Chronic HBV Infection Clinical Trial
Official title:
A Phase 3, Randomized, Multicenter, Double-blind, Double-dummy, Parallel-controlled Study to Evaluate the Safety and Efficacy of HS-10234 25 mg QD Versus TDF 300 mg QD for the Treatment of Patients With HBeAg+/- Chronic HBV Infection.
Verified date | February 2023 |
Source | Jiangsu Hansoh Pharmaceutical Co., Ltd. |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The primary objective of this study is to compare the safety and efficacy of HS-10234 versus tenofovir disoproxil fumarate (TDF) in treatment-naive and treatment-experienced adults with chronic hepatitis B virus (HBV) infection.
Status | Active, not recruiting |
Enrollment | 963 |
Est. completion date | September 30, 2023 |
Est. primary completion date | May 31, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Subjects must meet all of the following inclusion criteria to be eligible for participation in this study: 1. Must have the ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study screening. 2. Male and non-pregnant, non-lactating females, from 18 up to 65 years of age (based on the date of the screening visit). A negative serum pregnancy test at screening is required for female subjects of childbearing potential. 3. Documented evidence of chronic HBV infection (e.g. HBsAg positive for more than 6 months). 4. HBeAg-positive or HBeAg-negative chronic hepatitis B with all of the following: HBV DNA = 2 x 104 IU/mL; Screening serum 1 ULN < ALT level = 10 ULN. 5. Treatment-naive subjects (defined as < 12 weeks of oral antiviral treatment with any nucleoside or nucleotide analogue) OR treatment-experienced subjects (defined as subjects meeting all entry criteria [including HBV DNA and serum ALT criteria] and with = 12 weeks of previous treatment with any nucleoside or nucleotide analogue) will be eligible for enrollment. Treatment-experienced subjects receiving oral antiviral treatment at Screening must continue their treatment regimen until the time of randomization, when it will be discontinued. 6. Any previous treatment with interferon (pegylated or non-pegylated) must have ended at least 6 months prior to the baseline visit. 7. Estimated creatinine clearance (CLcr) = 50 mL/min(using the Cockcroft-Gault method)based on serum creatinine and actual body weight as measured at the screening evaluation, as follows: (140-age in years)(body weight [kg]) (72)(serum creatinine [mg/dL]) 8) Normal ECG (or if abnormal, determined by the Investigator not to be clinically significant). 9) Must be willing and able to comply with all study requirements. Exclusion Criteria: - Subjects who meet any of the following exclusion criteria are not to be enrolled in this study: 1. Pregnant women, women who are breastfeeding or who believe they may wish to become pregnant during the course of the study. 2. Males and females of reproductive potential who are unwilling to use an "effective", protocol specified method(s) of contraception during the study. 3. Co-infection with HCV virus, HIV, or HDV. 4. Evidence of hepatocellular carcinoma (e.g. as evidenced by recent imaging). 5. Any history of, or current evidence of, clinical hepatic decompensation (e.g. ascites encephalopathy or variceal hemorrhage). 6. Abnormal hematological and biochemical parameters, including: - Hemoglobin < 10 g/dl - Absolute neutrophil count < 0.75 × 109/L - Platelets = 50 × 109/L - AST or ALT > 10 × ULN - Total Bilirubin > 2.5 × ULN - Albumin < 3.0 g/dL - INR > 1.5 × ULN (unless stable on anticoagulant regimen) 7. Received solid organ or bone marrow transplant. 8. Significant renal, cardiovascular, pulmonary, or neurological disease in the opinion of the investigator. 9. Significant bone disease (e.g. osteomalacia, chronic osteomyelitis, osteogenesis imperfecta, osteochrondroses), or multiple bone fractures. 10. Malignancy within the 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection (basal cell skin cancer, etc). 11. Currently receiving therapy with immunomodulators (e.g. corticosteroids), investigational agents, nephrotoxic agents, or agents capable of modifying renal excretion. 12. Known hypersensitivity to study drugs, metabolites, or formulation excipients. 13. Current alcohol or substance abuse judged by the investigator to potentially interfere with participant compliance. 14. Any other clinical condition or prior therapy that, in the opinion of the Investigator, would make the subject unsuitable for the study or unable to comply with dosing requirements. 15. Subjects on prohibited concomitant medications. Subjects on prohibited medications, otherwise eligible, will need a wash out period of at least 30 days. |
Country | Name | City | State |
---|---|---|---|
China | The First Hospital of Jilin University | Changchun | Jilin |
Lead Sponsor | Collaborator |
---|---|
Jiangsu Hansoh Pharmaceutical Co., Ltd. |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Evaluation the proportion of Patients Achieving Hepatitis B Surface Antigen (HBsAg) Loss | Proportion of Patients Achieving Hepatitis B Surface Antigen (HBsAg) Loss at Weeks 48, 96, 144 | Week 48, 96 and 144 | |
Other | Evaluation the proportion of Patients Achieving HBsAg Seroconversion | Proportion of Patients Achieving HBsAg Seroconversion at Weeks 48, 96, 144 | Week 48, 96 and 144 | |
Other | Evaluation the proportion of patients achieving HBeAg loss | Proportion of patients achieving HBeAg loss at weeks 48, 96, 144 | Week 48, 96 and 144 | |
Other | Evaluation the proportion of patients achieving HBeAg seroconversion | Proportion of patients achieving HBeAg seroconversion at weeks 48, 96, 144 | Week 48, 96 and 144 | |
Primary | Evaluation the percentage of Participants with Hepatitis B Virus (HBV) DNA < 20 IU/mL | The primary efficacy endpoint was the proportion of patients with HBV DNA < 20 IU/mL at week 48 in all patients who are randomly assigned and received HS-10234 25 mg or TDF 300 mg. The safety and tolerance were also observed in two treatment groups. | Week 48 | |
Secondary | Evaluation the percent Change from Baseline in Hip BMD | Percent Change from Baseline in Hip Bone Mineral Density (BMD) at Week 48 | Week 48 | |
Secondary | Evaluation the percent Change from Baseline in Spine BMD | Percent Change from Baseline in Spine BMD at Week 48 | Week 48 | |
Secondary | Evaluation the change from Baseline in Serum Creatinine | Change from Baseline in Serum Creatinine at Week 48 | Week 48 |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04470388 -
A Study of EDP-514 in Patients With Chronic Hepatitis B Virus Infection Who Are Not Currently on Treatment
|
Phase 1 | |
Completed |
NCT05019040 -
Study of the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Characteristics of PA1010 in HBV Patients
|
Phase 1/Phase 2 | |
Completed |
NCT01943799 -
Safety and Efficacy of GS-4774 for the Treatment of Chronic Hepatitis B
|
Phase 2 | |
Recruiting |
NCT05792761 -
A Study on Antiviral Treatment of Chronic Hepatitis B in Children
|
N/A | |
Completed |
NCT05468060 -
Study of the Safety, Tolerability, Pharmacokinetic Characteristics of PA1010 in Healthy Subjects
|
Phase 1 | |
Completed |
NCT04008004 -
A Study of EDP-514 in Healthy Subjects (Part 1) and Patients With Chronic Hepatitis B Virus Infection (Part 2)
|
Phase 1 | |
Active, not recruiting |
NCT05734807 -
A Study to Evaluate the Antiviral Activity and Safety of HH-003 in Chronic Hepatitis B Subjects With Low-level Viremia
|
Phase 2 | |
Completed |
NCT06029634 -
Effects of T-bet B Cells in Persistent Virus Control After Discontinuance of NAs in CHB Patients
|
||
Completed |
NCT04147208 -
Evaluate the Safety, Tolerability, and Antiviral Activity of GLS4 With Ritonavir in Patients With Chronic HBV Infection
|
Phase 2 | |
Completed |
NCT03909191 -
Serum HBV RNA Value on Chronic Hepatitis B Virus Infection Manage
|
||
Completed |
NCT03664518 -
to Evaluate the Efficacy and Safety of Eltrombopag for Immune Thrombocytopenia With Chronic HBV Infection
|
Phase 2 | |
Completed |
NCT05542979 -
A Study to Evaluate the Safety, Tolerability of HH-003 Injection in Participants With Chronic Hepatitis B Virus Infection
|
Phase 1 | |
Completed |
NCT05851261 -
Study to Evaluate the Safety, Tolerance, Pharmacokinetics Characteristics of PA3670 Tablets in Chinese Healthy Subjects
|
Phase 1 |