- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01037166
Study in Japan of the Safety And Antiviral Activity in Adults With Chronic Hepatitis B Current Lamivudine Therapy
January 24, 2011 updated by: Bristol-Myers Squibb
A Phase II Study in Japan of the Safety And Antiviral Activity of Entecavir (BMS-200475) in Adults With Chronic Hepatitis B With Incomplete Response to Current Lamivudine Therapy
The objectives are to demonstrate that entecavir has antiviral activity undetectable HBV DNA measured, the Roche AmplicorTM PCR at Week 48, and to assess the safety and the pharmacokinetic of entecavir in Japanese patients with hepatitis B who have an incomplete response to current lamivudine therapy
Study Overview
Study Type
Interventional
Enrollment (Actual)
84
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
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Kyoto, Japan
- Local Institution
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Aichi
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Aichi-Gun, Aichi, Japan, 480-1195
- Local Institution
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Nagoya, Aichi, Japan, 466-8550
- Local Institution
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Nagoya-Shi, Aichi, Japan, 467-8602
- Local Institution
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Chiba
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Chiba-Shi, Chiba, Japan
- Local Institution
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Fukuoka
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Kurume, Fukuoka, Japan
- Local Institution
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Gifu
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Ogaki-Shi, Gifu, Japan, 503-8502
- Local Institution
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Hokkaido
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Asahikawa-Shi, Hokkaido, Japan, 070-0054
- Local Institution
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Sapporo-Shi, Hokkaido, Japan, 060-0033
- Local Institution
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Hyogo
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Akashi-Shi, Hyogo, Japan, 673-0848
- Local Institution
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Iwate
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Morioka-Shi, Iwate, Japan, 020-8505
- Local Institution
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Miyagi
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Sendai, Miyagi, Japan
- Local Institution
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Okayama
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Okayama-Shi, Okayama, Japan, 700-0082
- Local Institution
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Tokyo
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Minato-Ku, Tokyo, Japan, 105-0001
- Local Institution
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Musashino-Shi, Tokyo, Japan, 180-0023
- Local Institution
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Shinjuku-Ku, Tokyo, Japan, 162-8666
- Local Institution
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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
20 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
Documentation of chronic hepatitis B infection by ALL of the following:
- Positive for HBsAg OR, negative for IgM core antibody and confirmation of chronic hepatitis B on liver biopsy
- Patient who have received lamivudine therapy for 24 weeks or more, or patient who have documented YMDD mutation or other lamivudine-resistant mutation while on lamivudine
- Documented HBV Viremia ≥ 10*5: copies/mL
- ALT in the range of 1.3 to 10 x ULN
- Subjects must have well-compensated liver disease a) value
Exclusion Criteria:
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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: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Entecavir (0.5 mg)
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Tablet, P.O., 0.5 mg or 1mg, once daily, 52 weeks
Other Names:
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Experimental: Entecavir (1mg)
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Tablet, P.O., 0.5 mg or 1mg, once daily, 52 weeks
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
To assess the safety (the incidence of clinical adverse events and discontinuations due to adverse events)
Time Frame: Week 52 (end of dosing) plus 5 days
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Week 52 (end of dosing) plus 5 days
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To assess the proportion of subjects with reduction in HBV DNA by ≥ 2 log10 or to undetectable level (< 400 copies/mL)
Time Frame: at Week 48
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at Week 48
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Proportion of subjects who achieve undetectable HBV DNA (<400 copies/mL) by PCR assay at Week 48
Time Frame: Week 48
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Week 48
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Proportion of subjects HBeAg-positive at baseline who have loss of HBeAg from serum at Week 48
Time Frame: Week 48
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Week 48
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Proportion of subjects HBeAg-positive at baseline who achieve seroconversion (loss of HBeAg and appearance of HBeAb) at Week 48
Time Frame: Week 48
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Week 48
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Proportion of subjects with abnormal ALT at baseline who achieve normalization of serum ALT (<1.25 x ULN) at Week 48
Time Frame: Week 48
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Week 48
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Proportion of subjects w/ histological improvement in liver (improvement in necroinflammatory score (≥2 points decrease, Knodell HAI3 score) & no worsening of fibrosis (≥1 point increase, Knodell fibrosis score) at Wk 48 liver biopsy compared to baseline
Time Frame: Baseline, Week 48
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Baseline, Week 48
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Changes in liver histology as assessed by the New Inuyama Classification for histological assessment of chronic hepatitis
Time Frame: Week 52
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Week 52
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Relationship between HBV isolates (genotypes A,B,C, etc.) at baseline and antiviral activity
Time Frame: Week 48, or at end of dosing (up to Week 52)
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Week 48, or at end of dosing (up to Week 52)
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Incidence of resistance mutations of HBV isolates in subjects who have a rise in HBV DNA (by ≥1 log above the nadir for that subject) while on study drug.
Time Frame: Week 48, or at end of dosing (up to Week 52)
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Week 48, or at end of dosing (up to Week 52)
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Mutation of HBV DNA polymerase at Week 48 from baseline
Time Frame: Baseline, Week 48
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Baseline, Week 48
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Plasma concentrations of entecavir at selected time points during the treatment period
Time Frame: pre-dosing, Week 2 or 4, Week 12, Week 24 and Week 36
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pre-dosing, Week 2 or 4, Week 12, Week 24 and Week 36
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Population pharmacokinetic assessment of entecavir developed from concentration-time data obtained from healthy subjects
Time Frame: pre-dosing, Week 2 or 4, Week 12, Week 24 and Week 36
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pre-dosing, Week 2 or 4, Week 12, Week 24 and Week 36
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Mean change from baseline in the log*10* HBV DNA measured by PCR assay for each entecavir dose (0.5 and 1 mg) at Week 48
Time Frame: Baseline, Week 48
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Baseline, Week 48
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Proportion of subjects HBeAg-positive at baseline who have complete response (undetectable HBV DNA levels by PCR assay, negative for HBeAg and normal serum ALT) at Week 48
Time Frame: Week 48
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Week 48
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Proportion of subjects HBeAg-negative at baseline who have undetectable HBV DNA levels by PCR assay, remain negative for HBeAg and normal serum ALT at Week 48
Time Frame: Week 48
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Week 48
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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
December 1, 2002
Primary Completion (Actual)
February 1, 2005
Study Completion (Actual)
February 1, 2005
Study Registration Dates
First Submitted
December 17, 2009
First Submitted That Met QC Criteria
December 18, 2009
First Posted (Estimate)
December 21, 2009
Study Record Updates
Last Update Posted (Estimate)
January 31, 2011
Last Update Submitted That Met QC Criteria
January 24, 2011
Last Verified
June 1, 2010
More Information
Terms related to this study
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
- Anti-Infective Agents
- Antiviral Agents
- Entecavir
Other Study ID Numbers
- AI463-052
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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