An Open Label, Dose-ranging Proof-of-concept Study Assessing the Safety and Efficacy of EBP921 in Therapy-naive Patients Chronically Infected With Delta Hepatitis (HDV)
EBP921
Hépatite D+5
+ Maladies du système digestif
+ Hépatite
Étude thérapeutique
Résumé
Date de début de l'étude : 1 janvier 2011
Date à laquelle le premier participant a commencé l'étude.This is an open-label, phase 1b, proof-of-concept study to assess the safety and efficacy of EBP921, a prenylation inhibitor, in subjects chronically infected with delta hepatitis. Subjects will be randomized to receive one of two different doses of EBP921. Dosing will occur over 28-days and during that time, evidence of antiviral response will be assessed by frequent measurements of HDV-RNA via PCR assay. In addition, safety lab data will also be collected along with surveillance monitoring of HBV activity.
Protocole
Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.3 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Traitement
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Tout sexe
Le sexe biologique des participants éligibles à s'inscrire.À partir de 18 ans
Tranche d'âge des participants éligibles à participer.Volontaires sains non autorisés
Indique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.Conditions
Pathologie
Critères
Inclusion Criteria: 1. Men and women age 18 or older with the capacity to give written informed consent 2. Patients with compensated chronic HDV infection as indicated by presence of anti-HDV in serum. 3. Liver biopsy should be performed within one-year of study screening and graded using the Knodell scoring system. 4. Presence of HDV antigen in liver tissue or HDV-RNA in serum. 5. Active HBV replication will not exclude patients. 6. Previous therapy with standard alpha-interferon or peginterferon will not exclude patients. 7. Patients who are HBV therapy-naïve or who previously received HBV antiviral therapy will be eligible. Patients currently taking HBV antiviral therapy will e considered on a case basis. 8. Female subjects of reproductive potential and female partners of male subjects should be on two reliable forms of contraception from the start of the study until 60 days from the end of EBP921 dosing. Exclusion Criteria: 1. Severe neuropsychiatric disorders 2. History or clinical manifestations of significant metabolic, hematological, pulmonary, ischemic heart disease, significant or unstable heart disease, gastrointestinal, neurological, renal, urological, endocrine, ophthalmologic disorders including severe retinopathy, or immune-mediated disease 3. Pregnant or breast-feeding patients or the inability to practice adequate contraception during the conduct of the study 4. Underlying autoimmune/immune-deficiency disease (e.g., lupus, sarcoidosis, celiac disease, HIV antibody positive, AIDS) 5. Chronic (\> 4 weeks duration) diarrhea 6. Body weight \> 128 kg and \< 40 kg 7. Uncompensated cirrhosis 8. Absolute neutrophil count less than 1500 per cubic millimeter 9. Platelet count less than 90,000 per cubic millimeter 10. Evidence of concurrent HCV infection with positive serum HCVRNA 11. Evidence of hepatocellular carcinoma 12. Active substance abuse (alcohol, inhaled or injected drugs) within the past 12 months 13. Diagnosis of malignancy in the previous five years excluding superficial dermatologic malignancies 14. Any experimental therapy in the previous 6 months prior to enrollment. 16\. Patients with a history of multiple drug resistant HBV 17. Patients receiving interferon therapy for any reason.
Plan de l'étude
Découvrez tous les traitements administrés dans cette étude, leur description détaillée et ce qu'ils impliquent.2 groupes d'intervention sont désignés dans cette étude
Cette étude ne comporte pas de groupe placebo.
Groupes de traitement
Groupe I
ExpérimentalGroupe II
ExpérimentalObjectifs de l'étude
Objectifs principaux
Objectifs secondaires
Centres d'étude
Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.Cette étude comporte 1 site