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Hepatitis BPhase 2NCT00305019

Safety and Antiviral Activity of Clevudine in Patients Infected With Hepatitis B Virus

A Phase 2 study testing clevudine in people with Hepatitis B, run by Bukwang Pharmaceutical at 8 sites in South Korea.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to determine the antiviral effects and safety of clevudine 30 mg once a day (QD) and 50 mg QD in patients infected with hepatitis B virus (HBV). Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Hepatitis B
What is being tested?
clevudine
How many people
120 participants
Where
8 sitesSouth Korea
Study dates
Jul 2002to Mar 2004
Phase
Phase 2
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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patient who is between 18 and 60 years of age, inclusive
  • Patient who is HBV DNA positive with DNA levels at screening more than 3 x 10^6 copies/mL.
  • Patient who is documented to be hepatitis B surface antigen (HBsAg) positive for > 6 months. Patient is HBeAg positive and anti-HBe negative.
  • Evidence of HBsAg (+) for the previous 6 months may include the following:
  • documentation of HBsAg (+) for the previous 6 months
  • documentation of HBsAg (+) for the previous 3 months and IgM anti-HBc negative at screening
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  • IgM anti-HBc negative and IgG anti-HBc positive at screening
  • Patient who has ALT levels which are in the range of more than 2 to less than 10 times the upper limit of normal (x ULN) and bilirubin levels < 1.5 x ULN.
  • Female patient with a negative serum (HCG) pregnancy test taken within 14 days of starting therapy.
  • Patient who is able to give written informed consent prior to study start and to comply with the study requirements.
  • Patients who continue to meet the following criteria after completion of the Week 36 visit will have additional follow-up visits at Week 40, 44, 48:
  • have received no additional therapy since completion of 12 weeks of treatment of L-FMAU and
  • continue with period 1 log10 decrease in HBV DNA from baseline.

Who cannot join

  • Patient who is currently receiving antiviral, immunomodulatory or corticosteroid therapy.
  • Patients previously treated with lamivudine, lobucavir, adefovir or any other investigational nucleoside for HBV infection.
  • Patients with previous treatment with interferon that have ended less than 6 months prior to the screening visit.
  • Patient who has a history of ascites, variceal hemorrhage or hepatic encephalopathy.
  • Patient who is coinfected with hepatitis C virus (HCV), hepatitis D virus (HDV) or HIV.
  • Patient with clinical evidence of cirrhosis or hepatocellular carcinoma
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  • Patient who is pregnant or breast-feeding.
  • Patient who is unwilling to use an "effective" method of contraception during the study and for up to 30 days after the use of study drug ceases. For males, condoms should be used. Females must be surgically sterile (via hysterectomy or bilateral tubal ligation), post-menopausal or using at least a medically acceptable barrier method of contraception (i.e., intrauterine device [IUD], barrier methods with spermicide or abstinence)
  • Patient who has a clinically relevant history of abuse of alcohol or drugs.
  • Patient who has a significant gastrointestinal, renal, hepatic (decompensated), bronchopulmonary, neurological, cardiovascular, oncologic or allergic disease.
  • Patient who has creatinine clearance less than 60 mL/min as estimated by the following formula:
  • (140-age in years) (body weight [kg])/ (72) (serum creatinine [mg/dL]) [Note: multiply estimates by 0.85 for women]
  • Patients found to have tyrosine, methionine, aspartate, aspartate (YMDD) HBV DNA polymerase mutation after the enrollment will be excluded from the efficacy evaluation but included in the safety evaluation.

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

South Korea8 sites
  • Kangdong Sacred Heart Hospital

    Gildong, Kangdong-Gu, Seoul, 134-701

  • Korea University Guro Hospital

    Guro-dong, Guro-ku, Seoul, 152-703

  • Samsung Medical Center

    Ilwon-dong, Kangnam-Gu, Seoul, 135-710

  • Ewha Womans University Hospital

    Mokdong, Yangchon-Gu, Seoul, 911-1

  • Asan Medical Center

    P’ungnabi-dong, Songpa-Gu, Seoul, 388-1

  • Yongdong Severance Hospital

    Togok-tong, Kangnam-Gu, Seoul, 146-92

  • Seoul National University

    Yeongeon-dong, Jongno-Gu, Seoul, 110-744

  • St. Mary's Hospital

    Youido, Yougdungpo-Gu, Seoul, 150-713

Other trials in South Korea

About this study

Official title: A Double- Blind, Randomized, Placebo-Controlled Study to Evaluate the Safety and Antiviral Activity of Clevudine 30 Mg QD and 50 Mg QD Doses in Patients Infected With Hepatitis B Virus

The purpose of this study is to determine the antiviral effects and safety of clevudine 30 mg once a day (QD) and 50 mg QD in patients infected with hepatitis B virus (HBV).

Conditions
Hepatitis B
Being tested
clevudine
Medical subject headings
Hepatitis B

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • clevudineDrug

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Efficacy: Change from baseline in HBV DNA (log10)

Secondary outcomes (10)
  1. Efficacy: Proportion of patients with HBV DNA below 1 pg/mL

  2. Proportion of patients with HBV DNA below the assay limit of detection (LOD) (SuperDigene HC test II LOD, <4,700 copies/mL)

  3. Proportion of patients with hepatitis Be antigen (HBeAg) loss

  4. Seroconversion rate (HBeAg loss and hepatitis Be antibody [HBeAb] positivity)

  5. Biochemical improvement (e.g., ALT normalization)

  6. Safety

  7. Laboratory tests

  8. Adverse Events

  9. Vital Signs

  10. Electrocardiogram (ECG)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Mar 2006 (estimated)
  2. Study startJul 2002
  3. Study completionMar 2004

Resources

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
120 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00305019
Sponsor's protocol ID
L-FMAU-201
Status last verified
Apr 2006
First submitted
17 Mar 2006
Last updated
12 Apr 2006
Results posted
No

Publications

  • Lee HS, Chung YH, Lee K, Byun KS, Paik SW, Han JY, Yoo K, Yoo HW, Lee JH, Yoo BC. A 12-week clevudine therapy showed potent and durable antiviral activity in HBeAg-positive chronic hepatitis B. Hepatology. 2006 May;43(5):982-8. doi: 10.1002/hep.21166.

    PubMed 16628625

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing clevudine in people with Hepatitis B, run by Bukwang Pharmaceutical at 8 sites in South Korea.

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 13 inclusion and 13 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: stopped early, as of the sponsor's last update on 12 Apr 2006. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in South Korea. 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 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.

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 was stopped early. Results are not available in the source record.

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?

Efficacy: Change from baseline in HBV DNA (log10). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00305019, which also lists 1 linked publication.

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 12 Apr 2006.

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