A Phase II Study of Hepalatide in Subjects With Chronic Hepatitis B

NCT ID: NCT04426968

Last Updated: 2025-01-27

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

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-18

Study Completion Date

2023-11-29

Brief Summary

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A Phase II Randomized, Double-blind, Placebo-controlled, Multi-center, Dose-effect Relationship Study of Hepalatide for Injection Combined with Pegylated Interferon in Subjects with Chronic Hepatitis B

Detailed Description

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The study is a 4-arm parallel design, randomized, double-blind, placebo-controlled, multicenter, dose-effect relationship, phase II clinical trial. The study is designed to assess efficacy and safety of 3 Doses of hepalatide in Combination with Pegylated Interferon Compared to Pegylated Interferon Alone in patients with Chronic Hepatitis B .Subjects will be randomly assigned to the 2.1mg, 4.2mg, and 6.3mg dose groups , 32 subjects in each group . The subjects in each dose group will be randomly and double-blindly administered the corresponding dose of trial drug or placebo in a ratio of 3:1. The subjects in each dose group who received placebo treatment combine as the placebo group. All subjects will receive Pegylated Interferon treatment for 28 weeks as the basic treatment,trial drug or placebo treatment for 24 weeks continuously , followed by a safety follow-up for 4 weeks.

Conditions

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Hepatitis B, Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Hepalatide 2.1mg+Pegylated Interferon

Hepalatide 2.1mg s.c., q.d., treatment continued for 24 weeks, follow up 4 weeks.

PEG-IFNalpha, s.c., q.w.,treatment continued for 48 weeks

Group Type EXPERIMENTAL

Hepalatide 2.1mg

Intervention Type DRUG

2.1 mg/day subcutaneously (s.c.) for 24 week

Pegylated Interferon

Intervention Type DRUG

180 ug/week subcutaneously (s.c.) for 28 week

Hepalatide 4.2mg+Pegylated Interferon

Hepalatide 4.2mg s.c., q.d., treatment continued for 24 weeks, follow up 4 weeks.

PEG-IFNalpha, s.c., q.w.,treatment continued for 48 weeks

Group Type EXPERIMENTAL

Hepalatide 4.2mg

Intervention Type DRUG

4.2mg/day subcutaneously (s.c.) for 24 week

Pegylated Interferon

Intervention Type DRUG

180 ug/week subcutaneously (s.c.) for 28 week

Hepalatide 6.3mg+Pegylated Interferon

Hepalatide 6.3mg s.c., q.d., treatment continued for 24 weeks, follow up 4 weeks.

PEG-IFNalpha, s.c., q.w.,treatment continued for 48 weeks

Group Type EXPERIMENTAL

Hepalatide 6.3mg

Intervention Type DRUG

6.3mg/day subcutaneously (s.c.) for 24 week

Pegylated Interferon

Intervention Type DRUG

180 ug/week subcutaneously (s.c.) for 28 week

placebo+Pegylated Interferon

Hepalatide placebo s.c., q.d., treatment continued for 24 weeks, follow up 4 weeks.

PEG-IFNalpha, s.c., q.w.,treatment continued for 48 weeks

Group Type ACTIVE_COMPARATOR

placebo 2.1mg

Intervention Type DRUG

2.1 mg/day subcutaneously (s.c.) for 24 week

placebo 4.2mg

Intervention Type DRUG

4.2 mg/day subcutaneously (s.c.) for 24 week

placebo 6.3mg

Intervention Type DRUG

6.3 mg/day subcutaneously (s.c.) for 24 week

Pegylated Interferon

Intervention Type DRUG

180 ug/week subcutaneously (s.c.) for 28 week

Interventions

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Hepalatide 2.1mg

2.1 mg/day subcutaneously (s.c.) for 24 week

Intervention Type DRUG

Hepalatide 4.2mg

4.2mg/day subcutaneously (s.c.) for 24 week

Intervention Type DRUG

Hepalatide 6.3mg

6.3mg/day subcutaneously (s.c.) for 24 week

Intervention Type DRUG

placebo 2.1mg

2.1 mg/day subcutaneously (s.c.) for 24 week

Intervention Type DRUG

placebo 4.2mg

4.2 mg/day subcutaneously (s.c.) for 24 week

Intervention Type DRUG

placebo 6.3mg

6.3 mg/day subcutaneously (s.c.) for 24 week

Intervention Type DRUG

Pegylated Interferon

180 ug/week subcutaneously (s.c.) for 28 week

Intervention Type DRUG

Other Intervention Names

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L47 L47 L47 Pegasys

Eligibility Criteria

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Inclusion Criteria

1. Age from 18 to 60 years inclusively at the time of signing Informed Consent Form.
2. HBsAg or/and HBV DNA Positive for at least 6 months before Screening.
3. Subjects did not receive interferon treatment and did not receive nucleotide/nucleoside analogue within 6 months
4. HBeAg positive or negative
5. HBV DNA≥20,000 IU/ml (HBeAg positive) or HBV DNA≥2,000 IU/ml (HBeAg negative)
6. 2×ULN ≤ALT≤10×ULN
7. Serum total bilirubin\<2×ULN
8. Subjects had no history of decompensated liver disease(Ascites, jaundice, hepatic encephalopathy, varicose hemorrhage), serious heart disease (including unstable or uncontrolled heart disease within 6 months),serious mental illness (especially depression),organ transplantation .subjects have no uncontrolled epilepsy, mental illness, diabetes and hypertension,no autoimmune disease, immune related extrahepatic manifestations (vasculitis, purpura, nodular arteritis, peripheral neuropathy and glomerulonephritis), thyroid disease, malignant tumor, immunosuppressive therapy; no basic diseases and other serious diseases such as serious infection, retinal disease, heart failure and chronic obstructive pulmonary disease; no alcohol and drug abuse.
9. Subjects must agree to use a highly effective contraception for 2 years , female subjects are not pregnant or breastfeeding
10. Subjects did not donate blood or as clinical trial subjects within 3 months before screening
11. Subjects have good compliance with the protocol
12. Subjects understood and agreed to sign the informed consent form.

Exclusion Criteria

1. Decompensated liver disease: direct bilirubin \> 1.2 × ULN,
2. Prothrombin time \> 1.2 × ULN, serum albumin \< 35 g / L
3. Severe liver fibrosis or cirrhosis: METAVIR score of liver biopsy is 4 points; or or Child-Pugh score\> 7
4. Hemocytopenia: neutrophil \< 1 × 10\^9 / L, platelet \< 50 × 10\^9 / L, hemoglobin \< 100g / L (female) or hemoglobin \< 110g / L (male) points
5. HAV,HCV,HDV,HEV or HIV infection
6. Pegylated interferon therapy is contraindicated
7. Allergic to interferon, Such as severe depression, epilepsy, autoimmune diseases, uncontrolled thyroid dysfunction and so on
8. severe retinopathy or eye disease(Eye diseases due to high blood pressure or diabetes, CMV retinitis, macular degeneration)
9. Positive for anti-HBV Pre-S1 antibody.
10. Hamilton Depression Scale (HAMD, 17 items) score \> 17 points
11. Female subjects pregnancy test positive
12. Other laboratories or auxiliary examinations are obviously abnormal
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai HEP Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fusheng Wang

Role: PRINCIPAL_INVESTIGATOR

The fifth medical center of PLA

Locations

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The fifth medical center of PLA

Beijing, Beijing Municipality, China

Site Status

Jilin Hepatobiliary Disease Hospital

Changchun, , China

Site Status

The first hospital of Jilin University

Changchun, , China

Site Status

Chizhou People's Hospital

Chizhou, , China

Site Status

The First Hospital Affiliated to the Army Medical University

Chongqing, , China

Site Status

The First Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

The Second Hospital of Nanjing

Nanjing, , China

Site Status

Qingyuan People's Hospital

Qingyuan, , China

Site Status

Shanghai Tongren Hospital

Shanghai, , China

Site Status

The Sixth People's Hospital of Shenyang

Shenyang, , China

Site Status

Henan Provincial People's Hospital

Zhengzhou, , China

Site Status

Henan Provincial Infectious Disease Hospital

Zhenzhou, , China

Site Status

Countries

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China

Other Identifiers

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L47-HB-II-02

Identifier Type: -

Identifier Source: org_study_id

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