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Chronic Hepatitis B Virus, PediatricPhase 3NCT01079806

A Phase III Study of the Safety and Efficacy of Entecavir in Pediatric Patients With Chronic Hepatitis B Virus Infection

A Phase 3 study testing Entecavir in people with Chronic Hepatitis B Virus, Pediatric, run by Bristol-Myers Squibb at 44 sites in 14 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study was to evaluate the safety and efficacy of entecavir in pediatric patients with chronic hepatitis B virus infection Read more about this study

Who is it for?
Ages 2 to 17 years
Conditions the study is for
Chronic Hepatitis B Virus, Pediatric
What is being tested?
Entecavir
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
180 participants
Where
44 sitesin 14 countries
Study dates
30 Jun 2010to 31 Mar 2018
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 2 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Males and females, aged 2 to <18 years
  • Hepatitis B surface antigen-positive
  • Detectable hepatitis B e (HBe) antigen, and no detectable anti-HBe antibodies
  • Alanine aminotransferase (ALT) 1.5 to <10 times the upper limit of normal at screening and within 8 to 24 weeks prior to screening
  • Evidence of the presence of hepatitis B virus DNA at least 4 weeks before screening and >100,000 copies/mL at screening

Who cannot join

  • Any prior therapy with entecavir
  • At least 12 weeks of prior therapy with any nucleoside or nucleotide antiviral agent
  • Therapy with interferon alpha, thymosin alpha, or nucleototide antiviral agents within 24 weeks of screening
  • Coinfection with HIV, hepatitis C virus, or hepatitis D virus
  • Decompensated liver disease
  • Liver transplant recipients
  • Other forms of acute and chronic conditions which may cause increased ALT levels
  • Children who were breastfed while their mothers received lamivudine or whose mothers received lamivudine during pregnancy

Trial locations and contacts

44 sites in 14 countries.

44 sites in 14 countries

United States15 sites
  • Romero, Rene

    Atlanta, Georgia, 30322

  • Johns Hopkins School Of Medicine

    Baltimore, Maryland, 21287

  • Shah, Uzma

    Boston, Massachusetts, 02114

  • Boston Childrens Hospital

    Boston, Massachusetts, 02115

  • Levine Children'S Hospital At Carolinas Medical Center

    Charlotte, North Carolina, 28203

  • Inova Fairfax Hospital For Children

    Fairfax, Virginia, 22031

  • University Of Florida

    Gainesville, Florida, 32610

  • Connecticut Children'S Medical Center

    Hartford, Connecticut, 06106

  • Texas Children'S Hospital

    Houston, Texas, 77030

  • Indiana University School Of Medicine / Riley Hospital

    Indianapolis, Indiana, 46202

  • Mount Sinai Medical Center

    New York, New York, 10029

  • Children'S Hospital Of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • University Of California, San Francisco

    San Francisco, California, 94143

  • Children'S National Medical Center

    Washington D.C., District of Columbia, 20010

Other trials in United States

Russia4 sites
  • Local Institution

    Moscow, 111123

  • Local Institution

    Moscow, 117198

  • Local Institution

    Novokuznetsk, 654063

  • Local Institution

    Saint Petersburg, 197022

Other trials in Russia

Germany3 sites
  • Local Institution

    Mainz, Rhineland-Palatinate, 55131

  • Local Institution

    Starnberg, 82319

  • Local Institution

    Wuppertal, 42283

Other trials in Germany

Israel3 sites
  • Local Institution

    Beersheba, 84101

  • Local Institution

    Petah Tikva

  • Local Institution

    Safed, 13110

Other trials in Israel

Poland3 sites
  • Local Institution

    Bydgoszcz, 85-030

  • Local Institution

    Krakow, 31-202

  • Local Institution

    Wroclaw, 50-345

Other trials in Poland

Romania3 sites
  • Local Institution

    Bucharest, 011743

  • Local Institution

    Iași, 700309

  • Local Institution

    Timișoara, 300011

Other trials in Romania

South Korea3 sites
  • Local Institution

    Daegu, 700-721

  • Local Institution

    Seoul, 135-710

  • Local Institution

    Seoul, 138-736

Other trials in South Korea

India2 sites
  • Local Institution

    Guwahati, 781006

  • Local Institution

    Hyderabad, 500029

Other trials in India

Taiwan2 sites
  • Local Institution

    Tainan, 704

  • Local Institution

    Taipei, 100

Other trials in Taiwan

United Kingdom2 sites
  • Local Institution

    Birmingham, West Midlands, B4 6NH

  • Local Institution

    London, Greater London, SE5 9RS

Other trials in United Kingdom

Argentina1 site
  • Local Institution

    Bunos Aires, Buenos Aires, 1425

Other trials in Argentina

Belgium1 site
  • Local Institution

    Brussels, 1200

Other trials in Belgium

Canada1 site
  • Local Institution

    Toronto, Ontario, M5G 1X8

Other trials in Canada

Greece1 site
  • Local Institution

    Thesaloniki, 54635

Other trials in Greece

About this study

Official title: A Comparative Study of the Antiviral Efficacy and Safety of Entecavir (ETV) Versus Placebo in Pediatric Subjects With Chronic Hepatitis B Virus (HBV) Infection Who Are HBeAg-Positive

The purpose of this study was to evaluate the safety and efficacy of entecavir in pediatric patients with chronic hepatitis B virus infection

Being tested
Entecavir, Placebo
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

    Tablets/oral solution, 0.015 mg/kg up to 0.5 mg, administered orally, once daily, for 96 to144 weeks, depending on response

  • PlaceboDrug

    Tablets/oral solution, 0 mg, administered orally, once daily, for 48 to 96 weeks, depending on response

Study groups in NCT01079806
Study groupRoleWhat they receive
EntecavirActive comparatorParticipants received entecavir, 0.015 mg/kg up to 0.5 mg, once daily, for 96 to 144 weeks, depending on response
Receives: Drug: Entecavir
PlaceboPlacebo comparatorParticipants received placebo, 0 mg, once daily, for 48 to 96 weeks, depending on response
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Who Achieved a Combination of Hepatitis B Virus (HBV) DNA Suppression and Hepatitis B e Antigen (HBeAg) Seroconversion at Week 48

    Suppression=HBV DNA<50 IU/mL (approximately 300 copies/mL) using the Roche COBAS TaqMan HBV Test for use with the High Pure System assay; seroconversion=undetectable HBeAg and detectable anti-hepatitis B e antibodies. While the analysis of the primary endpoint was based on a randomized sample size of 123 participants (the Primary Cohort), the size of the overall study population was augmented to 180 randomized participants to meet global regulatory requirements.

    Measured: At Week 48

Secondary outcomes (14)
  1. Percentage of Participants With Hepatitis B Virus (HBV) DNA <50 IU/mL at Week 48

    While the analysis of the primary endpoint was based on a randomized sample size of 123 participants (the Primary Cohort), the size of the overall study population was augmented to 180 randomized participants to meet global regulatory requirements.

    Measured: At Week 48

  2. Percentage of Participants With Serum Alanine Aminotransferase ≤1*Upper Limit of Normal at Week 48

    While the analysis of the primary endpoint was based on a randomized sample size of 123 participants (the Primary Cohort), the size of the overall study population was augmented to 180 randomized participants to meet global regulatory requirements.

    Measured: At Week 48

  3. Percentage of Participants With Hepatitis B Virus DNA <Limit of Quantitation (LOQ) at Week 48

    LOQ=29 IU/mL. While the analysis of the primary endpoint was based on a randomized sample size of 123 participants (the Primary Cohort), the size of the overall study population was augmented to 180 randomized participants to meet global regulatory requirements.

    Measured: At Week 48

  4. Percentage of Participants With Hepatitis B e Antigen (HBeAg) Seroconversion at Week 48 (Undetectable HBeAg and Presence of Anti-HBeAb)

    Percentage of participants in the primary cohort with HBeAg seroconversion (undetectable HBeAg and presence of anti-HBe antibodies) at week 48

    Measured: At Week 48

  5. Percentage of Participants Who Achieved Sustained HBeAg Seroconversion During Off-treatment Follow up Among Participants Who Achieved HBeAg Seroconversion at End of Dosing (EOD).

    Participants who demonstrated HBeAg seroconversion at EOD were followed and assessed for presence of sustained HBeAg seroconversion during entire study. The study reached the end of dosing (EOD) on 22 Feb-2016.

    Measured: Week 48, EOD (2 years)

  6. Number of Participants With Adverse Events (Including Palatability Issues), SAEs, Discontinuous Due to Adverse Events, and HBV Disease Progression Through Week 48

    AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Related=having certain, probable, possible, or unknown relationship to study drug. Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Death. ALT=alanine aminotransferase.

    Measured: Day 1 through Week 48 on blinded therapy

  7. Number of Participants With Laboratory Test Results Meeting the Criteria for Abnormality (Grades 1-4)

    Toxicities graded per Division of AIDS criteria, Version 1.0, and modified World Health Organization criteria. INR=international normalization ratio of prothrombin time; ULN=upper limit of normal. Hemoglobin (g/dL): Grade 1=10-10.9; Grade 2=9-9.9; Grade 3=7-8.9; Grade 4= <7. Platelets (/mm^3): Grade 1=100,000-124,999; Grade 2=50,000-99,999; Grade 3=25,000-49,999; Grade 4= <25,000. INR (*ULN): Grade 1=1.1-1.5; Grade 2=1.6-2; Grade 3=2.1-3; Grade 4= >3. WBC (/mm^3): Grade 1=2000-2500; Grade 2=1500-1999; Grade 3=1000-1499; Grade 4= <1000. Neutrophils (/mm^3): Grade 1=1000-1300; Grade 2=750-999; Grade 3=500-749; Grade 4= <500.

    Measured: Day 1 through Week 48 on blinded therapy

  8. Number of Participants With Laboratory Test Results Meeting the Criteria for Abnormality (Grades 1-4) (Continued)

    Toxicities graded per Division of AIDS criteria, Version 1.0, and modified World Health Organization criteria. ALT=alanine aminotransferase; AST=aspartate aminotransferase; BUN=blood urea nitrogen; ULN=upper limit of normal; LLN=lower limit of normal. ALT, AST (*ULN): Grade 1=1.25-2; Grade 2=2.6-5; Grade 3=5.1-10; Grade 4 => 10. Bilirubin (*ULN): Grade 1 = 1.1-1.5; Grade 2=1.6-2.5; Grade 3 = 2.6-5; Grade 4= >5. Albumin (g/dL): Grade 1=3- <LLN; Grade 2=2-2.9; Grade 3= <2. Lipase (*ULN): Grade 1=1.1-1.5; Grade 2=1.6-3; Grade 3=3.1-5; Grade 4= >5. BUN/urea (*ULN): Grade 1=1.25-<2.6; Grade 2=2.6-<5.1; Grade 3=5.1-10; Grade 4= >10. Chloride, high (mEq/L): Grade 1=113-<117; Grade 2=117-<121; Grade 3=121-125; Grade 4= >125. Potassium, low (mEq/L): Grade 1=3-3.4; Grade 2=2.5-<3; Grade 3=2-<2.5; Grade 4=<2. Potassium, high (mEq/L): : Grade 1= 5.6-<6.1; Grade 2=6.1-<6.6; Grade 3=6.6-7; Grade 4= >7. Sodium, high (mEq/L): Grade 1=146<151; Grade 2=151-<155; Grade 3=155-<160; Grade 4= >=160.

    Measured: Day 1 through Week 48 on blinded therapy

  9. Percentage of Participants With HBeAg Seroconversion on ETV Over-time at Week 96 (All ETV Cohort)

    HBe seroconversion=undetectable HBe antigen and detectable anti-HBe antibodies. While the analysis of the primary endpoint was based on a randomized sample size of 123 participants (the Primary Cohort), the size of the overall study population was augmented to 180 randomized participants to meet global regulatory requirements.

    Measured: At Week 96

  10. Percentage of Participants Who Maintained HBeAg Seroconversion at Week 96 (End of Blinded Therapy) Among Participants With HBeAg Seroconversion at Week 48

    Participants who achieved HBeAg seroconversion by Week 48 and maintained seroconversion to week 96

    Measured: At Week 96

  11. Percentage of Participants With Death as Outcome, Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs), Related AEs, Grade 2-4 Related AEs, Grade 3-4 AEs, Malignancies, ALT Flares, and Hepatic Disease Progression Through Week 96

    AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Related=having certain, probable, possible, or unknown relationship to study drug. Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Death. ALT=alanine aminotransferase.

    Measured: Day 1 through Week 96

  12. Percentage of Participants With HBeAg Seroconversion (Undetectable HBeAg and Presence of Anti-HBeAb) up to Week 96

    On Treatment through week 96 - 2 year cohort NC = F: (The numerator was based on participants meeting the response criteria. The denominator was based on treated participants. Participants who had missing data at the analysis week were considered failures.)

    Measured: up to week 96

  13. Histological Analysis (Percentage) Among Participants With Available Liver Biopsy Data

    Liver function test elevations and abnormalities on blinded and open-label ETV (the All ETV Safety Cohort). Participants who experienced elevation of alanine aminotransferase (ALT) greater than three times ETV (entecavir) baseline measure (Participants who displayed liver biopsy with ALT value greater than three times baseline.)

    Measured: Between weeks 48 and 96

  14. Percentage of Participants With HbeAg Loss at Weeks 48 and 96

    HBeAg Loss (NC = F and NC = M) - On Treatment through Week 96 - Year 2 Efficacy Cohort Non-Completer - Failure (NC=F): The numerator was based on participants meeting the response criteria. The denominator was based on treated participants. Participants who had missing data at the analysis week were considered failures. Non-Completer - Missing (NC=M): The numerator was based on participants meeting the response criteria. The denominator was based on participants with data at the analysis week. Participants who had missing data at the analysis week were excluded.

    Measured: At 48 and 96 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Mar 2010 (estimated)
  2. Study start30 Jun 2010
  3. Primary completion31 Mar 2013
  4. Study completion31 Mar 2018

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01079806
Sponsor's protocol ID
AI463-189 ST
Status last verified
Apr 2019
First submitted
2 Mar 2010
Last updated
9 May 2019
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Jonas MM, Chang MH, Sokal E, Schwarz KB, Kelly D, Kim KM, Ling SC, Rosenthal P, Oraseanu D, Reynolds L, Thiry A, Ackerman P. Randomized, controlled trial of entecavir versus placebo in children with hepatitis B envelope antigen-positive chronic hepatitis B. Hepatology. 2016 Feb;63(2):377-87. doi: 10.1002/hep.28015. Epub 2015 Oct 16.

    PubMed 26223345

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Entecavir in people with Chronic Hepatitis B Virus, Pediatric, run by Bristol-Myers Squibb at 44 sites in 14 countries.

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 5 inclusion and 8 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 9 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Russia, Germany, Israel, Poland and 9 more countries. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Apr 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Percentage of Participants Who Achieved a Combination of Hepatitis B Virus (HBV) DNA Suppression and Hepatitis B e Antigen (HBeAg) Seroconversion at Week 48 (time frame: At Week 48). 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 NCT01079806, which also lists 1 linked publication.

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 9 May 2019.

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