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Active, Not Recruiting

NCT Number: NCT06150014

A Clinical Study of TQA3605 Tablets Monotherapy or in Combination With Nucleoside (Acid) Analogues in Treatment Naive and Treated Patients With Chronic Hepatitis B

A randomized, double-blind Phase Ib/IIa multicenter trial design was used. All eligible subjects received TQA3605 tablets/placebo plus nucleoside (acid) analogues. A total of 88 subjects were required

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

The First Affiliated Hospital of the Chinese People's Liberation Army Army Medical University, Chongqing, Chongqing Municipality, China

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects voluntarily participate in this study and sign informed consent;
  • Male and female, ≥18 years old and ≤70 years old (subject to the date of signing the informed consent);
  • Patients diagnosed with chronic hepatitis B (CHB) who have been serum HBsAg positive for more than 6 months and HBeAg positive or negative ;
  • The liver fibrosis ultrasound transient imaging elastic technology (Fibroscan/FibroTouch) showed that the liver hardness (LSM) was less than 12.4 Kpa;
  • Patients with chronic hepatitis B after treatment;
  • Treatment-naïve patients of chronic hepatitis B patients;

Exclusion criteria

  • Complicated with other infected disease such as hepatitis A virus (HAV), hepatitis C virus (HCV), Hepatitis D virus (HDV), hepatitis E virus (HEV), human immunodeficiency virus (HIV), syphilis (syphilis antibody positive and need treatment determined by the investigator);
  • Abdominal ultrasound or other imaging or histology showed suspected cirrhosis or other liver disease before or during screening;
  • Patients have a history of hepatocellular carcinoma (HCC) before or at the time of screening, or may be at risk for HCC;
  • Active autoimmune disease diagnosed with immunodeficiency or undergoing systemic therapy which was continuing within 2 weeks before first dosing;
  • Currently being treated with nephrotoxic drugs or drugs that alter renal excretion;
  • Abnormal thyroid function;
  • Renal diseases such as chronic kidney disease and renal insufficiency or creatinine clearance (CLCr) <60 ml/min during the screening period;
  • Hematologic and biochemical abnormalities;
  • History of allergy to the investigational drug or its excipients;
  • Recipients of solid organs or bone marrow transplants;
  • A history of malignant tumors within the past 5 years;
  • Interstitial lung disease, acute lung disease, etc.;
  • Uncontrolled systemic diseases such as high blood pressure and diabetes;
  • Have used any investigational drug or participated in a clinical trial within one month prior to the administration of study drug;
  • Those who received live attenuated vaccine within 28 days before the start of study treatment, inactivated vaccine within 7 days, or planned vaccination during the study period;
  • The investigator determines that there is any medical or psychiatric condition that puts the subject at risk, interferes with participation in the study, or interferes with the interpretation of the study results;
  • Female subjects that were pregnant, lactating or had a positive pregnancy result during the screening period or during the trial; Male and female patients with reproductive potential who were unwilling to use effective contraceptive methods during the study period;
  • Subjects who have any medical condition that may affect the absorption of oral drugs;
  • Within 12 weeks prior to screening, treated chronic hepatitis B patients who had stopped taking nucleoside (acid) analogues for more than 14 consecutive days;
  • Those considered unsuitable for enrollment by the investigators.

Treatment and study plan

Placebo

Drug

TQA3605 placebo tablets were orally administered on an empty stomach (at least 2 hours before or after meals) with warm.

TQA3605 tablets

Drug

TQA3605 inhibits viral replication.

Entecavir dispersible tablets

Drug

Entecavir inhibits viral replication and indicated for chronic hepatitis B treatment.

Tenofovir disoproxil fumarate tablet

Drug

Tenofovir disoproxil fumarate is a Nucleotide reverse transcriptase inhibitor.

Tenofovir alafenamide fumarate tablet

Drug

Tenofovir alafenamide fumarate inhibits hepatitis B virus replication.

Primary outcomes

  1. The incidence of adverse events (AEs)

    Time frame: Up to 48 weeks

    The incidence of adverse events (AEs) during treatment

  2. Severity of adverse events (AEs)

    Time frame: Up to 48 weeks

    The severity of adverse events (AEs) during treatment

  3. Incidence of serious adverse events (SAEs)

    Time frame: Up to 48 weeks

    The incidence of serious adverse events (SAEs) during treatment

  4. Severity of serious adverse events (SAEs)

    Time frame: Up to 48 weeks

    The severity of serious adverse events (SAEs) during treatment

Secondary outcomes

  1. Incidence of abnormal laboratory test values

    Time frame: Up to 48 weeks

    The incidence of abnormal laboratory values during treatment, e.g. triglycerides.

  2. Severity of abnormal laboratory test values

    Time frame: Up to 48 weeks

    The severity of abnormal laboratory values during treatment, e.g. triglycerides.

  3. Deoxyribonucleic acid level of hepatitis B virus

    Time frame: At week 12, week 24, week 36 and week 48 or when subjects withdrawal from the study

    Changes in hepatitis B virus deoxyribonucleic acid (HBV DNA) levels from baseline

  4. Hepatitis B surface antigen

    Time frame: At week 12, week 24, week 36 and week 48 or when subjects withdrawal from the study

    Changes in serum hepatitis B surface antigen (HBsAg) from baseline

  5. Hepatitis B e antigen

    Time frame: At week 12, week 24, week 36 and week 48 or when subjects withdrawal from the study

    Changes in serum hepatitis B e antigen (HBeAg) from baseline

  6. Serologic clearance and/or serologic conversion of HBsAg

    Time frame: At week 12, week 24, week 36 and week 48 or when subjects withdrawal from the study

    Proportion of subjects with HBsAg serologic clearance and/or serologic conversion

  7. Serologic clearance and/or serologic conversion of HBeAg

    Time frame: At week 12, week 24, week 36 and week 48 or when subjects withdrawal from the study

    Proportion of subjects with HBeAg serologic clearance and/or serologic conversion

  8. Virological breakthrough rate

    Time frame: At week 12, week 24, week 36 and week 48 or when subjects withdrawal from the study

    The proportion of subjects who achieved a virological breakthrough (defined as a confirmed increase of HBV DNA levels >1.0 log10 IU/ml from the minimum during treatment).

  9. Peak time (Tmax)

    Time frame: pre-dose, 30 minutes, 1 , 2 , 4 , 6 , 12, 24 hours after administration on Day 1; pre-dose on Day 8 and Day 9; pre-dose, 30 minutes, 1, 2, 4, 6, 12, 24 hours after administration on Day 10.

    Time to reach peak blood concentration after a single dose

  10. Peak concentration

    Time frame: pre-dose, 30 minutes, 1 , 2 , 4 , 6 , 12, 24 hours after administration on Day 1; pre-dose on Day 8 and Day 9; pre-dose, 30 minutes, 1, 2, 4, 6, 12, 24 hours after administration on Day 10.

    The highest plasma drug concentration that can be achieved after medication

  11. Area under blood concentration-time curve (AUC)

    Time frame: pre-dose, 30 minutes, 1 , 2 , 4 , 6 , 12, 24 hours after administration on Day 1; pre-dose on Day 8 and Day 9; pre-dose, 30 minutes, 1, 2, 4, 6, 12, 24 hours after administration on Day 10.

    The amount of drug absorbed into the human circulation after a single dose can be estimated using the area under the blood concentration-time curve

  12. Apparent volume of distribution (Vd/F)

    Time frame: pre-dose, 30 minutes, 1 , 2 , 4 , 6 , 12, 24 hours after administration on Day 1; pre-dose on Day 8 and Day 9; pre-dose, 30 minutes, 1, 2, 4, 6, 12, 24 hours after administration on Day 10.

    When a drug reaches homeostasis in the body, the ratio of the amount of drug in the body to the blood concentration is called the apparent volume of distribution.

  13. Plasma clearance

    Time frame: pre-dose, 30 minutes, 1 , 2 , 4 , 6 , 12, 24 hours after administration on Day 1; pre-dose on Day 8 and Day 9; pre-dose, 30 minutes, 1, 2, 4, 6, 12, 24 hours after administration on Day 10.

    The amount of plasma that the kidneys completely clear in unit time (per minute).

  14. Elimination half-life

    Time frame: pre-dose, 30 minutes, 1 , 2 , 4 , 6 , 12, 24 hours after administration on Day 1; pre-dose on Day 8 and Day 9; pre-dose, 30 minutes, 1, 2, 4, 6, 12, 24 hours after administration on Day 10.

    The time it takes for the plasma concentration to drop by half.

  15. Steady state peak time

    Time frame: pre-dose, 30 minutes, 1 , 2 , 4 , 6 , 12, 24 hours after administration on Day 1; pre-dose on Day 8 and Day 9; pre-dose, 30 minutes, 1, 2, 4, 6, 12, 24 hours after administration on Day 10.

    The time required to reach peak steady-state concentration after administration

  16. Steady state maximum concentration

    Time frame: pre-dose, 30 minutes, 1 , 2 , 4 , 6 , 12, 24 hours after administration on Day 1; pre-dose on Day 8 and Day 9; pre-dose, 30 minutes, 1, 2, 4, 6, 12, 24 hours after administration on Day 10.

    The highest blood concentration that occurs after stabilization

  17. Steady state minimal concentration

    Time frame: pre-dose, 30 minutes, 1 , 2 , 4 , 6 , 12, 24 hours after administration on Day 1; pre-dose on Day 8 and Day 9; pre-dose, 30 minutes, 1, 2, 4, 6, 12, 24 hours after administration on Day 10.

    The lowest blood concentration that occurs after stabilization

Sponsors and collaborators

Lead sponsor

Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

Industry

Registry information

Official study title

Randomized, Double-blind, Placebo-controlled Phase Ib/IIa Clinical Trial to Evaluate the Efficacy and Safety of TQA3605 Tablets Monotherapy or in Combination With Nucleoside (Acid) Analogues in Treatment-naïve Patients and Treated Patients With Chronic Hepatitis B

Important dates

Study start
2023
Primary completion
2025
Study completion
2026
First posted
Nov 29, 2023
Registry last updated
Nov 14, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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