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The purpose of this study is to evaluate the efficacy and safety of the investigational medicinal product CVI-HBV-002.
A randomized, double-blinded, placebo-controlled, parallel, multicenter, phase 2b study to evaluate the efficacy and safety of CVI-HBV-002 in patients with chronic hepatitis B taking Tenofovir disoproxil fumarate/Tenofovir disoproxil
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CVI-HBV-002 | Experimental |
|
|
| Normal Saline | Placebo Comparator |
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CVI-HBV-002 | Biological | Investigational Product |
| |
| Normal Saline(placebo) |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of Mean Change in HBsAg(log10 IU/mL) | To evaluate mean changes in serum HBsAg(log 10 IU/mL) for patients treated with CVI-HBV-002 or Placebo at Week 48 versus Baseline | at week 48 from baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of Mean changes in serum HBsAg(log 10 IU/mL) | To evaluate mean changes in serum HBsAg(log 10 IU/mL) for patients treated with CVI-HBV-002 or Placebo at Week 24 versus Baseline | at week 24 from baseline |
| Proportion assessment of Participants With HBsAg loss |
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Inclusion Criteria:
Exclusion Criteria:
Patients with other hepatic disease other than chronic hepatitis B(e.g., hemochromatosis, Wilson disease, alcoholic liver disease, nonalcoholic steatohepatitis, alpha-1 antitrypsin deficiency, etc)
If any of the following laboratory tests were found at screening
A history of ascites, jaundice, varicoses vein bleeding, hepatic encephalopathy, or other signs of liver failure
Treated with oral antiviral agents or interferon therapy other than TDF(or TD)
In case of receiving nephroxic drugs(Aminoglycosides, Amphotericin B, NSAIDs, etc.) within 14 days prior to screening
When hepatotoxic drugs(Erythromycin, Ketoconazole, Rifampin, Fluconazole, Dapsone, etc.) are administered within 14 days prior to screening
Patients with active bacterial, viral or fungal infections requiring systemic treatment
Patients diagnosed with Alpha-fetoprotein (AFP) >50 ng/mL or with Hepatocellular Carcinoma (HCC) in screening
Of those who have received immunosuppressive drugs within 6 months prior to screening, patients suspected of having decreased immunity by the judgment of the Investigator
Patients who have received high dose (prednisone 20mg or more*) systemic corticosteroids for a long period of time(consecutive 14 days or longer) within 3 months before screening (at the discretion of the investigator in case of local corticosteroids)
* Corresponding to 125 mg of cortisone, 100 mg of hydrocortisone, 20 mg of prednisone, 16 mg of methylpreprednisolone, 16 mg of triamsynolone, 3 mg of dexamethasone and 2.4 mg of betametasone.
Patients who have been diagnosed with malignant tumors within 5 years before screening, or who have recurred malignant tumors(in case of benign tumors, if the Investigator considers that the progress of the clinical trial is not affected during the clinical trial)
Organ transplantation recipients
Patients with serious illnesses, such as heart failure, renal failure, and pancreatitis, other than liver disease
Patients with a history of serious heart disease (NYHA Functional Class III or IV heart failure, myocardial infarction within 6 months, ventricular tachyarrhythmias requiring treatment or unstable angina)
Patients with seizure disorders who require anticonvulsant therapy
HbA1c>7.5%
SBP≥140mmHg or DBP≥90mmHg
Patients infected with hepatitis C(HCV), hepatitis D(HDV) or human immunodeficiency virus(HIV)
A hypersensitivity or anaphylactic reaction to the components of the clinical trial drug or HBV vaccine components
Continued drinking(>21 units/week, 1 unit = 10g of pure alcohol) or alcohol dependence
Pregnancy or breastfeeding, or cannot agree with the approved method of contraception of the patient and partner during the clinical trial(e.g., infertility surgery, intrauterine contraceptive, oral contraceptive and concomitant use of diaphragm or condom, other hormonal delivery systems and concomitant use of diaphragm or condom)
Patients who are concerned about the deterioration of daily function due to mental illness or who cannot understand the purpose and method of this trial
Patient who has potential to severe febrile or systemic reaction
Patients who are scheduled to participate in other clinical trials after enrolling in this trial, or have participated in other clinical trials within 3 month of enrollment in this trial
Others those who are considered to be difficult to perform the clinical trial by the judgment of the Investigator
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| Name | Affiliation | Role |
|---|---|---|
| Joon Hyeok Lee | Samsung Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chung-ang University Hospital | Seoul | Dongjak-gu | 06973 | South Korea | ||
| The Catholic University of Korea, Eunpyeong St. Mary's Hospital |
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| ID | Term |
|---|---|
| D019694 | Hepatitis B, Chronic |
| ID | Term |
|---|---|
| D006509 | Hepatitis B |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
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| Biological |
Investigational Product |
|
To evaluate proportion of subjects with HBsAg loss for patients treated with CVI-HBV-002 or Placebo at Weeks 24 and 48 |
| at weeks 24 and 48 |
| Proportion assessment of Participants With HBsAg seroconversion | To evaluate proportion of subjects with HBsAg seroconversion for patients treated with CVI-HBV-002 or Placebo at Weeks 24 and 48 | at weeks 24 and 48 |
| Proportion assessment of Participants With HBeAg loss | To evaluate proportion of subjects with HBeAg loss for HBeAg positive patients treated with CVI-HBV-002 or Placebo at Weeks 24 and 48 | at Weeks 24 and 48 |
| Proportion assessment of Participants With HBeAg seroconversion | To evaluate proportion of subjects with HBeAg seroconversion for HBeAg positive patients treated with CVI-HBV-002 or Placebo at Weeks 24 and 48 | at weeks 24 and 48 |
| Evaluation of changes in HBV specific T cell immunity | Immune Response Rate of HBV specific T cell at Weeks 12 and 24 versus Baseline | at weeks 12 and 24 from baseline |
| Proportion assessment of Participants With Virologic breakthrough | Proportion of subjects with experiencing virologic breakthrough | Baseline to week 48 |
| Incidence assessment of Treatment-Emergent Adverse Evnent | Safety and tolerability assessment through incidence of Treatment-Emergent Adverse Evnent after treatment of Investigational Product | Baseline to Week 48 |
| Seoul |
| Eunpyeong-gu |
| 03312 |
| South Korea |
| Samsung Medical Center | Seoul | Gangnam-gu | 06351 | South Korea |
| Korea University Guro Hospital | Seoul | Guro-gu | 08308 | South Korea |
| CHA University Bundang Medical Center | Seongnam-si | Gyeonggi-do | 13496 | South Korea |
| Seoul National University Hospital | Seoul | Jongno-gu | 03080 | South Korea |
| Severance Hospital | Seoul | Sedaemun-gu | 03722 | South Korea |
| Asan Medical Center | Seoul | Songpa-gu | 05505 | South Korea |
| Soon Chung Hyang University Hospital Seoul | Seoul | Yongsan-gu | 04401 | South Korea |
| 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 |