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Completed

NCT Number: NCT04464733

Safety, Tolerability, Pharmacokinetics(PK), Pharmacodynamics(PD) and Food Effect of HRS9950 in Healthy and CHB Subjects

The study is a randomized, Double-Blind, Placebo-Controlled study to evaluate the safety, tolerability and pharmacokinetics, pharmacodynamics and food effect of HRS9950. The study will be conducted in three parts sequentially:

Part 1, evaluate the safety, tolerability and pharmacokinetics, pharmacodynamics of single doses and multiple dose of HRS9950 tablet in healthy subjects. Part 1 will consist of 84 healthy subjects, 8 groups.There will be 14 subjects in 0.75mg dose group,10 subjects in each other dose group .

Part 2, evaluate food effect of HRS9950 in healthy subjects. Part 2 will consist of 14 healthy subjects, 1 group (one of groups in Part 1).

Part 3, evaluate the safety, tolerability and pharmacokinetics, pharmacodynamics of multiple doses of HRS9950 tablet in naive and treatment-experienced chronic hepatitis B (CHB) patients. Part 3 will consist of 60 CHB patients, 1 group for naive patients and 5 groups for treatment-experienced patients.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Beijing Youan Hospital,Capital Medical University

Beijing, Beijing Municipality, 100069, China

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Healthy subjects
  • Signed informed consent.
  • Aged 18~55.
  • Body weight ≥ 50 kg for male; ≥ 45 kg for female, body mass index (BMI) between 18 to 28 kg/m2.
  • Vital signs, physical examination, laboratory results are within normal range or considered not clinically significant.
  • Female subjects (including partner) of childbearing potential must be using a medically acceptable form of birth control.
  • CHB subjects
  • Signed informed consent.
  • Aged 18~65.
  • CHB subjects should meet the following two criteria:

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  • IgM HBcAb negative and HBsAg positive.
  • Two recorded HBsAg positive, and the time interval between the two tests was at least 6 months, one of which was the result of this screening 4. Treatment-experienced CHB subjects should also meet the following criteria:

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  • Have received nucleoside analogue treatment for at least 6 months
  • HBeAg positive or negative, and the HBV DNA concentration should be less than 20 IU/mL for at least 6 months before enrollment
  • Confirm ALT <1.5 ULN (upper limit of normal value) by two measurements within 6 months before enrollment 5. Treatment-naïve CHB subjects should also meet the following criteria:

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  • Have not received antiviral therapy (nucleosides or interferons) at screening
  • HBeAg positive or negative, and the HBV DNA concentration should be greater than 2000 IU/mL for at least 6 months before enrollment
  • Confirm ALT> 1 ULN by two measurements within 6 months before enrollment 6. Female subjects (including partner) of childbearing potential must be using a medically acceptable form of birth control.

Exclusion criteria

  • Healthy subjects
  • Currently suffering from cardiovascular, liver, kidney, digestive, nervous, blood, thyroid or mental diseases.
  • Medical history of malignant tumor.
  • Have a digestive system disease or a medical history of severe digestive system disease.
  • Have severe infection, severe trauma or major surgical operations within 3 months.
  • 12-ECG test have clinical significant abnormality or the QT interval (QTc) > 450 ms.
  • Clinical laboratory examinations or chest radiographs have clinical significant abnormality.
  • Have a medical history of immune-mediated diseases.
  • Screening for infectious diseases is positive (Including HBsAg, Anti-HCV, TPPA, Anti-HIV).
  • Suspected allergy to any ingredient in the study drug.
  • Have any drug that inhibits or induces liver metabolism within 1 month.
  • Take any prescription drugs, over-the-counter drugs and Chinese herbal medicines within 14 days before taking the study drug, or took any drugs within 5 half-lives at the time of screening; plan to take other drugs during the test period.
  • Participated in clinical trials of any drug or medical device within 3 months before screening, or within 5 half-lives before screening.
  • Had donated blood or blood transfusion in 8 weeks or ≥ 400 mL within 3 months prior to screening or ≥ 200 mL within 1 months.
  • 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.
  • 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.
  • Liver stiffness (LSM)> 12.4 kPa by noninvasive transient liver elastography (eg Fibroscan®) or recorded liver biopsy suggesting cirrhosis or extensive fibrosis
  • Primary liver cancer, high-risk groups of primary liver cancer or AFP> 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:
  • Platelet count <90×109/L;
  • White blood cell count <3.0×109/L;
  • Absolute value of neutrophils <1.5×109/L;
  • Serum total bilirubin>2×ULN;
  • Albumin <30 g/L;
  • Creatinine clearance rate ≤60ml/min;
  • INR>1.5;
  • ALT exceeds 5 times the upper limit of normal value on screening/baseline visit
  • HIV and/or syphilis antibody positive
  • 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.
  • 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.

Treatment and study plan

HRS9950

Drug

HRS9950

Placebo

Drug

Placebo

Primary outcomes

  1. The incidence and severity of treatment-related adverse events as assessed by CTCAE v5.0

    Time frame: 8 DAYS for Group A-M; 29 DAYS for Group F; 50 DAYS for Group G-O

  2. Maximum Plasma Concentration [Cmax]

    Time frame: 0-48 hours after each dose for Group A-E、K-M;Group F- J、N、O at Day 1 and Day 22

    Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma

  3. Area under the concentration time curve [AUC]

    Time frame: 0-48 hours after each dose for Group A-E、K-M;Group F- J、N、O at Day 1 and Day 22

    Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma

  4. Time to maximum plasma concentration [Tmax]

    Time frame: 0-48 hours after each dose for Group A-E、K-M;Group F- J、N、O at Day 1 and Day 22

    Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma

  5. Apparent clearance [CL/F]

    Time frame: 0-48 hours after each dose for Group A-E、K-M;Group F- J、N、O at Day 22

    Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma

  6. Half-time [t1/2]

    Time frame: 0-48 hours after each dose for Group A-E、K-M;Group F- J、N、O at Day 22

    Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma

  7. Apparent volume of distribution [Vz/F(Vd)]

    Time frame: 0-48 hours after each dose for Group A-E、K-M;Group F- J、N、O at Day 22

    Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma

  8. Mean residence time [MRT]

    Time frame: 0-48 hours after each dose for Group A-E、K-M;Group F- J、N、O at Day 22

    Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma

  9. The concentration of IL-12p40 in the serum

    Time frame: 0-48 hours after each dose for Group A-E、G-O

    After single or multiple administration of HRS9950

Sponsors and collaborators

Lead sponsor

Jiangsu HengRui Medicine Co., Ltd.

Industry

Registry information

Official study title

A Phase I Study to Evaluate the Safety, Tolerability and PK, PD of Oral HRS9950 in Healthy Subjects With Single or Multiple Dose and Chronic Hepatitis B Patients With Multiple Dose, and Food Effects of HRS9950 in Healthy Subjects

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
Jul 9, 2020
Registry last updated
Nov 5, 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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