The Clinical Trial of the Anti Hepatitis B Placenta Transfer Factor Injection
The Efficacy and Safety of the Anti Hepatitis B Placenta Transfer Factor Injection in the Treatment of HBeAg Positive Chronic Hepatitis B, Randomized, Double Blind, Placebo Controlled, Multi Center Clinical Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 4
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- aged 18-65, sex not limited;
- patients with HBeAg positive chronic hepatitis B: Screening HBsAg positive for more than 6 months; screening HBeAg positive; screening serum HBV DNA≥1.0×105U/ml;
- 2 * ULN (2 times the upper limit of normal value) < ALT <10 * ULN (10 times the upper limit of normal value);;
- total bilirubin <51μmol/L;
- hepatitis B virus resistance gene sequencing negative;
- agree in the process of the study, do not participate in any other clinical studies or other anti HBV therapy;
- before the beginning of the study, understand and sign the informed consent form approved by the ethics committee, and cooperate to conduct clinical research according to the requirements for the study.
Exclusion Criteria:
- by the following evidences prompt suspected hepatocellular carcinoma: B ultrasound or imaging examination discover occupying lesion;B ultrasound normal but serum alpha fetoprotein (AFP) level has a continuous increasing trend; AFP > 100ng/ml, and after review, still so.
- with liver disease acute exacerbation cause a transient liver function decompensation disease or baseline with clinical performance of decompensated liver disease;
- serum creatinine ≥1.5mg/dl (≥130μmol/l);
- the serum amylase > 2 times the normal reference upper limit value;
- hemoglobin (male <100g/L, female <90g/L), white blood cell< 3.5* 109/L, platelet< 60 * 109/L;
- combined with infection of HCV (anti -HCV positive), HIV, anti -HAV IgM positive, anti -HDV IgM positive, anti -HEV IgM positive, anti -EBV IgM positive, anti -CMV IgM positive, autoimmune hepatitis(such as the titer of anti nuclear antibody> 1:160) or activite liver disease caused by other known or unknown reason;
- investigators consider that may interfere with the treatment,evaluation or compliance of the subjects, including any uncontrolled clinical significance of kidneys, heart, lungs, blood vessels, neurogenic, digestive system, metabolic diseases (diabetes, hyperthyroidism, adrenal disease), immune function disorder or tumor;
- subjects with a history of alcoholism or drug abuse,investigators consider the subjects cannot comply with this protocol or affect the results analysis;
- pregnancy,lactation or female subjects plan to conceive or the companions of male subjects plan to conceive during the study
- 6 months before the study medication used immunosuppressants,immunomodulators(thymosin alpha), cytotoxic drugs;
- 6 months before the study medication used anti HBV drug therapy (interferon, Lamivudine, Adefovir, Entecavir and Telbivudine, Tenofovir,etc);
- plan or have had liver transplantation;
- received other study drug treatment within 3 months prior to screening;
- drug allergy history or allergic for Nucleoside or Nucleotide drug;
- the subjects non compliance with the protocol or subjects exist any situation which investigators considered not suitable for participation in this study.
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: Experimental Group
Anti-HBV Placenta Transfer Factor Injection: 2mg/4ml, intramuscular injection, the 0-24 week, once every other day; week 24-48, 2 times / week; entecavir tablets: 0.5mg/ tablet / time, daily bedtime fasting oral once, treatment course 96 weeks
|
Anti-HBV Placenta Transfer Factor Injection: 2mg/4ml, intramuscular injection, the 0-24 week, once every other day; week 24-48, 2 times / week; entecavir tablets: 0.5mg/ tablet / time, daily bedtime fasting oral once, treatment course 96 weeks
|
|
Placebo Comparator: Comparator Group
Physiological saline injection: 2mg/4ml, intramuscular injection,the 0-24 week, once every other day, week 24-48, 2 times / week; entecavir tablets: 0.5mg/ tablet / time, daily bedtime fasting oral once, treatment course 96 weeks
|
Physiological saline injection: 2mg/4ml, intramuscular injection,the 0-24 week, once every other day, week 24-48, 2 times / week; entecavir tablets: 0.5mg/ tablet / time, daily bedtime fasting oral once, treatment course 96 weeks
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
HBeAg serum conversion rate
Time Frame: Week 48
|
The HBeAg serum conversion rate of the Test Group and the Control Group after 48 weeks treatment
|
Week 48
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
HBeAg serum conversion rate
Time Frame: Week 24, 72
|
The HBeAg serum conversion rate of the Test Group and the Control Group for treatment week 24, week 72
|
Week 24, 72
|
|
HBeAg disappearance rate
Time Frame: Week 24, 48 and 72
|
The HBeAg disappearance rate of the Test Group and the Control Group for treatment week 24, week 48 and week 72
|
Week 24, 48 and 72
|
|
HBV DNA titer
Time Frame: Week-4, 0,12,24,48,72 and 96
|
The proportion of subjects for each observation point in HBV DNA titer decreased 2 logarithmic
|
Week-4, 0,12,24,48,72 and 96
|
|
The proportion of subjects for the HBV DNA can not be detected
Time Frame: Week 24, 48 and 72
|
The proportion of subjects for the HBV DNA can not be detected in treatment week 24, week 48 and week 72
|
Week 24, 48 and 72
|
|
HBeAg and HBsAg titer
Time Frame: Week-4, 0,12,24,48,72 and 96
|
The changes of HBeAg and HBsAg titer at each observation point
|
Week-4, 0,12,24,48,72 and 96
|
|
The quantitative changes of anti -HBc
Time Frame: Week-4, 0,12,24,48,72 and 96
|
The quantitative changes of anti -HBc in each observation point
|
Week-4, 0,12,24,48,72 and 96
|
|
The variation of ALT
Time Frame: Week-4,24,48,72 and 96
|
The variation of ALT in each observation point
|
Week-4,24,48,72 and 96
|
|
The seroconversion rate of HBsAb and HBeAb
Time Frame: Week-4, 0,12,24,48,72 and 96
|
The seroconversion rate of HBsAb and HBeAb in each observation point
|
Week-4, 0,12,24,48,72 and 96
|
|
The resistance mutation rate of HBsAb and HBeAb
Time Frame: Week-4, 0,12,24,48,72 and 96
|
The resistance mutation ncidence of HBsAb and HBeAb in each observation point
|
Week-4, 0,12,24,48,72 and 96
|
|
The cumulative incidence of virologic breakthroughrate of HBsAb and HBeAb
Time Frame: Week-4, 0,12,24,48,72 and 96
|
The cumulative incidence of virologic breakthroughrate of HBsAb and HBeAb in each observation point
|
Week-4, 0,12,24,48,72 and 96
|
|
The changes of relative immune parameters of the transfer factor in peripheral blood(the number of T lymphocytes and the expression levels of cytokines)
Time Frame: Week 0, 12, 24, 48, 72, 96
|
The changes of relative immune parameters of the transfer factor in peripheral blood
|
Week 0, 12, 24, 48, 72, 96
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Guiqiang Wang, Doctor, Peking University First Hospital
- Principal Investigator: Maorong Wang, Doctor, China People's Liberation Army No. Eight One Hospital
- Principal Investigator: Zheling Wang, Doctor, Qingdao Infectious Diseases Hospital
- Principal Investigator: Zhiqiang zou, Doctor, Yantai Infectious Diseases Hospital
- Principal Investigator: Peili Zhao, Doctor, The Third Hospital of Qinhuangdao City
- Principal Investigator: Dexing Jia, Doctor, Weifang People's Hospital
- Principal Investigator: Zhenghua Zhao, Doctor, Tai'an Central Hospital
- Principal Investigator: Feng Gao, Doctor, Linyi people's hospital
- Principal Investigator: Sikui Wang, Doctor, Liaocheng People's Hospital
- Principal Investigator: lingdao Huo, Doctor, The Third People's Hospital of Taiyuan
- Principal Investigator: Yuping Ma, Doctor, Xi'an Eighth Hospital
- Principal Investigator: Hongxu Zhang, Doctor, Luohe Central Hospital
- Principal Investigator: Xu Zhang, Doctor, General Hospital of Ningxia Medical University
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
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
Keywords
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
Other Study ID Numbers
Other Study ID Numbers
- SW002
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