Combination of ETV, TQ-A3334 and TQ-B2450 for CHB (Neptune Study) (Neptune)

October 1, 2026 updated by: Qin Ning, Tongji Hospital

New Combination of ETV, TQ-A3334 and TQ-B2450 for the Treatment of Chronic Hepatitis B Virus Infection

This study is a single-center, randomized, prospective, open-label Phase 2 Clinical trial to evaluate efficacy and safety of ETV and TQ-A3334 combinated with/without inhibitor of TQ-B2450 versus ETV alone in chronic hepatitis B patients. Patients were randomized to one of 3 different antiviral treatment.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

24

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Hubei
      • Wuhan, Hubei, China, 430030
        • Tongji Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Male and female patients from 18 to 65 years of age;
  2. Chronic hepatitis B infection
  3. Negative urine or serum pregnancy test (for women of childbearing potential) documented within the 24-hour period prior to the first dose of test drug;
  4. Agree to participate in the study and sign the patient informed consent.

Exclusion Criteria:

  1. Patients who had NAs resistance;
  2. Other antiviral, anti-neoplastic or immunomodulatory treatment;
  3. Women with ongoing pregnancy or breast-feeding;
  4. Co-infection with active hepatitis A, hepatitis C, hepatitis D(Those hospitals which have the ability to do the test will do) and/or human immunodeficiency virus (HIV);
  5. ALT >10 ULN;
  6. LSM >9kPa ;
  7. History or other evidence of a medical condition associated with chronic liver disease other than viral hepatitis (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures, thalassemia);
  8. Signs or symptoms of hepatocellular carcinoma;
  9. Neutrophil count < 1500 cells/mm3 or platelet count <90,000 cells/mm3 at screening;
  10. Hemoglobin < 11.5 g/dL for females and <12.5 g/dL for men;
  11. Serum creatinine level > 1.5 ULN in screening period.
  12. Phosphorus < 0.65 mmol/L;
  13. ANA > 1:100;
  14. History of severe psychiatric disease;
  15. History of a severe seizure disorder or current anticonvulsant use;
  16. History of immunologically mediated disease, (e.g., inflammatory bowel disease, idiopathic thrombocytopenic purpura, lupus erythematosus, autoimmune hemolytic anemia, scleroderma, rheumatoid arthritis etc.);
  17. History of chronic pulmonary disease associated with functional limitation;
  18. Diseases that IFN and Nucleotides or nucleosides are not suitable.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Naive:ETV

Entecavir 0.5 mg po daily for 24 weeks in naive patients

entecavir 0.5 mg qd

Experimental: Naive:ETV+TQ-A3334

Entecavir 0.5 mg po daily plus TQ-A3334 for 24 weeks in naive patients

entecavir 0.5 mg qd

TQ-A3334 po qw

Experimental: Naive:ETV+TQ-A3334+TQ-B2450

Entecavir 0.5 mg po daily plus TQ-A3334 plus inhibitor of TQ-B2450 for 24 weeks in naive patients

entecavir 0.5 mg qd

TQ-A3334 po qw

TQ-B2450 q3w iv

Active Comparator: Experienced:ETV

Entecavir 0.5 mg po daily for 24 weeks in treatment experienced patients

entecavir 0.5 mg qd

Experimental: Experienced:ETV+TQ-A3334

Entecavir 0.5 mg po daily plus TQ-A3334 for 24 weeks in treatment experienced patients

entecavir 0.5 mg qd

TQ-A3334 po qw

Experimental: Experienced:ETV+TQ-A3334+TQ-B2450

Entecavir 0.5 mg po daily plus TQ-A3334 plus TQ-B2450 for 24 weeks in treatment experienced patients

entecavir 0.5 mg qd

TQ-A3334 po qw

TQ-B2450 q3w iv

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline in HBsAg quantification at week 24
Time Frame: week 24

HBsAg quantification are measured

week 24

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
HBsAg loss rates at week 24
Time Frame: week 24

HBsAg loss rates are measured

week 24
HBsAg seroconversion rates at week 24
Time Frame: week 24

HBsAg seroconversion rates are measured

week 24
HBeAg loss rates at week 24
Time Frame: week 24

HBeAg loss rates are measured

week 24
HBeAg seroconversion rates at week 24
Time Frame: week 24

HBeAg seroconversion rates are measured

week 24
HBV DNA<20IU/mL rates at week 24
Time Frame: week 24

HBV DNA<20IU/mL rates are measured

week 24

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 1, 2020

Primary Completion (Actual)

June 30, 2023

Study Completion (Actual)

December 31, 2023

Study Registration Dates

First Submitted

December 15, 2019

First Submitted That Met QC Criteria

December 15, 2019

First Posted (Actual)

December 17, 2019

Study Record Updates

Last Update Posted (Actual)

October 6, 2026

Last Update Submitted That Met QC Criteria

October 1, 2026

Last Verified

December 1, 2019

More Information

Terms related to this study

Other Study ID Numbers

  • TQ-A3334-II-02

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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.