A Clinical Study on Therapeutic Double-plasmid Hepatitis B Virus (HBV) DNA Vaccine in Patients With HBeAg-positive Chronic Hepatitis B
Recruitment status was Active, not recruiting
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Purpose
To preliminarily evaluate the efficiency and safety of therapeutic double- plasmid HBV DNA vaccine on HBeAg-positive, chronic hepatitis B patients, and provide evidence for the next dosing regimen.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Hepatitis B Patients With HBeAg-positive |
Biological: HBV DNA Vaccine |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Study on Specific-Population to Evaluate the Safety and Efficacy of Therapeutic Double-plasmid HBV DNA Vaccine in HBeAg-positive Patients With Chronic Hepatitis B |
- The change of HBV DNA load at Week 72 [ Time Frame: 72 weeks ] [ Designated as safety issue: Yes ]
- The rate of subjects with HBV DNA titer reducing > 2 logarithms . [ Time Frame: Every 12 weeks ] [ Designated as safety issue: Yes ]
- The change of HBeAg and HBsAg titer. [ Time Frame: Every 12 weeks ] [ Designated as safety issue: Yes ]
- The change of ALT. [ Time Frame: Every 12 weeks ] [ Designated as safety issue: Yes ]
- HBsAg/HBeAg serum conversion rate. [ Time Frame: Every 12 weeks ] [ Designated as safety issue: Yes ]
- The INF-gamma expression level in peripheral blood mononuclear cells (PBMC). [ Time Frame: Every 12 weeks ] [ Designated as safety issue: Yes ]
- The amount of HBV-specific CTL. [ Time Frame: Every 12 weeks ] [ Designated as safety issue: Yes ]
- The change of expression level of peripheral cytokines (IL-4、IL-10、IL-12 and INF-gamma) against the baseline level. [ Time Frame: Every 12 weeks ] [ Designated as safety issue: Yes ]
- The different occurence rates of HBV Drug Resistance Gene (YMDD) between the 2 arms. [ Time Frame: 72 weeks ] [ Designated as safety issue: Yes ]
| Enrollment: | 33 |
| Study Start Date: | January 2009 |
| Estimated Study Completion Date: | December 2010 |
| Estimated Primary Completion Date: | November 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Vaccine+Lamivudine group
Subjects assigned into the experimental and the controlled groups with randomization and double-blindness by a ratio of 2:1
|
Biological: HBV DNA Vaccine
HBV DNA Vaccine, 1mg/ml/syringe, formulation
Other Name: Therapeutic Double-plasmid HBV DNA Vaccine
|
| Placebo Comparator: Placebo+Lamivudine group |
Biological: HBV DNA Vaccine
HBV DNA Vaccine, 1mg/ml/syringe, formulation
Other Name: Therapeutic Double-plasmid HBV DNA Vaccine
|
Detailed Description:
The current study is a multicenter, randomized, double-blind, placebo- controlled clinical trial. The eligible subjects are assigned randomly into 2 arms, the Vaccine + Lamivudine group and the Placebo + Lamivudine group, respectively, by a ratio of 2:1. The efficacy variables include the change of HBV DNA load at Week 72, and at each visits the rate of subjects with HBV DNA titer reducing > 2 logarithms ,the change of HBeAg and HBsAg titer, the change of ALT, HBsAg/HBeAg serum conversion rate, the INF-gamma expression level in peripheral blood mononuclear cells (PBMC), the amount of HBV-specific CTL, the change of expression level of peripheral cytokines (IL-4,IL-10,IL-12 and INF-gamma) against the baseline level.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
The following conditions must be met for all enrolled subjects:
- Aged 18-65 years with either sex;
HBV serology meet the following criteria:
- HBsAg-positive lasting for at least 6 months at the time of screening;
- HBeAg-positive at the time of screening;
- Serum HBV DNA≥1.0×10E5 copies/ml at the time of screening
- 80U/L<ALT<400U/L;
- TBIL<40μmol/L;
- No YMDD mutation of the HBV drug resistance gene
- Subjects agree not to participate in any other clinical trial or take any other anti-HBV therapeutics during the study;
- Subjects understand and sign the ICF which approved by EC, and are able to comply with the study procedures and complete the study.
Exclusion Criteria:
Subjects meeting the following conditions will not be enrolled in the study:
Was suspected with HCC by the following evidence:
- B-Ultrasound or imaging which shows occupying lesions;
- Continuingly elevating serum AFP level even if the B-Ultrasound is normal;
- AFP >100ng/ml;
- With acute hepatic decompensation caused by liver disease aggravation or with clinical symptoms of decompensated liver disease at baseline;
- Serum Cr≥1.5mg/dl (≥130μmol/l) at the time of screening;
- Serum amylase > two-fold of the upper limit of the normal reference value;
- Hb (male<100g/ L, female<90g/L), WBC<3.5×10E9/L,PLT<60×10E9/L (except hypersplenism and cirrhosis);
- Co-infection with HCV (anti-HCV positive), HIV and anti-HAV IgM positive, anti-HDV IgM positive, anti-HEV IgM positive, anti-CMV IgM positive and autoimmune hepatitis (e.g. antinuclear antibody titer>1:160 ) or other active liver disease caused by known or unknown factors;
- Any other serious disease or active diseases other than hepatitis B that are considered by investigators to be potential factors that may interfere with the therapy, assessment or compliance with the protocol, including any uncontrolled diseases with clinical significance, e.g. kidney, heart, lung, blood vessel, neurogenic, digestive system and metabolic diseases (diabetes, hyperthyroidism, adrenal gland diseases), autoimmune dysfunctions, and tumors, etc;
- History of alcohol or drug abuse that is considered by investigators that could affect subject's compliance with the protocol or could influence the result of the analysis;
- Pregnant or breast-feeding female subjects, or those who plan to be pregnant during the course of the study or male subjects' companions who plan to be pregnant during the course of the study;
- Having used immunosuppressive agents, immunomodulators (thymosin), cytotoxic drugs within 6 months or transaminase-decreasing drugs within one month prior to the initiation of this study;
- Having used anti-HBV drugs (Lamivudine, interferon, adefovir, entecavir, or sebivo, etc.) within 6 months prior to the initiation of this study;
- Had or planning to have liver transplantation;
- Having received experimental drug treatment from any other study within 3 months prior to the screening;
- Allergic to nucleoside drugs or nucleoside analogues;
- Not agreeing to the study protocol or any other factors considered not eligible for this study by investigators.
Contacts and Locations| China, Beijing | |
| Department of Infections Disease of Peking University First Hospital | |
| Beijing, Beijing, China, 100034 | |
| Principal Investigator: | Yu Yanyan, Professor | SFDA |
More Information
No publications provided
| Responsible Party: | Guangming Chen, The 458 Hospital of Chinese PLA |
| ClinicalTrials.gov Identifier: | NCT01189656 History of Changes |
| Other Study ID Numbers: | 71007.02 |
| Study First Received: | August 25, 2010 |
| Last Updated: | August 26, 2010 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by The 458 Hospital of Chinese PLA:
|
Chronic hepatitis B patients |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis B Hepatitis, Chronic Hepatitis B, Chronic Liver Diseases Digestive System Diseases |
Hepatitis, Viral, Human Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections Hepadnaviridae Infections DNA Virus Infections |
ClinicalTrials.gov processed this record on May 19, 2013