Clinical Trial of TQA3605 Tablet in Combination With Nucleos(t)Ide Analogues(NAs) Versus NAs Alone for the Treatment of Patients With Chronic Hepatitis B Virus Infection Who Have Undergone Treatment and Exhibit Low Viral Load or Poor Response

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-65
SponsorChia Tai Tianqing Pharmaceutical Group Co., Ltd.

About this trial

This is a multicenter, randomized, double-blind, placebo-controlled Phase III study with an open-label extension. The purpose is to evaluate efficacy and safety in adult patients with chronic hepatitis B virus infection who have received at least 12 months of NAs therapy, to demonstrate that TQA3605 Tablets combined with oral nucleos(t)ide analogues can improve efficacy with satisfactory safety profile compared with oral nucleos(t)ide analogues alone in this population. Approximately 930 adult patients with chronic hepatitis B virus infection who have received at least 12 months of NAs therapy are planned to be enrolled in this study.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female participants aged 18-65 years (inclusive) at screening.

Able to communicate effectively with the investigator, understand and comply with all requirements of this study, and understand and sign the informed consent form.

Have received continuous treatment with nucleos(t)ide analogues (entecavir, tenofovir disoproxil fumarate, tenofovir alafenamide fumarate or tenofovir amibufenamide) or NAs combination therapy for ≥ 12 months at screening, with a stable single regimen for ≥ 6 months (medication adherence > 90% in the past 12 months, with no treatment interruption exceeding 15 consecutive days).

Etiological evidence is available at screening to confirm chronic HBV infection of more than 1 year (HBsAg positive and/or HBV DNA positive for at least 1 year).

Disqualifiers

Pregnant women (positive pregnancy test) or breastfeeding women.

Co-infection with other viruses such as HAV, HCV, HDV, HEV, HIV, or syphilis (participants with positive syphilis antibody who require treatment as judged by the investigator; Participants with positive HCV antibody and negative HCV RNA may not be excluded).

History of liver cirrhosis; or liver histopathology obtained within 1 year prior to screening indicating Metavir ≥ S3, Scheuer ≥ S3 or Ishak ≥ S4; or FibroScan result ≥ 9.0 kPa within 6 months prior to screening; or previous endoscopy revealing esophageal and gastric varices; or suspected liver cirrhosis identified on abdominal ultrasonography at screening, such as ascites, hepatic encephalopathy, and bleeding from esophageal and gastric varices.

History of hepatocellular carcinoma (HCC) or suspected HCC at or prior to screening (e.g., suspicious lesions on imaging, or AFP ≥ 50 ng/mL).

Trial design

Design model

Parallel

Treatments tested in this trial

  • TQA3605 tablets Placebo

    Drug

    Placebo contains no active substance.

  • TQA3605 tablets

    Drug

    TQA3605 tablets are core protein allosteric modulators

  • Entecavir dispersible tablets

    Drug

    Entecavir dispersible tablets are a type of nucleoside analog antiviral drug.

  • Tenofovir Disoproxil Fumarate Tablets

    Drug

    Tenofovir Disoproxil Fumarate (TDF) is a nucleoside reverse transcriptase inhibitor.

  • Tenofovir Alafenamide Fumarate Tablets

    Drug

    Tenofovir Alafenamide Fumarate (TAF) is a nucleoside reverse transcriptase inhibitor.

  • Tenofovir Amibufenamide Tablets

    Drug

    Tenofovir Amibufenamide (TMF) is a phosphoramidate prodrug of tenofovir and belongs to nucleos(t)ide reverse transcriptase inhibitors.

Treatment groups

930 Participants
are divided into 2 treatment groups
Group A: TQA3605 Tablets + NAsExperimental treatment 5 interventions
Group B: TQA3605 Tablets Placebo + NAsPlacebo comparator 6 interventions

Trial outcomes

Primary outcomes

1

HBV DNA

Difference in the percentage of trial participants achieving HBV DNA less than 10 IU/mL after 48 weeks of treatment between the treatment group and the control group

Time frame
48 weeks

Secondary outcomes

1

HBV DNA

Percentage of trial participants with HBV DNA less than 10 IU/mL at each visit (excluding Week 48)

Time frame
Baseline to week 104
2

HBV DNA

Percentage of trial participants with HBV DNA less than 20 IU/mL at each visit

Time frame
Baseline to week 104
3

HBsAg

Percentage of trial participants with HBsAg less than 0.05 IU/mL;

Time frame
Baseline to week 104
4

HBeAg

Percentage of trial participants achieving HBeAg seroclearance and/or seroconversion

Time frame
Baseline to week 104

Other outcomes

Sponsors and contacts

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