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Cirrhotic AscitesPhase 2/3NCT05858853

Phase II/III of Recombinant Human Serum Albumin

A Phase 2/3 study testing Recombinant Human Serum Albumin and Human serum albumin in people with Cirrhotic Ascites, run by Beijing Protgen Biotechnology Development Co., Ltd. at 25 sites in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a randomized, double-blind, position-controlled, parallel group phase II/III clinical study of recombinant human serum albumin (rHSA) in cirrhotic ascites patients. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Cirrhotic Ascites
What is being tested?
Recombinant Human Serum Albumin and Human serum albumin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
92 participants
Where
25 sitesChina
Study dates
24 May 2023to 15 Sep 2023
Phase
Phase 2/3
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Agreed to follow the experimental treatment plan and visit plan, voluntarily enrolled in the group, and signed the informed consent in person;
  • Age ≥18 years old and ≤70 years old, regardless of gender, on the date of signing the informed consent; Body mass index (BMI) was in the range of 18.0 to 29.0 kg/m2 (including boundary values);
  • Patients clinically diagnosed with decompensated cirrhosis with ascites of grade 1 to grade 2 and serum albumin (ALB) <30 g/L were confirmed by abdominal ultrasound examination during the screening period.
  • Fertile men and women of childbearing age (women of childbearing age include premenopausal women and women within 2 years after menopause) are willing to sign the informed consent from the time after the last administration of the investigational drug 3 Take effective contraceptive measures (condom, contraceptive sponge, contraceptive gel, contraceptive film, intrauterine device, oral or injectable contraceptive, subcutaneous implant, etc.) within a month; Pregnancy test results must be negative for women of childbearing age within 7 days or less before the initial trial drug administration.

Who cannot join

  • People who have a known history of allergy/allergic reaction to yeast or yeast-derived products, or to any component of the study preparation; Allergic constitution (multiple drug or food allergy), or have a history of biological product allergy, other causes Had a history of severe systemic anaphylaxis and was judged by the investigator to be unsuitable for treatment with the experimental drug;
  • At the time of screening, there were severe digestive diseases and complications that were deemed unsuitable for participation in this study by the investigators, including but not limited to malignant ascites and a diagnosis of Grade III or IV liver according to the West-Haven grading criteria Patients with encephalopathy, portal vein cancer thrombus/thrombus, circulatory dysfunction after abdominal puncture, obstructive biliary tract disease identified by ultrasound or other imaging, gastrointestinal bleeding who stopped bleeding less than 10 days after treatment or did not effectively stop bleeding after endoscopic ligation, or who were at greater risk of bleeding during the trial as assessed by the investigator (e.g., before screening) Gastroscopy within 3 months indicated severe esophageal and fundus varices with positive red sign);
  • At the time of screening, there was a history of active cardiovascular disease or other conditions that the investigator judged unsuitable for human albumin therapy, including, but not limited to, hypertension (systolic blood pressure >140 mmHg or diastolic blood pressure >90 mmHg, The investigators judged that patients were well controlled and stable), severe anemia, acute heart disease, severe cardiopulmonary or structural heart disease, severe arrhythmia, decompensated heart failure (normal or high blood volume), unstable angina, and nearly 6 Myocardial infarction, medicated tachycardia/bradycardia, third-degree atrioventricular block occurred within a month;
  • Patients with active metabolic system diseases or medical history (except diabetic patients with good blood glucose control) at the time of screening, or patients with combined renal function injury who are not suitable for serum albumin treatment according to the investigators;
  • If there are serious underlying diseases during screening, the researchers think it is not suitable to participate in this study. These include, but are not limited to, active malignancies (including hepatocellular carcinoma [HCC]), pulmonary edema, bleeding prone or active bleeding diseases, uncontrolled infections (including active spontaneous bacterial peritonitis [SBP]), thyroid dysfunction (according to the National Cancer Institute Standard for Common Terminology for Adverse Events [NCI CTCAE] version 5.0 3 Grade and above), etc.;
  • The patient has the following abnormalities in laboratory examination:
  • (1). Liver function: alanine aminotransferase (ALT) > 5×ULN (upper limit of normal value); Aspartate aminotransferase (AST) >5×ULN; Serum bilirubin (TBIL) >4× the upper limit of normal (ULN) or was deemed unsuitable for trial participation by the investigator; (2) Renal function: serum creatinine >3× upper limit of normal (ULN), urine protein positive and deemed unfit for study; (3) Bone marrow function: absolute value of neutrophil (ANC) <1.0×10^9/L; Platelet (PLT) <20×10^9/L; Hemoglobin (HGB) <70 g/L; (4) Coagulation function: prothrombin time (PT) extended >5s; 7. Persons who have been treated with human plasma preparations (including human blood albumin preparations) within 7 days prior to the initial administration of the experimental drug; People with a history of organ transplantation; Those who need or plan to undergo interventional invasive testing or therapy during the study; 8. Those who have participated in or are participating in clinical trials of other new drugs or medical devices and have used investigational drugs/investigational treatments within 30 days prior to screening; 9. Those who test positive for antibodies to the human immunodeficiency virus (HIV); 10. Pregnant or lactating women; 11. Other reasons why the researcher considered it inappropriate to participate in the study.

Trial locations and contacts

25 sites in 1 country.

25 sites in 1 country

China25 sites
  • Beijing Ditan Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100000

  • Beijing Friendship Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100000

  • Beijing YouAn Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100000

  • The First People's Hospital of Changde City (Department of Infectious Diseases)

    Changde, Hunan, 415000

  • The First People's Hospital of Changde City(Department of Gastroenterology)

    Changde, Hunan, 415000

  • The First Hospital of Changsha

    Changsha, Hunan, 410005

  • The Affiliated Hospital of Xiangnan University

    Chenzhou, Hunan, 423000

  • Shunde Hospital of Southern Medical University

    Foshan, Guangdong, 528000

  • Guangzhou Eighth People's Hospital, Guangzhou Medical University (Department of Hepatology)

    Guangzhou, Guangdong, 510000

  • Central Hospital of Hengyang

    Hengyang, Hunan, 421000

  • The First Affiliated Hospital of University of South China (Department of Infectious Diseases)

    Hengyang, Hunan, 421000

  • The First Affiliated Hospital of University of South China(Department of Gastroenterology)

    Hengyang, Hunan, 421000

  • Shandong Public Health Clinical Center

    Jinan, Shandong, 250000

  • Linfen Central Hospital

    Linfen, Shanxi, 041000

  • The Ninth Hospital of Nanchang

    Nanchang, Jiangxi, 330000

  • Pingxiang No.2 People's Hospital

    Pingxiang, Jiangxi, 337000

  • Pingxiang People's Hospital

    Pingxiang, Jiangxi, 337000

  • Shenzhen Protgen Co., Ltd.

    Shenzhen, Guangdong, 518000

  • Meihekou Central Hospital

    Tonghua, Jilin, 135099

  • Xinyang Central Hospital

    Xinyang, Henan, 464000

  • Yiyang Central Hospital

    Yiyang, Hunan, 413000

  • Yueyang Central Hospital

    Yueyang, Hunan, 414000

  • People's Hospital of Zhengzhou

    Zhengzhou, Henan, 450000

  • The Sixth People's Hospital of Zhengzhou

    Zhengzhou, Henan, 450000

  • Zhuzhou Central Hospital

    Zhuzhou, Hunan, 412000

Other trials in China

About this study

Official title: To Evaluate the Effectiveness of Recombinant Human Serum Albumin Versus Human Serum Albumin in Patients With Hepatic Cirrhosis and Safety of Random, Double-blind, Parallel Grouping Phase II/III Clinical Trial

This is a randomized, double-blind, position-controlled, parallel group phase II/III clinical study of recombinant human serum albumin (rHSA) in cirrhotic ascites patients.

Read the detailed description

This is a randomized, double-blind, position-controlled, parallel group phase II/III clinical study of recombinant human serum albumin (rHSA) in cirrhotic ascites patients.

It is divided into two phases: Phase II and Phase III. In phase II, the effect of rHSA on improving serum albumin level in cirrhotic ascites patients will be evaluated with different doses and courses of treatment, and the relationship between dose and efficacy will be determined, so as to provide basis for drug administration plan and sample size calculation of phase III study. In phase III, the efficacy of rHSA will be evaluated with the change of serum albumin concentration from baseline immediately after the completion of the last intravenous administration as the main index, and its safety, PD characteristics and immunogenicity will be further evaluated.

Being tested
Recombinant Human Serum Albumin, Human serum albumin

What participants receive

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

  • Recombinant Human Serum AlbuminDrug

    The experimental drug (recombinant human serum albumin injection) was administered 10 g/ day for 14 days

  • Recombinant Human Serum AlbuminDrug

    The experimental drug (recombinant human serum albumin injection) was administered 20 g/ day for 7 days

  • Human serum albuminDrug

    Control drug (human blood albumin injection) 10 g/ day for 14 days

  • Human serum albuminDrug

    Control drug (human blood albumin injection) 20 g/ day for 7 days

Study groups in NCT05858853
Study groupRoleWhat they receive
Group 1ExperimentalThe experimental drug (recombinant human serum albumin injection) was administered 10 g/ day for 14 days
Receives: Drug: Recombinant Human Serum Albumin
Group 2ExperimentalThe experimental drug (recombinant human serum albumin injection) was administered 20 g/ day for 7 days
Receives: Drug: Recombinant Human Serum Albumin
Group 3Active comparatorControl drug (human blood albumin injection) 10 g/ day for 14 days
Receives: Drug: Human serum albumin
Group 4Active comparatorControl drug (human blood albumin injection) 20 g/ day for 7 days
Receives: Drug: Human serum albumin

What is being measured

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

  1. Changes in serum albumin concentration

    Change in serum albumin concentration from baseline confirmed by albumin examination immediately after completion of last intravenous administration

    Measured: 14 days

Secondary outcomes (5)
  1. Ascites depth changes

    Change in ascites depth from baseline after administration

    Measured: 57 days

  2. Proportion of subjects with serum albumin concentration ≥35 g/L

    Proportion of subjects with serum albumin concentration ≥35 g/L confirmed by albumin examination at completion of final IV administration

    Measured: 14days

  3. The time when serum albumin concentration reached ≥35 g/L

    The time when serum albumin concentration reached ≥35 g/L

    Measured: 57 days

  4. Abdominal circumference change

    Changes in abdominal circumference from baseline after administration

    Measured: 57 days

  5. Weight change

    Change in body weight from baseline after administration

    Measured: 57 days

Timeline

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

  1. First posted15 May 2023
  2. Study start24 May 2023
  3. Primary completion15 Sep 2023
  4. Study completion15 Sep 2023

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
92 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05858853
Sponsor's protocol ID
rHSA 2020-3(Phase Ⅱ)
Status last verified
Mar 2026
First submitted
5 May 2023
Last updated
10 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Recombinant Human Serum Albumin and Human serum albumin in people with Cirrhotic Ascites, run by Beijing Protgen Biotechnology Development Co., Ltd. at 25 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 7 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 10 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 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 combined 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.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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?

Changes in serum albumin concentration (time frame: 14 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 10 Mar 2026.

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