The Treatment of PD-1 Antibody Combined With Peg-IFNα in NAs-suppressed CHB Patients
The Safety and Efficacy of PD-1 Antibody Combined With Pegylated Interferon-α Therapy to Promote the Clinical Cure in Nucleoside (Acid) Analogues-suppressed Chronic Hepatitis B Patients: A Protocol for the Prospective Pilot Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Junliang Fu
- Phone Number: 86-10-66933214
- Email: fjunliang@163.com
Study Contact Backup
- Name: Fu-Sheng Wang, MD
- Phone Number: 86-10-66933328
- Email: fswang302@163.com
Study Locations
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, China, 100039
- the Fifth Medical Center, Chinese PLA General Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18 - 65 years old;
- Chronic hepatitis B patients with clear diagnosis of hematology, etiology and clinical (for example: HBsAg positive for more than 6 months);
- Treatment with NAs (ETV, TDF or TAF)at least 1 years and continue NAs therapy during screening;
- HBV DNA and HBeAg turn negative after NAs treatment;
- HBsAg ranged 200-1000 IU/ml.
Exclusion Criteria:
- Cirrhosis;
- platelet count < 90×10^9/L, WBC count < 3.0×10^9/L, neutrophil count < 1.3×10^9/L, ALT > ULN(40U/L), total bilirubin > 2ULN;
- History of or suspicion of hepatocellular carcinoma
- Patients received interferon therapy within 12 months;
- Patients received immunosuppressive therapy or other therapy influenced study within 12 months;
- Hepatitis A, hepatitis C, hepatitis D, HIV infection or other active infections;
- Alcohol or drug abuse/dependence;
- Investigator judges that the participants are not suitable for this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Peg-IFNα group
180 ug Peg-IFNα-2b subcutaneous injection once/week for 48 weeks NAs
|
180ug/0.5ml/1bottle
tablets
Other Names:
|
|
Active Comparator: PD-1 antibody group
1.5 mg/kg Sintilimab intravenous injection once per 3 weeks for 24 weeks NAs
|
tablets
Other Names:
100mg/10ml/1bottle
|
|
Experimental: PD-1 antibody combined Peg-IFNα group
1.5 mg/kg Sintilimab intravenous injection once per 3 weeks for 24 weeks 180 ug Peg-IFNα-2b subcutaneous injection once/week for 48 weeks NAs
|
180ug/0.5ml/1bottle
tablets
Other Names:
100mg/10ml/1bottle
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The rate of HBsAg loss at 24 weeks and 48 weeks.
Time Frame: 48 weeks
|
Evaluate the level of HBsAg at 24 weeks and 48 weeks.
|
48 weeks
|
|
Incidence of treatment-emergent adverse events/serious adverse events
Time Frame: 48 weeks
|
Evaluate the treatment-emergent adverse events/serious adverse events
|
48 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The rate of HBsAg decline > 1log(IU/ml) at 24 weeks and 48 weeks
Time Frame: 48 weeks
|
Evaluate the level of serum HBsAg at 24 weeks and 48 weeks.
|
48 weeks
|
|
The rate of HBsAb positive at 24 weeks and 48 weeks.
Time Frame: 48 weeks
|
Evaluate the level of serum HBsAb at 24 weeks and 48 weeks.
|
48 weeks
|
|
The concentration of HBcrAg at baseline, 12 weeks, 24 weeks and 48 weeks.
Time Frame: 48 weeks
|
Evaluate the level of serum HBcrAg at baseline, 12 weeks, 24 weeks and 48 weeks.
|
48 weeks
|
|
The concentration of pgRNA at baseline, 12 weeks, 24 weeks and 48 weeks.
Time Frame: 48 weeks
|
Evaluate the level of serum pgRNA at baseline, 12 weeks, 24 weeks and 48 weeks.
|
48 weeks
|
|
The concentration of anti-HBc at baseline, 12 weeks, 24 weeks and 48 weeks.
Time Frame: 48 weeks
|
Evaluate the level of serum anti-HBc at baseline, 12 weeks, 24 weeks and 48 weeks.
|
48 weeks
|
|
Immune response of T cell, B cell, NK cell at baseline, 12 weeks, 24 weeks and 48 weeks.
Time Frame: 48 weeks
|
Evaluate the frequency and function of T cell, B cell, NK cell (tested by flowcytometry/fluorospot/elispot)
|
48 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
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
- Anti-Infective Agents
- Antiviral Agents
- sintilimab
- nas
Other Study ID Numbers
Other Study ID Numbers
- PIN-CHB-1
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
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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