Therapeutic Hepatitis B Vaccine (Mimogen-based) Joint Entecavir in Treating Chronic Hepatitis B Patients
A Randomized, Double-blind, Multicenter Phase II Clinical Trial to Evaluate the Efficacy and Safety of Therapeutic Hepatitis B Vaccine (Mimogen-based) Joint Entecavir in Treating HBeAg Positive Chronic Hepatitis B Patients
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
詳細な説明
Eligible subjects are enrolled and assigned into 2 groups randomly with a 1:1 ratio:
- Therapeutic HBV vaccine Joint Entecavir group:Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 + Oral intake entecavir 0.5mg per day ;
- Empty liposome Joint Entecavir group:Inject empty liposome at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 + Oral intake entecavir 0.5mg per day.
The study cycle consists of screening and enrollment period (week -4~0), treatment and follow-up period (week 0-96).
研究の種類
研究の種類
入学 (実際)
入学
段階
段階
- フェーズ2
連絡先と場所
研究場所
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-
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Beijing、中国
- 302 Militray Hosptial of China
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ChongQing、中国
- Southwest Hospital
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Anhui
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Hefei、Anhui、中国
- The First Affiliated of Anhui Medical University
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Beijing
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Beijing、Beijing、中国
- Beijing YouAn Hosptial,Capital Medical University
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Guangdong
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Shenzhen、Guangdong、中国
- The Third People's Hosptial of Shenzhen
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Hubei
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WuHan、Hubei、中国
- Renmin hosptial of Wuhan University
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Hunan
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ChangSha、Hunan、中国
- Xiangya Hospital Central South University
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Changsha、Hunan、中国
- The Second Xiangya Hospital of Central South University
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Jiangsu
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NanJing、Jiangsu、中国
- 81th Hospital of PLA
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NanJing、Jiangsu、中国
- Jiangsu Province Hospital
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Nanjing、Jiangsu、中国
- The Second Hospital of Nanjing
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Shanxi
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XiAn、Shanxi、中国
- Tangdu Hospital
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Yunnan
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Kunming、Yunnan、中国
- First Affiliated Hospital of Kunming Medical University
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Zhejiang
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Hangzhou、Zhejiang、中国、310006
- The First Affiliated Hospital of Zhejiang University
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WenZhou、Zhejiang、中国
- The First Affiliated Hospital of Wenzhou Medical University
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-
参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Aged 18-65 years, male or female;
Conforming to diagnosis standard of chronic hepatitis B according to " 2005 Guideline for Prevention and Treatment of Hepatitis B " , (with positive HBsAg for more than 6 months), never have systemic treatment of anti-HBV viral ,and
- HBV-DNA ≥ 1.72×10^4 IU/ml;
- HBeAg (+), HBeAb (-);
- ALT within 2 to 10 times of ULN (upper limits of normal);
- HLA-A2 positive;
Compensatory liver disease having following hematological and biochemical parameters:
- WBC ≥ 3.5×10^9/L;
- ANC ≥ 1.5×10^9/L;
- PLT ≥ 80×10^9/L;
- Hb ≥ 100g/L;
- TBil ≤ 1.5 ULN;
- ALB not lower than low limit of normal value;
- BUN no more than high limit of normal value;
- Cr ≤ 1.5 ULN high limit of normal value;
- PT elongation ≤ 3 sec, APTT in normal value;
- Fasting blood glucose ≤ 7.0mmol/L;
- TSH in normal value;
- AFP test result no more than high limit of normal value;
- Take effective contraception for subject with child-bearing potential (including females and female partners of males);
- Understand and sign ICF approved by EC;
- Willing to comply with the study procedures and complete the study.
Exclusion Criteria:
- Antibodies of HCV, HDV or HIV is positive;
- ANA titer > 1:100;
- Decompensated liver disease (such as gullet and pylorus varicose veins, hepatic encephalopathy);
Have the following illness or with severe disease inappropriate to participate in the study in the view of the investigator, in cardiovascular system: instable or significant cardiovascular illness such as angina pectoris, heart attack of myocardial infarction, congestive heart failure, severe hypertension, significant arrhythmia or abnormal ECG etc;
- Respiratory system: bronchiectasia, bronchial asthma, chronic obstructive pulmonary disease, respiratory failure, etc;
- Endocrine, metabolism diseases: diabetes mellitus, uncontrolled thyroid diseases, etc;
- Others: autoimmune disorder, active tuberculosis, malignancies (e.g.: tumor), neuropathic, metal, acute or chronic pancreatitis illness history, etc.
- Have used anti-HBV drug ( Interferon, Lamivudine, Adefovir Dipivoxil, Entecavir and Telbivudine ) and immunomodulator ( Thymic peptide, etc ) to the administration of study medication;
- Have allergic diathesis or have suspected allergy to εPA-44;
- Female in pregnancy, lactation or those who plan to pregnancy during the course of the study;
- Have history of alcohol abuse (Alcohol consumption for more than 5 years, with daily consumption over 40g for males and over 20g for females) and known drug dependence;
- Have history of organ transplantation (except corneal transplantation and hair transplantation);
- Have participated in any other drug clinical investigations within 3 months;
- Any other factors inappropriate for enroll in the study or study completion in the view of the investigator.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:4倍
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的:Therapeutic HBV vaccine+Entecavir
Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 and Oral intake entecavir 0.5mg per day.
|
Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48.
他の名前:
0.5mg,per day,oral intake.
他の名前:
|
|
プラセボコンパレーター:placebo+Entecavir
Placebo comparator: Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 and Oral intake entecavir 0.5mg per day.
|
0.5mg,per day,oral intake.
他の名前:
Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48.
他の名前:
|
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Percentage of Participants With HBeAg Seroconversion at Week 48
時間枠:48 weeks
|
Primary endpoint data were summarised under "End of Study",using the last available post-baseline observation(Last Observation Carried Forward,LOCF)
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48 weeks
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二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Serological Response
時間枠:96 weeks
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Serological response at every observation time: serological conversion rate of HBeAg, negative conversion rate of HBeAg, and change of HBeAg.
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96 weeks
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Virological Response
時間枠:96 weeks
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Virological response at every observation time: the proportion of patients with serum HBV DNA level reduction to undetectable level, decreased amount of serum HBV DNA compared with the baseline value, and HBV DNA load decrease 2 log scales or HBV DNA level <1.72×104 IU/ml.
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96 weeks
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Biochemistry Response
時間枠:96 weeks
|
Biochemistry response at every observation time, mean the ALT level reduce to normal.
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96 weeks
|
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Histological Response
時間枠:72 weeks
|
Histological response at week 72, mean histological score limited reduce 2 (reduced score 2-5), and no fiber deterioration compare with before treatment.
|
72 weeks
|
協力者と研究者
協力者
協力者
捜査官
捜査官
- 主任研究者:LanJuan Li, Ph.D.、Zhejiang University
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (実際)
一次修了
研究の完了 (実際)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
その他の研究ID番号
- 71006.04
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
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