Dose Escalation of Interleukin-1 (IL-7) Added on Antiviral Treatment and Vaccination in HBeAg-negative Chronic Hepatitis B Virus (HBV) Infected Patients

NCT ID: NCT01027065

Last Updated: 2012-10-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2013-03-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study is designed to evaluate the safety of biological active dose of a new experimental drug, IL-7, in combination with anti viral therapy and vaccine in patients with Hepatitis B chronic infection.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This is a Phase I/IIa inter-patient dose-escalation study assessing weekly doses of Interleukin-7 (CYT107) in HBeAg-negative chronic hepatitis B infected adult patients. The dose escalation is aimed at establishing the safety of a biologically active doses of CYT107 added to the current antiviral therapy with entecavir or tenofovir and vaccination or not. At each dose level, study patients will receive one subcutaneous administration of CYT107 per week for a total of 4.

Groups of 8 patients will be entered at each dose level of CYT107. Three dose levels are planned.

At each dose level, patients are randomized between 2 arms of treatment: tritherapy (CYT107, vaccine and antiviral treatment) or bitherapy (CYT107 and vaccine). Each treatment group is composed of 4 patients, 3 receiving experimental treatments, 1 just the current antiviral treatment (control patient).

According to the treatment arm, eligible patients initially receive a vaccine if in treatment group of tritherapy, thereafter, CYT107 is added for a cycle of four weekly injections (if not a control patient) at a defined dose level. If in treatment group of tritherapy, patients will receive 2 additional doses of vaccine.

The treatment phase for the tritherapy group is from first vaccine D0 to last vaccine W12 and includes CYT107 administration from W4 to W7.

The treatment phase for the bitehrapy group is from W4 to W7 corresponding to CYT104 injections.

The patients are then followed on a regular basis until reaching 52 weeks after the D0.

Participants will have 1 overnight hospitalization and 12 clinic visit on a period of 55 weeks.

During the visits the following may be done:

* medical history, physical examination, blood tests
* electrocardiograms (ECG)
* chest X-Ray
* liver/spleen imaging
* urine tests

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Chronic Hepatitis B

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

interleukin-7 immune-based therapies hepatitis B HBe negative HBV vaccination entecavir tenofovir chronic hepatitis immune specific responses to HBV phase 1/2a viral disease liver disease

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Tritherapy: CYT107+ vaccine+ antiviral

Group Type EXPERIMENTAL

CYT107+GenHevac+entecavir or tenofovir

Intervention Type DRUG

4 patients per arm for each dose level. 3 patients receiving experimental treatment (CYT107 and vaccine) in addition to current antiviral treatment and 1 control patient only the current antiviral treatment

Bitherapy: CYT107 + antiviral

Group Type EXPERIMENTAL

CYT107+ entecavir or tenofovir

Intervention Type DRUG

4 patients per arm for each dose level. 3 patients receiving experimental treatment (CYT107) in addition to current antiviral treatment and 1 control patient only the current antiviral treatment

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

CYT107+GenHevac+entecavir or tenofovir

4 patients per arm for each dose level. 3 patients receiving experimental treatment (CYT107 and vaccine) in addition to current antiviral treatment and 1 control patient only the current antiviral treatment

Intervention Type DRUG

CYT107+ entecavir or tenofovir

4 patients per arm for each dose level. 3 patients receiving experimental treatment (CYT107) in addition to current antiviral treatment and 1 control patient only the current antiviral treatment

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Chronic HBV-infected patients
* HBeAg-negative patients
* Age \> 18 years
* Patients with active chronic hepatitis at the start of the antiviral treatment
* Patient with a HBV DNA undetectable (\<70 copies/ml) stable for at least 3 months under entecavir or tenofovir treatment.
* Ongoing treatment by entecavir or tenofovir at screening Note: previous treatment with pegylated IFN monotherapy, before the start of entecavir or tenofovir, is acceptable

Exclusion Criteria

* Infection by HCV
* Infection by HIV-1 and /or HIV-2
* Apart from HBV infection, presence of active infection requiring a specific treatment or a hospitalization
* Previous treatment by lamivudine and/or nucleosides analogues
* Inactive carrier
* Cirrhosis
* Other liver disease (notably from alcoholic, metabolic or immunological origin)
* History of clinical autoimmune disease or active auto-immune disease
* Type I diabetes mellitus
* Severe asthma, presently on chronic medications
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Cytheris SA

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Christophe Hezode

Role: STUDY_CHAIR

Hopital Henri Mondor-Créteil-France

Pietro Andreone

Role: PRINCIPAL_INVESTIGATOR

S. Orsola Malpighi- Bologna-Italy

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Hopital Henri Mendor-Service d'HepatoGastroEnterologie

Créteil, , France

Site Status

Hopital Michallon

Grenoble, , France

Site Status

Hopital de l'Hotel Dieu

Lyon, , France

Site Status

Hopital Saint Joseph

Marseille, , France

Site Status

CHU l'Archet

Nice, , France

Site Status

Hopital Tenon

Paris, , France

Site Status

Hopital Civil

Strasbourg, , France

Site Status

Azienda Ospedaliero-Universitaria, Policlinico Sant'Orsola Malpighi

Bologna, , Italy

Site Status

Countries

Review the countries where the study has at least one active or historical site.

France Italy

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2009-010709-35

Identifier Type: OTHER

Identifier Source: secondary_id

CLI-107-10

Identifier Type: -

Identifier Source: org_study_id