Chronic HBV InfectionPhase 2NCT04147208
Evaluate the Safety, Tolerability, and Antiviral Activity of GLS4 With Ritonavir in Patients With Chronic HBV Infection
A Phase 2 study testing GLS4, RTV and ETV in people with Chronic HBV Infection, run by Sunshine Lake Pharma Co., Ltd. at 37 sites in China.
Trial summary
The experiment is divided into two parts: Part 1 and Part 2.Part 1 was the initial treatment patient and Part 2 was the treated patient. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Chronic HBV Infection
- What is being tested?
- GLS4, RTV and ETV
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 250 participants
- Where
- 37 sitesChina
- Study dates
- 28 Feb 2019to 14 Sep 2023
- 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Chronic HBV infection population
- HBeAg positive
- HBsAg≥250 IU/mL
- No cirrhosis
Who cannot join
- AST>5×ULN
- Platelet count less than 90E+09/L
- TBil>1.5×ULN
- albumin<35 g/L
- INR>1.5
- AFP>50 ng/mL
Trial locations and contacts
37 sites in 1 country.
37 sites in 1 country
China37 sites
Beijing Ditan Hospital Affiliated to Capital Medical University
Beijing, Beijing Municipality, 100020
Peking University People's Hospital
Beijing, Beijing Municipality, 100044
Beijing YouAn Hospital,Capital Medical University
Beijing, Beijing Municipality, 100069
The first hospital of jilin university
Changchun, Jilin, 130012
The second hospital of jilin university
Changchun, Jilin, 130041
Xiangya Hospital, Central South University
Changsha, Hunan, 410008
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041
Sichuan Provincial People's Hospital
Chengdu, Sichuan, 610072
The second affiliated hospital of ChongQing medical university
Chongqing, Chongqing Municipality, 400010
The first affiliated hospital of ChongQing medical university
Chongqing, Chongqing Municipality, 400042
Mengchao Hepatobiliary Hospital of Fujian Medical University
Fuzhou, Fujian, 350025
Guangzhou Eighth People's Hospital
Guangzhou, Guangdong, 510060
Nanfang Hospital of Southern Medical University
Guangzhou, Guangdong, 510515
The third affiliated hospital of sun yat-sen university
Guangzhou, Guangdong, 510630
Affiliated hospital of Guizhou medical university
Guiyang, Guizhou, 550001
Hainan General Hospital
Haikou, Hainan, 570311
The fourth affiliated hospital of Harbin medical university
Harbin, Heilongjiang, 150001
The First Hospital of Lanzhou University
Lanzhou, Gansu, 730000
The People's Liberation Army No.81 Hospital
Nanjing, Jiangsu, 210002
The Second Hospital of Nanjing
Nanjing, Jiangsu, 210003
Nanjing Gulou Hospital
Nanjing, Jiangsu, 210008
The first affiliated hospital of Guangxi medical university
Nanning, Guangxi, 530021
Qingdao municipal hospital
Qingdao, Shandong, 266011
Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200020
Huashan Sub-Hospital of Fudan University
Shanghai, Shanghai Municipality, 200040
Shanghai putuo district central hospital
Shanghai, Shanghai Municipality, 200062
Shanghai Public Health Clinical Center
Shanghai, Shanghai Municipality, 201500
Tianjin third central hospital
Tianjing, Tianjing, 300170
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000
The Central Hospital of Wuhan
Wuhan, Hubei, 430010
Union Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology
Wuhan, Hubei, 430022
Tongji Hospital Affiliated to Tongji Medical College of Huazhong University Science & Technology
Wuhan, Hubei, 430030
The second affiliated hospital of air force medical university
Xi’an, Shanxi, 710038
The First Affiliated Hospital of Xi'an Jiaotong University
Xi’an, Shanxi, 710061
Henan Provincial People's Hospital
Zhengzhou, Henan, 450003
The Third People's Hospital of Zhenjiang
Zhenjiang, Jiangsu, 212004
Affiliated hospital of ZunYi medical college
Zunyi, Guizhou, 563000
About this study
Official title: Evaluate the Safety, Tolerability, and Antiviral Activity of GLS4 With Ritonavir in Combination With Entecavir in Comparison With Entecavir Alone in Patients With Chronic HBV Who Are HBeAg Positive
The experiment is divided into two parts: Part 1 and Part 2.Part 1 was the initial treatment patient and Part 2 was the treated patient.
Read the detailed description
About 125 subjects were planned to be included and assigned to the experimental group and the control group according to 4:1.At the same time, a liver biopsy group was set up in each part of the population to receive liver biopsy during the screening period and 48 weeks after completion of drug administration, which was used to detect HBV DNA, cccDNA, HBsAg, and evaluate the degree of liver inflammation and fibrosis.
- Conditions
- Chronic HBV Infection
- Being tested
- GLS4, RTV, ETV
- Keywords
- Chronic HBeAg positive HBV Infection
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GLS4Drug
Also called Morphothiadine Mesilate Capsules
Administered GLS4 120 mg orally three times daily in fed state
RTVDrug
Also called Ritonavir tablet
Administered RTV 100 mg orally three times daily in fed state
ETVDrug
Also called Entecavir table
Administered orally ETV 0.5 mg once daily in fasted state
| Study group | Role | What they receive |
|---|---|---|
| Combination group | Experimental | Subjects will receive 96 weeks of GLS4+RTV+ETV. Receives: Drug: GLS4; Drug: RTV; Drug: ETV |
| Entecavir monotherapy | Active comparator | Subjects received 96 weeks of entecavir treatment Receives: Drug: ETV |
What is being measured
The primary outcome is the main question the study is designed to answer.
The value of serum HBsAg decreased from baseline
The value of serum HBsAg at 48 weeks of treatment was lowered compared with baseline.
Measured: 48 weeks after dosing
Secondary outcomes (5)
The value of serum HBeAg decreased from baseline
The value of serum HBeAg at 48 weeks of treatment was lowered compared with baseline.
Measured: 48 weeks after dosing
The value of HBV DNA decreased from baseline
The value of HBV DNA at 48 weeks of treatment was lowered compared with baseline.
Measured: 48 weeks after dosing
The value of serum HBsAg decreased from baseline
The value of serum HBsAg at 24 weeks of treatment was lowered compared with baseline.
Measured: 24 weeks after dosing
The value of serum HBeAg decreased from baseline
The value of serum HBeAg at 24 weeks of treatment was lowered compared with baseline.
Measured: 24 weeks after dosing
The value of HBV DNA decreased from baseline
The value of HBV DNA at 24 weeks of treatment was lowered compared with baseline.
Measured: 24 weeks after dosing
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Nov 2019
- Study start28 Feb 2019
- Primary completion23 Jun 2022
- Study completion14 Sep 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Chronic HBV InfectionStudies of the same condition, open and under way.
- More trials run by Sunshine Lake Pharma Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- None (open label)
- Enrolment
- 250 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sunshine Lake Pharma Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- junqi Niu, Doctor, Principal investigator, The First Hospital of Jilin University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04147208
- Sponsor's protocol ID
- PCD-DGLS4-18-002
- Status last verified
- Jun 2024
- First submitted
- 28 Oct 2019
- Last updated
- 21 Jun 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Zhang M, Gao Y, Kong F, Gao H, Yi Y, Wu C, Xin Y, Zheng S, Lu J, Han T, Zhao Y, Hu P, Mao X, Xie Q, Zhang J, Hou J, Gao Z, Lian J, Chen L, Shang J, Xie W, Mu M, Jin Z, Wang M, Lin S, Rao H, Yang D, Gong H, Luo L, Chen Y, Zhuang Y, Zhang Y, Gish RG, Tan Y, Zhang J, Niu J. Efficacy and safety of GLS4 with entecavir vs entecavir alone in chronic hepatitis B patients: A multicenter clinical trial. J Infect. 2025 Mar;90(3):106446. doi: 10.1016/j.jinf.2025.106446. Epub 2025 Feb 21.
PubMed 39988055
Study at a glance
From the registry record, last updated by the sponsor on 21 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluate the Safety, Tolerability, and Antiviral Activity of GLS4 With Ritonavir in Combination With Entecavir in Comparison With Entecavir Alone in Patients With Chronic HBV Who Are HBeAg Positive
- ClinicalTrials.gov ID
- NCT04147208
- Acronym / sponsor ID
- PCD-DGLS4-18-002
- Conditions
- Chronic HBV Infection
- Keywords
- Chronic HBeAg positive HBV Infection
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 250 participants (actual)
- Lead sponsor
- Sunshine Lake Pharma Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 28 Feb 2019 (actual)
- Primary completion
- 23 Jun 2022 (actual)
- Study completion
- 14 Sep 2023 (actual)
- First posted
- 1 Nov 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The experiment is divided into two parts: Part 1 and Part 2.Part 1 was the initial treatment patient and Part 2 was the treated patient.
Detailed description
About 125 subjects were planned to be included and assigned to the experimental group and the control group according to 4:1.At the same time, a liver biopsy group was set up in each part of the population to receive liver biopsy during the screening period and 48 weeks after completion of drug administration, which was used to detect HBV DNA, cccDNA, HBsAg, and evaluate the degree of liver inflammation and fibrosis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Combination group | Experimental | Drug: GLS4, Drug: RTV, Drug: ETVSubjects will receive 96 weeks of GLS4+RTV+ETV. |
| Entecavir monotherapy | Active comparator | Drug: ETVSubjects received 96 weeks of entecavir treatment |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Chronic HBV infection population
- HBeAg positive
- HBsAg≥250 IU/mL
- No cirrhosis
Key exclusion criteria (6 listed)
- AST>5×ULN
- Platelet count less than 90E+09/L
- TBil>1.5×ULN
- albumin<35 g/L
- INR>1.5
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GLS4Also: Morphothiadine Mesilate CapsulesAdministered GLS4 120 mg orally three times daily in fed state | Drug | Combination group |
| RTVAlso: Ritonavir tabletAdministered RTV 100 mg orally three times daily in fed state | Drug | Combination group |
| ETVAlso: Entecavir tableAdministered orally ETV 0.5 mg once daily in fasted state | Drug | Combination group, Entecavir monotherapy |
Primary outcome
The value of serum HBsAg decreased from baseline
Time frame: 48 weeks after dosing
The value of serum HBsAg at 48 weeks of treatment was lowered compared with baseline.
5 secondary outcomes
The value of serum HBeAg decreased from baseline
Time frame: 48 weeks after dosing
The value of HBV DNA decreased from baseline
Time frame: 48 weeks after dosing
The value of serum HBsAg decreased from baseline
Time frame: 24 weeks after dosing
The value of serum HBeAg decreased from baseline
Time frame: 24 weeks after dosing
The value of HBV DNA decreased from baseline
Time frame: 24 weeks after dosing
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jun 2024.
- Derived from this study: PubMed 39988055Zhang M, Gao Y, Kong F, Gao H, Yi Y, Wu C, Xin Y, Zheng S, Lu J, Han T, Zhao Y, Hu P, Mao X, Xie Q, Zhang J, Hou J, Gao Z, Lian J, Chen L, Shang J, Xie W, Mu M, Jin Z, Wang M, Lin S, Rao H, Yang D, Gong H, Luo L, Chen Y, Zhuang Y, Zhang Y, Gish RG, Tan Y, Zhang J, Niu J. Efficacy and safety of GLS4 with entecavir vs entecavir alone in chronic hepatitis B patients: A multicenter clinical trial. J Infect. 2025 Mar;90(3):106446. doi: 10.1016/j.jinf.2025.106446. Epub 2025 Feb 21.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
junqi Niu, Doctor principal investigator
The First Hospital of Jilin University
37 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing GLS4, RTV and ETV in people with Chronic HBV Infection, run by Sunshine Lake Pharma Co., Ltd. at 37 sites in China.
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 4 inclusion and 6 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: finished, as of the sponsor's last update on 21 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 37 sites in China. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
The value of serum HBsAg decreased from baseline (time frame: 48 weeks after dosing). 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 NCT04147208, 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 21 Jun 2024.