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Therapeutic Hepatitis B Vaccine (Mimogen-based) Joint Entecavir in Treating Chronic Hepatitis B Patients

Primary Purpose

Chronic Hepatitis B

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Therapeutic HBV vaccine
entecavir
placebo
Sponsored by
Chongqing Jiachen Biotechnology Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis B focused on measuring Therapeutic HBV Vaccine, Chronic Hepatitis B, HBeAg positive, HBV-specific Cytotoxic T Lymphocyte

Eligibility Criteria

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

Inclusion Criteria:

  1. Aged 18-65 years, male or female;
  2. Conforming to diagnosis standard of chronic hepatitis B according to " 2005 Guideline for Prevention and Treatment of Hepatitis B " , (with positive HBsAg for more than 6 months), never have systemic treatment of anti-HBV viral ,and

    • HBV-DNA ≥ 1.72×10^4 IU/ml;
    • HBeAg (+), HBeAb (-);
    • ALT within 2 to 10 times of ULN (upper limits of normal);
  3. HLA-A2 positive;
  4. Compensatory liver disease having following hematological and biochemical parameters:

    • WBC ≥ 3.5×10^9/L;
    • ANC ≥ 1.5×10^9/L;
    • PLT ≥ 80×10^9/L;
    • Hb ≥ 100g/L;
    • TBil ≤ 1.5 ULN;
    • ALB not lower than low limit of normal value;
    • BUN no more than high limit of normal value;
    • Cr ≤ 1.5 ULN high limit of normal value;
    • PT elongation ≤ 3 sec, APTT in normal value;
    • Fasting blood glucose ≤ 7.0mmol/L;
  5. TSH in normal value;
  6. AFP test result no more than high limit of normal value;
  7. Take effective contraception for subject with child-bearing potential (including females and female partners of males);
  8. Understand and sign ICF approved by EC;
  9. Willing to comply with the study procedures and complete the study.

Exclusion Criteria:

  1. Antibodies of HCV, HDV or HIV is positive;
  2. ANA titer > 1:100;
  3. Decompensated liver disease (such as gullet and pylorus varicose veins, hepatic encephalopathy);
  4. Have the following illness or with severe disease inappropriate to participate in the study in the view of the investigator, in cardiovascular system: instable or significant cardiovascular illness such as angina pectoris, heart attack of myocardial infarction, congestive heart failure, severe hypertension, significant arrhythmia or abnormal ECG etc;

    • Respiratory system: bronchiectasia, bronchial asthma, chronic obstructive pulmonary disease, respiratory failure, etc;
    • Endocrine, metabolism diseases: diabetes mellitus, uncontrolled thyroid diseases, etc;
    • Others: autoimmune disorder, active tuberculosis, malignancies (e.g.: tumor), neuropathic, metal, acute or chronic pancreatitis illness history, etc.
  5. Have used anti-HBV drug ( Interferon, Lamivudine, Adefovir Dipivoxil, Entecavir and Telbivudine ) and immunomodulator ( Thymic peptide, etc ) to the administration of study medication;
  6. Have allergic diathesis or have suspected allergy to εPA-44;
  7. Female in pregnancy, lactation or those who plan to pregnancy during the course of the study;
  8. Have history of alcohol abuse (Alcohol consumption for more than 5 years, with daily consumption over 40g for males and over 20g for females) and known drug dependence;
  9. Have history of organ transplantation (except corneal transplantation and hair transplantation);
  10. Have participated in any other drug clinical investigations within 3 months;
  11. Any other factors inappropriate for enroll in the study or study completion in the view of the investigator.

Sites / Locations

  • The First Affiliated of Anhui Medical University
  • Beijing Youan Hosptial,Capital Medical University
  • The Third People's Hosptial of Shenzhen
  • Renmin Hosptial of Wuhan University
  • The Second Xiangya Hospital of Central South University
  • Xiangya Hospital Central South University
  • 81th Hospital of PLA
  • Jiangsu Province Hospital
  • The Second Hospital of Nanjing
  • TangDu Hospital
  • First Affiliated Hospital of Kunming Medical University
  • The First Affiliated Hospital of Zhejiang University
  • The First Affiliated Hospital of Wenzhou Medical University
  • 302 Militray Hosptial of China
  • Southwest Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Therapeutic HBV vaccine+Entecavir

placebo+Entecavir

Arm Description

Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 and Oral intake entecavir 0.5mg per day.

Placebo comparator: Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 and Oral intake entecavir 0.5mg per day.

Outcomes

Primary Outcome Measures

Percentage of Participants With HBeAg Seroconversion at Week 48
Primary endpoint data were summarised under "End of Study",using the last available post-baseline observation(Last Observation Carried Forward,LOCF)

Secondary Outcome Measures

Serological Response
Serological response at every observation time: serological conversion rate of HBeAg, negative conversion rate of HBeAg, and change of HBeAg.
Virological Response
Virological response at every observation time: the proportion of patients with serum HBV DNA level reduction to undetectable level, decreased amount of serum HBV DNA compared with the baseline value, and HBV DNA load decrease 2 log scales or HBV DNA level <1.72×104 IU/ml.
Biochemistry Response
Biochemistry response at every observation time, mean the ALT level reduce to normal.
Histological Response
Histological response at week 72, mean histological score limited reduce 2 (reduced score 2-5), and no fiber deterioration compare with before treatment.

Full Information

First Posted
March 28, 2011
Last Updated
March 31, 2019
Sponsor
Chongqing Jiachen Biotechnology Ltd.
Collaborators
Third Military Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT01326546
Brief Title
Therapeutic Hepatitis B Vaccine (Mimogen-based) Joint Entecavir in Treating Chronic Hepatitis B Patients
Official Title
A Randomized, Double-blind, Multicenter Phase II Clinical Trial to Evaluate the Efficacy and Safety of Therapeutic Hepatitis B Vaccine (Mimogen-based) Joint Entecavir in Treating HBeAg Positive Chronic Hepatitis B Patients
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
June 2010 (Actual)
Primary Completion Date
January 2014 (Actual)
Study Completion Date
January 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chongqing Jiachen Biotechnology Ltd.
Collaborators
Third Military Medical University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose is to evaluate efficacy and safety of therapeutic hepatitis B virus (HBV) vaccine (mimogen-based)) Joint entecavir treatment in chronic hepatitis B patients.
Detailed Description
Eligible subjects are enrolled and assigned into 2 groups randomly with a 1:1 ratio: Therapeutic HBV vaccine Joint Entecavir group:Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 + Oral intake entecavir 0.5mg per day ; Empty liposome Joint Entecavir group:Inject empty liposome at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 + Oral intake entecavir 0.5mg per day. The study cycle consists of screening and enrollment period (week -4~0), treatment and follow-up period (week 0-96).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis B
Keywords
Therapeutic HBV Vaccine, Chronic Hepatitis B, HBeAg positive, HBV-specific Cytotoxic T Lymphocyte

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
378 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Therapeutic HBV vaccine+Entecavir
Arm Type
Experimental
Arm Description
Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 and Oral intake entecavir 0.5mg per day.
Arm Title
placebo+Entecavir
Arm Type
Placebo Comparator
Arm Description
Placebo comparator: Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 and Oral intake entecavir 0.5mg per day.
Intervention Type
Biological
Intervention Name(s)
Therapeutic HBV vaccine
Other Intervention Name(s)
εPA-44
Intervention Description
Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48.
Intervention Type
Drug
Intervention Name(s)
entecavir
Other Intervention Name(s)
Baraclude
Intervention Description
0.5mg,per day,oral intake.
Intervention Type
Other
Intervention Name(s)
placebo
Other Intervention Name(s)
empty liposome
Intervention Description
Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48.
Primary Outcome Measure Information:
Title
Percentage of Participants With HBeAg Seroconversion at Week 48
Description
Primary endpoint data were summarised under "End of Study",using the last available post-baseline observation(Last Observation Carried Forward,LOCF)
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
Serological Response
Description
Serological response at every observation time: serological conversion rate of HBeAg, negative conversion rate of HBeAg, and change of HBeAg.
Time Frame
96 weeks
Title
Virological Response
Description
Virological response at every observation time: the proportion of patients with serum HBV DNA level reduction to undetectable level, decreased amount of serum HBV DNA compared with the baseline value, and HBV DNA load decrease 2 log scales or HBV DNA level <1.72×104 IU/ml.
Time Frame
96 weeks
Title
Biochemistry Response
Description
Biochemistry response at every observation time, mean the ALT level reduce to normal.
Time Frame
96 weeks
Title
Histological Response
Description
Histological response at week 72, mean histological score limited reduce 2 (reduced score 2-5), and no fiber deterioration compare with before treatment.
Time Frame
72 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: Aged 18-65 years, male or female; Conforming to diagnosis standard of chronic hepatitis B according to " 2005 Guideline for Prevention and Treatment of Hepatitis B " , (with positive HBsAg for more than 6 months), never have systemic treatment of anti-HBV viral ,and HBV-DNA ≥ 1.72×10^4 IU/ml; HBeAg (+), HBeAb (-); ALT within 2 to 10 times of ULN (upper limits of normal); HLA-A2 positive; Compensatory liver disease having following hematological and biochemical parameters: WBC ≥ 3.5×10^9/L; ANC ≥ 1.5×10^9/L; PLT ≥ 80×10^9/L; Hb ≥ 100g/L; TBil ≤ 1.5 ULN; ALB not lower than low limit of normal value; BUN no more than high limit of normal value; Cr ≤ 1.5 ULN high limit of normal value; PT elongation ≤ 3 sec, APTT in normal value; Fasting blood glucose ≤ 7.0mmol/L; TSH in normal value; AFP test result no more than high limit of normal value; Take effective contraception for subject with child-bearing potential (including females and female partners of males); Understand and sign ICF approved by EC; Willing to comply with the study procedures and complete the study. Exclusion Criteria: Antibodies of HCV, HDV or HIV is positive; ANA titer > 1:100; Decompensated liver disease (such as gullet and pylorus varicose veins, hepatic encephalopathy); Have the following illness or with severe disease inappropriate to participate in the study in the view of the investigator, in cardiovascular system: instable or significant cardiovascular illness such as angina pectoris, heart attack of myocardial infarction, congestive heart failure, severe hypertension, significant arrhythmia or abnormal ECG etc; Respiratory system: bronchiectasia, bronchial asthma, chronic obstructive pulmonary disease, respiratory failure, etc; Endocrine, metabolism diseases: diabetes mellitus, uncontrolled thyroid diseases, etc; Others: autoimmune disorder, active tuberculosis, malignancies (e.g.: tumor), neuropathic, metal, acute or chronic pancreatitis illness history, etc. Have used anti-HBV drug ( Interferon, Lamivudine, Adefovir Dipivoxil, Entecavir and Telbivudine ) and immunomodulator ( Thymic peptide, etc ) to the administration of study medication; Have allergic diathesis or have suspected allergy to εPA-44; Female in pregnancy, lactation or those who plan to pregnancy during the course of the study; Have history of alcohol abuse (Alcohol consumption for more than 5 years, with daily consumption over 40g for males and over 20g for females) and known drug dependence; Have history of organ transplantation (except corneal transplantation and hair transplantation); Have participated in any other drug clinical investigations within 3 months; Any other factors inappropriate for enroll in the study or study completion in the view of the investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
LanJuan Li, Ph.D.
Organizational Affiliation
Zhejiang University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The First Affiliated of Anhui Medical University
City
Hefei
State/Province
Anhui
Country
China
Facility Name
Beijing Youan Hosptial,Capital Medical University
City
Beijing
State/Province
Beijing
Country
China
Facility Name
The Third People's Hosptial of Shenzhen
City
Shenzhen
State/Province
Guangdong
Country
China
Facility Name
Renmin Hosptial of Wuhan University
City
WuHan
State/Province
Hubei
Country
China
Facility Name
The Second Xiangya Hospital of Central South University
City
Changsha
State/Province
Hunan
Country
China
Facility Name
Xiangya Hospital Central South University
City
ChangSha
State/Province
Hunan
Country
China
Facility Name
81th Hospital of PLA
City
NanJing
State/Province
Jiangsu
Country
China
Facility Name
Jiangsu Province Hospital
City
NanJing
State/Province
Jiangsu
Country
China
Facility Name
The Second Hospital of Nanjing
City
Nanjing
State/Province
Jiangsu
Country
China
Facility Name
TangDu Hospital
City
XiAn
State/Province
Shanxi
Country
China
Facility Name
First Affiliated Hospital of Kunming Medical University
City
Kunming
State/Province
Yunnan
Country
China
Facility Name
The First Affiliated Hospital of Zhejiang University
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310006
Country
China
Facility Name
The First Affiliated Hospital of Wenzhou Medical University
City
WenZhou
State/Province
Zhejiang
Country
China
Facility Name
302 Militray Hosptial of China
City
Beijing
Country
China
Facility Name
Southwest Hospital
City
ChongQing
Country
China

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Therapeutic Hepatitis B Vaccine (Mimogen-based) Joint Entecavir in Treating Chronic Hepatitis B Patients

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