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CompletedNCT06411743Updated May 13, 2024

Phase II/III of Recombinant Human Albumin Injection

A Phase 2 interventional study of Recombinant Human Albumin Injection and Human Albumin in Hepatic Ascites, sponsored by The First Hospital of Jilin University. Completed at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-05-13.

Sponsored by The First Hospital of Jilin University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 6 months after the study started (first participant enrolled Sep 2021, registered Mar 2024).
Phase
Phase 2
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

This study was a Phase II/III multicenter, blinded, and positiveactive-controlled clinical study with seamless adaptive design to evaluate the dose-response relationship, safety, and immunogenicity of recombinant human albumin(rHA) injection for the treatment of hypoalbuminemia in cirrhotic patients with ascites, and to provide a reference for the design of the Phase III clinical study.

Read the detailed description

This study was a Phase II/III multicenter, blinded, and positive-controlled clinical study with seamless adaptive design. The Phase II clinical study was conducted first, followed by the Phase III clinical study.The Phase II clinical study aimed to evaluate the dose-response relationship, safety, and immunogenicity of recombinant human albumin(rHA) injection for the treatment of hypoalbuminemia in cirrhotic patients with ascites, and provide a reference for the design of Phase III clinical study. Dosage: For the 10 g/day rHA injection group, the subjects were administered rHA at a dose of 10 g/day once daily for 14 days. For the 20 g/day rHA injection group, the subjects were administered rHA at a dose of 20 g/day once daily for 7 days.

02

Conditions studied

  • Hepatic Ascites

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Keywords

  • Hepatic Ascites
03

In context

Ascites

252 studies on the registry are indexed under Ascites; 52 are open to participants now.

This study's enrollment of 90 is above the median of 55 across 177 interventional studies indexed under Ascites.

Browse Ascites studies →

Lead sponsor

The First Hospital of Jilin University is the lead sponsor of 181 studies on the registry; 93 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

  • Male or female subjects aged 18-65 years (inclusive).
  • Subjects with body weight ≥ 55.0 kg.
  • Subjects who were diagnosed as liver cirrhosis with ascites according to the Guidelines for Diagnosis and Treatment of Liver Cirrhosis with Ascites and Related Complications (2017) issued by the Chinese Society of Hepatology CMA, with ascites graded 1-2 at diagnosis or after treatment, and also met the requirement of ALB \< 30 g/L (based on test values on Day -14 to Day -3).
  • Subjects who were able to understand and comply with the study procedures, voluntarily participated this study, and had signed the informed consent form (ICF).

Exclusion criteria

Exclusion Criteria:

  • Subjects with a history of allergies to biological products derived from Escherichia coli, yeast, or Chinese hamster ovary (CHO) cells, or blood products such as HSA.
  • Subjects with hepatic encephalopathy of West-Haven HE Grade III or higher.
  • Subjects with uncontrolled infections, such as body temperature > 37.5°C, white blood cell count > 9.5 × 10\^9/L, or neutrophil percentage > 80% (including severe abdominal infection, upper respiratory tract infection, lower respiratory tract infection, urinary system infection, etc.).
  • Subjects with a history of hepatorenal syndrome (HRS), or serum creatinine (Cr) > 2 × the upper limit of normal (ULN), or Cr increased by > 50% duringat screening period; or presence of urine protein 2+ or more.
  • Subjects with other severe underlying conditions that, in the opinion of the investigator, affected the participation in this study, including but not limited to malignancies (except for liver cancer patients without portal vein or hepatic vein tumor thrombosis), complicated portal vein thrombosis, non-cirrhotic portal hypertension-related ascites, ischemic heart disease, stroke, chronic obstructive pulmonary disease, and Grade III-IV heart failure, and those with gastrointestinal bleeding who had stopped bleeding for less than 14 days after treatment or failed to stop bleeding after endoscopic variceal ligation.
  • Subjects with organ transplant.
  • Female subjects of childbearing potential who had a positive serum pregnancy test, or subjects refused to use contraceptive measures during the study.
  • Subjects who had participated in other clinical trials and received investigational drugs within 3 months prior to screening.
  • Subjects with abnormal laboratory test values:a.Hematology: platelets (PLT) \< 30 × 10\^9/L, hemoglobin (HGB) \< 70 g/L;b.Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) > 5 × ULN, serum total bilirubin (TBIL) > 3 × ULN;c.Prothrombin activity \< 40%, prothrombin time (PT) prolonged by > 5 seconds;d.Left ventricular ejection fraction (LVEF) \< 50%.
  • Subjects who were considered inappropriate for participation in the study by the investigator due to other reasons.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
90 participants (actual)

Study arms

  • Experimental
    Treatment group1

    Recombinant Human Albumin Injection,10g/day, once daily for 14 days

    Biological: Recombinant Human Albumin Injection

  • Experimental
    Treatment group2

    Recombinant Human Albumin Injection,20g/day ,once daily for 7 days

    Biological: Recombinant Human Albumin Injection

  • Active comparator
    Control group1

    Human Albumin,10g/day, once daily for 14 days

    Biological: Human Albumin

  • Active comparator
    Control group2

    Human Albumin,20g/day, once daily for 7 days

    Biological: Human Albumin

Interventions

  • BiologicalRecombinant Human Albumin Injection

    Recombinant Human Albumin injection, strength: 10 g/vial (20%, 50 mL); storage conditions: 2-8°C, protected from light; manufactured and supplied by Tonghua Anrate Biopharmaceutical Co., Ltd.

  • BiologicalHuman Albumin

    Human Albumin (An Pu Lai Shi®), strength: 10 g/vial (protein concentration 20%, 50 mL/vial), storage conditions: 2-8°C, protected from light; manufactured by Shanghai RAAS Blood Products Co., Ltd.

06

What researchers measure

Primary outcomes

  1. Change from baseline in ALB

    The change in ALB was determined by calculating the difference between the value measured after the last dose (immediately after the end of dosing) and the value measured before the first dose (the mean).

    Time frame: Day -1/7

Secondary outcomes

  1. Proportion of subjects with serum ALB level reaching 35 g/L at the end of administration

    It referred to the proportion of subjects with serum ALB level ≥ 35 g/L at the end of dosing to the total number of subjects in that dose group.

    Time frame: Day 7/14

  2. Time taken to attain serum ALB of 35 g/L

    Defined as the time required from the first administration to serum ALB level ≥ 35 g/L.

    Time frame: Day1- Day7/14

  3. Change from baseline in body weight of subjects at the end of administration

    Change of body weight referred to the change in body weight after the end of dosing compared with the body weight on Day -1, which served as the baseline value. Please note that the body weight should be measured without urination under fasting conditions.

    Time frame: Day 7/14

  4. Change from baseline in abdominal circumference of subjects at the end of administration

    It referred to the change in abdominal circumference at the end of treatment compared with the abdominal circumference on the last day of the pre-dose observation period, which served as a reference. Please note that the abdominal circumference should be measured without urination under fasting conditions.

    Time frame: Day 7/14

  5. Change from baseline in ascites depth of participantsubjects at the end of administration

    It referred to the change in ascites depth at the end of dosing compared with the ascites depth on Day -1, which served as the baseline value.

    Time frame: Day 7/14

07

Study locations

1 site
  • The First Hospital of Jilin University (Leading Site)
    Chang chun, Jilin 130021, China
08

References and documents

Individual participant data

Plan to share: No — The privacy of the participants will be kept strictly confidential to the investigator, the staff participating in the study, the sponsor, and the corresponding treatment. The study protocol, records, data, and all other information generated will be kept strictly confidential.

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 May 13, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06411743
Lead sponsor
The First Hospital of Jilin University
Responsible party
Sponsor
First posted
May 13, 2024
Start date
Sep 7, 2021
Primary completion
Aug 15, 2022
Completion
Aug 15, 2022
Last update
May 13, 2024

Study contacts

Junqi Junqi
principal investigator · The First Hospital of Jilin University

Oversight

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

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This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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