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临床试验/NCT02966964
NCT02966964Unknown2 期

An Exploratory, Randomized, Double-blinded, Placebo-controlled Study to Evaluate the Efficacy and Safety of Tenofovir With and Without DWPUR001 in Patients With Hepatitis B Virus(HBV)

Uijeongbu St. Mary Hospital6 个研究点 分布在 1 个国家目标入组 90 人开始时间: 2015年4月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
发起方
入组人数
90
试验地点
6
主要终点
The proportion of normalization of ALT level (≤1× ULN)(%)

研究概览

简要总结

The patient who meets the inclusion/exclusion criteria is assigned to Test1 group or Test 2 group or control group randomly.

All subjects take one pill of Viread® Tab. (Tenofovir Disoproxil Fumarate 300mg) once a day for 48 weeks. At the same time, all randomized subjects take two pills of DWPUR001 or Placebo of DWPUR001 twice a day for 48 weeks.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
19 Years 至 69 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients at the age in between 19 and 69 years at the time of agreement
  • Patients who had HBsAg-positive at least within 24 weeks or had a diagnosis with chronic hepatic disease by image test within 24 weeks from the time of screening.
  • Patients who had HBeAg-positive and HBV DNA level≥20,000 IU/mL, or HBeAg-negative and HBV DNA level≥2,000 IU/mL
  • Patients never treated with Tenofovir
  • Patients whose ALT level is more than 2 times of UNL at the time of screening
  • Patients prothrombin time prolonged≤4sec at the time of screening
  • Patients Total bilirubin level≤3.0mg/dL at the time of screening
  • Patients albumin level≥3.0g/dL at the time of screening
  • Patients ELF score≥8.5 at the time of screening
  • Patients who agree with the clinical trial voluntarily and sign on the agreement

排除标准

  • HIV, HCV or HDV infedted patients
  • Patients who have abnormal liver function caused by other diseases (e.g. hematochromatosis, Wilson's disease, alcoholic hepatitis, Nonalcoholic steatohepatitis, alpha 1 antitrypsin deficiency)
  • Patients who had suffered from variceal haemorrhage or hepatic encephalopathy
  • Patients who need/had liver transplant
  • Patients who have severe biliary obstruction, fulminant hepatic failure, radio-opacity gallstone, non-functional gall bladder, acute cholecystitis, Lactic acidosis/ adiposis
  • Patients who have enteritis and colitis like peptic ulcer or Crohn's disease
  • Patients who have significant kidney disease, cardiovascular disease, lung disease, nervous disease, self-immune disease, bone disease (ex: osteomalacia, osteopenia, chronic osteomyelitis, osteopsathyrosis, osteochondrosis, multiple fracture) or malignant tumor.
  • Patients who have systemic infection
  • Patients who have hypersensitivity to ursodeoxycholic acid or Tenofovir
  • Patients who have the generic problem as galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
  • Patients described as below at the time of screening
  • Hb<8g/dL
  • eGFR<60mL/min/1.73m2
  • AFP level>200ng/mL or had a diagnosis with hepatocellular carcinoma based on the radiology result within 24 weeks
  • Patients who had immune- or cytokine-based antiviral agents treatment (ex. Interferon α, Peginterferon α), or immunosuppression therapy (ex. Cyclosporine, Tacrolimus) in 24 weeks at the time of screening
  • Patients who have to use the contraindication of comedication drugs during clinical trial or can't get the wash-out period
  • Women of child-bearing potential not using an effective birth control method
  • Patients who have psychiatric disorders or drug or alcohol abuse, so can't understand the purpose and process of this clinical trial
  • Patients who participated in other clinical trial in 30 days prior to the enrollment in this study
  • Patients who were determined inappropriate by the investigator to participate in this study

研究组 & 干预措施

Tenofovir 300mg qd + DWPUR001 300mg bid

Experimental

Tenofovir 300mg qd + DWPUR001 300mg bid for up to 12 months

干预措施: DWPUR001 (Drug)

Tenofovir 300mg qd + DWPUR001 500mg bid

Experimental

Tenofovir 300mg qd + DWPUR001 500mg bid for up to 12 months

干预措施: DWPUR001 (Drug)

Tenofovir 300mg qd + DWPUR001 Placebo bid

Placebo Comparator

Tenofovir 300mg qd + DWPUR001 Placebo bid for up to 12 months

干预措施: Placebo (Drug)

结局指标

主要结局

The proportion of normalization of ALT level (≤1× ULN)(%)

时间窗: At the 4 weeks

次要结局

  • The proportion of normalization of ALT level (≤1× ULN)(%)(At the 2, 8, 12, 24, 36, 48 weeks)
  • The change of fibrosis marker(ELF score) compared with the baseline(At the 48 weeks)
  • The change of HBV DNA level compared with baseline (IU/mL)(At the 12, 24, 36, 48 weeks)
  • The change of immunological marker(PD-1, CTLA-4, FoxP3) compared with baseline(At the 12, 24, 48 weeks)
  • The change of anti-oxidant/anti-inflammatory marker(SOD, MDA, TNF-α)(At the 24, 48 weeks)

研究者

发起方
Uijeongbu St. Mary Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

Chang Wook Kim

Professor

Uijeongbu St. Mary Hospital

研究点 (6)

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