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Therapeutic Hepatitis B Vaccine (Mimogen-based) Joint Entecavir in Treating Chronic Hepatitis B Patients

2019年3月31日 更新者：Chongqing Jiachen Biotechnology Ltd.

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

The purpose is to evaluate efficacy and safety of therapeutic hepatitis B virus (HBV) vaccine (mimogen-based)) Joint entecavir treatment in chronic hepatitis B patients.

研究概览

地位

完全的

条件

干预/治疗

详细说明

Eligible subjects are enrolled and assigned into 2 groups randomly with a 1:1 ratio：

  1. 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 ；
  2. 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).

研究类型

介入性

注册 (实际的)

378

阶段

  • 阶段2

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 中国
      • Beijing、中国
        • 302 Militray Hosptial of China
      • ChongQing、中国
        • Southwest Hospital
    • Anhui
      • Hefei、Anhui、中国
        • The First Affiliated of Anhui Medical University
    • Beijing
      • Beijing、Beijing、中国
        • Beijing YouAn Hosptial,Capital Medical University
    • Guangdong
      • Shenzhen、Guangdong、中国
        • The Third People's Hosptial of Shenzhen
    • Hubei
      • WuHan、Hubei、中国
        • Renmin hosptial of Wuhan University
    • Hunan
      • ChangSha、Hunan、中国
        • Xiangya Hospital Central South University
      • Changsha、Hunan、中国
        • The Second Xiangya Hospital of Central South University
    • Jiangsu
      • NanJing、Jiangsu、中国
        • 81th Hospital of PLA
      • NanJing、Jiangsu、中国
        • Jiangsu Province Hospital
      • Nanjing、Jiangsu、中国
        • The Second Hospital of Nanjing
    • Shanxi
      • XiAn、Shanxi、中国
        • Tangdu Hospital
    • Yunnan
      • Kunming、Yunnan、中国
        • First Affiliated Hospital of Kunming Medical University
    • Zhejiang
      • Hangzhou、Zhejiang、中国、310006
        • The First Affiliated Hospital of Zhejiang University
      • WenZhou、Zhejiang、中国
        • The First Affiliated Hospital of Wenzhou Medical University

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 65年 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  1. Aged 18-65 years, male or female;

  2. 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);
  3. HLA-A2 positive;

  4. 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;
  5. TSH in normal value;
  6. AFP test result no more than high limit of normal value;
  7. Take effective contraception for subject with child-bearing potential (including females and female partners of males);
  8. Understand and sign ICF approved by EC;
  9. Willing to comply with the study procedures and complete the study.

Exclusion Criteria:

  1. Antibodies of HCV, HDV or HIV is positive;
  2. ANA titer > 1:100;
  3. Decompensated liver disease (such as gullet and pylorus varicose veins, hepatic encephalopathy);

  4. 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.
  5. Have used anti-HBV drug ( Interferon, Lamivudine, Adefovir Dipivoxil, Entecavir and Telbivudine ) and immunomodulator ( Thymic peptide, etc ) to the administration of study medication;
  6. Have allergic diathesis or have suspected allergy to εPA-44;
  7. Female in pregnancy, lactation or those who plan to pregnancy during the course of the study;
  8. 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;
  9. Have history of organ transplantation (except corneal transplantation and hair transplantation);
  10. Have participated in any other drug clinical investigations within 3 months;
  11. Any other factors inappropriate for enroll in the study or study completion in the view of the investigator.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：四人间

武器和干预

参与者组/臂
干预/治疗
实验性的：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.
生物：Therapeutic HBV vaccine
Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48.
其他名称：
  • εPA-44
药品：entecavir
0.5mg,per day,oral intake.
其他名称：
  • 条形码
安慰剂比较：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.
药品：entecavir
0.5mg,per day,oral intake.
其他名称：
  • 条形码
其他：placebo
Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48.
其他名称：
  • empty liposome

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Percentage of Participants With HBeAg Seroconversion at Week 48
大体时间：48 weeks
Primary endpoint data were summarised under "End of Study",using the last available post-baseline observation(Last Observation Carried Forward,LOCF)
48 weeks

次要结果测量

结果测量
措施说明
大体时间
Serological Response
大体时间：96 weeks
Serological response at every observation time: serological conversion rate of HBeAg, negative conversion rate of HBeAg, and change of HBeAg.
96 weeks
Virological Response
大体时间：96 weeks
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.
96 weeks
Biochemistry Response
大体时间：96 weeks
Biochemistry response at every observation time, mean the ALT level reduce to normal.
96 weeks
Histological Response
大体时间：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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Chongqing Jiachen Biotechnology Ltd.

合作者

Third Military Medical University

调查人员

  • 首席研究员：LanJuan Li, Ph.D.、Zhejiang University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2010年6月1日

初级完成 (实际的)

2014年1月1日

研究完成 (实际的)

2014年1月1日

研究注册日期

首次提交

2011年3月28日

首先提交符合 QC 标准的

2011年3月30日

首次发布 (估计)

2011年3月31日

研究记录更新

最后更新发布 (实际的)

2019年6月26日

上次提交的符合 QC 标准的更新

2019年3月31日

最后验证

2019年3月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • 71006.04

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

未定

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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