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Effect of Entecavir in Blacks/African Americans and Hispanics With Chronic Hepatitis B Virus (HBV) Infection
This study is currently recruiting participants.
Verified by Bristol-Myers Squibb, August 2009
First Received: August 29, 2006   Last Updated: November 16, 2009   History of Changes
Sponsor: Bristol-Myers Squibb
Information provided by: Bristol-Myers Squibb
ClinicalTrials.gov Identifier: NCT00371150
  Purpose

The purpose of this clinical research study is to develop observational clinical experience with the use of entecavir in patients who are either of Black/African-American race or of Hispanic ethnicity. (As of July 31, 2009, the recruitment for Black/African Americans was completed.)


Condition Intervention Phase
Hepatitis B Infection
Drug: Entecavir
Phase IV

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: A Study to Describe the Antiviral Effect of Entecavir (ETV) in Blacks/African Americans and Hispanics With Chronic Hepatitis B Virus (HBV) Infection Who Are Nucleoside-Naive

Resource links provided by NLM:


Further study details as provided by Bristol-Myers Squibb:

Primary Outcome Measures:
  • The proportion of subjects who achieve a virologic response, defined as HBV DNA < 50 IU/mL (approximately 300 copies/mL) [ Time Frame: at Week 48 of ETV treatment ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To estimate the proportions of subjects meeting the following endpoints [ Time Frame: at Week 48 ] [ Designated as safety issue: No ]
  • HBV DNA < lower limit of detection [ Time Frame: at Week 48 ] [ Designated as safety issue: No ]
  • Mean reduction from baseline in HBV DNA [ Time Frame: at Week 48 ] [ Designated as safety issue: No ]
  • Proportion with ALT normalization (≤ 1 x ULN) [ Time Frame: at Week 48 ] [ Designated as safety issue: No ]
  • Proportions with confirmed HBeAg loss and HBe seroconversion; and confirmed HBsAg loss and HBs seroconversion (for HBeAg-positive cohort only) [ Time Frame: at Week 48 ] [ Designated as safety issue: No ]
  • Number and percent of subjects with adverse events (AEs), serious AEs (SAEs), laboratory abnormalities and discontinuations due to AEs. [ Time Frame: at Week 48 ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 80
Study Start Date: November 2006
Estimated Study Completion Date: November 2018
Estimated Primary Completion Date: January 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A1: Experimental Drug: Entecavir
Tablets, Oral, 0.5 mg, once daily, up to 48 weeks

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

As of July 31, 2009, the recruitment for Black/African Americans was completed.

Inclusion Criteria:

  • Chronic HBV infection, with either HBeAg-positive (HBeAb-negative) or HBeAg-negative (HBeAb-positive) disease
  • Black/African American Race and/or Hispanic ethnicity (As of July 31, 2009, the recruitment for Black/African Americans was completed)
  • Nucleoside/tide-naive
  • Males or females ≥ 16 years of age (or minimum age required in a given country)
  • Compensated liver function
  • HBV DNA HBe-negative > 10^4 copies/mL HBe-positive > 10^5 copies/mL
  • ALT of 1.3 to 10 x ULN
  • No Co-infection with HIV, HCV or HDV

Exclusion Criteria

  • WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and for up to 6 weeks after study medication has been discontinued
  • Women who are pregnant or breastfeeding
  • Women with a positive pregnancy test on enrollment or prior to study drug administration
  • Evidence of decompensated cirrhosis including but not limited to: variceal bleeding; hepatic encephalopathy; or ascites requiring management with diuretics or paracentesis
  • Coinfection with human immunodeficiency virus (HIV), hepatitis C virus (HCV; coinfection is defined as HCV Ab positive with detectable HCV ribonucleic acid [RNA] by PCR) or hepatitis D virus (HDV)
  • Recent history of pancreatitis (resolution of any recent pancreatitis must be documented by normal lipase at least 12 weeks prior to the first dose of study medication)
  • Currently abusing illegal drugs or alcohol sufficient, in the investigator's opinion, to prevent adequate compliance with study therapy or to increase the risk of hepatotoxicity or pancreatitis
  • Other serious medical conditions that might preclude completion of this study or that require chronic administration of prohibited medications
  • Serum creatinine > 1.5 mg/dL
  • Hemoglobin < 10.0 g/dL
  • Platelet count < 70,000/mm3
  • Absolute neutrophil count < 1200 cells/mm3
  • Serum alpha fetoprotein (AFP) level > 100 ng/mL. If the AFP level is between 21 and 100 ng/mL, it must be repeated. If the repeat AFP level is between 21 and 100 ng/mL and if ultrasonography or computerized tomography (CT) of the liver performed prior to the first dose of study medication does not demonstrate a focal lesion suggestive of carcinoma, the subject may be dosed in the study
  • Known history of allergy to nucleoside analogues
  • Any prior therapy with Entecavir
  • Any prior or concomitant use of nucleoside or nucleotide analogue antiviral agents with activity against hepatitis B (e.g., ETV, LVD, ADV, tenofovir [TDF], emtricitabine (FTC), clevudine, telbivudine [LdT], famciclovir), or any other experimental anti-HBV antiviral agent
  • Therapy with interferon, thymosin alpha or other immunostimulators within 24 weeks of enrollment (i.e., dosing) into this study
  • Subjects who require chronic administration of concomitant medications which cause immunosuppression or which are associated with a high rate of nephrotoxicity or hepatotoxicity, or which affect renal excretion, should not be enrolled in this study
  • Unable to tolerate oral medication
  • Poor peripheral venous access
  • Prisoners or subjects who are compulsorily detained (involuntarily incarcerated) for treatment of either a psychiatric or physical (e.g., infectious disease) illness must not be enrolled into this study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00371150

Contacts
Contact: For participation information at a USA site use a phone number below. For site information outside the USA please email: Clinical.Trials@bms.com
Contact: First line of email MUST contain NCT# & Site#. Only trial sites that are recruiting have contact information at this time.

  Show 21 Study Locations
Sponsors and Collaborators
Bristol-Myers Squibb
Investigators
Study Director: Bristol-Myers Squibb Bristol-Myers Squibb
  More Information

Additional Information:
No publications provided

Responsible Party: Bristol-Myers Squibb ( Study Director )
Study ID Numbers: AI463-085
Study First Received: August 29, 2006
Last Updated: November 16, 2009
ClinicalTrials.gov Identifier: NCT00371150     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Anti-Infective Agents
Communicable Diseases
Liver Diseases
Hepatitis, Chronic
Hepatitis, Viral, Human
Infection
Antiviral Agents
Hepadnaviridae Infections
Pharmacologic Actions
Hepatitis
Virus Diseases
Digestive System Diseases
Entecavir
Therapeutic Uses
Hepatitis B, Chronic
Hepatitis B
DNA Virus Infections

ClinicalTrials.gov processed this record on November 27, 2009