Therapeutic Hepatitis B Vaccine (Synthesized Peptide εPA-44) Joint Entecavir in Treating Chronic Hepatitis B Patients (THBVJEITCHBP)
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Purpose
The purpose is to evaluate efficacy and safety of therapeutic hepatitis B virus (HBV) vaccine (synthesized peptide) Joint entecavir treatment in chronic hepatitis B patients.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Hepatitis B |
Drug: Therapeutic HBV vaccine, entecavir Drug: Empty liposome, entecavir |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Randomized, Double-blind, Multicenter Phase II Clinical Trial to Evaluate the Efficacy and Safety of Therapeutic Hepatitis B Vaccine (Synthesized Peptide) Joint Entecavir in Treating HBeAg Positive Chronic Hepatitis B Patients |
- Primary efficacy assessment is the serological conversion rate of HBeAg at week. 48 [ Time Frame: 48 weeks ] [ Designated as safety issue: Yes ]
- Serological response [ Time Frame: 96 weeks ] [ Designated as safety issue: Yes ]Serological response at every observation time: serological conversion rate of HBeAg, negative conversion rate of HBeAg, and change of HBeAg.
- Virological response [ Time Frame: 96 weeks ] [ Designated as safety issue: Yes ]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 [ Time Frame: 96 weeks ] [ Designated as safety issue: Yes ]Biochemistry response at every observation time, mean the ALT level reduce to normal.
- Histological response [ Time Frame: 72 weeks ] [ Designated as safety issue: Yes ]Histological response at week 72, mean histological score limited reduce 2 (reduced score 2-5), and no fiber deterioration compare with before treatment.
| Enrollment: | 378 |
| Study Start Date: | June 2010 |
| Estimated Study Completion Date: | March 2013 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Therapeutic HBV vaccine Joint Entecavir
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 and Oral intake entecavir 0.5mg per day.
|
Drug: Therapeutic HBV vaccine, entecavir
Therapeutic HBV vaccine :900ug,per time,intramuscular injection; Entecavir:0.5mg,per day,oral intake.
|
|
Placebo Comparator: Empty liposome Joint Entecavir
Placebo comparator: Inject placebo (empty liposome) 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.
|
Drug: Empty liposome, entecavir
Empty liposome: 900ug,per time,intramuscular injection; Entecavir:0.5mg,per day,oral intake.
|
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 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.
The study cycle consists of screening and enrollment period (week -4~0), treatment and follow-up period (week 0-96).
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
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 ≥ 1.72×104 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 ≥ 3.5×109/L;
- ANC ≥ 1.5×109/L;
- PLT ≥ 80×109/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.
Contacts and Locations
More Information
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| Responsible Party: | Chongqing Jiachen Biotechnology Ltd. |
| ClinicalTrials.gov Identifier: | NCT01326546 History of Changes |
| Other Study ID Numbers: | 71006.04 |
| Study First Received: | March 28, 2011 |
| Last Updated: | June 12, 2012 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Chongqing Jiachen Biotechnology Ltd.:
|
Therapeutic HBV Vaccine Chronic Hepatitis B HBeAg positive |
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 Entecavir Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 18, 2013