ClinicalTrials.gg
Status unknownNCT03448744Updated Feb 28, 2018

Efficacy and Safety of Combination Therapy of Thymalfasin and Entecavir in HBeAg-positive ETV-experienced Patients

A Phase 4 interventional study of Thymosin Alpha1 and Entecavir in Chronic Hepatitis b, sponsored by Wen-hong Zhang. Status unknown at 1 site in China. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2018-02-28.

Sponsored by Wen-hong Zhang · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2018), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Oct 2017, registered Feb 2018).
Phase
Phase 4
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 374 studies in Hepatitis B, Chronic with a site in China — 87 open to participants now, 109 under way, 7 of them phase 3. Hepatitis B, Chronic · China.

Planned enrollment
82nd of 273
240 · median 120
Started
2017
with 14 others
Phase 4
73 of 374
6 open now
Registered
151st of 374
by date

Among the 374 studies in Hepatitis B, Chronic with a site in China, this one is the 82nd largest by planned enrollment of the 273 interventional ones, is one of 15 that started in 2017, is one of 73 in phase 4, and was the 151st registered.

By phase

374 studies; the count open now beside each. This study's row is marked.

Observational98 · 33 open
Phase 4this study73 · 6 open
Phase 272 · 15 open
Phase 150 · 16 open
No phase42 · 11 open
Phase 326 · 5 open
Phase 1/212 · 1 open
Phase 2/31 · 0 open

By the year they started

First in 2000; this study’s year is marked. 15 started in 2017.

Size and results

Median enrollment 120 across the 273 interventional studies, 500 across the 98 observational. Of the 151 that completed or were terminated, 29 (19%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 374 studies in Hepatitis B, Chronic with a site in China, or all of them as a file.
02

Study summary

This is a multicenter, randomized, open-label control trial of two arms conducted at 10 centres in China.The aim was to investigate whether sequential combination therapy with Thymosin alpha 1 and entecavir is superior to continuous ETV monotherapy in HBeAg-positive chronic hepatitis B patients with previous long-term entecavir therapy (≥ 2 years), and to select the optimal patients who may benefit from sequential combination therapy.

Read the detailed description

To investigate whether sequential combination therapy with Thymosin alpha 1 and entecavir is superior to continuous ETV monotherapy in HBeAg-positive chronic hepatitis B patients with previous long-term entecavir therapy (≥ 1 years), and to select the optimal patients who may benefit from sequential combination therapy.

03

Conditions studied

  • Chronic Hepatitis b

Browse trials for

Keywords

  • thymosin alpha
  • entecavir
04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • positive and anti-HBs negative for more than 6 months
  • Being currently treated with ETV ≥1 years
  • HBeAg positivity and HBV DNA \<60IU/mL with HBsAg \<1500IU/mL and HBeAg \<200S/CO at screening
  • ≤5* and total ≤2*ULN
  • Age ≥ 18 yrs but ≤ 55 yrs
  • Written

Exclusion criteria

Exclusion Criteria:

  • Patients who have for Thymosin alpha 1 in accordance with the approved summary of product characteristics
  • Patients with > 5 x or total >2*ULN
  • Patients with evidence of hepatocellular carcinoma at screening
  • Patients with score ≥7 or had a history of hepatic encephalopathy or esophageal pile or ascites
  • Patients with serological evidence of co-infection with hepatitis A virus, , or hepatitis D virus
  • Patients with a history of excessive drinking: male >40g/d,female >40g/d
  • Pregnant or breast-feeding women
  • A history of liver transplantation or planned for liver transplantation
  • Patients of disease
  • Patients with other diseases combined
  • Patients with creatinine >1.5*ULN
  • Investigator considered not proper for participating the trial
  • Patients with other maliginant tumor
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
240 participants (estimated)

Study arms

  • Experimental
    combiantion therapy group

    thymosin alpha 1 (1.6 mg subcutaneously injection twice a week) plus ETV (0.5 mg orally, daily) for 24 weeks, and followed by continuous ETV for at least 48 weeks

    Drug: Thymosin Alpha1 · Drug: Entecavir

  • Placebo comparator
    entecavir group

    ETV (0.5 mg orally, daily) at least for 72 weeks

    Drug: Entecavir

Interventions

  • Thymosin Alpha1 (1.6 mg subcutaneously injection twice a week) plus ETV (0.5 mg orally, daily) for 24 weeks, and followed by continuous ETV for at least 48 weeks

  • ETV (0.5 mg orally, daily) for 72 weeks

06

What researchers measure

Primary outcomes

  1. HBeAg seroconversion rate at week 72

    HBeAg seroconversion rate at week 72

    Time frame: week 72

Secondary outcomes

  1. HBeAg seroconversion rate at week 48

    HBeAg seroconversion rate at week 48

    Time frame: week 48

  2. HBsAg loss at week 48

    HBsAg loss at week 48

    Time frame: week 48

  3. HBsAg loss at week 72

    HBsAg loss at week 72

    Time frame: week 72

  4. HBsAg seroconversion at week 72

    HBsAg seroconversion at week 72

    Time frame: week 72

  5. HBsAg seroconversion at week 48

    HBsAg seroconversion at week 48

    Time frame: week 48

  6. HBsAg decline during the clinical trial

    HBsAg decline during the clinical trial

    Time frame: week 12, weeek 24, week 36, week 48 and week 72

  7. ALT normalization rate at week 72

    ALT normalization rate at week 72

    Time frame: week 72

  8. ALT normalization rate at week 48

    ALT normalization rate at week 48

    Time frame: week 48

  9. Rate of HBV DNA <20IU/mL at week 72

    Rate of HBV DNA \<20IU/mL at week 72

    Time frame: week 72

  10. Rate of HBV DNA <20IU/mL at week 48

    Rate of HBV DNA \<20IU/mL at week 48

    Time frame: week 48

07

Study locations

1 of 1 sites recruiting
  • Huashan Hospital of Fudan University
    Shanghai, Shanghai 200040, China
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2017 (actual). Primary completion is estimated for Dec 2018, 14 months after the start.

Of 46 non-industry phase 4 interventional studies under Hepatitis B, Chronic, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 40 and three quarters within 83. This study's planned 14 months is below that.

Counting every sponsor, half of 63 studies reached it within 43 months; a quarter within 30 and three quarters within 64.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 22, 2018
First posted
Feb 28, 2018
StartActual
Oct 25, 2017
Primary completionEst.
Dec 30, 2018
CompletionEst.
Dec 30, 2018
Last update
Feb 28, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 28, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03448744
Lead sponsor
Wen-hong Zhang
Responsible party
Wen-hong Zhang (Professor, Huashan Hospital) — Sponsor-investigator
First posted
Feb 28, 2018
Start date
Oct 25, 2017
Primary completion
Dec 30, 2018 (estimated)
Completion
Dec 30, 2018 (estimated)
Last update
Feb 28, 2018

Study contacts

Yiqi Yu, MD
Contact
yyq19890619@126.com
+86-21-52888123
Ying Yue, MD
Contact
ye_zicissy@sohu.com
+86-21-52888123
Wenhong Zhang, Ph.D
principal investigator · Department of Infectious Diseases, Huashan Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2018. You cannot join it, but the record below documents what was studied.

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Discussion

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