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| Name | Class |
|---|---|
| Third Military Medical University | OTHER |
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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.
Eligible subjects are enrolled and assigned into 2 groups randomly with a 1:1 ratio:
The study cycle consists of screening and enrollment period (week -4~0), treatment and follow-up period (week 0-96).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Therapeutic HBV vaccine+Entecavir | Experimental | 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. |
|
| placebo+Entecavir | Placebo Comparator | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Therapeutic HBV vaccine | Biological | Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With HBeAg Seroconversion at Week 48 | Primary endpoint data were summarised under "End of Study",using the last available post-baseline observation(Last Observation Carried Forward,LOCF) | 48 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Serological Response | Serological response at every observation time: serological conversion rate of HBeAg, negative conversion rate of HBeAg, and change of HBeAg. | 96 weeks |
| Virological Response |
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Inclusion Criteria:
Aged 18-65 years, male or female;
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
HLA-A2 positive;
Compensatory liver disease having following hematological and biochemical parameters:
TSH in normal value;
AFP test result no more than high limit of normal value;
Take effective contraception for subject with child-bearing potential (including females and female partners of males);
Understand and sign ICF approved by EC;
Willing to comply with the study procedures and complete the study.
Exclusion Criteria:
Antibodies of HCV, HDV or HIV is positive;
ANA titer > 1:100;
Decompensated liver disease (such as gullet and pylorus varicose veins, hepatic encephalopathy);
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;
Have used anti-HBV drug ( Interferon, Lamivudine, Adefovir Dipivoxil, Entecavir and Telbivudine ) and immunomodulator ( Thymic peptide, etc ) to the administration of study medication;
Have allergic diathesis or have suspected allergy to εPA-44;
Female in pregnancy, lactation or those who plan to pregnancy during the course of the study;
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;
Have history of organ transplantation (except corneal transplantation and hair transplantation);
Have participated in any other drug clinical investigations within 3 months;
Any other factors inappropriate for enroll in the study or study completion in the view of the investigator.
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| Name | Affiliation | Role |
|---|---|---|
| LanJuan Li, Ph.D. | Zhejiang University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated of Anhui Medical University | Hefei | Anhui | China | |||
| Beijing Youan Hosptial,Capital Medical University |
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| ID | Title | Description |
|---|---|---|
| FG000 | 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. Therapeutic HBV vaccine: Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48. entecavir: 0.5mg,per day,oral intake. |
| FG001 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| entecavir | Drug | 0.5mg,per day,oral intake. |
|
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| placebo | Other | Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48. |
|
|
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 | Biochemistry response at every observation time, mean the ALT level reduce to normal. | 96 weeks |
| Histological Response | 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 |
| Beijing |
| Beijing Municipality |
| China |
| The Third People's Hosptial of Shenzhen | Shenzhen | Guangdong | China |
| Renmin Hosptial of Wuhan University | Wuhan | Hubei | China |
| The Second Xiangya Hospital of Central South University | Changsha | Hunan | China |
| Xiangya Hospital Central South University | Changsha | Hunan | China |
| 81th Hospital of PLA | Nanjing | Jiangsu | China |
| Jiangsu Province Hospital | Nanjing | Jiangsu | China |
| The Second Hospital of Nanjing | Nanjing | Jiangsu | China |
| TangDu Hospital | XiAn | Shanxi | China |
| First Affiliated Hospital of Kunming Medical University | Kunming | Yunnan | China |
| The First Affiliated Hospital of Zhejiang University | Hangzhou | Zhejiang | 310006 | China |
| The First Affiliated Hospital of Wenzhou Medical University | Wenzhou | Zhejiang | China |
| 302 Militray Hosptial of China | Beijing | China |
| Southwest Hospital | Chongqing | China |
| 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. entecavir: 0.5mg,per day,oral intake. placebo: Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48. |
| COMPLETED |
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| NOT COMPLETED |
|
|
Population analysis based on intention to treat
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| ID | Title | Description |
|---|---|---|
| BG000 | 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. Therapeutic HBV vaccine: Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48. entecavir: 0.5mg,per day,oral intake. |
| BG001 | 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. entecavir: 0.5mg,per day,oral intake. placebo: Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| BMI | Body Mass Index | Mean | Standard Deviation | kg/m^2 |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants With HBeAg Seroconversion at Week 48 | Primary endpoint data were summarised under "End of Study",using the last available post-baseline observation(Last Observation Carried Forward,LOCF) | Intention-To-Treat Population | Posted | Count of Participants | Participants | 48 weeks |
|
|
| |||||||||||||||||||||||||||||
| Secondary | Serological Response | Serological response at every observation time: serological conversion rate of HBeAg, negative conversion rate of HBeAg, and change of HBeAg. | Not Posted | 96 weeks | Participants | ||||||||||||||||||||||||||||||||||
| Secondary | Virological Response | 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. | Not Posted | 96 weeks | Participants | ||||||||||||||||||||||||||||||||||
| Secondary | Biochemistry Response | Biochemistry response at every observation time, mean the ALT level reduce to normal. | Not Posted | 96 weeks | Participants | ||||||||||||||||||||||||||||||||||
| Secondary | Histological Response | Histological response at week 72, mean histological score limited reduce 2 (reduced score 2-5), and no fiber deterioration compare with before treatment. | Not Posted | 72 weeks | Participants |
After doing(0-96week)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | 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. Therapeutic HBV vaccine: Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48. entecavir: 0.5mg,per day,oral intake. | 0 | 189 | 1 | 189 | 38 | 189 |
| EG001 | 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. entecavir: 0.5mg,per day,oral intake. placebo: Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48. | 0 | 189 | 0 | 189 | 54 | 189 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaphylactic shock | Immune system disorders | Systematic Assessment | The subjects had no history of anaphylaxis prior to private prosecution, and anaphylactic shock occurred after the sixth injection of the drug, which was recovered after shock treatment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| upper respiratory infection | Infections and infestations | Systematic Assessment |
| ||
| nasopharyngitis | Infections and infestations | Systematic Assessment |
| ||
| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Dizziness | Nervous system disorders | Systematic Assessment |
|
Investigators can't publish articles relevant to the study unless the sponsor permits.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr.Wu | Institute of Immunology,PLA | 02368752230 | 86 | wuyuzhang@yahoo.com |
| ID | Term |
|---|---|
| D019694 | Hepatitis B, Chronic |
| ID | Term |
|---|---|
| D006509 | Hepatitis B |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D018347 | Hepadnaviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D006525 | Hepatitis, Viral, Human |
| D006521 | Hepatitis, Chronic |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C413685 | entecavir |
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| Male |
|