This study is a Multiple Ascending Dose study to Explore the Tolerability, Safety and Pharmacokinetics/Pharmacodynamics of APG-1387 in Chronic Hepatitis B Patients.
APG-1387 is a potent, bivalent small-molecule IAP antagonist. This study is multi-center, single-agent, open-label, Phase I dose-escalation study of APG-1387. This study has a 4-dose-schedule which is escalated one by one after confirming safety in the previous lower dose schedule. A total of 60 subjects with Chronic Hepatitis B will be participated in the study. APG-1387 will be administrated via intravenous infusion, once a week for consecutive 4 weeks as one cycle.The start dose is 7mg. 3 patients' cohorts will be evaluated, the dose of APG-1387 will be increased in subsequent cohorts, to 12mg, 20 mg, 30 mg, 45 mg accordingly. 3 patients in 7mg,12mg cohorts and 6 patients in 20mg, 30mg and 45mg cohorts will be recruited. If there is any one of the following event is observed within 28 days of the first dose of APG-1387, the recruitment will be hold and a discussion on MTD dose level will happened.1 ≥1/2 patients experience ≥Grade 2 toxicities\[CTCAE 4.0.3\] related or possibly related with APG-1387 and with clinical manifestation. 2 ≥1/3 patients experience ≥Grade 3 toxicities\[CTCAE 4.0.3\] related or possibly related with APG-1387.3 any SAE related or possibly related with APG-1387. Expansion study will be designed to explore primary efficacy and safety after the dose escalation study. The expansion number and dosage will be decided according to the results of each cohort.(no more than 36 patients).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
49
Multiple dose cohorts, 30 minute IV infusion, once weekly for 4 weeks .
Nanfang Hospital of Southern Medical University
Guangzhou, Guangdong, China
Guangzhou Eighth People's Hospital
Guangzhou, Guangdong, China
Maximum Tolerated Dose (MTD)
Patients with APG-1387 treatment related adverse events (AE), serious adverse events (SAE) will be assessed according NCI CTCAE Version 4.0.3
Time frame: 28 days
Pharmacokinetic evaluation
Maximum plasma concentration (Cmax) will be assessed in the patients treated with APG-1387.
Time frame: 28 days
Pharmacokinetic evaluation
Area under the plasma concentration versus time curve (AUC) will be assessed in the patients treated with APG-1387 .
Time frame: 28 days
Change in serum HBV DNA from baseline at Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84 and Day 112.
treatment effects of APG-1387 on Chronic Hepatitis B
Time frame: Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84,and Day 112
Change in serum HBsAg from baseline at Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84 and Day 112.
treatment effects of APG-1387 on Chronic Hepatitis B
Time frame: Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84,and Day 112
Change in serum HBeAg from baseline at Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84 and Day 112.
treatment effects of APG-1387 on Chronic Hepatitis B
Time frame: Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84,and Day 112
Change in serum HBsAb from baseline at Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84 and Day 112.
treatment effects of APG-1387 on Chronic Hepatitis B
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Time frame: Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84,and Day 112
Change in serum HBeAb from baseline at Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84 and Day 112.
treatment effects of APG-1387 on Chronic Hepatitis B
Time frame: Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84,and Day 112
Change in serum HBcAb from baseline at Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84 and Day 112.
treatment effects of APG-1387 on Chronic Hepatitis B
Time frame: Day 1, Day 8, Day15, Day 22, Day28,Day56,Day84,and Day 112