Hydronidone Capsules in Long-term Treatment in Patients With Chronic Viral Hepatitis B Liver Fibrosis

NCT ID: NCT05905172

Last Updated: 2025-06-04

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

248 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-12

Study Completion Date

2028-10-20

Brief Summary

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This study is a Phase IIIb extension trial following the "A Randomized, Double-blind, Placebo-controlled, Multicenter, Entecavir-based, Phase III Clinical Trial of Hydronidone Capsule in the Treatment of Liver Fibrosis Associated with Chronic Hepatitis B".

The main objective of this study is to evaluate the effectiveness and the safety of hydronidone capsules for long-term treatment of patients with chronic viral hepatitis B liver fibrosis.

Detailed Description

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Nowadays, there is no satisfactory treatment and drug for liver fibrosis, so the etiology treatment of liver fibrosis and cirrhosis is the most important treatment. However, the etiology and treatment can not completely prevent the progression of liver fibrosis, and liver cirrhosis and liver cancer still occur after antiviral treatment. Although some drugs in domestic and foreign clinical trials have reported the effect of treating liver fibrosis, there is no recognized effective chemical drugs or biological agents against liver fibrosis. According to the available evidence, hydronidone capsules can effectively reduce the severity of liver fibrosis, which is expected to further reduce the risk of clinical endpoint events. Since the clinical benefit from the improvement of liver fibrosis usually takes a long time to observe, this trial takes an extended treatment approach to continuously evaluate the clinical benefit of subjects undergoing long-term treatment with hydronidone capsules in patients with liver fibrosis.

This study is a Phase IIIb extension trial following the "A Randomized, Double-blind, Placebo-controlled, Multicenter, Entecavir-based, Phase III Clinical Trial of Hydronidone Capsule in the Treatment of Liver Fibrosis Associated with Chronic Hepatitis B". Subjects who have completed the Phase III, placebo-controlled design, double-blind, can enter the study and continue treatment according to the original treatment protocol.The aim is to evaluate the effectiveness and the safety of hydronidone capsules for long-term treatment of patients with chronic viral hepatitis B liver fibrosis.

The test group received hydronidone capsules three times a day at a daily dose of 270 mg and oral medication half an hour before the meal. The control group received placebo capsules three times a day, half an hour before the meal.Both the test and control groups received entecavir antiviral therapy as basic treatment, once daily at 0.5 mg each, by fasting oral administration. If the subject is not suitable for entecavir, the investigator will decide on the corresponding antiviral treatment according to the subject's specific condition. Discontinuation criteria for entecavir: According to the Guidelines for the Prevention and Treatment of Chronic Hepatitis B (2019 edition), the American Association for the Study of Liver Disease (AASLD) and the European Association for Liver Disease (EASL) management guidelines.

Visit examination items: clinical laboratory tests (routine ALT) every 6 months (for ALT and AST, additional tests as appropriate), HBVDNA, hepatitis B, transient elastography examination, etc. In order to improve subject compliance, the investigator may increase or reduce the examination frequency or items, and at least 1 year to reducing the frequency. Additional according to the actual situation

Conditions

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Liver Fibrosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Test group: hydronidone capsules, three times a day, 3 capsules each time,oral,daily therapeutic dose of 270 mg, half an hour before the meal

Control group: placebo capsules, three times a day, 3 capsules each time,oral,half an hour before the meal.

Basic treatment: Both test and control groups were treated with entecavir antiviral therapy, once daily, 0.5 mg per time, oral.

In case of drug resistance or other conditions requiring dose adjustment, the investigator may adjust the dose and type of basic treatment drug appropriately.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Before the clinical trial begins, the test drug and placebo are packaged in the same way, and the drug number is marked on the packaging according to the random table. The subjects take the drugs according to the randomly assigned drug number.

Study Groups

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Hydronidone group

Patients were given three capsules of hydronidone three times a day for 5 years.

Group Type EXPERIMENTAL

Hydronidone capsules

Intervention Type DRUG

After randomization, the experimental group received hydronidone capsules three times a day, 3 capsules each time, for 5 years.

The placebo group

Patients were given three capsules of placebo three times a day for 5 years.

Group Type PLACEBO_COMPARATOR

The placebo capsules

Intervention Type DRUG

After randomization, The control group received three placebo capsules three times a day. 3 capsules each time, for 5 years.

Interventions

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Hydronidone capsules

After randomization, the experimental group received hydronidone capsules three times a day, 3 capsules each time, for 5 years.

Intervention Type DRUG

The placebo capsules

After randomization, The control group received three placebo capsules three times a day. 3 capsules each time, for 5 years.

Intervention Type DRUG

Other Intervention Names

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F351 N

Eligibility Criteria

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Inclusion Criteria

* Participate in the Phase III trial of this project (Protocol Number: KDN-F351- 202101 ,ClinicalTrials.gov ID: NCT05115942 ), complete the main treatment course and the last visit;
* Before the trial, the subject understood the nature, significance, possible benefits, possible inconvenience and potential dangers of the trial, volunteered to participate in the clinical trial, was able to communicate well with the investigator, comply with the requirements of the whole study, and signed a written informed consent.

Exclusion Criteria

* One of any clinical endpoints occurred during the phase III trial (Note: for non cirrhotic patients, Clinical endpoints include progression to cirrhosis,decompensated cirrhosis complications \[ascites, esophagogastric vein rupture and bleeding, spontaneous bacterial peritonitis, hepatorenal syndrome, hepatopulmonary syndrome, hepatic encephalopathy, portal vein thrombosis and cirrhotic cardiomyopathy\], hepatocellular carcinoma, liver transplantation or liver disease related death / all-cause death; For patients with liver cirrhosis, Clinical endpoints include complications of decompensated cirrhosis, hepatocellular carcinoma, liver transplantation, or liver disease-related death / all-cause death);
* Patients with malignant tumors other than hepatocellular carcinoma and with an expected survival period of less than 1 year;
* Any opinion of the investigator that may affect the subject to provide informed consent or follow the trial protocol, or participation in the trial may affect the trial results or their own safety.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing Continent Pharmaceutical Co, Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lungen Lu, Dr

Role: PRINCIPAL_INVESTIGATOR

Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

Jun Cheng, Dr

Role: PRINCIPAL_INVESTIGATOR

Beijing Ditan Hospital

Locations

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Beijing Ditan Hospital Capital Medical University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Shanghai General Hospital,Shanghai Jiao Tong University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Beijing youan hospital, the capital of the capital

Beijing, , China

Site Status RECRUITING

Tsinghua Changgeng Hospital, Beijing

Beijing, , China

Site Status RECRUITING

The First Affiliated Hospital of Bengbu Medical University

Bengbu, , China

Site Status RECRUITING

The Second Xiangya Hospital, Central South University

Changsha, , China

Site Status RECRUITING

Xiangya Hospital, Central South University

Changsha, , China

Site Status RECRUITING

The First Affiliated Hospital of Chongqing Medical University

Chongqing, , China

Site Status RECRUITING

Three Gorges Hospital affiliated to Chongqing University

Chongqing, , China

Site Status RECRUITING

Guizhou Provincial People's Hospital

Guizhou, , China

Site Status RECRUITING

Hangzhou Xixi Hospital (Hangzhou Sixth People's Hospital)

Hangzhou, , China

Site Status RECRUITING

Henan Provincial People's Hospital

Henan, , China

Site Status RECRUITING

Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University

Luzhou, , China

Site Status RECRUITING

Nanchang Ninth Hospital (Nanchang Central Hospital)

Nanchang, , China

Site Status RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status RECRUITING

The First Affiliated Hospital of Nanjing Medical University (Jiangsu Provincial People's Hospital)

Nanjing, , China

Site Status RECRUITING

Ningbo Huamei Hospital, University of Chinese Academy of Sciences

Ningbo, , China

Site Status RECRUITING

Huashan Hospital affiliated to Fudan University

Shanghai, , China

Site Status RECRUITING

Shenzhen Third People's Hospital

Shenzhen, , China

Site Status RECRUITING

The First Affiliated Hospital of Xinxiang Medical College

Xinxiang, , China

Site Status RECRUITING

Yanbian University Affiliated Hospital

Yanbian, , China

Site Status RECRUITING

Zhenjiang Third People's Hospita

Zhenjiang, , China

Site Status RECRUITING

Affiliated Hospital of Zunyi Medical University

Zunyi, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ling Zhang, Dr

Role: CONTACT

+86-13501209210

Facility Contacts

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Wen Xie

Role: primary

Lungen Lu, Dr.

Role: primary

021-37798576

Sujun Zheng

Role: primary

Yuan Huang

Role: primary

Wei Li

Role: primary

Yongfang Jiang

Role: primary

Yan Huang

Role: primary

Yongguo Li

Role: primary

Xuan An

Role: primary

Xinhua Luo

Role: primary

Jianfeng Bao

Role: primary

Jia Shang

Role: primary

Jing Wang

Role: primary

Long Xu

Role: primary

Xiaoping Wu

Role: primary

Jun Li

Role: primary

Liyun Fu

Role: primary

Jiming Zhang

Role: primary

Qingxian Cai

Role: primary

Xinwen Song

Role: primary

Ning Chen

Role: primary

Youwen Tan

Role: primary

Yawen Luo

Role: primary

Other Identifiers

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KDN-F351-202201

Identifier Type: -

Identifier Source: org_study_id

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