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This is a randomized, double-blind, placebo-controlled Phase I dose-escalation study to evaluate the safety, tolerability, pharmacokinetics, and antiviral activity of multiple ascending doses (120 mg, 240 mg, 480 mg SC, QW×5) of HH-006 in untreated chronic HBV patients. Each cohort includes 12 participants (9 active, 3 placebo), with dose progression approved by a Safety Review Committee. Participants are monitored through 24 weeks post-dose. The study design allows for adjustments based on emerging data.
This is a randomized, double-blind, placebo-controlled, multiple-dose escalation Phase I clinical study. The study aims to evaluate the safety, tolerability, pharmacokinetic profile, and preliminary antiviral activity of multiple doses (120 mg QW, 240 mg QW, 480 mg QW, administered subcutaneously (S.C.) once weekly (QW) for 5 doses) in chronic hepatitis B virus (HBV) infected participants who are not receiving anti-HBV treatment, are HBeAg-negative or positive, have HBV DNA ≥ 100 IU/mL, 100 IU/mL < HBsAg < 5000 IU/mL, and ALT ≤ 5 × ULN.
Each dose cohort plans to enroll 12 participants, enrolled in batches according to the dose escalation principle. Participants will be randomized to receive either HH-006 (N=9) or placebo (N=3) for a repeated-dose (5 doses) tolerability and pharmacokinetic study.
Dosing for the next cohort will commence only after all 12 participants in the current dose cohort have completed the safety assessment up to 14 days post-last dose (Week 7, Day 43) and after review and approval by the Safety Review Committee. The currently planned maximum dose for escalation is 480 mg QW.
Each participant is planned to be followed up for 24 weeks after the last dose to assess the safety, tolerability, PK, immunogenicity, and preliminary antiviral activity of HH-006 in participants with chronic HBV infection. During the study, adjustments to the maximum dose, dosing regimen, blood sampling time points, and follow-up duration may be made based on the accumulating data obtained during the study.
Throughout the study, participants' safety indicators and virologic parameters will be closely monitored to evaluate the safety and antiviral activity of HH-006.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HH-006 | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HH-006 | Biological | 120 mg, 240 mg, 480 mg subcutaneous QW, 5 doses |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events (AEs) and serious adverse events (SAEs) | Number of subjects with adverse events (AEs) and serious adverse events (SAEs) assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0. | up to 24 weeks follow-up |
| Clinically significant abnormalities | Number of subjects with clinically significant abnormalities in vital signs, electrocardiogram (ECG), and laboratory parameters graded by CTCAE v5.0. | up to 24 weeks follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Plasma Concentration Versus Time Curve (AUC) | AUC of HH-006 in plasma | up to 24 weeks follow-up |
| Maximum Plasma Concentration (Cmax) | Cmax of HH-006 in plasma |
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Inclusion Criteria:
Exclusion Criteria:
Circulatory system diseases: e.g., unstable angina, myocardial infarction, congestive heart failure, etc.
Respiratory system diseases: e.g., severe chronic obstructive pulmonary disease (COPD), etc.
Primary or secondary renal diseases: e.g., chronic renal decompensation and renal diseases secondary to diabetes, hypertension, vascular diseases, etc.
Endocrine system diseases: e.g., poorly controlled diabetes or thyroid disease, etc.
Autoimmune diseases: e.g., systemic lupus erythematosus, primary thrombocytopenic purpura, rheumatoid arthritis, inflammatory bowel disease, sarcoidosis, autoimmune hemolytic anemia, severe psoriasis, etc.
Neuropsychiatric diseases: e.g., epilepsy, schizophrenia, etc. Malignancies.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NanFang Hospital of Southern Medical University | Guangzhou | Guangdong | 510000 | China | ||
| The Affiliated Panyu Central Hospital of Guangzhou Medical University |
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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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| ID | Term |
|---|---|
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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| 0.9% normal saline |
| Drug |
1 mL, 2 mL, 4 mL subcutaneous QW, 5 doses |
|
| up to 24 weeks follow-up |
| Time to Reach Maximum Plasma Concentration (Tmax) | Tmax of HH-006 in plasma | up to 24 weeks follow-up |
| Apparent Terminal Elimination Half-life (T1/2) | T1/2 of HH-006 in plasma | up to 24 weeks follow-up |
| Apparent Plasma Clearance (CL/F) | CL/F of HH-006 in plasma | up to 24 weeks follow-up |
| Immunogenicity: ADA | up to 24 weeks follow-up |
| Antiviral Activity: Change in HBV DNA levels from baseline (at each study time point); Change in HBsAg levels from baseline (at each study time point) | up to 24 weeks follow-up |
| Guangzhou |
| Guangdong |
| 510000 |
| China |
| The Eighth Affiliated Hospital of Guangzhou Medical University | Guangzhou | Guangdong | 510000 | China |
| 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 |