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Completed

NCT Number: NCT01326546

Therapeutic Hepatitis B Vaccine (Mimogen-based) Joint Entecavir in Treating Chronic Hepatitis B Patients

The purpose is to evaluate efficacy and safety of therapeutic hepatitis B virus (HBV) vaccine (mimogen-based)) Joint entecavir treatment in chronic hepatitis B patients.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

The First Affiliated of Anhui Medical University, Hefei, Anhui, China

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About this study

Eligible subjects are enrolled and assigned into 2 groups randomly with a 1:1 ratio:

  • Therapeutic HBV vaccine Joint Entecavir group:Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 + Oral intake entecavir 0.5mg per day ;
  • Empty liposome Joint Entecavir group:Inject empty liposome at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48 + Oral intake entecavir 0.5mg per day.

The study cycle consists of screening and enrollment period (week -4~0), treatment and follow-up period (week 0-96).

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Aged 18-65 years, male or female;
  • Conforming to diagnosis standard of chronic hepatitis B according to " 2005 Guideline for Prevention and Treatment of Hepatitis B " , (with positive HBsAg for more than 6 months), never have systemic treatment of anti-HBV viral ,and
  • HBV-DNA ≥ 1.72×10^4 IU/ml;
  • HBeAg (+), HBeAb (-);
  • ALT within 2 to 10 times of ULN (upper limits of normal);
  • HLA-A2 positive;
  • Compensatory liver disease having following hematological and biochemical parameters:
  • WBC ≥ 3.5×10^9/L;
  • ANC ≥ 1.5×10^9/L;
  • PLT ≥ 80×10^9/L;
  • Hb ≥ 100g/L;
  • TBil ≤ 1.5 ULN;
  • ALB not lower than low limit of normal value;
  • BUN no more than high limit of normal value;
  • Cr ≤ 1.5 ULN high limit of normal value;
  • PT elongation ≤ 3 sec, APTT in normal value;
  • Fasting blood glucose ≤ 7.0mmol/L;
  • TSH in normal value;
  • AFP test result no more than high limit of normal value;
  • Take effective contraception for subject with child-bearing potential (including females and female partners of males);
  • Understand and sign ICF approved by EC;
  • Willing to comply with the study procedures and complete the study.

Exclusion criteria

  • Antibodies of HCV, HDV or HIV is positive;
  • ANA titer > 1:100;
  • Decompensated liver disease (such as gullet and pylorus varicose veins, hepatic encephalopathy);
  • Have the following illness or with severe disease inappropriate to participate in the study in the view of the investigator, in cardiovascular system: instable or significant cardiovascular illness such as angina pectoris, heart attack of myocardial infarction, congestive heart failure, severe hypertension, significant arrhythmia or abnormal ECG etc;
  • Respiratory system: bronchiectasia, bronchial asthma, chronic obstructive pulmonary disease, respiratory failure, etc;
  • Endocrine, metabolism diseases: diabetes mellitus, uncontrolled thyroid diseases, etc;
  • Others: autoimmune disorder, active tuberculosis, malignancies (e.g.: tumor), neuropathic, metal, acute or chronic pancreatitis illness history, etc.
  • Have used anti-HBV drug ( Interferon, Lamivudine, Adefovir Dipivoxil, Entecavir and Telbivudine ) and immunomodulator ( Thymic peptide, etc ) to the administration of study medication;
  • Have allergic diathesis or have suspected allergy to εPA-44;
  • Female in pregnancy, lactation or those who plan to pregnancy during the course of the study;
  • Have history of alcohol abuse (Alcohol consumption for more than 5 years, with daily consumption over 40g for males and over 20g for females) and known drug dependence;
  • Have history of organ transplantation (except corneal transplantation and hair transplantation);
  • Have participated in any other drug clinical investigations within 3 months;
  • Any other factors inappropriate for enroll in the study or study completion in the view of the investigator.

Treatment and study plan

Therapeutic HBV vaccine

Biological

Inject εPA-44 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48.

Other names: εPA-44

Entecavir

Drug

0.5mg,per day,oral intake.

Other names: Baraclude

Placebo

Other

Inject placebo 900μg at week 0, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, 36, 40, 44, 48.

Other names: empty liposome

Primary outcomes

  1. Percentage of Participants With HBeAg Seroconversion at Week 48

    Time frame: 48 weeks

    Primary endpoint data were summarised under "End of Study",using the last available post-baseline observation(Last Observation Carried Forward,LOCF)

Secondary outcomes

  1. Serological Response

    Time frame: 96 weeks

    Serological response at every observation time: serological conversion rate of HBeAg, negative conversion rate of HBeAg, and change of HBeAg.

  2. Virological Response

    Time frame: 96 weeks

    Virological response at every observation time: the proportion of patients with serum HBV DNA level reduction to undetectable level, decreased amount of serum HBV DNA compared with the baseline value, and HBV DNA load decrease 2 log scales or HBV DNA level <1.72×104 IU/ml.

  3. Biochemistry Response

    Time frame: 96 weeks

    Biochemistry response at every observation time, mean the ALT level reduce to normal.

  4. Histological Response

    Time frame: 72 weeks

    Histological response at week 72, mean histological score limited reduce 2 (reduced score 2-5), and no fiber deterioration compare with before treatment.

Sponsors and collaborators

Lead sponsor

Chongqing Jiachen Biotechnology Ltd.

Industry

Collaborators

  • Third Military Medical University

Registry information

Official study title

A Randomized, Double-blind, Multicenter Phase II Clinical Trial to Evaluate the Efficacy and Safety of Therapeutic Hepatitis B Vaccine (Mimogen-based) Joint Entecavir in Treating HBeAg Positive Chronic Hepatitis B Patients

Important dates

Study start
2010
Primary completion
2014
Study completion
2014
First posted
Mar 31, 2011
Registry last updated
Jun 26, 2019

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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