A Novel Combination Therapeutic Strategy Aiming to Functional Cure for Chronic Hepatitis B Virus Infection (Sustained HBsAg Loss) (A)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Dachuan Cai, MD
- Phone Number: +86 18323409779
- Email: cqmucdc@cqmu.edu.cn
Study Contact Backup
- Name: Min Chen, PhD
- Phone Number: +86 17338600343
- Email: mchen@hospital.cqmu.edu.cn
Study Locations
-
-
Chongqing Municipality
-
Chongqing, Chongqing Municipality, China, 400010
- Recruiting
- The 2nd affiliated Hospital of Chongqing Medical University
-
Principal Investigator:
- HONG REN, Professor
-
Contact:
- DACHUAN CAI
- Phone Number: +8618323409779
- Email: cqmucdc@cqmu.edu.cn
-
Contact:
- HONG REN
- Phone Number: +8613983888786
- Email: renhong0531@vip.sina.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 1) Sign the informed consent form before inclusion and be able to complete the study according to the study requirements;
- 2) From inclusion to 30 days after the last administration of the study drug, male subjects or female subjects of childbearing age are willing to voluntarily take effective contraceptive measures;
- 3) 18-70 years old. The weight of male subjects is not less than 45 kg, and the weight of female subjects is not less than 40 kg. Body mass index (BMI) is within the range of 18-32 kg/m^2;
- 4) NAs-naive/NAs-experienced CHB patients.
Exclusion Criteria:
- 1) A history of allergy, or who are suspected by the researcher to be allergic to the active ingredient of the drug under study or its excipients;
- 2) Use of inhibitors, inducers or substrates of CYP3A4 within 28 days before enrollment;
- 3) Systematical use of immunosuppressants, immunomodulators (thymosin) and cytotoxic drugs within 6 months before enrollment, or vaccination of live attenuated vaccine within 1 month before enrollment;
- 4) Acute infection within 2 weeks before enrollment which requires intravenous antibiotic treatment, or existing infection which requires anti-infection treatment when enrollment;
- 5) Clinically significant acute and chronic liver disease not caused by HBV infection (judged by reseachers);
- 6) Confirmed or suspected decompensated cirrhosis, including but not limited to: hepatic encephalopathy, hepatorenal syndrome, bleeding from esophageal varices, splenomegaly, ascites, etc, or evidence of progressive liver fibrosis;
- 7) Primary liver cancer, or alpha-fetoprotein (AFP) is greater than 50 ug/L or imaging suggests the possibility of malignant liver lesions, or other malignant tumors or a history of other malignant tumors within 5 years before enrollment (except that the malignant tumors have been completely relieved after treatment and patients have not received additional medical or surgical intervention within 3 years before screening);
- 8) A history of pathological fracture or osteoporosis;
- 9) Gastrointestinal dysfunction or gastrointestinal diseases that might affect the absorption of oral drugs, such as severe gastric ulcer, erosive gastritis, partial gastrectomy, and persistent gastrointestinal symptoms (such as nausea, vomiting, or diarrhea) >2 grades;
- 10) Serious diseases of circulatory, respiratory, urinary, blood, metabolic, immune, mental, neurological, renal and other systems;
- 11) Major trauma or major surgery within 3 months before enrollment, or planned surgery during the study period;
- 12) Blood donation/loss ≥ 400 mL within 3 months before enrollment, or given a blood transfusion within 3 months before enrollment, or blood donation/loss ≥ 200 mL within 1 month before enrollment;
- 13) Platelet count<90 × 10^9/L, white blood cell count<3.0 × 10^9/L, neutrophil count<1.3 × 10^9/L, total serum bilirubin>2 × upper limit of normal (ULN), albumin<30 g/L, creatinine clearance ≤ 60 mL/min (calculated by CKD-EPI formula), or international normalized ratio of prothrombin time (INR)>1.5 (unless receiving stable anticoagulant therapy);
- 14) Hepatitis C virus (HCV) antibody (+), HIV antigen/antibody (+), or treponema pallidum antibody (+) and rapid plasma regain (RPR) test (+);
- 15) A history of continuous alcohol abuse within 3 years before enrollment (average daily alcohol consumption exceeds 20 gram);
- 16) A history of drug dependence or drug abuse within 1 year before enrollment;
- 17) Those who have participated in clinical trials of other investigational drugs or medical devices and taken investigational drugs or used medical devices within 3 months before enrollment;
- 18) Female in suckling period or pregnancy test (+) during screening;
- 19) Subjects who are considered by the researcher to have other factors that are not suitable for the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Group 1
NAs combined with anti-PD-1 antibody, followed by NAs monotherapy
|
Once/two or three weeks, dose lower than the dose used in cancer patients, subcutaneous/intravenous injection
Once/day, 1 capsule/time, oral
Other Names:
|
|
Active Comparator: Group 2
NAs
|
Once/day, 1 capsule/time, oral
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Serum HBsAg
Time Frame: Baseline
|
Serum HBsAg level
|
Baseline
|
|
Serum HBsAg
Time Frame: 24 weeks after the treatment
|
Serum HBsAg level
|
24 weeks after the treatment
|
|
Serum HBsAg
Time Frame: 48 weeks after the treatment
|
Serum HBsAg level
|
48 weeks after the treatment
|
|
Serum HBsAg
Time Frame: 24 weeks after the end of treatment
|
Serum HBsAg level
|
24 weeks after the end of treatment
|
|
Serum HBV DNA
Time Frame: Baseline
|
Serum HBV DNA level
|
Baseline
|
|
Serum HBV DNA
Time Frame: 24 weeks after the treatment
|
Serum HBV DNA level
|
24 weeks after the treatment
|
|
Serum HBV DNA
Time Frame: 48 weeks after the treatment
|
Serum HBV DNA level
|
48 weeks after the treatment
|
|
Serum HBV DNA
Time Frame: 24 weeks after the end of treatment
|
Serum HBV DNA level
|
24 weeks after the end of treatment
|
|
Serum alanine aminotransferase (ALT)
Time Frame: Baseline
|
Serum ALT level
|
Baseline
|
|
Serum alanine aminotransferase (ALT)
Time Frame: 24 weeks after the treatment
|
Serum ALT level
|
24 weeks after the treatment
|
|
Serum alanine aminotransferase (ALT)
Time Frame: 48 weeks after the treatment
|
Serum ALT level
|
48 weeks after the treatment
|
|
Serum alanine aminotransferase (ALT)
Time Frame: 24 weeks after the end of treatment
|
Serum ALT level
|
24 weeks after the end of treatment
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Other HBV markers
Time Frame: Baseline
|
Levels of other HBV markers
|
Baseline
|
|
Other HBV markers
Time Frame: 24 weeks after the treatment
|
Levels of other HBV markers
|
24 weeks after the treatment
|
|
Other HBV markers
Time Frame: 48 weeks after the treatment
|
Levels of other HBV markers
|
48 weeks after the treatment
|
|
Other HBV markers
Time Frame: 24 weeks after the end of treatment
|
Levels of other HBV markers
|
24 weeks after the end of treatment
|
|
Immune response of T and B cells
Time Frame: Baseline
|
Frequencies and functions of T and B cells (tested by flowcytometry/FluoroSpot/ELISPOT)
|
Baseline
|
|
Immune response of T and B cells
Time Frame: 24 weeks after the treatment
|
Frequencies and functions of T and B cells (tested by flowcytometry/FluoroSpot/ELISPOT)
|
24 weeks after the treatment
|
|
Immune response of T and B cells
Time Frame: 48 weeks after the treatment
|
Frequencies and functions of T and B cells (tested by flowcytometry/FluoroSpot/ELISPOT)
|
48 weeks after the treatment
|
|
Immune response of T and B cells
Time Frame: 24 weeks after the end of treatment
|
Frequencies and functions of T and B cells (tested by flowcytometry/FluoroSpot/ELISPOT)
|
24 weeks after the end of treatment
|
|
Virus and host genome
Time Frame: Baseline
|
Detect virus and host genome using peripheral blood by sequencing
|
Baseline
|
|
Virus and host genome
Time Frame: 3 weeks after the treatment
|
Detect virus and host genome using peripheral blood by sequencing
|
3 weeks after the treatment
|
|
Virus and host genome
Time Frame: 24 weeks after the treatment
|
Detect virus and host genome using peripheral blood by sequencing
|
24 weeks after the treatment
|
|
Virus and host genome
Time Frame: 48 weeks after the treatment
|
Detect virus and host genome using peripheral blood by sequencing
|
48 weeks after the treatment
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Hong Ren, MM, The Second Affiliated Hospital of Chongqing Medical University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- Blood-Borne Infections
- Pathologic Processes
- Chronic Disease
- Disease Attributes
- Infections
- Virus Diseases
- Digestive System Diseases
- Liver Diseases
- Hepatitis, Viral, Human
- Communicable Diseases
- DNA Virus Infections
- Hepadnaviridae Infections
- Hepatitis, Chronic
- Hepatitis
- Pathological Conditions, Signs and Symptoms
- Hepatitis B
- Hepatitis B, Chronic
- Physiological Effects of Drugs
- Immunologic Factors
- spartalizumab
- nas
Other Study ID Numbers
Other Study ID Numbers
- 2023-0220
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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