CClinicalTrials.gg
CompletedNCT05115942Updated Dec 20, 2024

Hydronidone for the Treatment of Liver Fibrosis Associated with Chronic Viral Hepatitis B Phase 3 Trial.

A Phase 3 interventional study of Hydronidone capsules and The placebo capsules in Liver Fibrosis, sponsored by Beijing Continent Pharmaceutical Co, Ltd.. Completed at 44 sites in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-12-20.

Sponsored by Beijing Continent Pharmaceutical Co, Ltd. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
248
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study was a randomized, double-blind, placebo-controlled, entecavir basic treatment, multicentre clinical study.

The main objective of this study was to confirm the efficacy and safety of hydronidone in the treatment of chronic hepatitis B liver fibrosis.

Read the detailed description

248 patients with chronic viral hepatitis B liver fibrosis were enrolled in this 52-week study, and randomized into hydronidone or placebo group. Each group has 124 patients. Both groups were treated with entecavir antiviral basic therapy.

02

Conditions studied

03

In context

Hepatitis B

1,656 studies on the registry are indexed under Hepatitis B; 196 are open to participants now.

This study's enrollment of 248 is above the median of 120 across 1,187 interventional studies indexed under Hepatitis B.

Browse Hepatitis B studies →

Lead sponsor

Beijing Continent Pharmaceutical Co, Ltd. is the lead sponsor of 25 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age from 18 to 65 years old (including 18 and 65 years old, based on the time of signing the written informed consent); gender is not limited.
  2. History of chronic hepatitis B and/or hepatitis B surface antigen (HBsAg) positive≥6 months.
  3. Percutaneous liver biopsy confirmed liver fibrosis (Ishak score ≥3).
  4. Positive HBV DNA.
  5. ALT \< 8 x ULN (standard upper limit).
  6. No antiviral therapy with interferon and/or nucleoside analogues within 3 months prior to enrollment.
  7. 3 months before inclusion, he/she had not received any of the following proprietary Chinese medicines that may have anti-fibrosis effects: Fuzheng Huayu Capsule (tablet), Anluo Huayu Pill, compound Bijiaruangan tablet, etc.
  8. The subject (or his/her sexual partner) had no pregnancy plan during the trial period and within 6 months after the trial, voluntarily used effective physical contraception, and had no sperm or egg donation plan.
  9. Before the trial, they have understood the nature, significance, potential benefits, inconvenience and potential dangers of the trial in detail, and have voluntarily participated in the clinical trial, have good communication with the researchers, comply with the requirements of the whole study, and have signed a written informed consent form.

Exclusion criteria

Exclusion Criteria:

  1. Massive upper gastrointestinal hemorrhage within 3 months before enrolment.
  2. Total bilirubin (TBiL) > 3×ULN, or 3×ULN \< ALT \< 8×ULN and TBiL > 2×ULN.
  3. AFP > 100 μg/L although there was no indication of liver cancer.
  4. Platelets (PLT) ≤60×109/L.
  5. Prothrombin activity (PTA) \< 50% or INR > 1.5.
  6. Imaging showed obvious space-occupying lesions in the liver, suggesting tumor.
  7. Body mass index (BMI) > 30 kg/m2.
  8. Patients with decompensated liver cirrhosis and liver malignant tumor.
  9. Patients with chronic hepatitis C or non-viral (alcoholic, non-alcoholic, drug, etc.) chronic hepatitis.
  10. Serious diseases of cardiovascular, pulmonary, renal, endocrine, neurological and haematological systems, as well as mental disorders .
  11. Women who are pregnant and/or breastfeeding.
  12. Have participated in clinical trials of other drugs in the last 3 months.
  13. The Investigator considers that there are any conditions that may affect the subjects' informed consent or adherence to the study protocol, or participation in the study may affect the study results or their own safety.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
248 participants (actual)

Study arms

  • Experimental
    Hydronidone group

    Patients were orally received hydronidone capsules,3 capsules each time, t.i.d. for 52 weeks.

    Drug: Hydronidone capsules

  • Placebo comparator
    The placebo group

    Patients were orally received placebo capsules,3 capsules each time, t.i.d. for 52 weeks.

    Drug: The placebo capsules

Interventions

  • DrugHydronidone capsules

    After randomization, the experimental group were orally received hydronidone capsules at a daily dose of 270 mg, 3 capsules each time, t.i.d,30 min before meals for 52 weeks.

    Also known as: F351

  • DrugThe placebo capsules

    After randomization, The control group were orally received placebo capsules at a daily dose of 270 mg, 3 capsules each time, t.i.d, 30 min before meals for 52 weeks.

    Also known as: N

06

What researchers measure

Primary outcomes

  1. Change in Ishak stage score of liver fibrosis by greater than or equal to 1 point after 52 weeks of treatment relative to baseline.

    Clinically, the liver pathology scoring system, Ishak system, is widely used make a detailed and accurate assessment of the degree of parenchymal fibrosis or cirrhosis of the nontumorous liver. Ishak system uses a scale of 7 stages (scores 0-6) for the degree of fibrosis; the higher the score, the higher degree the severity of the disease.

    Time frame: 52 weeks

Secondary outcomes

  1. Change in liver inflammation grade by greater than or equal to 1 grade after 52 weeks of treatment relative to baseline but with no progression of fibrosis.

    Scheuer score system is a liver pathology scoring system used for the diagnosis of liver inflammation and fibrosis pathology clinically; In the present trial, Scheuer system for scoring necroinflammatory activitt in chronic hepatitis will be used(G0-G4),the higher the score, the higher degree the severity of the disease.

    Time frame: 52 weeks

  2. Change in liver tissue inflammation grade by greater than or equal to 1 grade after 52 weeks of treatment relative to baseline.

    Scheuer score system is a liver pathology scoring system used for the diagnosis of liver inflammation and fibrosis pathology clinically; In the present trial, Scheuer system for scoring necroinflammatory activitt in chronic hepatitis will be used(G0-G4),the higher the score, the higher degree the severity of the disease.

    Time frame: 52 weeks

  3. Change in liver stiffness measurement values via transient elastography LSM (kPa)

    Change in liver stiffness measurement values via transient elastography LSM (kPa) values relative to baseline after 52 weeks of treatment.

    Time frame: Screening period/baseline and weeks 12, 24, 36, and 52 after treatment .

  4. Negative conversion (below the lower limit of detection) and the extent of decrease in HBV DNA

    Negative conversion (below the lower limit of detection) and the extent of decrease in HBV DNA after 52 weeks of treatment.

    Time frame: Screening period/baseline and weeks 4, 8, 12, 24, 36, and 52 after treatment.

  5. Normalization and the degree of improvement of the indicators of liver function ALT after 52 weeks of treatment.

    ALT is one of the indicators to assess liver function and detect liver damage. When hepatic cells are affected by injury or disease, ALT is released into the blood, resulting in elevated ALT levels in the blood.

    Time frame: Screening period/baseline and weeks 4, 8, 12, 24, 36, and 52 after treatment.

  6. Safety endpoints:Laboratory examination(AFP test)

    AFP test: the serum AFP will be detected.

    Time frame: Screening period/baseline and weeks 4, 8, 12, 24, 36, and 52 after treatment.

  7. Safety endpoints:AE

    Adverse events (AEs) refer to any adverse medical events that occur after the patient takes the study drug and can manifest as signs and symptoms, disease, or abnormal laboratory tests, but are not necessarily consequently related to the study drug. Information on AEs and Concomitant medications occurring in patients will be collected at the time points specified in the study schedule. AEs will be evaluated with reference to the Common Adverse Events Evaluation Criteria (NCI-CTCAE version 5.0).

    Time frame: 52 weeks

  8. Safety endpoints:Laboratory examination(Metabolic panel-AST)

    Metabolic panel: The panel includes aspartate aminotransferase (AST),which is one of the indicators to assess liver function and detect liver damage.

    Time frame: Screening period/baseline and weeks 4, 8, 12, 24, 36, and 52 after treatment.

  9. Safety endpoints:Laboratory examination(Metabolic panel-GGT)

    Metabolic panel: The panel includes gamma-glutamyl transpeptidase (GGT),which is one of the indicators to assess liver function .

    Time frame: Screening period/baseline and weeks 4, 8, 12, 24, 36, and 52 after treatment.

  10. Safety endpoints:Laboratory examination(Metabolic panel-ALP)

    Metabolic panel: The panel includes alkaline phosphatase (ALP),which is one of the indicators to assess liver function .

    Time frame: Screening period/baseline and weeks 4, 8, 12, 24, 36, and 52 after treatment.

  11. Safety endpoints:Laboratory examination(Metabolic panel-TP)

    Metabolic panel: The panel includes total protein (TP), which is one of the indicators to assess liver function .

    Time frame: Screening period/baseline and weeks 4, 8, 12, 24, 36, and 52 after treatment.

  12. Safety endpoints:Laboratory examination(Metabolic panel-A)

    Metabolic panel: The panel includes albumin (A) , which is one of the indicators to assess liver function .

    Time frame: Screening period/baseline and weeks 4, 8, 12, 24, 36, and 52 after treatment.

  13. Safety endpoints:Laboratory examination(Metabolic panel-TBiL)

    Metabolic panel: The panel includes total bilirubin (TBiL) , which is one of the indicators to assess liver function .

    Time frame: Screening period/baseline and weeks 4, 8, 12, 24, 36, and 52 after treatment.

  14. Safety endpoints:Laboratory examination(Metabolic panel-DBiL)

    Metabolic panel: The panel includes direct bilirubin (DBiL) , which is one of the indicators to assess liver function .

    Time frame: Screening period/baseline and weeks 4, 8, 12, 24, 36, and 52 after treatment.

07

Study locations

44 sites
  • The First Affiliated Hospital of Bengbu Medical College
    Bengbu, Anhui, China
  • The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital)
    Hefei, Anhui, China
  • Beijing Ditan Hospital Capital Medical University
    Beijing, Beijing 100020, China
  • Beijing You 'an Hospital, Capital Medical University
    Beijing, Beijing, China
  • Tsinghua Changgeng Hospital, Beijing
    Beijing, Beijing, China
  • Peking University First Hospital
    Peking, Beijing, China
  • Chongqing Public Health Medical Treatment Center (Chongqing Infectious Disease Hospital)
    Chongqing, Chongqing, China
  • Chongqing Three Gorges Central Hospital
    Chongqing, Chongqing, China
  • The First Affiliated Hospital of Chongqing Medical University
    Chongqing, Chongqing, China
  • The First Affiliated Hospital of Fujian Medical University
    Fujian, Fujian, China
  • Xiamen Hospital of Traditional Chinese Medicine
    Xiamen, Fujian, China
  • Lanzhou university first hospital
    Lanzhou, Gansu, China
  • Shenzhen Third People's Hospital
    Shenzhen, Guangdong, China
  • Guizhou Provincial People's Hospital
    Guizhou, Guizhou, China
  • Affiliated Hospital of Zunyi Medical University
    Zunyi, Guizhou, China
  • Hangzhou Xixi Hospital (Hangzhou Sixth People's Hospital)
    Hangzhou, Hangzhou, China
  • The First Hospital of Hebei Medical University
    Hebei, Hebei, China
  • The Fourth Affiliated Hospital of Harbin Medical University
    Harbin, Heilongjiang, China
  • Henan Provincial People's Hospital
    Henan, Henan, China
  • The First Affiliated Hospital of Xinxiang Medical College
    Xinxiang, Henan, China
  • Zhengzhou Sixth People's Hospital
    Zhengzhou, Henan, China
  • The First Affiliated Hospital of Hunan University of Chinese Medicine
    Changsha, Hunan, China
  • The Second Xiangya Hospital, Central South University
    Changsha, Hunan, China
  • Xiangya Hospital, Central South University
    Changsha, Hunan, China
  • The First Affiliated Hospital of University of South China
    Yueyang, Hunan, China
  • Jiangsu Provincial People's Hospital
    Nanjing, Jiangsu, China
  • The First Affiliated Hospital of SuZhou University
    Suzhou, Jiangsu, China
  • Taizhou People's Hospital
    Taizhou, Jiangsu, China
  • Wuxi Fifth People's Hospital
    Wuxi, Jiangsu, China
  • Affiliated Hospital of Xuzhou Medical College
    Xuzhou, Jiangsu, China
  • Zhenjiang Third People's Hospita
    Zhenjiang, Jiangsu, China
  • Nanchang Ninth Hospital (Nanchang Central Hospital)
    Nanchang, Jiangxi, China
  • The First Affiliated Hospital of Nanchang University
    Nanchang, Jiangxi, China
  • First Hospital of Jilin University
    Jilin, Jilin, China
  • Second Hospital of Jilin University
    Jilin, Jilin, China
  • Yanbian University Affiliated Hospital
    Yanbian, Jilin, China
  • Shanghai General Hospital,Shanghai Jiao Tong University
    Shanghai, Shanghai 201620, China
  • Huashan Hospital affiliated to Fudan University
    Shanghai, Shanghai, China
  • Shanghai Jiao Tong University Affiliated Tongren Hospital
    Shanghai, Shanghai, China
  • Shanghai Public Health Clinical Center
    Shanghai, Shanghai, China
  • Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
    Shanghai, Shanghai, China
  • West China Hospital of Sichuan University
    Chengdu, Sichuan, China
  • Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University
    Luzhou, Sichuan, China
  • Ningbo Huamei Hospital, University of Chinese Academy of Sciences
    Ningbo, Zhejiang, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05115942
Lead sponsor
Beijing Continent Pharmaceutical Co, Ltd.
Responsible party
Sponsor
First posted
Nov 10, 2021
Start date
Dec 30, 2021
Primary completion
Oct 22, 2024
Completion
Oct 22, 2024
Last update
Dec 20, 2024

Study contacts

Lungen Lu, Dr.
principal investigator · Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Jun Cheng, Dr.
principal investigator · Beijing Ditan Hospital

Oversight

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

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