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HepeX-B in Post Hepatic Allografts for Treatment of End Stage Liver Disease Due to Hepatitis B Infection

Information source: Cubist Pharmaceuticals
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Hepatitis B; Liver Transplantation

Intervention: HepeX-B (Drug); Hepatitis B Immune Globulin (HBIg) (Drug)

Phase: Phase 2

Status: Terminated

Sponsored by: Cubist Pharmaceuticals

Official(s) and/or principal investigator(s):
Vinod Rustgi, MD, Principal Investigator, Affiliation: Metropolitan Liver Diseases/ Gastroenterology Center

Summary

The purpose of this study is to compare the use of HepeX-B versus HBIg, two anti-viral drugs, in patients who have received liver transplants due to liver failure caused by Hepatitis B infection. Patients will be evaluated over a 6 month to 1. 5 year period to evaluate whether or not the drugs prevent the Hepatitis B virus from infecting the new liver.

Clinical Details

Official title: A Phase II, Multicenter, Randomized, Open-Label, Dose-Ranging, Parallel Group Study to Compare the Anti-Viral Effects, Pharmacokinetics and Safety of HepeX-Bä, a Mixture of Two Monoclonal Antibodies, as Compared to Hepatitis B Immune Globulin in Patients Who Have Received Hepatic Allografts for Treatment of End-Stage Liver Disease Due to Hepatitis B Virus Infection

Study design: Prevention, Randomized, Open Label, Uncontrolled, Parallel Assignment

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Male and female patients who are 18 years of age or older,

- Patients who are at least 6 months post first orthotopic liver transplantation (living

or cadaveric donor) for treatment of end-stage liver disease due to HBV infection,

- Patients who have received HBIg since transplantation and are on a stable regimen

(i. e., same dose and frequency) for at least the 3 months immediately preceding study entry (Day 1),

- Patients who have received treatment with an inhibitor of HBV polymerase for at least

the 3 months immediately preceding study entry (Day 1),

- Patients with undetectable HBsAg and HBV DNA concentrations on two consecutive tests

at least 1 week apart during the screening period,

- Female patients who are of childbearing potential, and males whose partners are women

of childbearing potential, are required to use adequate contraception, and

- Patients who are able to provide written informed consent.

- Patients who successfully complete the initial 20-week treatment in the core trial are

eligible for the 52-week extension phase.

Exclusion Criteria:

- Women who are pregnant or breastfeeding,

- Patients who have received another organ transplant that requires immunosuppression,

- Patients who are co-infected with hepatitis delta virus (HDV), hepatitis C virus (HCV)

and/or human immunodeficiency virus (HIV),

- Patients with clinical conditions or diseases, which, in the judgment of the

investigator, would place the patient at undue risk, interfere with study participation, or confound the results of the study, and/or

- Patients who have participated in clinical studies in the 3 months prior to study

entry.

Locations and Contacts

Centre Hepato-Biliaire Hospital Paul Brousse, Paris, France

Humbolt University Virchow Clinic Dept. Viceral and Transplant Surgery, Berlin, Germany

Hadassah University Hospital, Jerusalem, Israel

Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel

Rabin Medical Center, Petach Tikva, Israel

Auckland City Hospital, Auckland, New Zealand

Hospital La Fe Servicio de Medicina Degestiva, Valencia, Spain

Royal Free Hospital, London, United Kingdom

California Pacific Medical Center, San Francisco, California, United States

UCLA, Los Angeles, California, United States

UCSF, San Francisco, California, United States

Mayo Clinic, Rochester, Minnesota, United States

University of Nebraska, Omaha, Nebraska, United States

Mt. Sinai, New York, New York, United States

University of North Carolina, Chapel Hill, North Carolina, United States

University of Cincinnati Medical Center, Cincinnati, Ohio, United States

University of Pennsylvania Health System, Philadelphia, Pennsylvania, United States

Metropolitan Liver Diseases/Gastroenterology Center, Fairfax, Virginia, United States

University of Virginia, Charlottesville, Virginia, United States

Virginia Commonwealth University Health System, Richmond, Virginia, United States

Additional Information


Ending date: August 2005
Last updated: February 12, 2007

Page last updated: June 20, 2008

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