Efficacy and Safety Study of Peginterferon Alfacon-2 to Treat Chronic Hepatitis B Virus Infection
Overview
- Phase
- Phase 3
- Intervention
- Peginterferon Alfacon-2
- Conditions
- Chronic Hepatitis B Virus Infection
- Sponsor
- Beijing Kawin Technology Share-Holding Co., Ltd.
- Enrollment
- 336
- Locations
- 34
- Primary Endpoint
- Proportion of patients with HBsAg negative.
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Current clinical practices has shown promising prospects of the therapy strategy of interferon combined with nucleos(t)ides in patients with chronic hepatitis B, but the safety and efficacy has not been fully studied. This study is aimed to exploit the safety and efficacy of the study drug, Peginterferon Alfacon-2 injection, with nucleos(t)ide (NAs), Tenofovir alafenamide Fumarate Tablets (TAF), in the patients with hepatitis B virus infection.
Investigators
Junqi Niu
Principal Investigator
The First Hospital of Jilin University
Eligibility Criteria
Inclusion Criteria
- •Age between 18 and 65 years (including 18 and 60), no gender limit.
- •BMI between 18 and 30 kg/m2 (including 18 and 30).
- •For treatment naive patients: Did not receive standard anti-HBV treatment within 6 months prior to screening (Including interferon, NAs, and other anti-HBV drugs).
- •For NAs treated patients: Who should have continuously taken NAs for at least 9 months prior to screening, and are currently receiving the NAs.
- •HBsAg positive for at least 6 months and HBsAg between 10 and 1000 IU/mL (excluding 10 and 1000).
- •HBsAb and HBeAg both are negative at screening.
- •For treatment naive patients: HBV DNA \< 2×10\^3 IU/mL at screening.
- •For NAs treated patients: HBV DNA \< 100 IU/mL at screening.
- •For treatment naive patients: ALT ≤ 5ULN at screening.
- •For NAs treated patients: ALT ≤ 2ULN at screening.
Exclusion Criteria
- •For NAs treated patients: who have received standard treatment of interferon products within 6 months prior to screening.
- •Systemic therapy with potent immunomodulatory agents such as adrenocorticotropic hormone, thymosin α1, etc more than two weeks within past 6 months, not including corticosteroid nasal sprays, inhaled steroids and / or topical steroids.
- •Co-infected with Hepatitis A, Hepatitis C, Hepatitis D, Hepatitis E, or HIV.
- •Evidence of liver compensation, including previous liver biopsy, imaging examination or clinical manifestations.
- •Evidences of hepatic decompensation, including but not limited to serum total bilirubin\> 2 times the upper limit of normal (ULN); serum albumin \<35g/L; prothrombin activity (PTA) \<60%; ascites, upper gastrointestinal bleeding and hepatic encephalopathy; Child-Pugh score B/C grade.
- •Evidence of hepatocellular carcinoma, or AFP\>\>50 ng/mL, or imaging examination revealed suspicious nodules in the liver.
- •Liver diseases from other causes, including alcoholic liver disease, non-alcoholic steatohepatitis, drug-induced hepatitis, autoimmune hepatitis (antinuclear antibody titer higher than 1:100), hepatolenticular degeneration (Wilson's disease) and hemochromatosis, etc.
- •White blood cell count \<3×10\^9/L; neutrophil count\<1.5×10\^9/L; platelet count\<90×10\^9/L; hemoglobin below the lower limit of normal; serum creatine kinase (CK) \>3×ULN; blood phosphorus \<0.8 mmol/L; serum creatinine (SCr) \> 1×ULN.
- •Diabetes mellitus or Poorly controlled Thyroid Diseases.
- •Poorly controlled hypertension (systolic blood pressure\> 140mmHg, or diastolic blood pressure\> 90 mmHg) with hypertension -related retinal lesions.
Arms & Interventions
Peginterferon Alfacon-2 treated patients
Intervention: Peginterferon Alfacon-2
Peginterferon Alfacon-2 placebo treated patients
Intervention: Peginterferon Alfacon-2 placebo
Outcomes
Primary Outcomes
Proportion of patients with HBsAg negative.
Time Frame: 72 weeks
Percentage of Participants with HBsAg \<0.05 IU/mL