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A Randomized, Multicenter,Open-label, positive-controlled, Multi-dose Phase 1 Study to Evaluate the Safety, Tolerance,Efficacy, Pharmacokinetics and Immunogenicity of recombinant human albumin injection in Patients With Hepatic Cirrhosis
This study was to evaluate the safety, tolerability,efficacy, pharmacokinetics and immunogenicity of recombinant human albumin injection in Patients With Hepatic Cirrhosis. The study design consists of two phases: Screening and treatment phase(dose increasing stage).Following the Screening phase, all eligible subjects will be randomized to receive recombinant human albumin injection or HumanAlbumin, study medication in a 3:1 ratio.Dose increasing stage (including 3 dose groups with increasing dose, and each group was set with HumanAlbumin control).The initial dose was 10g. The highest dose group was set at 30g.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| active comparator:HumanAlbumin | Active Comparator | Participants received HumanAlbumin 10g/d |
|
| Experimental:Recombinant Human Albumin Injection 10g | Experimental | Participants received Recombinant Human Albumin Injection 10g/d |
|
| Experimental:Recombinant Human Albumin Injection 20g | Experimental | Participants received Recombinant Human Albumin Injection 20g/d |
|
| Experimental:Recombinant Human Albumin Injection 30g | Experimental | Participants received Recombinant Human Albumin Injection 30g/d |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recombinant Human Albumin Injection | Drug | Participants will receive Recombinant Human Albumin Injection of intravenous infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerance | Incidence and severity of adverse events | Day 1-Day 14(approximately,After the treatment) |
| Measure | Description | Time Frame |
|---|---|---|
| Major efficacy character: Albumin concentration change | Albumin concentration change from baseline to Day 14(approximately,After the treatment) | Day 1-Day 14(approximately,After the treatment) |
| Efficacy:Ascites regression rate |
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Inclusion Criteria:
Exclusion Criteria:
Allergy to biological products;
West-Haven HE ≥ III ;
Uncontrolled severe infections;
HRS. Serum creatinine (Cr)>2×ULN, or Cr increase>50% during the screening period;
Combined with other serious underlying diseases.
Organ transplant recipients;
Child-bearing females. Pregnancy test positive. Refusing to take contraceptive measures; (8) Participation in other clinical trials. Using study drugs within three month; (9) With the following laboratory test abnormality:
10) Other subjects by investigator's opinion.
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| Name | Affiliation | Role |
|---|---|---|
| Junqi Niu, Dr | The first affiliated hospital of Jilin University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| the first hospital of Jilin University | Changchun | Jilin | 130021 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40699522 | Derived | Wang X, Li W, Kong F, Guo X, Jin Q, Gao R, Hu Y, Cai Y, Xin G, Ji H, Piao H, Fu Z, Wang Y, Piao Z, Wang S, Hua R, Wen X, Qi Y, Jin J, Wang C, Wang Z, Xu F, Zhou Q, Li X, Yu G, Wang Y, Yang T, Xiang W, Pan Y, Niu J, Gao Y. A randomized, phase Ib trial of recombinant human serum albumin in cirrhotic patients with ascites. Hepatol Int. 2026 Feb;20(1):91-101. doi: 10.1007/s12072-025-10871-x. Epub 2025 Jul 23. |
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| ID | Term |
|---|---|
| D001201 | Ascites |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Parallel Assignment
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|
| HumanAlbumin | Drug | Participants will receive HumanAlbumin of intravenous infusion |
|
|
Ascites regression rate from baseline at Day 14(approximately,After the treatment)
| Day 1-Day 14(approximately,After the treatment) |
| Efficacy:Ascites resolution time | Ascites resolution time | Day 1-Day 14(approximately,After the treatment) |
| Efficacy: HRS (hepato-renal syndrom) | Incidence of HRS | Day 1-Day 14(approximately,After the treatment) |
| Efficacy: OHE(overt hepatic encephalopathy) | Incidence of OHE | Day 1-Day 14(approximately,After the treatment) |
| Efficacy: abdominal circumference | Change of abdominal circumference from baseline at Day 14(approximately,After the treatment) | Day 1-Day 14(approximately,After the treatment) |
| Efficacy:Weight | Change of Weight from baseline at Day 14(approximately,After the treatment) | Day 1-Day 14(approximately,After the treatment) |
| Pharmacodynamic parameters | Plasma colloidal osmotic pressure change from baseline | Day 1-Day 29 |
| PK parameters | Maximum Plasma Concentration(Cmax)of ALB as Recombinant Human Albumin administration occur | Day 1-Day 29 |
| PK parameters | Time to Maximum Plasma Concentration(Tmax)of ALB as Recombinant Human Albumin administration occur | Day 1-Day 29 |
| PK parameters | Half life (t1/2)as Recombinant Human Albumin administration occur | Day 1-Day 29 |
| PK parameters | Area under the curve(AUC) as Recombinant Human Albumin administration occur | Day 1-Day 29 |
| Immunogenicity | Percentage of patients with positive reaction against human albumin | Day 1-Day 29 |