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This study is an open label, dose escalation study using the classical 3+3 design to determine the MTD of HB-110 and assess the safety, immunogenicity and efficacy of HB-110 DNA therapeutic vaccine administered by Electroporation in combination with Entecavir in chronic hepatitis B patients.
The patients enrolled in the trial will be successively allocated into three cohorts for HB-110 1mg, 2mg, and 4mg in combination with Entecavir according to the classical 3+3 protocol design. They will be administered by Electroporation device.
The scheduled assessments and visits will be carried out over three periods: run-in period, treatment period, and follow-up period.
The run-in period includes the screening visit where a written informed consent is obtained and the screening period where patients are assessed for eligibility. It will be completed within 14 days prior to Visit 1. The patients meeting inclusion criteria will start the treatment period.
During the treatment period, subjects will be administered HB-110 by Electroporation at each visit in combination with antiviral drug, Entecavir.
The Follow-up period starts once subjects complete the treatment period and will continue until the follow-up visit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1mg of HB-110 | Experimental | The subjects in this group will be administered 1 mg of HB-110 according to the protocol. |
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| 2mg of HB-110 | Experimental | The subjects in this group will be administered 2 mg of HB-110 according to the protocol. |
|
| 4mg of HB-110 | Experimental | The subjects in this group will be administered 4 mg of HB-110 according to the protocol. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HB-110 | Genetic | Each patient will be administered HB-110 by Electroporation for 20 weeks based on the protocol and take one pill of Entecavir(0.5 mg) per day during the study period. The Dose of HB-110 will be determined by the classical 3+3 dose escalation schedule and dose levels are 1mg, 2mg, 4mg respectively. The number of patients will be ranged from 9 to 18. |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of Adverse Events | 1 year | |
| Degree of Adverse Events | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Level of HBV antigen-specific T-cell ex-vivo ELISPOT | 1 year | |
| Level of HBV antigen-specific T-cell cultured ELISPOT | 1 year | |
| Maintenance of HBeAg seroconversion if they had HBeAg seroconversion at Screening Visit, otherwise occurence of HBeAg seroconversion at Follow-up Visit |
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Inclusion Criteria:
Exclusion Criteria:
Who have participated in other studies within previous 30 days from Screening Visit
Have the following decompensated liver parameters,
Do not have adequate renal function as determined by serum creatinine level 1.5 times more than normal range(1.2 mg/dL)
Had a previous liver transplant or bone marrow transplant
Are currently taking immunosuppressive or possible immunomodulatory drugs
Women who are pregnant or breastfeeding
female subjects will be pregnant or breastfeed during the study
History of allergy/hypersensitivity to drugs
Any clinically significant acute or chronic unstable renal, cardiac or endocrine disease (e.g., cardiac failure, renal failure, pancreatitis, diabetes mellitus)
Presence of any other primary or secondary hepatic disease (e.g., hemochromatosis, Wilson's disease, alcoholic hepatic disease, non alcoholic fatty liver, alpha-1-antitrypsin deficiency and so on) other than hepatitis B
Who were observed for hepatocellular mass by ultrasonography and have an abnormal increase of serum AFP
Past or present history of hepatocarcinoma
History of grand mal epilepsy, or currently on anti-epileptic medications
Occurrence of at least one episode of syncope within the last 12 months
Presence of an implantable cardiac device (pacemaker, automated implantable cardioverter defibrillator [AICD]) or implantable nerve stimulator
Who have arrhythmia
Any other conditions that are considered inappropriate for the study by the Investigator.
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| Name | Affiliation | Role |
|---|---|---|
| Seung-Kew Yoon, M.D. | The Department of Gastroenterology at Seoul St. Mary's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul St. Mary's Hospital | Seoul | 137-701 | South Korea |
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| ID | Term |
|---|---|
| D019694 | Hepatitis B, Chronic |
| D006521 | Hepatitis, Chronic |
| D014777 | Virus Diseases |
| D004266 | DNA Virus Infections |
| D006509 | Hepatitis B |
| D002908 | Chronic Disease |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D018347 | Hepadnaviridae Infections |
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| ID | Term |
|---|---|
| C413685 | entecavir |
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|
|
| 1 year |
| HBsAg loss and HBsAg seroconversion rate at Follow-up Visit | 1 year |
| ALT level | 1 year |
| level of HBsAg titer | 1 year |
| Number of HBV DNA Copies | 1 year |
| D006525 |
| Hepatitis, Viral, Human |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |