A Study of Peginterferon Alfa-2b Combined With TDF in Patients With Chronic Hepatitis B

NCT ID: NCT04846491

Last Updated: 2024-03-05

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

PHASE3

Total Enrollment

475 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-04

Study Completion Date

2023-12-07

Brief Summary

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Current clinical practices has shown promising prospects of the therapy strategy of interferon combined with nucleos(t)ides in patients with chronic hepatitis B, but the safety and efficacy has not been fully studied. This study is aimed to exploit the safety and efficacy of the study drug, Peginterferon alfa-2b injection, with nucleos(t)ide (NAs), tenofovir disoproxil fumarate tablets (TDF), in the patients with hepatitis B, who has previously treated with nucleos(t)ides and who are treatment naïve.

Detailed Description

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Conditions

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Chronic Hepatitis B

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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Nucleot(s)ide-treated patients-Experimental Group 1

Group Type EXPERIMENTAL

Peginterferon alfa-2b injection

Intervention Type DRUG

Peginterferon alfa-2b injection (high dose) will be weekly subcutaneous injected for 8 weeks and then stop for 4 weeks, 12 week a cycle, up to 12 cycles (144 weeks) at most. TDF will be taken orally during the whole treatment period. And then followed for 24 weeks after treatment.

Nucleot(s)ide-treated patients-Experimental Group 2

Group Type EXPERIMENTAL

Peginterferon alfa-2b injection

Intervention Type DRUG

Peginterferon alfa-2b injection (low dose) will be weekly subcutaneous injected for 8 weeks and then stop for 4 weeks, 12 week a cycle, up to 12 cycles (144 weeks) at most. TDF will be taken orally during the whole treatment period. And then followed for 24 weeks after treatment.

Nucleot(s)ide-treated patients-Control Group

Group Type ACTIVE_COMPARATOR

TDF

Intervention Type DRUG

Patients will take TDF orally for the first 48 weeks, and then one can choose to continue the single-TDF treatment up to 144 weeks, or may choose to change to receive peginterferon alfa-2b combined TDF therapy for the later 96 weeks, peginterferon alfa-2b will be weekly subcutaneous injected for 8 weeks and then stop for 4 weeks, 12 weeks a cycle. And then followed for 24 weeks after treatment.

Treatment Naive Group

Group Type OTHER

Peginterferon alfa-2b injection

Intervention Type DRUG

Peginterferon alfa-2b injection will be weekly subcutaneous injected for 8 weeks and then stop for 4 weeks, 12 week a cycle, up to 12 cycles (144 weeks) at most. TDF will be taken orally during the whole treatment period. And then followed for 24 weeks after treatment.

Interventions

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Peginterferon alfa-2b injection

Peginterferon alfa-2b injection (high dose) will be weekly subcutaneous injected for 8 weeks and then stop for 4 weeks, 12 week a cycle, up to 12 cycles (144 weeks) at most. TDF will be taken orally during the whole treatment period. And then followed for 24 weeks after treatment.

Intervention Type DRUG

Peginterferon alfa-2b injection

Peginterferon alfa-2b injection (low dose) will be weekly subcutaneous injected for 8 weeks and then stop for 4 weeks, 12 week a cycle, up to 12 cycles (144 weeks) at most. TDF will be taken orally during the whole treatment period. And then followed for 24 weeks after treatment.

Intervention Type DRUG

TDF

Patients will take TDF orally for the first 48 weeks, and then one can choose to continue the single-TDF treatment up to 144 weeks, or may choose to change to receive peginterferon alfa-2b combined TDF therapy for the later 96 weeks, peginterferon alfa-2b will be weekly subcutaneous injected for 8 weeks and then stop for 4 weeks, 12 weeks a cycle. And then followed for 24 weeks after treatment.

Intervention Type DRUG

Peginterferon alfa-2b injection

Peginterferon alfa-2b injection will be weekly subcutaneous injected for 8 weeks and then stop for 4 weeks, 12 week a cycle, up to 12 cycles (144 weeks) at most. TDF will be taken orally during the whole treatment period. And then followed for 24 weeks after treatment.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Understand and sign the informed consent form voluntarily.
* Age between 18 and 65 years (including 18 and 65), no gender limit.
* HBsAg-positive for at least 6 months or other evidence supporting chronic infection with hepatitis B virus.
* HBsAg positive at screening.
* For NAs treated patients: Who should have continuously taken NAs for at least 9 months prior to screening, and are currently receiving the NAs. Simultaneously, the patients should have achieved the following criteria: HBsAg\<1500IU/mL, HBV DNA\<100IU/ml, HBeAg\<10s/co at screening.
* For treatment naive patients: HBV DNA≥1×10\^4IU/ml, and 2×ULN (upper limit of normal) ≤ALT≤10×ULN at screening.
* Pregnancy test of female of childbearing must be negative within 24 hours before the first medication, and the subjects (male and female) should take effective contraceptive measures during the whole study period.

Exclusion Criteria

* Women who are pregnant, breastfeeding or planning to pregnant during the study period.
* Subjects with neuropsychiatric diseases and/or neuropsychiatric family history, especially depression, anxiety, or mania schizophrenia.
* Co-infected with Hepatitis A, Hepatitis C, Hepatitis D, Hepatitis E, or HIV.
* Chronic hepatitis other than hepatitis B, e.g. alcoholic hepatitis, drugs-induced hepatitis, or autoimmune hepatitis, etc.
* Moderate to severe steatohepatitis.
* Evidence of acute severe hepatitis, e.g. ALT\>10×ULN, significantly increasing in ALT accompanied by elevated bilirubin, etc.
* Evidence of liver decompensation, e.g. total bilirubin higher than 2×ULN, albumin lower than 35g/L, prothrombin time is 3 seconds longer than the upper limit of normal, prothrombin activity lower than 60%, or history of decompensated liver cirrhosis, etc.
* Evidence of hepatocellular carcinoma, or AFP\>1×ULN.
* Significant kidney diseases, including acute nephritis, chronic nephritis, renal insufficiency, nephrotic syndrome, etc. or serum creatinine higher than upper limit of normal.
* Neutrophil count less than 1.5×10\^9/L, or platelet count less than 90×10\^9/L at screening.
* Serum phosphorus lower than 0.8mmol/L.
* Antinuclear antibody (ANA) exceeds 1:100.
* Autoimmune disease, including psoriasis, systemic lupus erythematosus, etc.
* Subjects with endocrine system disease, including thyroid, Diabetes mellitus, etc.
* Poorly controlled hypertension (blood pressure ≥140/90 mmHg).
* Subjects with severe heart disease, especially those with unstable angina or poorly controlled heart disease within 6 months prior to screening.
* Severe retinopathy or any other severe diseases in the eyes.
* Subject who had ever received organ transplants or are planning to receive organ transplant.
* For NAs-treated patients: who have received standard treatment of interferon products within 6 months prior to screening .
* For treatment naive patients: who have ever received standard treatment of interferon products, or who have ever received NAs within 6 months prior to screening.
* Subject who are allergic to interferon, tenofovir, or any excipients, or meet any of the contraindications described in the drug instructions.
* Subjects who participated in any other interventional trials within 3 months prior to screening, or with any other conditions which in the opinion of the investigator precluding enrollment from the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University First Hospital

OTHER

Sponsor Role collaborator

Xiamen Amoytop Biotech Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Guiqiang Wang, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Peking University First Hospital

Locations

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Beijing Ditan Hospital, Capital Medical University

Beijing, , China

Site Status

Beijing Youan Hospital, Capital Medical University

Beijing, , China

Site Status

Peking University First Hospital

Beijing, , China

Site Status

The fifth medical center of PLA General Hospital

Beijing, , China

Site Status

The Second Xiangya Hospital of Central South University

Changsha, , China

Site Status

Xiangya Hospital Central South University

Changsha, , China

Site Status

Public Health Clinical Center of Chengdu

Chengdu, , China

Site Status

Sichuan Provincial People's Hospital

Chengdu, , China

Site Status

Mengchao Hepatobiliary Hosipital of Fujian Medical University

Fuzhou, , China

Site Status

The First Affiliated Hospital of Fujian Medical University

Fuzhou, , China

Site Status

The Ninth Hospital of the Joint Logistic Support Force of the Chinese People's Liberation Army

Fuzhou, , China

Site Status

Guangzhou Eighth People's Hospital

Guangzhou, , China

Site Status

The Third Affiliated Hospital,SUN YAT-SEN University

Guangzhou, , China

Site Status

The Fourth Affiliated Hospital of Harbin Medical University

Harbin, , China

Site Status

The First Affiliated Hospital of Anhui Medical University

Hefei, , China

Site Status

Nanjing Drum Tower Hospital/The First Affiliated Hospital of Nanjing University Medical School

Nanjing, , China

Site Status

Huashan Hospital affiliated to Fudan University

Shanghai, , China

Site Status

Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status

The Sixth People's Hospital of Shenyang

Shenyang, , China

Site Status

Peiking University Shenzhen Hospital

Shenzhen, , China

Site Status

The Third People's Hospital of shenzhen

Shenzhen, , China

Site Status

The First Hospital of Shanxi Medical University

Taiyuan, , China

Site Status

First Teaching Hospital of Tianjin University of Traditional Chinese Medicine

Tianjin, , China

Site Status

Tianjin Third Central Hospital

Tianjin, , China

Site Status

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, , China

Site Status

Traditional Chinese Medicine hospital of Xinjiang Uygur Autonomous Region

Ürümqi, , China

Site Status

Tongji Hospital/Tongji Medical College Huazhong University of Science & Technology

Wuhan, , China

Site Status

Tangdu Hospital

Xi'an, , China

Site Status

The First Affiliated Hospital of Xian Jiaotong University

Xi'an, , China

Site Status

The First Affiliated Hospital of Xiamen University

Xiamen, , China

Site Status

Xiamen Hospital of Traditional Chinese Medicine

Xiamen, , China

Site Status

Yanbian University Hospital/Yanbian Hospital

Yanbian, , China

Site Status

Henan Provincial People's Hospital

Zhengzhou, , China

Site Status

Countries

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China

Other Identifiers

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TB1901IFN

Identifier Type: -

Identifier Source: org_study_id

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