A Phase II Dose Response Study in Japan in Chronic Hepatitis B

This study has been completed.
Sponsor:
Information provided by:
Bristol-Myers Squibb
ClinicalTrials.gov Identifier:
NCT01022801
First received: November 30, 2009
Last updated: January 29, 2010
Last verified: November 2009
  Purpose

To demonstrate the dose response of entecavir in Japanese patients as measured by HBV DNA levels by PCR (log10 copies/mL) at Week 22


Condition Intervention Phase
Chronic Hepatitis B
Drug: Entecavir
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Phase II Study in Japan of the Safety and Antiviral Activity of Entecavir (BMS-200475) vs Lamivudine in Adults With Chronic Hepatitis B Infection

Resource links provided by NLM:


Further study details as provided by Bristol-Myers Squibb:

Primary Outcome Measures:
  • Mean change from baseline in HBV DNA levels as measured by by PCR (log10 copies/mL) [ Time Frame: at Week 22 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Incidence of clinical adverse events and discontinuations due to adverse events in each entecavir group in comparison to lamivudine [ Time Frame: Through Week 24 (end of dosing) plus 5 days ] [ Designated as safety issue: Yes ]
  • Incidence of laboratory abnormalities in each entecavir group in comparison to lamivudine [ Time Frame: Through Week 24 (end of dosing) plus 5 days ] [ Designated as safety issue: Yes ]
  • HBV DNA as measured by PCR (log10 copies/mL) at Week 22 [to demonstrate non-inferiority of at least one dose of entecavir as compared with lamivudine] [ Time Frame: Week 22 ] [ Designated as safety issue: No ]
  • Proportion of subjects in each treatment group who achieve HBV DNA reduced by ≥2 log10 and/or below the limit of quantification (LOQ) (<400 copies/mL) as measured by PCR assay [ Time Frame: Week 12, Week 22 ] [ Designated as safety issue: No ]
  • Proportion of subjects in each treatment group who achieve HBV DNA below the limit of detection (0.7 MEq/mL) of the Quantiplex branched DNA hybridization assay (Quantiplex assay) [ Time Frame: Week 22 ] [ Designated as safety issue: No ]
  • Proportion of subjects in each treatment group who achieve normalization of ALT (ALT <1.25 x UKN) [ Time Frame: Week 22 ] [ Designated as safety issue: No ]
  • Proportion of subjects in each treatment group who achieve loss of HBeAg at Week 22 among HBeAg-positive subjects at baseline [ Time Frame: Baseline, Week 22 ] [ Designated as safety issue: No ]
  • Proportion of subjects in each treatment group who achieve seroconversion at Week 22 among of HBeAg-positive subjects at baseline [ Time Frame: Week 22 ] [ Designated as safety issue: No ]
  • Proportion of HBeAg-positive subjects at baseline who achieve responder status (defined as: HBV DNA <0.7 MEq/mL by the Quantiplex assay; loss of HBeAg and normal serum ALT) [ Time Frame: Week 22 ] [ Designated as safety issue: No ]
  • Proportion of HBeAg-negative subjects at baseline who achieve responder status (defined as HBV DNA <0.7 MEq/mL by the Quantiplex assay and normal serum ALT) [ Time Frame: Week 22 ] [ Designated as safety issue: No ]
  • Incidence of genotypic resistance of HBV isolates in subjects who have a ε 1 log10 increase in HBV DNA as measured by PCR assay after achieving the lowest value while on study drug [ Time Frame: Through Week 24 ] [ Designated as safety issue: No ]
  • Relationship of HBV isolates (genotypes A, B, C etc) at baseline compared to response [ Time Frame: Week 22 ] [ Designated as safety issue: No ]

Estimated Enrollment: 120
Study Start Date: August 2003
Study Completion Date: March 2005
Primary Completion Date: March 2005 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Entecavir (0.01 mg) Drug: Entecavir
Capsule, P.O., 0.01, 0.1 or 0.5 mg, once daily for 24 weeks
Other Names:
  • Baraclude
  • BMS-200475
Experimental: Entecavir (0.1 mg) Drug: Entecavir
Capsule, P.O., 0.01, 0.1 or 0.5 mg, once daily for 24 weeks
Other Names:
  • Baraclude
  • BMS-200475
Experimental: Entecavir (0.5 mg) Drug: Entecavir
Capsule, P.O., 0.01, 0.1 or 0.5 mg, once daily for 24 weeks
Other Names:
  • Baraclude
  • BMS-200475

  Eligibility

Ages Eligible for Study:   20 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Positive for HBsAg OR, negative for IgM core antibody and confirmation of chronic hepatitis B on liver biopsy,
  • Positive for HBeAg OR negative for HBeAg with positive HBeAb,
  • Documented HBV Viremia on 2 or more occasions: Viremia on sample drawn AND HBV DNA of ≥ 40 MEq/mL by Quantiplex assay at the screening visit
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01022801

Sponsors and Collaborators
Bristol-Myers Squibb
Investigators
Study Director: Bristol-Myers Squibb Bristol-Myers Squibb
  More Information

Additional Information:
No publications provided

Responsible Party: Study Director, Bristol-Myers Squibb
ClinicalTrials.gov Identifier: NCT01022801     History of Changes
Other Study ID Numbers: AI463-047
Study First Received: November 30, 2009
Last Updated: January 29, 2010
Health Authority: Japan: Pharmaceuticals and Medical Devices Agency

Additional relevant MeSH terms:
Hepatitis
Hepatitis A
Hepatitis B
Hepatitis, Chronic
Hepatitis B, Chronic
Liver Diseases
Digestive System Diseases
Hepatitis, Viral, Human
Virus Diseases
Enterovirus Infections
Picornaviridae Infections
RNA Virus Infections
Hepadnaviridae Infections
DNA Virus Infections
Entecavir
Antiviral Agents
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on June 17, 2013