Study in Japan of the Safety And Antiviral Activity in Adults With Chronic Hepatitis B Current Lamivudine Therapy
A Phase II Study in Japan of the Safety And Antiviral Activity of Entecavir (BMS-200475) in Adults With Chronic Hepatitis B With Incomplete Response to Current Lamivudine Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
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Kyoto, Japan
- Local Institution
-
-
Aichi
-
Aichi-Gun, Aichi, Japan, 480-1195
- Local Institution
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Nagoya, Aichi, Japan, 466-8550
- Local Institution
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Nagoya-Shi, Aichi, Japan, 467-8602
- Local Institution
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Chiba
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Chiba-Shi, Chiba, Japan
- Local Institution
-
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Fukuoka
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Kurume, Fukuoka, Japan
- Local Institution
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Gifu
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Ogaki-Shi, Gifu, Japan, 503-8502
- Local Institution
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Hokkaido
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Asahikawa-Shi, Hokkaido, Japan, 070-0054
- Local Institution
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Sapporo-Shi, Hokkaido, Japan, 060-0033
- Local Institution
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Hyogo
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Akashi-Shi, Hyogo, Japan, 673-0848
- Local Institution
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Iwate
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Morioka-Shi, Iwate, Japan, 020-8505
- Local Institution
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Miyagi
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Sendai, Miyagi, Japan
- Local Institution
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Okayama
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Okayama-Shi, Okayama, Japan, 700-0082
- Local Institution
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Tokyo
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Minato-Ku, Tokyo, Japan, 105-0001
- Local Institution
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Musashino-Shi, Tokyo, Japan, 180-0023
- Local Institution
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Shinjuku-Ku, Tokyo, Japan, 162-8666
- Local Institution
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Documentation of chronic hepatitis B infection by ALL of the following:
- Positive for HBsAg OR, negative for IgM core antibody and confirmation of chronic hepatitis B on liver biopsy
- Patient who have received lamivudine therapy for 24 weeks or more, or patient who have documented YMDD mutation or other lamivudine-resistant mutation while on lamivudine
- Documented HBV Viremia ≥ 10*5: copies/mL
- ALT in the range of 1.3 to 10 x ULN
- Subjects must have well-compensated liver disease a) value
Exclusion Criteria:
-
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Entecavir (0.5 mg)
|
Tablet, P.O., 0.5 mg or 1mg, once daily, 52 weeks
Other Names:
|
|
Experimental: Entecavir (1mg)
|
Tablet, P.O., 0.5 mg or 1mg, once daily, 52 weeks
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To assess the safety (the incidence of clinical adverse events and discontinuations due to adverse events)
Time Frame: Week 52 (end of dosing) plus 5 days
|
Week 52 (end of dosing) plus 5 days
|
|
To assess the proportion of subjects with reduction in HBV DNA by ≥ 2 log10 or to undetectable level (< 400 copies/mL)
Time Frame: at Week 48
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at Week 48
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Proportion of subjects who achieve undetectable HBV DNA (<400 copies/mL) by PCR assay at Week 48
Time Frame: Week 48
|
Week 48
|
|
Proportion of subjects HBeAg-positive at baseline who have loss of HBeAg from serum at Week 48
Time Frame: Week 48
|
Week 48
|
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Proportion of subjects HBeAg-positive at baseline who achieve seroconversion (loss of HBeAg and appearance of HBeAb) at Week 48
Time Frame: Week 48
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Week 48
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Proportion of subjects with abnormal ALT at baseline who achieve normalization of serum ALT (<1.25 x ULN) at Week 48
Time Frame: Week 48
|
Week 48
|
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Proportion of subjects w/ histological improvement in liver (improvement in necroinflammatory score (≥2 points decrease, Knodell HAI3 score) & no worsening of fibrosis (≥1 point increase, Knodell fibrosis score) at Wk 48 liver biopsy compared to baseline
Time Frame: Baseline, Week 48
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Baseline, Week 48
|
|
Changes in liver histology as assessed by the New Inuyama Classification for histological assessment of chronic hepatitis
Time Frame: Week 52
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Week 52
|
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Relationship between HBV isolates (genotypes A,B,C, etc.) at baseline and antiviral activity
Time Frame: Week 48, or at end of dosing (up to Week 52)
|
Week 48, or at end of dosing (up to Week 52)
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|
Incidence of resistance mutations of HBV isolates in subjects who have a rise in HBV DNA (by ≥1 log above the nadir for that subject) while on study drug.
Time Frame: Week 48, or at end of dosing (up to Week 52)
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Week 48, or at end of dosing (up to Week 52)
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|
Mutation of HBV DNA polymerase at Week 48 from baseline
Time Frame: Baseline, Week 48
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Baseline, Week 48
|
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Plasma concentrations of entecavir at selected time points during the treatment period
Time Frame: pre-dosing, Week 2 or 4, Week 12, Week 24 and Week 36
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pre-dosing, Week 2 or 4, Week 12, Week 24 and Week 36
|
|
Population pharmacokinetic assessment of entecavir developed from concentration-time data obtained from healthy subjects
Time Frame: pre-dosing, Week 2 or 4, Week 12, Week 24 and Week 36
|
pre-dosing, Week 2 or 4, Week 12, Week 24 and Week 36
|
|
Mean change from baseline in the log*10* HBV DNA measured by PCR assay for each entecavir dose (0.5 and 1 mg) at Week 48
Time Frame: Baseline, Week 48
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Baseline, Week 48
|
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Proportion of subjects HBeAg-positive at baseline who have complete response (undetectable HBV DNA levels by PCR assay, negative for HBeAg and normal serum ALT) at Week 48
Time Frame: Week 48
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Week 48
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Proportion of subjects HBeAg-negative at baseline who have undetectable HBV DNA levels by PCR assay, remain negative for HBeAg and normal serum ALT at Week 48
Time Frame: Week 48
|
Week 48
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Liver Diseases
- Hepatitis, Viral, Human
- Hepadnaviridae Infections
- DNA Virus Infections
- Enterovirus Infections
- Picornaviridae Infections
- Hepatitis B
- Hepatitis
- Hepatitis A
- Hepatitis B, Chronic
- Hepatitis, Chronic
- Anti-Infective Agents
- Antiviral Agents
- Entecavir
Other Study ID Numbers
Other Study ID Numbers
- AI463-052
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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