A Single Center, Open Labeled Phase I/IIa Study to Evaluate Safety, Tolerability and Efficacy of a Therapeutic Hepatitis B Vaccine in Oral Antiviral Drug-treated Chronic Hepatitis B Virus Carriers
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Hepatitis B, Chronic
- Sponsor
- CHA Vaccine Institute Co., Ltd.
- Enrollment
- 53
- Locations
- 1
- Primary Endpoint
- Safety and tolerability (including incidence of adverse events or expected adverse reactions for vaccine treatment) measured for 7 days after each vaccination
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
A single center, open labeled phase I/IIa study to evaluate safety, tolerability and efficacy of a therapeutic hepatitis B vaccine in oral antiviral drug-treated chronic hepatitis B virus carriers
Detailed Description
* Objectives: To explore the appropriate dose of a therapeutic hepatitis B vaccine through the evaluation of safety, tolerability, and efficacy * Subjects: Chronic hepatitis B carrier with normal ALT range * Study hypothesis: The immune tolerance break and strong immune responses in the chronic hepatitis B carrier could be achieved with therapeutic hepatitis B vaccine containing novel adjuvant
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult between 19 to 60 years of age
- •Chronic hepatitis B carriers (HBsAg positive over 6 months)
- •HBeAg positive patient, or patient who had lost HBeAg during Antiviral drug treatment
- •Antiviral drug treated patient reducing the HBV DNA level below 2000 IU/mL measured by COBAS TaqManM HBV Test (Duration of drug administration should be over 6 months and no limitation on the type of antiviral drug)
- •Patient has low ALT than 1.1 fold of upper limit of normal ALT level at screening
- •Patient is able to provide written informed consent by oneself or legal representative
Exclusion Criteria
- •Patient has liver diseases except chronic hepatitis B (i.e. hematochromatosis, alcoholic liver disease, nonalcoholic fatty liver disease, alpha-1 antitrypsin deficiency etc.)
- •Patient has one or more test results and symptoms at the screening
- •ALT \> upper limit of normal level X 1.1
- •Total bilirubin \> upper limit of normal
- •Prothrombin time \> Over 3 second than normal
- •Serum Albumin \< 30 g/L (3 g/dL)
- •Patient has history of ascites, yellow jaundice, variceal hemorrhage, hepatic encephalopathy, or liver failure
- •Liver FibroScan \> F3 (F0: no fibrosis, F1: portal fibrosis, F2: periportal fibrosis, F3: septal fibrosis, F4: cirrhosis)
- •Patient has one or more test results at the screening
- •Hemoglobin \< 9.0 g/dL
Outcomes
Primary Outcomes
Safety and tolerability (including incidence of adverse events or expected adverse reactions for vaccine treatment) measured for 7 days after each vaccination
Time Frame: 7 days after each vaccination
Occurrence of severe local and/or systemic tolerability signs and symptoms measured for 7 days after each vaccination
Secondary Outcomes
- HBeAg loss(at the 3rd and 5th month (for 3 shot group) or 6th and 8th month (for 6 shot group))
- HBe seroconversion rate(at the 3rd and 5th month (for 3 shot group) or 6th and 8th month (for 6 shot group))
- HBsAg loss(at the 3rd and 5th month (for 3 shot group) or 6th and 8th month (for 6 shot group))
- HBsAg seroconversion rate(at the 3rd and 5th month (for 3 shot group) or 6th and 8th month (for 6 shot group))
- HBV DNA level(at the 3rd and 5th month (for 3 shot group) or 6th and 8th month (for 6 shot group))
- HBV specific T cell immunity(at the 3rd month (for 3 shot group) or 6th month (for 6 shot group))