This is an open-label, multicenter, randomized, active control study, comparing P1101 monotherapy to entecavir monotherapy in patients with HBeAg-negative chronic hepatitis B under long-term nucleos(t)ide analogue therapy.
Eligible patients will be randomized in a 2:1 ratio (P1101 monotherapy vs. Entecavir monotherapy) using a computer-generated permuted block randomization scheme. Subjects will be treated with 450 µg of P1101 every two weeks or with 0.5 mg of Entecavir monotherapy once per day. Primary endpoint will be evaluated at week 48. Subjects will receive treatment with a total duration of 72 weeks. The follow-up (treatment-free) period is 24 weeks following completion of treatment. Switch from the other nucleos(t)ide analogue therapy to entecavir will occur at week 0 (Randomization), while the dose of Entecavir will be 0.5 mg.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
90
Ropeginterferon alfa-2b 450 µg subcutaneous injection every two weeks
Entecavir 0.5 mg once per day
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, Taiwan
NOT_YET_RECRUITINGChina Medical University Hospital
Taichung, Taiwan
NOT_YET_RECRUITINGNational Taiwan University Hospital
Taipei, Taiwan
RECRUITINGUndetectable HBsAg
HBsAg loss at week 48
Time frame: Week 48
Undetectable HBsAg
HBsAg loss at weeks 72 and 96
Time frame: weeks 72 and 96
HBsAg level
HBsAg reduction \> 1 log from baseline to weeks 12, 24, 48, 72 and 96
Time frame: weeks 12, 24, 48, 72 and 96
HBsAg and anti-HBs level
HBsAg seroconversion at weeks 48, 72 and 96
Time frame: weeks 48, 72 and 96
HBsAg level
Mean HBsAg decline from baseline to weeks 12, 24, 48, 72, and 96
Time frame: weeks 12, 24, 48, 72, and 96
Reappearance of HBsAg
HBsAg seroreversion at weeks 72 and 96
Time frame: weeks 72 and 96
HBV DNA level
Percentage of subjects with HBV DNA \> 2,000 IU/ml at week 96
Time frame: week 96
HBV DNA and alanine aminotransferase (ALT) level
Percentage of subjects with HBV DNA \> 2,000 IU/ml and ALT \> 2x ULN at week 96
Time frame: week 96
Sustained suppression of HBV DNA
Sustained suppression of HBV DNA less than the lower limit of qualification at week 96.
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Taipei Medical University Hospital
Taipei, Taiwan
NOT_YET_RECRUITINGTaipei Veterans General Hospital
Taipei, Taiwan
NOT_YET_RECRUITINGTime frame: week 96
HBeAg level
To compare the proportion of HBeAg seroreversion and seroconversion at weeks 72 and 96 across treatment arms.
Time frame: weeks 72 and 96