An Study to Evaluate Safety and Efficacy of QL-007 Tablets in Combination With Entecavir or Tenofovir in Patients With Chronic Hepatitis b Who Have Received Nucleoside (Acid) Therapy

Chronic Hepatitis b Clinical Trial

Official title:

An Open-Label Phase 2 Study to Evaluate Safety and Efficacy of QL-007 Tablets in Combination With Entecavir or Tenofovir in Patients With Chronic Hepatitis b Who Have Received Nucleoside (Acid) Therapy : a Multicenter, Randomized, Positive Controlled Clinical Trialcontrolled Clinical Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04157257
• Other study ID #: QL-007-202
• Status: Recruiting
• Phase: Phase 2
• Start date: July 26, 2019
• Est. completion date: October 2022

Study information

• Verified date: November 2019
• Source: Qilu Pharmaceutical Co., Ltd.
• Contact: Anbo Xiang, PhD
• Phone: 18815317378
• Email: anbo.xiang[@]qilu-pharma.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is an open label, randomized, multi-center, comparative study. Subjects will be screened prior to study entry to establish eligibility. 60 Subjects who meet all the selection criteria will be randomly assigned to (A) QL007 200mg BID+ Tenofovir dipirofurate fumarate （TDF）300 mg QD, (B) QL007 200 mg BID+ Entecavir 0.5 mg QD, (C)TDF 300 mg QD, (D) Entecavir 0.5 mg QD.

The purpose of this study was to evaluate the efficacy and safety of QL-007 tables in combination with TDF or Entecavir in patients with chronic hepatitis b who have received nucleoside (acid) therapy, and to recommend a reasonable regimen for phase III study.

Description:

The subjects received the drug treatment for a maximum of 96 weeks: divided into two stages: the first stage: 0-24 weeks as the core treatment period, 25-48 weeks as the extended treatment period. The second stage: 49-96 weeks is the extended treatment period. Stage 2: subjects in stage 1 group A and C were grouped into group E(QL-007 200 mg BID或XX mg +TDF 300 mg QD), and subjects in group B and D were grouped into group F(QL-007 200 mg BID或XX mg + Entecavir 0.5 mg QD). Subjects in group E and F entered the second stage of treatment according to 200 mg BID. After the efficacy data of the original treatment clinical trial (protocol 201) determine the optimal dose of 007, all subjects entering the second phase will receive the optimal dose of 007 and continue treatment withTDF or Entecavir tablets (007 XXmg+TDF or ETV) into the second phase 49-96 weeks of extended treatment.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: October 2022
• Est. primary completion date: December 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

1. Patients aged 18-70 years (inclusive) with chronic HBV infection prior to baseline;

2. Subjects who have received a entecavir or tenofovir ester treatment for more than 1 year before screening ;

3. HBsAg > 250 IU/mL and HBV DNA < 60 IU/mL at screening period;

4. ALT= 2×ULN;

5. Participants must have understood and signed the ICF.

Exclusion Criteria:

1. Confirmed co-infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis D virus (HDV);

2. History of liver disease other than chronic hepatitis B;

3. History of Gilbert's Disease;

4. History of decompensated liver disease or any sign of decompensated liver disease at the screening period;

5. Evidence of moderate or severe fibrosis or cirrhosis;

6. Evidence of HCC or AFP > 50 ng/ml at the screening period.

7. Any Clinical laboratory values meet the certain standards at the screening period;

8. Subjects have clinically significant, uncontrolled heart disease and/or recent cardiac event;

9. Risks of serious kidney and respiratory diseases;

10. Impaired gastrointestinal (GI) function or GI disease that may alter absorption of QL-007 as determined by the Investigator;

11. Receiving medications that meet one of the following criteria and that cannot be discontinued =1 week prior to the start of treatment QL-007:

• Medication with a known risk of prolonging the QT interval or inducing Torsades de Pointes;

• Moderate or strong inhibitors or strong inducers of CYP3A4

12. Intake of any drugs that can reduce enzyme activity;

13. History of bleeding diathesis;

14. Risks of mental and nervous system diseases during screening;

15. Pregnant or lactating female subjects; Female subjects of childbearing age who were not willing to use effective contraception throughout the study period or male subjects whose partners were fertile but were not willing to use effective contraception;

16. Volunteers who took an Investigational Product within 3 months or who have been within 5 half-lives of other trial drugs before the randomization;

17. Any other condition , which in the opinion of investigator would make a patient unfit for participation in a clinical study.

Related Conditions & MeSH terms

• Chronic Hepatitis b
• Hepatitis
• Hepatitis A
• Hepatitis B
• Hepatitis B, Chronic
• Hepatitis, Chronic

Intervention

Drug:
• TDF tablet
TDF tablet 300mg QD
• Entecavir Tablet
Entecavir tablet 0.5mg QD
• QL-007
QL-007 tablets 200mg BID

Locations

Country	Name	City	State
China	The first hospital of jilin university	Changchun	Jilin
China	Southern Hospital of Southern Medical University	Guangzhou	Guangdong

Sponsors (1)

Lead Sponsor	Collaborator
Qilu Pharmaceutical Co., Ltd.

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Main index of pharmacodynamics	The change of HBsAg levels at week 24 compared to baseline	24 weeks
Secondary	The secondary pharmacodynamic index	The changes of HBsAg and HBeAg level at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96 compared to baseline	96 weeks
Secondary	The secondary pharmacodynamic index	The percentage of subjects with HBsAg and HBeAg serological clearance and/or seroconversion at 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84, 96 weeks	96 weeks
Secondary	The secondary pharmacodynamic index	The percentage of subjects with normal ALT level at weeks 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84 and 96	96 weeks
Secondary	Other evaluation indexes of pharmacodynamics exploration	The changes of HBV RNA and HBcrAg compared with baseline at week 4, 8, 12, 16, 20, 24, 36, 48, 60, 72, 84 and 96	96 weeks
Secondary	To evaluate the safety of QL-007 in combination with TDF or Entecavir: incidence of adverse events	The incidence of adverse events	96 weeks