A Multicenter, Open-label, Phase II Clinical Study to Evaluate the Safety and Efficacy of APG-1387 in Combination With Entecavir in Patients With Chronic Hepatitis B
This study is a multicenter, open-label, phase II clinical study in subjects with chronic hepatitis B (CHB), to characterize the safety, tolerability, pharmacokinetic profile and preliminary anti-hepatitis B virus (HBV) efficacy of APG-1387 in combination with entecavir, and to determine the optimal dose of APG-1387 in combination with entecavir.
• Body mass index (BMI) within the range of 18 - 27.9
• Documented chronic HBV infection (e.g., HBsAg positive for at least 6 months).
• HBeAg-positive or HBeAg-negative
• Treatment-naïve and treatment-experienced subjects are required to:
∙ Treatment-naïve subjects:
⁃ No antiviral therapies including nucleos(t)ide analogues or immunomodulators such as interferon within 180 days prior to screening
• HBV DNA ≥ 2x10˄3 IU/mL for HBeAg negative subjects and ≥ 2x10˄4 IU/mL for HBeAg positive subjects (PCR)
• Alanine transaminase (ALT) ≥ upper limit of normal (ULN) and \< 10 × ULN (and excluding ALT elevation caused by non-HBV reasons such as drug or alcohol consumption)
‣ Treatment-experienced subjects:
⁃ Using entecavir \> 180 days prior to screening, and should continue the treatment regimen until enrolled into the study
• HBV DNA less than the lower limit of quantification (LLOQ) or \< 20 IU/mL (PCR)
• ALT \< 1.5 × ULN
• Adequate hematological function:
‣ White blood cell count (WBC) ≥ 3.5 × 10˄9/L
⁃ Hemoglobin ≥ 120 g/L for males and ≥ 110 g/L for females
⁃ Platelet count ≥ 100 × 10˄9/L
• Adequate renal and liver function:
‣ Serum creatinine ≤ 1×ULN
⁃ Serum albumin ≥ 35.0g/L
⁃ Urine protein is negative or 1 + (re-examination is required when 1 + or 24-hour urine protein quantification is added when necessary. If it turns negative or is within the normal range, it can be included)
⁃ Estimated creatinine clearance (CLCr) ≥ 50 mL/min based on serum creatinine measured at the screening assessment and actual body weight (calculated creatinine clearance by the Cockcroft-Gault formula)
⁃ Total bilirubin ≤1.5×ULN
⁃ International normalized ratio (INR) ≤ 1.5×ULN
⁃ Alkaline phosphatase ≤ 2.5×ULN
• Female subjects of childbearing potential should have a negative serum pregnancy test within 7 days prior to the first dose
• Subjects and theirs partners are willing to use effective contraception as defined in the protocol during the treatment and for at least 6 months after the last dose of study drug
• Ability to understand and willingness to sign a written informed consent form (the consent form must be signed by the subject prior to any study-specific procedures)
• Willingness and ability to comply with study procedures and follow-up examination