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临床试验/EUCTR2019-001213-17-SE
EUCTR2019-001213-17-SE进行中(未招募)1 期

A Multicenter, Open-label, Randomized Phase 3 Clinical Study to Assess Efficacy and Safety of Bulevirtide in Patients with Chronic Hepatitis Delta

Gilead Sciences, Inc.0 个研究点目标入组 150 人开始时间: 2019年4月9日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
150

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Provision of signed and dated informed consent form.
  • 2. Male or female, aged 18-65 years (inclusive).
  • 3. Positive serum anti-HDV antibody results or PCR results for serum/ plasma HDV RNA for at least 6 months before Screening.
  • 4. Positive PCR results for serum/ plasma HDV RNA at Screening.
  • 5. Alanine transaminase level >1 x ULN, but less than 10 x ULN.
  • 6. Serum albumin >28 g/L.
  • 7. Negative urine pregnancy test for females of childbearing potential.
  • 8. Inclusion criteria for female subjects:
  • Postmenopausal for at least 2 years, or
  • Surgically sterile (total hysterectomy or bilateral oophorectomy, bilateral tubal ligation, staples, or another type of sterilization), or
  • Abstinence from heterosexual intercourse throughout the study, or
  • Willingness to use highly effective contraception (double barrier method or barrier contraception in combination with hormonal or intrauterine contraceptive) throughout the study and for 3 months after the last dose of the study medication for patients discontinued during the treatment period.
  • 9. Male subjects must agree to use a highly effective contraception (double barrier method or barrier contraception in combination with hormonal or intrauterine contraceptive used by female partners) and not to donate sperm throughout the study and for 3 months after the last dose of the study medication for patients discontinued during the treatment period.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 148
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 2

排除标准

  • 1. Child-Pugh hepatic insufficiency score over 7 points. Uncomplicated oesophageal varices allowed; Subjects with current bleeding or ligation, or history of bleeding or ligation within the last 2 years are excluded.
  • 2. HCV or uncontrolled HIV coinfection. Subjects with HCV antibodies can be enrolled, if screening HCV RNA test is negative. Subjects with HIV infection can be enrolled if CD4+ cell counts are >500/mL and HIV RNA is below limit of detection for at least 12 months.
  • 3. Creatinine clearance < 60 mL/min as estimated using Cockcroft-Gault formula.
  • 4. Total bilirubin = 34.2 µmol/L. [Patients with higher total bilirubin values may be included after the consultation with the Study Medical Monitor, if such elevation can be clearly attributed to Gilbert’s syndrome associated with low-grade hyperbilirubinemia.]
  • 5. Evidence of an active or suspected malignancy or a history of malignancy, or an untreated pre-malignancy disorder within the last 5 years (with the exception of successfully treated carcinoma of the cervix in situ and successfully treated basal cell carcinoma and squamous cell carcinoma not less than 1 year prior to screening [and no more than 3 excised skin cancer within the last 5 years prior to screening]) or history of hepatic carcinoma.
  • 6. Systemic connective tissue disorders.
  • 7. NYHA (New York Heart Association) class III-IV congestive heart failure.
  • 8. Patients with uncontrolled arterial hypertension: systolic blood pressure > 150 mm Hg and/ or diastolic blood pressure > 100 mm Hg at Screening.
  • 9. Previous or unstable concurrent diseases or conditions that prevent subject’s enrolment into the study.
  • 10. Patients with mental disorders or social circumstances that preclude them from following protocol requirements.
  • 11. Current or previous (within last 2 years) decompensated liver disease, including coagulopathy, hepatic encephalopathy and esophageal varices hemorrhage.
  • 12. One or more additional known primary or secondary causes of liver disease, other than hepatitis B (e.g., alcoholism, autoimmune hepatitis, malignancy with hepatic involvement, hemochromatosis, alpha-1 antitrypsin deficiency, Wilson’s Disease, other congenital or metabolic conditions affecting the liver, congestive heart failure or other severe cardiopulmonary disease, etc.). Gilbert’s syndrome, a benign disorder associated with low-grade hyperbilirubinemia, will not exclude patients from participation in this trial. Autoimmune hepatitis stigmata attributed to HDV infection in the opinion of the investigator are allowed.
  • 13. White blood cells (WBC) count < 3000 cells/mm3 (<1500 if African patients).
  • 14. Neutrophil count < 1500 cells/mm3 (<1000 if African patients).
  • 15. Platelet count < 60,000 cells/mm3.
  • 16. Use of prohibited psychotropic agents at Screening.
  • 17. Use of interferons within 6 months before Screening.
  • 18. History of solid organ transplantation.
  • 19. Current alcohol abuse or alcohol abuse within 6 months prior to enrolment in this study; past or current drug addict.
  • 20. History of disease requiring regular use of systemic glucocorticosteroids (inhalative glucocorticosteroids are allowed) or other immunosuppressants.
  • 21. Pregnant or breast-feeding females.
  • 22. Participation in another clinical study with investigational drugs within 30 days prior to randomization.
  • 23. Receipt of bulevirtide previously, e.g. in clinical trials.
  • 24. Inability to follow protocol requirements and undergo all protocol procedures. NOTE: Patients w

研究者

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