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The study is a randomized, Double-Blind, Placebo-Controlled study to evaluate the safety, tolerability and pharmacokinetics, pharmacodynamics and food effect of HRS5091. The study will be conducted in three parts sequentially:
Part 1a will consist of 58 healthy subjects, 5 groups. The purpose of this part is to explore the safety, tolerability and pharmacokinetics of single doses of HRS5091 tablet in healthy subjects.
Part 1b will consist of 18 healthy subjects and it is one of groups in Part 1a.The purpose of this part is to explore food effect of HRS5091 in healthy subjects.
Part 1c will consist of 10 healthy subjects, 1 groups. The purpose of this part is to explore the safety, tolerability and pharmacokinetics of multiple doses of HRS5091 tablet in healthy subjects.
Part 2 will consist of 30 CHB patients.The purpose of this part is to explore the safety, tolerability and pharmacokinetics, pharmacodynamics of multiple doses of HRS5091 tablet in naïve and treatment-discontinued chronic hepatitis B (CHB) patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1a Treatment group 1 | Experimental | Intervention: Drug1: HRS5091, dose 1; Drug2: Placebo Healthy subjects |
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| Part 1a Treatment group 2 | Experimental | Intervention: Drug1: HRS5091, dose 2; Drug2: Placebo Healthy subjects |
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| Part 1a Treatment group 3 | Experimental | Intervention: Drug1: HRS5091, dose 3; Drug2: Placebo Healthy subjects |
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| Part 1a Treatment group 4 | Experimental | Intervention: Drug1: HRS5091, dose 4; Drug2: Placebo Healthy subjects |
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| Part 1a Treatment group 5 | Experimental | Intervention: Drug1: HRS5091, dose 5; Drug2: Placebo Healthy subjects |
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| Part 1b Treatment group 3 | Experimental | Intervention: Drug1: HRS5091, dose 3; Drug2: Placebo Healthy subjects Food effect |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HRS5091 | Drug | Single dose in group 1-5 Multiple doses in group 6-9 |
|
| Measure | Description | Time Frame |
|---|---|---|
| The incidence and severity of treatment-related | adverse events as assessed by CTCAE v5.0 | 29 DAYS for Group 1.2.4.5; 58 DAYS for Group 3; 42 DAYS for Group 6;56 DAYS for Group 7-9; |
| Maximum Plasma Concentration [Cmax] | Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma | 0-672 hours after each dose for Group 1-9 |
| Area under the concentration time curve [AUC] | Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma | 0-672 hours after each dose for Group 1-9 |
| Time to maximum plasma concentration [Tmax] | Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma | 0-672 hours after each dose for Group 1-9 |
| Apparent clearance [CL/F] | Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma | 0-672 hours after each dose for Group 1-9 |
| Half-time [t1/2] | Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma | 0-672 hours after each dose for Group 1-9 |
| Apparent volume of distribution [Vz/F(Vd)] | Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma |
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Inclusion Criteria:
Healthy subjects
CHB subjects
Signed informed consent.
Aged 18~65.
CHB subjects should meet one of the following two criteria:
CHB subjects should also meet the following criteria:
Female subjects (including partner) of childbearing potential must be using a medically acceptable form of birth control.
Exclusion Criteria:
Healthy subjects
CHB subjects
Currently suffering from serious cardiovascular, liver, kidney, digestive, nervous, blood, thyroid or mental diseases other than hepatitis B.
People have acute or chronic liver disease by non-HBV infection (Whether fatty liver is excluded or not is determined by the investigator).
Liver stiffness (LSM)> 12.4 kPa(kilopascal) by noninvasive transient liver elastography (eg Fibroscan®) or recorded liver biopsy suggesting cirrhosis or extensive fibrosis within 6 months before randomization.
Primary liver cancer, high-risk groups of primary liver cancer or AFP(alpha fetoprotein)> 50g/L;
Have clinically demonstrated or history of liver function decompensation, including but not limited to: hepatic encephalopathy, hepatorenal syndrome, splenomegaly, ascites, etc.;
Laboratory inspection:
HIV and/or syphilis antibody positive (Treponema pallidum antibody screen positive, at the investigator's discretion in conjunction with RPR results).
Subjects who have previously received organ/bone marrow transplantation;
Have used immunosuppressants, immunomodulators or cytotoxic drugs within 6 months before the study medication;
Suspected allergy to any ingredient in the study drug.
12-ECG test have clinical significant abnormality or the QT interval (QTc) > 470 ms(male)/QTc)> 480 ms(male) or<300ms(female).
The average daily smoking ≥ 5 cigarettes within three months; the average daily alcohol intake in a month exceeds 15 g (15 g alcohol is equivalent to 450 mL beer or 150 mL wine or 50 mL low-alcohol);
Keep smoking, drinking alcohol or consuming caffeinated foods or beverages (more than 8 cups, 1 cup = 250 mL) 2 days before taking the study drug and during the study; and those who have special dietary requirements and cannot follow the unified diet;
Pregnant or lactating women;
Drug screening or alcohol breath test is positive.
Other conditions that the investigator believes the subject is not suitable.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Changhai Hospital | Shanghai | Shanghai Municipality | 200433 | China |
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| Part 1c Treatment group 6 | Experimental | Intervention: Drug1: HRS5091, dose 3; Drug2: Placebo Healthy subjects |
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| Part 2 Treatment group 7 | Experimental | Intervention: Drug1: HRS5091, dose 3; Drug2: Placebo CHB subjects |
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| Part 2 Treatment group 8 | Experimental | Intervention: Drug1: HRS5091, dose 4; Drug2: Placebo CHB subjects |
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| Part 2 Treatment group 9 | Experimental | Intervention: Drug1: HRS5091, dose 5; Drug2: Placebo CHB subjects |
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| 0-672 hours after each dose for Group 1-9 |
| Mean retention time [MRT] | Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma | 0-672 hours after each dose for Group 1-9 |
| 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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