Chronic Hepatitis BPhase 2NCT01037062
An Open-Label Rollover Study of Entecavir (BMS-200475) in Adults With Chronic Hepatitis B Infection
A Phase 2 study testing Entecavir in people with Chronic Hepatitis B, run by Bristol-Myers Squibb at 48 sites in Japan.
Trial summary
To provide open-label entecavir to subjects who have completed previous blinded entecavir trials in Japan and are assessed by the investigator as likely to benefit from additional anti-hepatitis B therapy Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Chronic Hepatitis B
- What is being tested?
- Entecavir
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 282 participants
- Where
- 48 sitesJapan
- Study dates
- Dec 2003to Dec 2006
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects who completed a previous entecavir Phase II studies (AI463047, 052 or 053);
- ALT ≤ 10 x upper limit of normal;
- Subjects must have well-compensated liver disease according to ALL of the following criteria;
- Prothrombin time ≤ 3 seconds prolonged compared to control value or INR ≤ 1.5
- Serum albumin ≥ 3 g/dL (≥ 30 g/L)
- Serum bilirubin ≤ 2.5 mg/dL (≤ 42.75 μmol/L)
Who cannot join
- Sex and Reproductive Status Exceptions
- Target Disease Exceptions
- Medical History and Concurrent Diseases
Trial locations and contacts
48 sites in 1 country.
48 sites in 1 country
Japan48 sites
Local Institution
Aichi-Gun, Aichi-ken, 480-1195
Local Institution
Akashi-Shi, Hyōgo, 673-0848
Local Institution
Asahikawa-Shi, Hokkaido, 070-0054
Local Institution
Chiba, Chiba
Local Institution
Fukuoka, Fukuoka, 814-0180
Local Institution
Fukuyama-Shi, Hiroshima, 721-0971
Local Institution
Gifu, Gifu, 500-8513
Local Institution
Hiroshima, Hiroshima, 730-8518
Local Institution
Hiroshima, Hiroshima, 734-0037
Local Institution
Iruma-Gun, Saitama, 350-0495
Local Institution
Kawachinagano-Shi, Osaka, 86-0008
Local Institution
Kumamoto, Kumamoto, 860-8556
Local Institution
Kurashiki-Shi, Okayama-ken, 710-8602
Local Institution
Kurume, Fukuoka
Local Institution
Kyoto, Kyoto
Local Institution
Matsumoto, Nagano, 390-0802
Local Institution
Minato-Ku, Tokyo, 105-0001
Local Institution
Mitoyo-Gun, Kagawa-ken, 769-1601
Local Institution
Miyazaki-Gun, Miyazaki, 889-1692
Local Institution
Morioka, Iwate, 020-8505
Local Institution
Musashino-Shi, Tokyo, 180-0023
Local Institution
Nagasaki, Nagasaki
Local Institution
Nagoya, Aichi-ken, 457-0866
Local Institution
Nagoya, Aichi-ken, 466-8550
Local Institution
Nagoya, Aichi-ken, 467-8602
Local Institution
Nakakoma-Gun, Yamanashi, 409-3821
Local Institution
Niigata, Niigata
Local Institution
Ogaki-Shi, Gifu, 503-8502
Local Institution
Oita-Gun, Oita Prefecture, 879-5503
Local Institution
Okayama, Okayama-ken, 700-0082
Local Institution
Okayama, Okayama-ken, 700-8505
Local Institution
Okayama, Okayama-ken, 700-8511
Local Institution
Omura-Shi, Nagasaki, 856-0000
Local Institution
Onsen-Gun, Ehime, 791-0204
Local Institution
Osaka, Osaka, 553-0003
Local Institution
Osaka, Osaka
Local Institution
Sakai-Shi, Osaka, 591-8025
Local Institution
Sapporo, Hokkaido, 006-0813
Local Institution
Sapporo, Hokkaido, 060-0033
Local Institution
Sendai, Miyagi
Local Institution
Shinjuku-Ku, Tokyo, 160-8582
Local Institution
Shinjuku-Ku, Tokyo, 162-8655
Local Institution
Shinjuku-Ku, Tokyo, 162-8666
Local Institution
Suita-Shi, Osaka
Local Institution
Takamatsu, Kagawa-ken
Local Institution
Tokyo, Tokyo, 173-8610
Local Institution
Tsuyama-Shi, Okayama-ken, 708-0841
Local Institution
Ube-Shi, Yamaguchi, 755-0067
About this study
Official title: An Open-Label Rollover Study of Entecavir (BMS-200475) in Adults With Chronic Hepatitis B Infection Who Have Completed Previous Phase II Studies in Japan But Who Require Further Treatment
To provide open-label entecavir to subjects who have completed previous blinded entecavir trials in Japan and are assessed by the investigator as likely to benefit from additional anti-hepatitis B therapy
- Conditions
- Chronic Hepatitis B
- Being tested
- Entecavir
- Medical subject headings
- Hepatitis B, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EntecavirDrug
Also called Baraclude, BMS-200475
Tablet, P.O. 0.5, 1 mg, once daily
| Study group | Role | What they receive |
|---|---|---|
| Entecavir | Experimental | Not described Receives: Drug: Entecavir |
What is being measured
The primary outcome is the main question the study is designed to answer.
To provide open-label entecavir to subjects who have completed previous blinded entecavir trials in Japan and are assessed by the investigator as likely to benefit from additional anti-hepatitis B therapy
Measured: 24 weeks
Secondary outcomes (12)
Incidence of clinical adverse events and discontinuations due to adverse events of entecavir for each cohort
Measured: Week 2, 4, 6, 8, 10, 12, 16, 20 and 24 post dosing
Incidence of laboratory abnormalities of of entecavir for each cohort
Measured: Week 2, 4, 6, 8, 10, 12, 16, 20 and 24 post dosing
Proportion of subjects HBeAg-positive at baseline who have loss of HBeAg from serum
Measured: Day 1, Week 12, Week 24 and every subsequent 24 week during dosing
Proportion of subjects HBeAg-positive at baseline who achieve seroconversion (loss of HBeAg and appearance of HBeAb)
Measured: Day 1, Week 12, Week 24 and every subsequent 24 week during dosing
Proportion of subjects with abnormal ALT at baseline who achieve normalization of serum ALT at Week 48
Measured: Day 1, Week 48
Proportion of subjects who achieve HBV DNA levels by PCR assay less than the limit of quantification (LOQ)
Measured: Day 1, Week 12, 24, and subsequent 24 week during dosing
Proportion of subjects positive for HBeAg at baseline who achieve HBV DNA levels by PCR assay less than LOQ, normal serum ALT, and seroconversion
Measured: Week 8, 16, 24 post dosing
Proportion of subjects negative for HBeAg at baseline who achieve HBV DNA levels by PCR assay less than LOQ and normal ALT and remain negative for HBeAg
Measured: Day 1, Week 12, Week 24 and every subsequent 24 weeks during dosing
Proportion of subjects who achieved Complete Response during therapy, who have sustained Complete Response for 24 weeks after stopping drug
Measured: 24 Week post dosing
Proportion of subjects with histological improvement in the liver at Wks 48 & 96 [improvement in necroinflammatory score and no worsening of fibrosis at Wks 48 & 96 liver biopsy compared to baseline & to baseline in previous study]
Measured: Week 48, 96
NChanges in liver histology as assessed by the New Inuyama Classification for histological assessment of chronic hepatitis
Measured: Week 48 & Week 96
Incidence of genotypic changes in HBV DNA polymerase conferring resistance to entecavir in subjects with confirmed ≥1 log10 increase in HBV DNA from nadir on treatment
Measured: Week 2, 4, ± days, Week 8 every 4 weeks ± 7 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Dec 2009 (estimated)
- Study startDec 2003
- Primary completionDec 2006
- Study completionDec 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Chronic Hepatitis BStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 282 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01037062
- Sponsor's protocol ID
- AI463-060
- Status last verified
- Dec 2009
- First submitted
- 17 Dec 2009
- Last updated
- 31 Jan 2011
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Yokosuka O, Takaguchi K, Fujioka S, Shindo M, Chayama K, Kobashi H, Hayashi N, Sato C, Kiyosawa K, Tanikawa K, Ishikawa H, Masaki N, Seriu T, Omata M. Long-term use of entecavir in nucleoside-naive Japanese patients with chronic hepatitis B infection. J Hepatol. 2010 Jun;52(6):791-9. doi: 10.1016/j.jhep.2009.12.036. Epub 2010 Mar 24.
PubMed 20409606Karino Y, Toyota J, Kumada H, Katano Y, Izumi N, Kobashi H, Sata M, Moriyama M, Imazeki F, Kage M, Ishikawa H, Masaki N, Seriu T, Omata M. Efficacy and resistance of entecavir following 3 years of treatment of Japanese patients with lamivudine-refractory chronic hepatitis B. Hepatol Int. 2010 Feb 6;4(1):414-22. doi: 10.1007/s12072-009-9162-x.
PubMed 20305760
Study at a glance
From the registry record, last updated by the sponsor on 31 Jan 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label Rollover Study of Entecavir (BMS-200475) in Adults With Chronic Hepatitis B Infection Who Have Completed Previous Phase II Studies in Japan But Who Require Further Treatment
- ClinicalTrials.gov ID
- NCT01037062
- Acronym / sponsor ID
- AI463-060
- Conditions
- Chronic Hepatitis B
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 282 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- Dec 2003
- Primary completion
- Dec 2006 (actual)
- Study completion
- Dec 2006 (actual)
- First posted
- 21 Dec 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To provide open-label entecavir to subjects who have completed previous blinded entecavir trials in Japan and are assessed by the investigator as likely to benefit from additional anti-hepatitis B therapy
Study design
- Primary purpose
- Treatment
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Entecavir | Experimental | Drug: Entecavir |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Subjects who completed a previous entecavir Phase II studies (AI463047, 052 or 053);
- ALT ≤ 10 x upper limit of normal;
- Subjects must have well-compensated liver disease according to ALL of the following criteria;
Key exclusion criteria (3 listed)
- Sex and Reproductive Status Exceptions
- Target Disease Exceptions
- Medical History and Concurrent Diseases
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EntecavirAlso: Baraclude, BMS-200475Tablet, P.O. 0.5, 1 mg, once daily | Drug | Entecavir |
Primary outcome
To provide open-label entecavir to subjects who have completed previous blinded entecavir trials in Japan and are assessed by the investigator as likely to benefit from additional anti-hepatitis B therapy
Time frame: 24 weeks
12 secondary outcomes
Incidence of clinical adverse events and discontinuations due to adverse events of entecavir for each cohort
Time frame: Week 2, 4, 6, 8, 10, 12, 16, 20 and 24 post dosing
Incidence of laboratory abnormalities of of entecavir for each cohort
Time frame: Week 2, 4, 6, 8, 10, 12, 16, 20 and 24 post dosing
Proportion of subjects HBeAg-positive at baseline who have loss of HBeAg from serum
Time frame: Day 1, Week 12, Week 24 and every subsequent 24 week during dosing
Proportion of subjects HBeAg-positive at baseline who achieve seroconversion (loss of HBeAg and appearance of HBeAb)
Time frame: Day 1, Week 12, Week 24 and every subsequent 24 week during dosing
Proportion of subjects with abnormal ALT at baseline who achieve normalization of serum ALT at Week 48
Time frame: Day 1, Week 48
Proportion of subjects who achieve HBV DNA levels by PCR assay less than the limit of quantification (LOQ)
Time frame: Day 1, Week 12, 24, and subsequent 24 week during dosing
Proportion of subjects positive for HBeAg at baseline who achieve HBV DNA levels by PCR assay less than LOQ, normal serum ALT, and seroconversion
Time frame: Week 8, 16, 24 post dosing
Proportion of subjects negative for HBeAg at baseline who achieve HBV DNA levels by PCR assay less than LOQ and normal ALT and remain negative for HBeAg
Time frame: Day 1, Week 12, Week 24 and every subsequent 24 weeks during dosing
Proportion of subjects who achieved Complete Response during therapy, who have sustained Complete Response for 24 weeks after stopping drug
Time frame: 24 Week post dosing
Proportion of subjects with histological improvement in the liver at Wks 48 & 96 [improvement in necroinflammatory score and no worsening of fibrosis at Wks 48 & 96 liver biopsy compared to baseline & to baseline in previous study]
Time frame: Week 48, 96
NChanges in liver histology as assessed by the New Inuyama Classification for histological assessment of chronic hepatitis
Time frame: Week 48 & Week 96
Incidence of genotypic changes in HBV DNA polymerase conferring resistance to entecavir in subjects with confirmed ≥1 log10 increase in HBV DNA from nadir on treatment
Time frame: Week 2, 4, ± days, Week 8 every 4 weeks ± 7 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jan 2011.
- Background: PubMed 20409606Yokosuka O, Takaguchi K, Fujioka S, Shindo M, Chayama K, Kobashi H, Hayashi N, Sato C, Kiyosawa K, Tanikawa K, Ishikawa H, Masaki N, Seriu T, Omata M. Long-term use of entecavir in nucleoside-naive Japanese patients with chronic hepatitis B infection. J Hepatol. 2010 Jun;52(6):791-9. doi: 10.1016/j.jhep.2009.12.036. Epub 2010 Mar 24.
- Background: PubMed 20305760Karino Y, Toyota J, Kumada H, Katano Y, Izumi N, Kobashi H, Sata M, Moriyama M, Imazeki F, Kage M, Ishikawa H, Masaki N, Seriu T, Omata M. Efficacy and resistance of entecavir following 3 years of treatment of Japanese patients with lamivudine-refractory chronic hepatitis B. Hepatol Int. 2010 Feb 6;4(1):414-22. doi: 10.1007/s12072-009-9162-x.
Related trials for Chronic Hepatitis B
Active, not recruitingPhase 2
A Study of Sequential Therapy With Daplusiran/Tomligisiran (DAP/TOM) Followed by Bepirovirsen in Participants Living With Chronic Hepatitis B (CHB)
Chronic Hepatitis B Virus Infection, Hepatitis B
RecruitingObservational study
Evaluation of Patients With Liver Disease
Hepatitis D, Hepatitis C
Active, not recruitingPhase 2
Study of Bepirovirsen in Participants Living With Human Immunodeficiency Virus and Chronic Hepatitis B Virus Infection (B-Focus)
Hepatitis B
Active, not recruitingPhase 2
Long-term Follow-up Study to Evaluate Durability of Treatment Response in Previous Bepirovirsen Study Participants (B-Sure)
Hepatitis B
Enrolling by invitationPhase 1
A Phase I Clinical Trial of CPU-YL01 Injection in Patients With Chronic Hepatitis B.
Chronic Hepatitis B
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
48 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Entecavir in people with Chronic Hepatitis B, run by Bristol-Myers Squibb at 48 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 Jan 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 48 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To provide open-label entecavir to subjects who have completed previous blinded entecavir trials in Japan and are assessed by the investigator as likely to benefit from additional anti-hepatitis B therapy (time frame: 24 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01037062, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jan 2011.