The Treatment of PD-1 Antibody Combined With Peg-IFNα in NAs-suppressed CHB Patients
The Safety and Efficacy of PD-1 Antibody Combined With Pegylated Interferon-α Therapy to Promote the Clinical Cure in Nucleoside (Acid) Analogues-suppressed Chronic Hepatitis B Patients: A Protocol for the Prospective Pilot Study
1 other identifier
interventional
45
1 country
1
Brief Summary
This is a prospective, open-labled, randomized controlled study to assess efficacy and safety of treatment with Sintilimab (PD-1 antibody) combined Peg-IFNα-2b in CHB patients on stable NAs treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started May 2024
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 20, 2024
CompletedFirst Posted
Study publicly available on registry
April 10, 2024
CompletedStudy Start
First participant enrolled
May 17, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 8, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 8, 2026
March 18, 2026
October 1, 2025
2.4 years
March 20, 2024
March 16, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
The rate of HBsAg loss at 24 weeks and 48 weeks.
Evaluate the level of HBsAg at 24 weeks and 48 weeks.
48 weeks
Incidence of treatment-emergent adverse events/serious adverse events
Evaluate the treatment-emergent adverse events/serious adverse events
48 weeks
Secondary Outcomes (6)
The rate of HBsAg decline > 1log(IU/ml) at 24 weeks and 48 weeks
48 weeks
The rate of HBsAb positive at 24 weeks and 48 weeks.
48 weeks
The concentration of HBcrAg at baseline, 12 weeks, 24 weeks and 48 weeks.
48 weeks
The concentration of pgRNA at baseline, 12 weeks, 24 weeks and 48 weeks.
48 weeks
The concentration of anti-HBc at baseline, 12 weeks, 24 weeks and 48 weeks.
48 weeks
- +1 more secondary outcomes
Study Arms (3)
Peg-IFNα group
ACTIVE COMPARATOR180 ug Peg-IFNα-2b subcutaneous injection once/week for 48 weeks NAs
PD-1 antibody group
ACTIVE COMPARATOR1.5 mg/kg Sintilimab intravenous injection once per 3 weeks for 24 weeks NAs
PD-1 antibody combined Peg-IFNα group
EXPERIMENTAL1.5 mg/kg Sintilimab intravenous injection once per 3 weeks for 24 weeks 180 ug Peg-IFNα-2b subcutaneous injection once/week for 48 weeks NAs
Interventions
Eligibility Criteria
You may qualify if:
- years old;
- Chronic hepatitis B patients with clear diagnosis of hematology, etiology and clinical (for example: HBsAg positive for more than 6 months);
- Treatment with NAs (ETV, TDF or TAF)at least 1 years and continue NAs therapy during screening;
- HBV DNA and HBeAg turn negative after NAs treatment;
- HBsAg ranged 200-1000 IU/ml.
You may not qualify if:
- Cirrhosis;
- platelet count \< 90×10\^9/L, WBC count \< 3.0×10\^9/L, neutrophil count \< 1.3×10\^9/L, ALT \> ULN(40U/L), total bilirubin \> 2ULN;
- History of or suspicion of hepatocellular carcinoma
- Patients received interferon therapy within 12 months;
- Patients received immunosuppressive therapy or other therapy influenced study within 12 months;
- Hepatitis A, hepatitis C, hepatitis D, HIV infection or other active infections;
- Alcohol or drug abuse/dependence;
- Investigator judges that the participants are not suitable for this study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
the Fifth Medical Center, Chinese PLA General Hospital
Beijing, Beijing Municipality, 100039, China
Related Publications (1)
Wang H, Li X, Lu J, Zhang X, Dang S, Li Y, He Y, Guo Y, Wang J, Maimaitijiang W, Zheng S, Ren S, Cao H, Zhang W, Zhang X, Ma H, Wang FS, Fu J. Safety and efficacy of PD-1 antibody combined with pegylated interferon alpha for functional cure in nucleos(t)ide analogues-suppressed chronic hepatitis B patients: protocol for a multicentre randomised controlled trial. BMJ Open. 2025 Sep 21;15(9):e105710. doi: 10.1136/bmjopen-2025-105710.
PMID: 40976664DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 20, 2024
First Posted
April 10, 2024
Study Start
May 17, 2024
Primary Completion (Estimated)
October 8, 2026
Study Completion (Estimated)
October 8, 2026
Last Updated
March 18, 2026
Record last verified: 2025-10
Data Sharing
- IPD Sharing
- Will not share