venous thromboembolism, or with thromboembolic disease, or with high risk factors for thrombosis, or with a hereditary tendency to thrombosis, including Antithrombin III deficiency, etc.
- 8 Subjects with history of any disease other than chronic liver disease and cirrhosis that may result in decreased platelet count and/or abnormal platelet function, including aplastic anemia, myelodysplastic syndrome (MDS), bone marrow fibrosis, etc.;
- 9 Subjects with diseases with higher bleeding risk, such as coagulation factor deficiency or Vascular pseudohemophilia factor deficiency.
- 10 Subjects with severe infections that are not effectively controlled.
- 11 Past or present history with any serious disease except liver disease, including: angina, severe arrhythmia, myocardial infarction, heart failure, Cerebral hemorrhage, cerebral infarction, intracranial infection, Renal insufficiency( creatinine clearance rate ≤50 mL/min ),as well as any other diseases that have been judged by investigator to be unsuitable for this study.
- 12 Subjects who had undergone trans jugular intrahepatic portal shunt (TIPS);
- 13 Subjects with Anti-HIV positive antibodies or Anti- TPHA positive antibodies.
- 14 Subjects who received any therapy with increased platelet count within the 3 weeks or platelet transfusion within 2 weeks before randomization.
- 15 No more than 30 days or 5 half-lives after investigational drug treatment for other studies (whichever is longer).
- 16 Subjects with history of primary liver cancer, or an other malignant tumor.
- 17 patients with WHO≥grade 2 of existing active bleeding, or with history of active bleeding within 2 weeks before randomization.
- 18 Pregnant or breast-feeding women.
- 19 Women who have a pregnancy plan within 3 months.
- 20 Subjects with history of drug abuse and alcoholism within 6 months prior to enrollment.
- 21 Subjects who do not have the sufficient ability of understanding,communication and cooperation leading to failure to ensure compliance with protocol will be excluded.
Sites / Locations
- 302 Military Hospital of ChinaRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm Type
Experimental
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Arm Label
A
B1
B2
C1-1
C1-2
C2-1
C2-2
C3-1
C3-2
Arm Description
Outcomes
Primary Outcome Measures
Safety and tolerability as assessed by the collection of adverse events
To evaluate the adverse events (incidence, severity, outcome, causality with the investigational drug, etc.).
AUC[0-24]of rhTPO
To assess plasma rhTPO Pharmacokinetic (PK) Parameter: Area under the concentration-time curve from time zero extrapolated to 24 hours(AUC [0-24]).
AUC [0-t] of rhTPO
To assess plasma rhTPO PK Parameter: Area under the concentration-time curve from time zero to last time of quantifiable concentration(AUC [0-t]).
AUC [0-∞]of rhTPO
To assess plasma rhTPO PK Parameter:
area under the concentration-time curve from time zero extrapolated to infinity(AUC [0-∞]).
Cmax of rhTPO
To assess plasma rhTPO PK Parameter:Observed maximum plasma concentration(Cmax).
tmax of rhTPO
To assess plasma rhTPO PK Parameter:Time to Cmax (tmax).
t1/2 of rhTPO
To assess plasma rhTPO PK Parameter:Elimination half-life (t1/2).
MRT for rhTPO
To assess plasma rhTPO PK Parameter:Mean residence time (MRT).
Kel of rhTPO
To assess plasma rhTPO PK Parameter:Elimination rate constant (Kel).
Vd of rhTPO
To assess plasma rhTPO PK Parameter:Apparent volume of distribution(Vd).
CL/F of rhTPO
To assess plasma rhTPO PK Parameter:apparent clearance (CL/F).
Secondary Outcome Measures
Immunogenicity of rhTPO
To evaluate the incidence of anti-rhTPO antibodies and neutralizing antibodies
Change of Platelet count (PLT)
To evaluate the changing curve of platelet count (PLT) in each arm of subjects
Full Information
NCT ID
NCT03673215
First Posted
August 15, 2018
Last Updated
March 20, 2020
Sponsor
Shenyang Sunshine Pharmaceutical Co., LTD.
1. Study Identification
Unique Protocol Identification Number
NCT03673215
Brief Title
The Tolerability,Safety,PK/PD Study of rhTPO in the Patients With Liver Function Impairment
Official Title
A Phase Ia Dose-escalation Study to Access the Tolerability,Safety,Pharmacokinetics and Pharmacodynamics of Recombinant Human Thrombopoietin in the Patients With Different Degree of Liver Function Impairment
Study Type
Interventional
2. Study Status
Record Verification Date
March 2020
Overall Recruitment Status
Unknown status
Study Start Date
June 28, 2018 (Actual)
Primary Completion Date
October 8, 2020 (Anticipated)
Study Completion Date
December 31, 2020 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shenyang Sunshine 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
The purpose of this study is to evaluate the tolerability, safety, pharmacokinetics and pharmacodynamics of recombinant human thrombopoietin in the patients with different degree of liver function impairment according Child- Pugh class.
Detailed Description
This is a randomized, double-blind, placebo controlled, dose-escalation phase Ia study to evaluate the tolerability, safety, pharmacokinetics and pharmacodynamics of recombinant human thrombopoietin. According Child- Pugh class of liver function impairment and different dose of recombinant human thrombopoietin, nine arms be designed in this study. Each subject in Arm A will be only administered recombinant human thrombopoietin. Each subject in Arm B and C will be randomly assigned to accept either recombinant human thrombopoietin or placebo in 5:1 ratio.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Liver Cirrhosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Early Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
58 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Experimental
Arm Title
B1
Arm Type
Experimental
Arm Title
B2
Arm Type
Placebo Comparator
Arm Title
C1-1
Arm Type
Experimental
Arm Title
C1-2
Arm Type
Placebo Comparator
Arm Title
C2-1
Arm Type
Experimental
Arm Title
C2-2
Arm Type
Placebo Comparator
Arm Title
C3-1
Arm Type
Experimental
Arm Title
C3-2
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Recombinant human thrombopoietin
Other Intervention Name(s)
rhTPO
Intervention Description
Recombinant human thrombopoietin will be administered single dose 300 U/Kg subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class A
Intervention Type
Drug
Intervention Name(s)
Recombinant human thrombopoietin
Other Intervention Name(s)
rhTPO
Intervention Description
Recombinant human thrombopoietin will be administered single dose 300 U/Kg subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class B.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo will be administered single dose subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class B.
Intervention Type
Drug
Intervention Name(s)
Recombinant human thrombopoietin
Other Intervention Name(s)
rhTPO
Intervention Description
Recombinant human thrombopoietin will be administered single dose 150 U/Kg subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo will be administered single dose subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C
Intervention Type
Drug
Intervention Name(s)
recombinant human thrombopoietin
Other Intervention Name(s)
rhTPO
Intervention Description
Recombinant human thrombopoietin will be administered single dose 300 U/Kg subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C.
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Placebo will be administered single dose subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C
Intervention Type
Drug
Intervention Name(s)
Recombinant human thrombopoietin
Other Intervention Name(s)
rhTPO
Intervention Description
Recombinant human thrombopoietin will be administered single dose 450 U/Kg subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C.
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Placebo will be administered single dose subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C
Primary Outcome Measure Information:
Title
Safety and tolerability as assessed by the collection of adverse events
Description
To evaluate the adverse events (incidence, severity, outcome, causality with the investigational drug, etc.).
Time Frame
Up to 29 days
Title
AUC[0-24]of rhTPO
Description
To assess plasma rhTPO Pharmacokinetic (PK) Parameter: Area under the concentration-time curve from time zero extrapolated to 24 hours(AUC [0-24]).
Time Frame
For 9 days
Title
AUC [0-t] of rhTPO
Description
To assess plasma rhTPO PK Parameter: Area under the concentration-time curve from time zero to last time of quantifiable concentration(AUC [0-t]).
Time Frame
For 9 days
Title
AUC [0-∞]of rhTPO
Description
To assess plasma rhTPO PK Parameter:
area under the concentration-time curve from time zero extrapolated to infinity(AUC [0-∞]).
Time Frame
For 9 days
Title
Cmax of rhTPO
Description
To assess plasma rhTPO PK Parameter:Observed maximum plasma concentration(Cmax).
Time Frame
For 9 days
Title
tmax of rhTPO
Description
To assess plasma rhTPO PK Parameter:Time to Cmax (tmax).
Time Frame
For 9 days
Title
t1/2 of rhTPO
Description
To assess plasma rhTPO PK Parameter:Elimination half-life (t1/2).
Time Frame
For 9 days
Title
MRT for rhTPO
Description
To assess plasma rhTPO PK Parameter:Mean residence time (MRT).
Time Frame
For 9 days
Title
Kel of rhTPO
Description
To assess plasma rhTPO PK Parameter:Elimination rate constant (Kel).
Time Frame
For 9 days
Title
Vd of rhTPO
Description
To assess plasma rhTPO PK Parameter:Apparent volume of distribution(Vd).
Time Frame
For 9 days
Title
CL/F of rhTPO
Description
To assess plasma rhTPO PK Parameter:apparent clearance (CL/F).
Time Frame
For 9 days
Secondary Outcome Measure Information:
Title
Immunogenicity of rhTPO
Description
To evaluate the incidence of anti-rhTPO antibodies and neutralizing antibodies
Time Frame
Up to 12 months
Title
Change of Platelet count (PLT)
Description
To evaluate the changing curve of platelet count (PLT) in each arm of subjects
Time Frame
Up to 29 days
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:
1. Patients with cirrhosis caused by chronic liver disease who have been diagnosed by biopsy/imaging (Child-Pugh class A, B, and C).
2. Life expectancy≥3 months.
3. Platelet count≤80×109/ L.
4. Fertile female subjects with a negative pregnancy test during the screening period and who agree to take effective contraceptive methods Throughout the study period will be eligible for this study.
5. Voluntary written informed consent.
Exclusion Criteria:
1 Subjects allergic to any component of investigational drug.
2 Subjects with cirrhosis caused by drug-induced liver injury.
3 Subjects with history of splenectomy or liver transplantation.
4 Liver cirrhosis with serious complications, including: hepatic encephalopathy, intractable ascites, upper gastrointestinal bleeding, etc.
5 Subjects with Liver failure.
6 Tthe presence of portal vein thrombosis or tumor thrombus was indicated by doppler ultrasound or CT or MRI and other imaging examinations within 3 months prior to the beginning of screening.
7 Subjects with history of arterial or venous thromboembolism, or with thromboembolic disease, or with high risk factors for thrombosis, or with a hereditary tendency to thrombosis, including Antithrombin III deficiency, etc.
8 Subjects with history of any disease other than chronic liver disease and cirrhosis that may result in decreased platelet count and/or abnormal platelet function, including aplastic anemia, myelodysplastic syndrome (MDS), bone marrow fibrosis, etc.;
9 Subjects with diseases with higher bleeding risk, such as coagulation factor deficiency or Vascular pseudohemophilia factor deficiency.
10 Subjects with severe infections that are not effectively controlled.
11 Past or present history with any serious disease except liver disease, including: angina, severe arrhythmia, myocardial infarction, heart failure, Cerebral hemorrhage, cerebral infarction, intracranial infection, Renal insufficiency( creatinine clearance rate ≤50 mL/min ),as well as any other diseases that have been judged by investigator to be unsuitable for this study.
12 Subjects who had undergone trans jugular intrahepatic portal shunt (TIPS);
13 Subjects with Anti-HIV positive antibodies or Anti- TPHA positive antibodies.
14 Subjects who received any therapy with increased platelet count within the 3 weeks or platelet transfusion within 2 weeks before randomization.
15 No more than 30 days or 5 half-lives after investigational drug treatment for other studies (whichever is longer).
16 Subjects with history of primary liver cancer, or an other malignant tumor.
17 patients with WHO≥grade 2 of existing active bleeding, or with history of active bleeding within 2 weeks before randomization.
18 Pregnant or breast-feeding women.
19 Women who have a pregnancy plan within 3 months.
20 Subjects with history of drug abuse and alcoholism within 6 months prior to enrollment.
21 Subjects who do not have the sufficient ability of understanding,communication and cooperation leading to failure to ensure compliance with protocol will be excluded.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Quanrui WU, Master
Phone
86 10 84892211
Email
wuquanrui@3sbio.com
First Name & Middle Initial & Last Name or Official Title & Degree
Sunqiong Cao, MD
Phone
86 10 84892211
Email
caosunqiong@3sbio.com
Facility Information:
Facility Name
302 Military Hospital of China
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100039
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jinhua Hu, MD
First Name & Middle Initial & Last Name & Degree
Haibin Su, MD
Email
suhaibin302@163.com
First Name & Middle Initial & Last Name & Degree
Jinhua HU, MD
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
The Tolerability,Safety,PK/PD Study of rhTPO in the Patients With Liver Function Impairment
We'll reach out to this number within 24 hrs