F573 for Injection for the Treatment of Liver Injury/Failure : Randomized, Double-blind, Placebo-controlled Phase Ⅱa Clinical Trial

Status: Recruiting
Location: See all (10) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This study was a randomized, double-blind, placebo-controlled PhaseⅡ clinical trial . The primary objective of this study was to evaluate the safety of F573 for injection in patients with liver injury (drug-induced liver injury (DILI), chronic hepatitis B (CHB), intrahepatic cholestatic liver injury, etc.).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 60
Healthy Volunteers: f
View:

• (1)The first stage:

• Participants who meet all of the following criteria will be enrolled in the study:

⁃ Age ≥18 and ≤60 years old, gender is not limited;

⁃ Patients with liver injury clinically diagnosed with hepatocyte injury or mixed liver injury or CHB patients with hepatitis B virus infection for more than 6 months (refer to the Chronic Hepatitis B Prevention and Treatment Guidelines (2019 edition)). Screening patients with CHB may provide etiological (HBsAg positive and/or HBV DNA positive) or clinical or pathological evidence (liver tissue biopsy results) that HBV infection has been present for more than 6 months.

⁃ Serum ALT: 2\

• 10× upper limit of normal (ULN), TBil: \<5×ULN;

⁃ DILI patients: the abnormal duration of liver biochemical indexes \[ALT, AST, ALP, gamma-glutamyltranspeptides (GGT), TBil, albumin, prothrombin time\] does not exceed 90 days;

⁃ The subject (including the partner) is willing to take effective contraceptive measures from the screening until 6 months after the last test drug administration;

⁃ Sign informed consent and be able to comply with the requirements of the program; If the subject is unable to sign the informed consent form, it must be signed by a legal guardian or witness as required by the regulations.

• (2)The second stage:

• Subjects meeting all of the following criteria will be included in the study:

⁃ Age ≥ 18 and ≤ 65 years old, with no gender restrictions;

⁃ According to the Chinese Guidelines for the Diagnosis and Treatment of Drug-Induced Liver Injury (2023 Edition), patients diagnosed with drug-induced liver injury (DILI) or those diagnosed with intrahepatic cholestasis type liver injury. Patients with DILI and intrahepatic cholestasis type liver injury need to meet the following criteria separately;

∙ Patients with DILI need to simultaneously meet the following conditions: ① Serum ALT \> 3 times the upper limit of normal (ULN), and TBil \> 2 times the ULN (the ULN of TBil refers to 17.1 μmol/L according to international standards); ② Abnormal liver biochemical indicators (ALT, AST, ALP, TBil) persist for no more than 60 days;

‣ Patients with intrahepatic cholestasis type liver injury need to simultaneously meet the following conditions: ① TBil \> 2 times the ULN (the ULN of TBil refers to 17.1 μmol/L); ② ALP \> 1.5 times the ULN; ③ALT\>1×ULN;

⁃ The subjects (including their partners) are willing to voluntarily adopt effective contraceptive measures from the time of the initial screening until 6 months after the last administration of the investigational drug;

⁃ They have signed the informed consent form and can comply with the requirements of the protocol; if the subjects are unable to sign the informed consent form, it must be signed by a legal guardian or a witness as required by the regulations.

• The third stage:

• Subjects who meet all of the following criteria will be enrolled in the study:

• 1\. Age ≥18 and ≤70 years old, gender is not limited; 2. Patients diagnosed with chronic and acute liver failure with TBil≥5×ULN according to the Guidelines for Diagnosis and Treatment of Liver Failure (2018 Edition) may have hepatic encephalopathy (Grade 1-2) or ascites (grade 1-2) 4 weeks before subject screening. And 5≤AARC score ≤10 (AARC rating I-II); 3. The subject (including the partner) is willing to take effective contraceptive measures from the screening until 6 months after the last trial drug administration; 4. Sign informed consent and comply with the requirements of the program; If the subject is unable to sign the informed consent form, it must be signed by a legal guardian or witness as required by the regulations.

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Locations
Other Locations
China
Beijing You 'an Hospital, Capital Medical University
RECRUITING
Beijing
The Affiliated Hospital of Binzhou Medical University
RECRUITING
Binzhou
First Hospital of Jilin University
RECRUITING
Changchun
Heze Municipal Hospital
RECRUITING
Heze
Hunan Medical College General Hospital (formerly Huaihua City First People's Hospital)
RECRUITING
Huaihua
Affiliated Hospital of Southwest Medical University
RECRUITING
Luzhou
Pingxiang Second People's Hospital
RECRUITING
Pingxiang
Qingyuan People's Hospital (Sixth Affiliated Hospital of Guangzhou Medical University)
RECRUITING
Qingyuan
Shiyan City Taihe Hospital
RECRUITING
Shiyan
Shanxi Bethune Hospital
RECRUITING
Taiyuan
Contact Information
Primary
ling zhang, Dr
zhangling@bjcontinent.com
13501209210
Backup
junqi niu, Dr
Time Frame
Start Date: 2023-03-24
Estimated Completion Date: 2026-03-31
Participants
Target number of participants: 97
Treatments
Experimental: F573 for injection groups
The first stage:the first 16 patients with liver injury were given doses of 0.5, 1.0 and 2.0 mg/kg, and the subsequent 9 patients with CHB were given doses of 2.0 mg/kg, with an administration volume of 2 mL and intramuscular injection (IM) according to the efficacy and safety test results of the first 16 patients. The dose was given once a day for 7 days and calculated according to the weight of the last visit.~The second stage:According to the results of Phase I efficacy and safety trials, the dosage was determined to be 0.5 mg/kg and 2.0 mg/kg, the dosage volume was 2 mL, intramuscular injection (IM), once a day for 14 days, and the dosage was calculated according to the weight of the latest visit.~The third stage:The dosage was determined according to the results of the first and second phase efficacy and safety trials. The dosage volume was 2 mL, intramuscular injection (IM), once a day for 28 consecutive days, and the dosage was calculated according to the weight of the latest
Placebo_comparator: Placebo Comparator
1. The first stage: The dosage was 2 mL by intramuscular injection (IM) once a day for 7 days.~ Basic treatment: enteric-coated diammonium glycyrrhizinate capsules were administered at a dose of 150 mg 3 times a day.~2. The second stage: The dosage was 2 mL by intramuscular injection (IM) once a day for 14 days.~ Basic treatment: Polyene phosphatidylcholines and glutathione drugs (no restricted dosage forms) are accepted as basic treatment.~3. The third stage: the Screen eligible subjects were treated with Sterilizing water for injection. The dose volume was 2 mL, intramuscular injection (IM), once a day for 28 consecutive days. Basic treatment: receive acetylcysteine injection at a dose of 8 g / d once a day.
Related Therapeutic Areas
Sponsors
Leads: Beijing Continent Pharmaceutical Co, Ltd.

This content was sourced from clinicaltrials.gov