APG-1387 Study of Safety, Tolerability ,PK/PD in Patients With Chronic Hepatitis B

Phase 1

Completed

Brief Summary: This study is a Multiple Ascending Dose study to Explore the Tolerability, Safety and Pharmacokinetics/Pharmacodynamics of APG-1387 in Chronic Hepatitis B Patients.

Detailed Description: APG-1387 is a potent, bivalent small-molecule IAP antagonist. This study is multi-center, single-agent, open-label, Phase I dose-escalation study of APG-1387.

This study has a 4-dose-schedule which is escalated one by one after confirming safety in the previous lower dose schedule. A total of 60 subjects with Chronic Hepatitis B will be participated in the study. APG-1387 will be administrated via intravenous infusion, once a week for consecutive 4 weeks as one cycle.The start dose is 7mg. 3 patients' cohorts will be evaluated, the dose of APG-1387 will be increased in subsequent cohorts, to 12mg, 20 mg, 30 mg, 45 mg accordingly. 3 patients in 7mg,12mg cohorts and 6 patients in 20mg, 30mg and 45mg cohorts will be recruited. If there is any one of the following event is observed within 28 days of the first dose of APG-1387, the recruitment will be hold and a discussion on MTD dose level will happened.1 ≥1/2 patients experience ≥Grade 2 toxicities\[CTCAE 4.0.3\] related or possibly related with APG-1387 and with clinical manifestation. 2 ≥1/3 patients experience ≥Grade 3 toxicities\[CTCAE 4.0.3\] related or possibly related with APG-1387.3 any SAE related or possibly related with APG-1387. Expansion study will be designed to explore primary efficacy and safety after the dose escalation study. The expansion number and dosage will be decided according to the results of each cohort.(no more than 36 patients).

Recruitment & Eligibility

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Arm && Interventions

Group	Intervention	Description
APG-1387 for Injection	APG-1387 for Injection	APG-1387 will be explored sequentially using a escalation scheme at the dose escalation phase.

Primary Outcome Measures

Name	Time	Method
Maximum Tolerated Dose (MTD)	28 days	Patients with APG-1387 treatment related adverse events (AE), serious adverse events (SAE) will be assessed according NCI CTCAE Version 4.0.3

Secondary Outcome Measures

Name	Time	Method
Pharmacokinetic evaluation	28 days	Area under the plasma concentration versus time curve (AUC) will be assessed in the patients treated with APG-1387 .
Change in serum HBcAb from baseline at Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84 and Day 112.	Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84，and Day 112	treatment effects of APG-1387 on Chronic Hepatitis B
Change in serum HBeAb from baseline at Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84 and Day 112.	Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84，and Day 112	treatment effects of APG-1387 on Chronic Hepatitis B
Change in serum HBV DNA from baseline at Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84 and Day 112.	Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84，and Day 112	treatment effects of APG-1387 on Chronic Hepatitis B
Change in serum HBsAg from baseline at Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84 and Day 112.	Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84，and Day 112	treatment effects of APG-1387 on Chronic Hepatitis B
Change in serum HBeAg from baseline at Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84 and Day 112.	Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84，and Day 112	treatment effects of APG-1387 on Chronic Hepatitis B
Change in serum HBsAb from baseline at Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84 and Day 112.	Day 1, Day 8, Day15, Day 22, Day28，Day56，Day84，and Day 112	treatment effects of APG-1387 on Chronic Hepatitis B

Locations (2): Nanfang Hospital of Southern Medical University
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Guangzhou, Guangdong, China
Guangzhou Eighth People's Hospital
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Guangzhou, Guangdong, China