Cirrhotic AscitesPhase 2/3NCT05858853
Phase II/III of Recombinant Human Serum Albumin
A Phase 2/3 study testing Recombinant Human Serum Albumin and Human serum albumin in people with Cirrhotic Ascites, run by Beijing Protgen Biotechnology Development Co., Ltd. at 25 sites in China.
Trial summary
This is a randomized, double-blind, position-controlled, parallel group phase II/III clinical study of recombinant human serum albumin (rHSA) in cirrhotic ascites patients. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Cirrhotic Ascites
- What is being tested?
- Recombinant Human Serum Albumin and Human serum albumin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 92 participants
- Where
- 25 sitesChina
- Study dates
- 24 May 2023to 15 Sep 2023
- Phase
- Phase 2/3
- 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 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Agreed to follow the experimental treatment plan and visit plan, voluntarily enrolled in the group, and signed the informed consent in person;
- Age ≥18 years old and ≤70 years old, regardless of gender, on the date of signing the informed consent; Body mass index (BMI) was in the range of 18.0 to 29.0 kg/m2 (including boundary values);
- Patients clinically diagnosed with decompensated cirrhosis with ascites of grade 1 to grade 2 and serum albumin (ALB) <30 g/L were confirmed by abdominal ultrasound examination during the screening period.
- Fertile men and women of childbearing age (women of childbearing age include premenopausal women and women within 2 years after menopause) are willing to sign the informed consent from the time after the last administration of the investigational drug 3 Take effective contraceptive measures (condom, contraceptive sponge, contraceptive gel, contraceptive film, intrauterine device, oral or injectable contraceptive, subcutaneous implant, etc.) within a month; Pregnancy test results must be negative for women of childbearing age within 7 days or less before the initial trial drug administration.
Who cannot join
- People who have a known history of allergy/allergic reaction to yeast or yeast-derived products, or to any component of the study preparation; Allergic constitution (multiple drug or food allergy), or have a history of biological product allergy, other causes Had a history of severe systemic anaphylaxis and was judged by the investigator to be unsuitable for treatment with the experimental drug;
- At the time of screening, there were severe digestive diseases and complications that were deemed unsuitable for participation in this study by the investigators, including but not limited to malignant ascites and a diagnosis of Grade III or IV liver according to the West-Haven grading criteria Patients with encephalopathy, portal vein cancer thrombus/thrombus, circulatory dysfunction after abdominal puncture, obstructive biliary tract disease identified by ultrasound or other imaging, gastrointestinal bleeding who stopped bleeding less than 10 days after treatment or did not effectively stop bleeding after endoscopic ligation, or who were at greater risk of bleeding during the trial as assessed by the investigator (e.g., before screening) Gastroscopy within 3 months indicated severe esophageal and fundus varices with positive red sign);
- At the time of screening, there was a history of active cardiovascular disease or other conditions that the investigator judged unsuitable for human albumin therapy, including, but not limited to, hypertension (systolic blood pressure >140 mmHg or diastolic blood pressure >90 mmHg, The investigators judged that patients were well controlled and stable), severe anemia, acute heart disease, severe cardiopulmonary or structural heart disease, severe arrhythmia, decompensated heart failure (normal or high blood volume), unstable angina, and nearly 6 Myocardial infarction, medicated tachycardia/bradycardia, third-degree atrioventricular block occurred within a month;
- Patients with active metabolic system diseases or medical history (except diabetic patients with good blood glucose control) at the time of screening, or patients with combined renal function injury who are not suitable for serum albumin treatment according to the investigators;
- If there are serious underlying diseases during screening, the researchers think it is not suitable to participate in this study. These include, but are not limited to, active malignancies (including hepatocellular carcinoma [HCC]), pulmonary edema, bleeding prone or active bleeding diseases, uncontrolled infections (including active spontaneous bacterial peritonitis [SBP]), thyroid dysfunction (according to the National Cancer Institute Standard for Common Terminology for Adverse Events [NCI CTCAE] version 5.0 3 Grade and above), etc.;
- The patient has the following abnormalities in laboratory examination:
- (1). Liver function: alanine aminotransferase (ALT) > 5×ULN (upper limit of normal value); Aspartate aminotransferase (AST) >5×ULN; Serum bilirubin (TBIL) >4× the upper limit of normal (ULN) or was deemed unsuitable for trial participation by the investigator; (2) Renal function: serum creatinine >3× upper limit of normal (ULN), urine protein positive and deemed unfit for study; (3) Bone marrow function: absolute value of neutrophil (ANC) <1.0×10^9/L; Platelet (PLT) <20×10^9/L; Hemoglobin (HGB) <70 g/L; (4) Coagulation function: prothrombin time (PT) extended >5s; 7. Persons who have been treated with human plasma preparations (including human blood albumin preparations) within 7 days prior to the initial administration of the experimental drug; People with a history of organ transplantation; Those who need or plan to undergo interventional invasive testing or therapy during the study; 8. Those who have participated in or are participating in clinical trials of other new drugs or medical devices and have used investigational drugs/investigational treatments within 30 days prior to screening; 9. Those who test positive for antibodies to the human immunodeficiency virus (HIV); 10. Pregnant or lactating women; 11. Other reasons why the researcher considered it inappropriate to participate in the study.
Trial locations and contacts
25 sites in 1 country.
25 sites in 1 country
China25 sites
Beijing Ditan Hospital, Capital Medical University
Beijing, Beijing Municipality, 100000
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100000
Beijing YouAn Hospital, Capital Medical University
Beijing, Beijing Municipality, 100000
The First People's Hospital of Changde City (Department of Infectious Diseases)
Changde, Hunan, 415000
The First People's Hospital of Changde City(Department of Gastroenterology)
Changde, Hunan, 415000
The First Hospital of Changsha
Changsha, Hunan, 410005
The Affiliated Hospital of Xiangnan University
Chenzhou, Hunan, 423000
Shunde Hospital of Southern Medical University
Foshan, Guangdong, 528000
Guangzhou Eighth People's Hospital, Guangzhou Medical University (Department of Hepatology)
Guangzhou, Guangdong, 510000
Central Hospital of Hengyang
Hengyang, Hunan, 421000
The First Affiliated Hospital of University of South China (Department of Infectious Diseases)
Hengyang, Hunan, 421000
The First Affiliated Hospital of University of South China(Department of Gastroenterology)
Hengyang, Hunan, 421000
Shandong Public Health Clinical Center
Jinan, Shandong, 250000
Linfen Central Hospital
Linfen, Shanxi, 041000
The Ninth Hospital of Nanchang
Nanchang, Jiangxi, 330000
Pingxiang No.2 People's Hospital
Pingxiang, Jiangxi, 337000
Pingxiang People's Hospital
Pingxiang, Jiangxi, 337000
Shenzhen Protgen Co., Ltd.
Shenzhen, Guangdong, 518000
Meihekou Central Hospital
Tonghua, Jilin, 135099
Xinyang Central Hospital
Xinyang, Henan, 464000
Yiyang Central Hospital
Yiyang, Hunan, 413000
Yueyang Central Hospital
Yueyang, Hunan, 414000
People's Hospital of Zhengzhou
Zhengzhou, Henan, 450000
The Sixth People's Hospital of Zhengzhou
Zhengzhou, Henan, 450000
Zhuzhou Central Hospital
Zhuzhou, Hunan, 412000
About this study
Official title: To Evaluate the Effectiveness of Recombinant Human Serum Albumin Versus Human Serum Albumin in Patients With Hepatic Cirrhosis and Safety of Random, Double-blind, Parallel Grouping Phase II/III Clinical Trial
This is a randomized, double-blind, position-controlled, parallel group phase II/III clinical study of recombinant human serum albumin (rHSA) in cirrhotic ascites patients.
Read the detailed description
This is a randomized, double-blind, position-controlled, parallel group phase II/III clinical study of recombinant human serum albumin (rHSA) in cirrhotic ascites patients.
It is divided into two phases: Phase II and Phase III. In phase II, the effect of rHSA on improving serum albumin level in cirrhotic ascites patients will be evaluated with different doses and courses of treatment, and the relationship between dose and efficacy will be determined, so as to provide basis for drug administration plan and sample size calculation of phase III study. In phase III, the efficacy of rHSA will be evaluated with the change of serum albumin concentration from baseline immediately after the completion of the last intravenous administration as the main index, and its safety, PD characteristics and immunogenicity will be further evaluated.
- Conditions
- Cirrhotic Ascites
- Being tested
- Recombinant Human Serum Albumin, Human serum albumin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Recombinant Human Serum AlbuminDrug
The experimental drug (recombinant human serum albumin injection) was administered 10 g/ day for 14 days
Recombinant Human Serum AlbuminDrug
The experimental drug (recombinant human serum albumin injection) was administered 20 g/ day for 7 days
Human serum albuminDrug
Control drug (human blood albumin injection) 10 g/ day for 14 days
Human serum albuminDrug
Control drug (human blood albumin injection) 20 g/ day for 7 days
| Study group | Role | What they receive |
|---|---|---|
| Group 1 | Experimental | The experimental drug (recombinant human serum albumin injection) was administered 10 g/ day for 14 days Receives: Drug: Recombinant Human Serum Albumin |
| Group 2 | Experimental | The experimental drug (recombinant human serum albumin injection) was administered 20 g/ day for 7 days Receives: Drug: Recombinant Human Serum Albumin |
| Group 3 | Active comparator | Control drug (human blood albumin injection) 10 g/ day for 14 days Receives: Drug: Human serum albumin |
| Group 4 | Active comparator | Control drug (human blood albumin injection) 20 g/ day for 7 days Receives: Drug: Human serum albumin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in serum albumin concentration
Change in serum albumin concentration from baseline confirmed by albumin examination immediately after completion of last intravenous administration
Measured: 14 days
Secondary outcomes (5)
Ascites depth changes
Change in ascites depth from baseline after administration
Measured: 57 days
Proportion of subjects with serum albumin concentration ≥35 g/L
Proportion of subjects with serum albumin concentration ≥35 g/L confirmed by albumin examination at completion of final IV administration
Measured: 14days
The time when serum albumin concentration reached ≥35 g/L
The time when serum albumin concentration reached ≥35 g/L
Measured: 57 days
Abdominal circumference change
Changes in abdominal circumference from baseline after administration
Measured: 57 days
Weight change
Change in body weight from baseline after administration
Measured: 57 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 May 2023
- Study start24 May 2023
- Primary completion15 Sep 2023
- Study completion15 Sep 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cirrhotic AscitesStudies of the same condition, open and under way.
- 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 92 participants (actual)
Sponsor and investigators
- Lead sponsor
- Beijing Protgen Biotechnology Development Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jidong Jia, Ph.D, Study director, Beijing Friendship Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05858853
- Sponsor's protocol ID
- rHSA 2020-3(Phase Ⅱ)
- Status last verified
- Mar 2026
- First submitted
- 5 May 2023
- Last updated
- 10 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- To Evaluate the Effectiveness of Recombinant Human Serum Albumin Versus Human Serum Albumin in Patients With Hepatic Cirrhosis and Safety of Random, Double-blind, Parallel Grouping Phase II/III Clinical Trial
- ClinicalTrials.gov ID
- NCT05858853
- Acronym / sponsor ID
- rHSA 2020-3(Phase Ⅱ)
- Conditions
- Cirrhotic Ascites
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 92 participants (actual)
- Lead sponsor
- Beijing Protgen Biotechnology Development Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 24 May 2023 (actual)
- Primary completion
- 15 Sep 2023 (actual)
- Study completion
- 15 Sep 2023 (actual)
- First posted
- 15 May 2023 (actual)
- 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.
This is a randomized, double-blind, position-controlled, parallel group phase II/III clinical study of recombinant human serum albumin (rHSA) in cirrhotic ascites patients.
Detailed description
This is a randomized, double-blind, position-controlled, parallel group phase II/III clinical study of recombinant human serum albumin (rHSA) in cirrhotic ascites patients.
It is divided into two phases: Phase II and Phase III. In phase II, the effect of rHSA on improving serum albumin level in cirrhotic ascites patients will be evaluated with different doses and courses of treatment, and the relationship between dose and efficacy will be determined, so as to provide basis for drug administration plan and sample size calculation of phase III study. In phase III, the efficacy of rHSA will be evaluated with the change of serum albumin concentration from baseline immediately after the completion of the last intravenous administration as the main index, and its safety, PD characteristics and immunogenicity will be further evaluated.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Group 1 | Experimental | Drug: Recombinant Human Serum AlbuminThe experimental drug (recombinant human serum albumin injection) was administered 10 g/ day for 14 days |
| Group 2 | Experimental | Drug: Recombinant Human Serum AlbuminThe experimental drug (recombinant human serum albumin injection) was administered 20 g/ day for 7 days |
| Group 3 | Active comparator | Drug: Human serum albuminControl drug (human blood albumin injection) 10 g/ day for 14 days |
| Group 4 | Active comparator | Drug: Human serum albuminControl drug (human blood albumin injection) 20 g/ day for 7 days |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Agreed to follow the experimental treatment plan and visit plan, voluntarily enrolled in the group, and signed the informed consent in person;
- Age ≥18 years old and ≤70 years old, regardless of gender, on the date of signing the informed consent; Body mass index (BMI) was in the range of 18.0 to 29.0 kg/m2 (including boundary values);
- Patients clinically diagnosed with decompensated cirrhosis with ascites of grade 1 to grade 2 and serum albumin (ALB) <30 g/L were confirmed by abdominal ultrasound examination during the screening period.
- Fertile men and women of childbearing age (women of childbearing age include premenopausal women and women within 2 years after menopause) are willing to sign the informed consent from the time after the last administration of the investigational drug 3 Take effective contraceptive measures (condom, contraceptive sponge, contraceptive gel, contraceptive film, intrauterine device, oral or injectable contraceptive, subcutaneous implant, etc.) within a month; Pregnancy test results must be negative for women of childbearing age within 7 days or less before the initial trial drug administration.
Key exclusion criteria (7 listed)
- People who have a known history of allergy/allergic reaction to yeast or yeast-derived products, or to any component of the study preparation; Allergic constitution (multiple drug or food allergy), or have a history of biological product allergy, other causes Had a history of severe systemic anaphylaxis and was judged by the investigator to be unsuitable for treatment with the experimental drug;
- At the time of screening, there were severe digestive diseases and complications that were deemed unsuitable for participation in this study by the investigators, including but not limited to malignant ascites and a diagnosis of Grade III or IV liver according to the West-Haven grading criteria Patients with encephalopathy, portal vein cancer thrombus/thrombus, circulatory dysfunction after abdominal puncture, obstructive biliary tract disease identified by ultrasound or other imaging, gastrointestinal bleeding who stopped bleeding less than 10 days after treatment or did not effectively stop bleeding after endoscopic ligation, or who were at greater risk of bleeding during the trial as assessed by the investigator (e.g., before screening) Gastroscopy within 3 months indicated severe esophageal and fundus varices with positive red sign);
- At the time of screening, there was a history of active cardiovascular disease or other conditions that the investigator judged unsuitable for human albumin therapy, including, but not limited to, hypertension (systolic blood pressure >140 mmHg or diastolic blood pressure >90 mmHg, The investigators judged that patients were well controlled and stable), severe anemia, acute heart disease, severe cardiopulmonary or structural heart disease, severe arrhythmia, decompensated heart failure (normal or high blood volume), unstable angina, and nearly 6 Myocardial infarction, medicated tachycardia/bradycardia, third-degree atrioventricular block occurred within a month;
- Patients with active metabolic system diseases or medical history (except diabetic patients with good blood glucose control) at the time of screening, or patients with combined renal function injury who are not suitable for serum albumin treatment according to the investigators;
- If there are serious underlying diseases during screening, the researchers think it is not suitable to participate in this study. These include, but are not limited to, active malignancies (including hepatocellular carcinoma [HCC]), pulmonary edema, bleeding prone or active bleeding diseases, uncontrolled infections (including active spontaneous bacterial peritonitis [SBP]), thyroid dysfunction (according to the National Cancer Institute Standard for Common Terminology for Adverse Events [NCI CTCAE] version 5.0 3 Grade and above), etc.;
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 |
|---|---|---|
| Recombinant Human Serum AlbuminThe experimental drug (recombinant human serum albumin injection) was administered 10 g/ day for 14 days | Drug | Group 1 |
| Recombinant Human Serum AlbuminThe experimental drug (recombinant human serum albumin injection) was administered 20 g/ day for 7 days | Drug | Group 2 |
| Human serum albuminControl drug (human blood albumin injection) 10 g/ day for 14 days | Drug | Group 3 |
| Human serum albuminControl drug (human blood albumin injection) 20 g/ day for 7 days | Drug | Group 4 |
Primary outcome
Changes in serum albumin concentration
Time frame: 14 days
Change in serum albumin concentration from baseline confirmed by albumin examination immediately after completion of last intravenous administration
5 secondary outcomes
Ascites depth changes
Time frame: 57 days
Proportion of subjects with serum albumin concentration ≥35 g/L
Time frame: 14days
The time when serum albumin concentration reached ≥35 g/L
Time frame: 57 days
Abdominal circumference change
Time frame: 57 days
Weight change
Time frame: 57 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 10 Mar 2026.
- Individual participant dataSharing planned: No
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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.
Jidong Jia, Ph.D study director
Beijing Friendship Hospital
25 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Recombinant Human Serum Albumin and Human serum albumin in people with Cirrhotic Ascites, run by Beijing Protgen Biotechnology Development Co., Ltd. at 25 sites in China.
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 4 inclusion and 7 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 10 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 25 sites in China. 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 combined 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.
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?
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?
Changes in serum albumin concentration (time frame: 14 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 10 Mar 2026.