Clinical Study of TQA3605 Tablets Combined With Nucleoside (Acid) Analogs (NAs) Drugs Compared With NAs Drugs in the Treatment of Chronic Hepatitis B Virus (HBV) Infection
A Randomized, Double-blind, Placebo-controlled Phase II Clinical Trial to Evaluate the Efficacy and Safety of TQA3605 Tablets in Treated Subjects With Chronic HBV Infection With Low-level Viremia (LLV)
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 Contact
Study Contact
- Name: Qing Xie, Doctor
- Phone Number: 13651804273
- Email: xq10403@rjh.com.cn
Study Locations
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-
Beijing Municipality
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Beijing, Beijing Municipality, China, 100015
- Beijing Ditan Hospital Capital Medical University
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Beijing, Beijing Municipality, China, 100054
- Beijing Youan Hospital, Capital Medical Universitybeijing Institute of Hepatology
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Fujian
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Fuzhou, Fujian, China, 350001
- Meng Chao Hepatobiliary Hospital of Fujian Medical University
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-
Guangdong
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Shenzhen, Guangdong, China, 518036
- Peking University Shenzhen Hospital
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Guizhou
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Guiyang, Guizhou, China, 550002
- Guizhou Provincial People's Hospital
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Zunyi, Guizhou, China, 563000
- Zunyi Medical University Affiliated Hospital
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Henan
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Zhengzhou, Henan, China, 450000
- Zhengzhou No.6 peoples Hospital
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Hunan
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Changsha, Hunan, China, 410008
- The second Xiangya hospital of central south university
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Yueyang, Hunan, China, 414000
- Yueyang Central Hospital
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Jiangsu
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Nanjing, Jiangsu, China, 210000
- Jiangsu Provincial People's Hospital
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Suzhou, Jiangsu, China, 215131
- The Fifth People's Hospital of Suzhou
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Jiangxi
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Nanchang, Jiangxi, China, 330000
- The First Affiliated Hospital of NanChang University
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Liaoning
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Shenyang, Liaoning, China, 110001
- The Sixth People's Hospital of Shenyang
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Shandong
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Jinan, Shandong, China, 250102
- Shandong Public Health Clinical Center
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200000
- Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine
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Shanghai, Shanghai Municipality, China, 200336
- Shanghai Tongren Hospital
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Shanxi
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Xi’an, Shanxi, China, 710000
- The First Affiliated Hospital of Xi'an Jiao Tong University
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Zhejiang
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Hangzhou, Zhejiang, China, 310006
- The First Affiliated Hospital Zhejiang University School of Medicine
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Lishui, Zhejiang, China, 323000
- Lishui People's Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Ages 18-65 (including boundary values), male or female.
- At the time of screening, etiological or clinical or pathological evidence of hepatitis B virus infection has been more than 1 year; HBsAg positive, 10 IU/mL <HBV DNA≤2000 IU/mL, ALT≤3×ULN (upper limit of normal); No obvious cirrhosis was found by the researchers.
- Continuous administration of any nucleoside (acid) analogues for more than 1 year and a stable regimen of ≥6 months prior to screening.
- Able to communicate well with researchers, understand and comply with the requirements of the study, understand and sign the informed consent.
- Male subjects with fertile female partners or female subjects of childbearing age were willing to voluntarily take effective contraceptive measures within 3 months after screening.
Exclusion Criteria:
- Pregnant (positive pregnancy test) or breastfeeding women.
- Co-infection with other viruses such as hepatitis A virus, hepatitis C virus, hepatitis D virus, hepatitis E virus, human immunodeficiency virus, syphilis.
- A history of cirrhosis or evidence of significant fibrosis or cirrhosis at pre-screening/screening time.
- The subject had a history of hepatocellular carcinoma (HCC) before or at the time of screening, or was suspected of HCC.
- A history of malignant tumors within 5 years prior to screening, except for certain cancers that can be completely cured by surgical resection.
- Subjects with other chronic liver diseases, including but not limited to autoimmune liver disease, alcoholic liver disease, and hepatolenticular degeneration.
- Have previously received organ transplantation and bone marrow transplantation.
- Abnormal laboratory examination indicators that do not meet the requirements of the program during screening.
- Poorly controlled thyroid disease, or clinically significant thyroid dysfunction.
- Autoimmune diseases include but are not limited to: systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, sarcoidosis, psoriasis, autoimmune uveitis, etc.;
- In addition to liver disease, there are significant systemic or major diseases, including recent congestive heart failure, unstable coronary heart disease, arterial revasodilation, respiratory disease, digestive disease, renal insufficiency, stroke, transient ischemic attack, organ transplantation, psychiatric disease, etc. Uncontrolled systemic disease: poor blood pressure control; Diabetes has poor blood sugar control.
- Received any systemic antitumor (including radiation) or immunosuppressive therapy (including biological immune inhibitors), or immunomodulatory therapy (including non-biological immunomodulatory oral drugs) in the 6 months prior to screening.
- Receiving high doses of systemic corticosteroids within 3 months prior to the screening period.
- A history of alcohol and drug abuse within 1 year prior to the screening period.
- Blood transfusion ≤2 months before screening and/or blood donation ≤1 month before screening. Note: Participants were not allowed to donate blood throughout the study period.
- Have a history of allergy to the experimental drug or its excipients.
- Participated in clinical trials of hepatitis B core protein allosteric regulators.
- The subject has participated in a clinical trial and received the investigational drug during the period prior to the first administration of the study: 5 half-lives or twice the duration of the biological effect of the study treatment or 90 days (if the half-life or duration is unknown).
- History or status of cardiovascular disease: history of risk factors for tip torsion ventricular tachycardia, including unexplained syncope, known long QT syndrome, heart failure, myocardial infarction, angina, or clinically significant abnormal laboratory tests. Family history of long QT syndrome or Brugada syndrome. The Electrocardiogram (ECG) showed clinically significant abnormalities. Heart Rate (HR)≤45 bpm.
- Those that researchers believe should not be included.
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 |
|---|---|
|
Placebo Comparator: TQA3605 Placebo plus NAs
TQA3605 placebo plus NAs drug was administered for 24 weeks and NAs was continued until 32 weeks
|
Placebo without drug substance
|
|
Experimental: 100mg TQA3605 tablets plus NAs
100mg TQA3605 tablets plus NAs drug was administered for 24 weeks and NAs was continued until 32 weeks
|
TQA3605 tablets is core protein regulator
|
|
Experimental: 200mg TQA3605 tablets plus NAs
200mg TQA3605 tablets plus NAs drug was administered for 24 weeks and NAs was continued until 32 weeks
|
TQA3605 tablets is core protein regulator
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
HBV DNA (Hepatitis B virus Deoxyribonucleic Acid)
Time Frame: 24 weeks
|
Percentage of subjects with HBV DNA below the lower limit of quantitative detection (<10 IU/mL) at 24 weeks of treatment
|
24 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence and severity of Adverse events (AEs)
Time Frame: 32 weeks
|
The incidence and severity of AEs were determined by changes in physical examination, vital signs, electrocardiogram, and laboratory tests
|
32 weeks
|
|
Incidence and severity of serious adverse events (SAEs)
Time Frame: 32 weeks
|
The incidence and severity of SAEs were determined by changes in physical examination, vital signs, electrocardiogram, and laboratory tests
|
32 weeks
|
|
HBV DNA (<10 IU/mL)
Time Frame: Weeks 12, Weeks 16, Weeks 24, Weeks 28, Weeks 32
|
Percentage of subjects with HBV DNA below the lower limit of quantitative detection (<10 IU/mL)
|
Weeks 12, Weeks 16, Weeks 24, Weeks 28, Weeks 32
|
|
Hepatitis B e antigen (HBeAg) Serology
Time Frame: Weeks 12, Weeks 24, Weeks 32
|
Percentage of subjects with HBeAg serologic clearance and/or serologic conversion (for HBeAg positive at baseline only)
|
Weeks 12, Weeks 24, Weeks 32
|
|
Alanine Aminotransferase (ALT) relapse rate
Time Frame: Weeks 12, Weeks 24, Weeks 32
|
Renormalize ALT over time in subjects with baseline ALT>upper limit of normal (ULN) in the absence of enzyme-lowering Liver protection medicine
|
Weeks 12, Weeks 24, Weeks 32
|
|
Breakthroughs in virology
Time Frame: Weeks 12, Weeks 24, Weeks 32
|
Percentage of subjects with a virological breakthrough
|
Weeks 12, Weeks 24, Weeks 32
|
|
HBV RNA (Hepatitis B virus Ribonucleic Acid)
Time Frame: Weeks 12, Weeks 24, Weeks 32
|
Actual values and changes of HBV RNA over time relative to baseline
|
Weeks 12, Weeks 24, Weeks 32
|
|
(Cmax, ss) Steady-state maximum concentration
Time Frame: Day 1, Day 29, Day 57, Day 85, Day 113, Day 169
|
Steady-state maximum concentration of TQA3605
|
Day 1, Day 29, Day 57, Day 85, Day 113, Day 169
|
|
(Cmin, ss) Steady state minimum concentration
Time Frame: Day 1, Day 29, Day 57, Day 85, Day 113, Day 169
|
Steady-state minimum concentration of TQA3605
|
Day 1, Day 29, Day 57, Day 85, Day 113, Day 169
|
|
Actual values and changes of HbsAg (Hepatitis B Surface Antigen)
Time Frame: Weeks 12, Weeks 24, Weeks 32
|
Actual values and changes of HbsAg over time relative to baseline
|
Weeks 12, Weeks 24, Weeks 32
|
|
Actual values and changes of HBeAg
Time Frame: Weeks 12, Weeks 24, Weeks 32
|
Actual values and changes of HBeAg over time relative to baseline
|
Weeks 12, Weeks 24, Weeks 32
|
|
Actual values and changes of HBV DNA
Time Frame: Weeks 12, Weeks 24, Weeks 32
|
Actual values and changes of HBV DNA over time relative to baseline
|
Weeks 12, Weeks 24, Weeks 32
|
|
Actual values and changes of Human Hepatitis B virus core antigen - associated antigen (HbcrAg)
Time Frame: Weeks 12, Weeks 24, Weeks 32
|
Actual values and changes of HbcrAg over time relative to baseline
|
Weeks 12, Weeks 24, Weeks 32
|
|
HBV DNA (<10 IU/mL)
Time Frame: Weeks 12, Weeks 16, Weeks 28, Weeks 32
|
Percentage of subjects with HBV DNA below the lower limit of quantitative detection (<10 IU/mL)
|
Weeks 12, Weeks 16, Weeks 28, Weeks 32
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
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 (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
Other Study ID Numbers
Other Study ID Numbers
- TQA3605-II-01
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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