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Baraclude

Phase 4FDA approved 2005

Hepatitis B Virus | Small molecule | Infectious Disease |Bristol-Myers Squibb Company|Trials Updated: Nov 18, 2023

Baraclude development status

FDA approval Mar 29, 2005
Approval holderBristol Myers Squibb
ApplicationNDA021798
Highest phase Phase 4 (NCT00718887)
Phase scored for BMYPhase 1
Registered trials 58 across 18 sponsors since May 2002

Label indication BARACLUDE ® (entecavir) is indicated for the treatment of chronic hepatitis B virus infection in adults and pediatric patients 2 years of age and older with evidence of active viral replication and either evidence of persistent elevations in serum aminotransferases (ALT or AST) or histologically active disease. FDA label

Baraclude target and mechanism

ModalitySmall molecule

Also known as Entecavir, BMS-200475, Entecavir (ETV)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials19
Total Enrollment4,264

FDA Designations

No designations recorded

Baraclude clinical trials

Baraclude · 19 trials · 8 indications

Phase 3 11Phase 2 6Phase 1 2
NCT01079806A Phase III Study of the Safety and Efficacy of Entecavir in Pediatric Patients With Chronic Hepatitis B Virus InfectionChronic Hepatitis B Virus, Pediatric
COMPLETED180 Analytics
NCT01063036Efficacy and Safety Study of Entecavir Plus Tenofovir in Patients With Chronic Hepatitis B Who Failed Previous TreatmentChronic Hepatitis B
COMPLETED144 Analytics
NCT00410202Entecavir Plus Adefovir Combination Therapy Versus Entecavir Monotherapy vs Therapy With Adefovir Plus Lamivudine for Chronic Hepatitis B Infected Subjects With Lamivudine-resistant VirusHepatitis B, Chronic
COMPLETED629 Analytics
NCT00395018Antiviral Activity of Entecavir in Patients Receiving Liver Transplant Due to Chronic Hepatitis B Virus InfectionHepatitis B, Chronic
COMPLETED109 Analytics
NCT00410072Entecavir Plus Tenofovir Combination Therapy Versus Entecavir Monotherapy in Naive Subjects With Chronic Hepatitis BHepatitis B, Chronic
COMPLETED669 Analytics
NCT00096785Comparative Trial of Entecavir Versus Adefovir in the Treatment of Chronic Hepatitis B InfectionHepatitis B
COMPLETED69 Analytics
NCT00975091Continue Entecavir Rollover From ChinaChronic Hepatitis B Virus
COMPLETED600 Analytics
NCT00065507Comparison of Entecavir to Adefovir in Chronic Hepatitis B Virus (HBV) Patients With Hepatic DecompensationHepatitis B
COMPLETED195 Analytics
NCT00036608A Phase III Study of Entecavir vs Lamivudine in Chronic Hepatitis B Subjects With Incomplete Response to LamivudineChronic Hepatitis B
COMPLETED- Analytics
NCT00035633A Phase III Study of Entecavir vs Lamivudine in Adults With Chronic Hepatitis B Infection and Positive for Hepatitis B E AntigenChronic Hepatitis B
COMPLETED- Analytics
PHASE3COMPLETED
A Phase III Study of the Safety and Efficacy of Entecavir in Pediatric Patients With Chronic Hepatitis B Virus Infection
Chronic Hepatitis B Virus, PediatricUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Entecavir Plus Tenofovir in Patients With Chronic Hepatitis B Who Failed Previous Treatment
Chronic Hepatitis BUnlock trial analytics
PHASE3COMPLETED
Entecavir Plus Adefovir Combination Therapy Versus Entecavir Monotherapy vs Therapy With Adefovir Plus Lamivudine for Chronic Hepatitis B Infected Subjects With Lamivudine-resistant Virus
Hepatitis B, ChronicUnlock trial analytics
PHASE3COMPLETED
Antiviral Activity of Entecavir in Patients Receiving Liver Transplant Due to Chronic Hepatitis B Virus Infection
Hepatitis B, ChronicUnlock trial analytics
PHASE3COMPLETED
Entecavir Plus Tenofovir Combination Therapy Versus Entecavir Monotherapy in Naive Subjects With Chronic Hepatitis B
Hepatitis B, ChronicUnlock trial analytics
PHASE3COMPLETED
Comparative Trial of Entecavir Versus Adefovir in the Treatment of Chronic Hepatitis B Infection
Hepatitis BUnlock trial analytics
PHASE3COMPLETED
Continue Entecavir Rollover From China
Chronic Hepatitis B VirusUnlock trial analytics
PHASE3COMPLETED
Comparison of Entecavir to Adefovir in Chronic Hepatitis B Virus (HBV) Patients With Hepatic Decompensation
Hepatitis BUnlock trial analytics
PHASE3COMPLETED
A Phase III Study of Entecavir vs Lamivudine in Chronic Hepatitis B Subjects With Incomplete Response to Lamivudine
Chronic Hepatitis BUnlock trial analytics
PHASE3COMPLETED
A Phase III Study of Entecavir vs Lamivudine in Adults With Chronic Hepatitis B Infection and Positive for Hepatitis B E Antigen
Chronic Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Who Achieved a Combination of Hepatitis B Virus (HBV) DNA Suppression and Hepatitis B e Antigen (HBeAg) Seroconversion at Week 48
At Week 48

Suppression=HBV DNA\<50 IU/mL (approximately 300 copies/mL) using the Roche COBAS TaqMan HBV Test for use with the High Pure System assay; seroconversion=undetectable HBeAg and detectable anti-hepatitis B e antibodies. While the analysis of the primary endpoint was based on a randomized sample size of 123 participants (the Primary Cohort), the size of the overall study population was augmented to 180 randomized participants to meet global regulatory requirements.

Percentage of Participants With a Virologic Response at Week 48 - Treated Population
Week 48

Virologic response was defined as Hepatitis B virus (HBV) Deoxyribonucleic acid (DNA) less than 50 international units per milliliter (IU/mL); approximately 300 copies/mL. Percentage was calculated as number of participants with virologic response at Week 48 divided by the number of treated participants. Treated participants were evaluated using non-completer (NC) = failure (F). The HBV DNA by polymerase chain reaction (PCR) was measured using the Roche COBAS(REGISTERED) TaqMan - High Pure System (HPS) assay, in a central laboratory. The results were reported in IU/mL, with the limit of quantification (LOQ) = 29 IU/mL and lower limit of detection (LLD) = 6 IU/mL. HBV DNA measurements were transformed by the log10 scale when analyzed as a continuous variable, using log10(LOQ-1) for values below LOQ.

Percentage of Participants With Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) < 50 IU/mL (Approximately 300 Copies/mL) by Polymerase Chain Reaction (PCR) at Week 48
Week 48

HBV DNA assessments were performed using the Roche COBAS® TaqMan High Pure System (HPS) assay. HBV DNA less than (\<)50 International units per milliliter (IU/mL) = approximately 300 copies/mL. Percentage of participants calculated n/N; n= number of participants with HBV DNA \<50 IU/mL; N = number of participants analyzed.

Percentage of Participants With HBV Deoxyribonucleic Acid (DNA) => 50 IU/mL by Polymerase Chain Reaction (PCR) at Week 72
At 72 weeks

HBV DNA assessments were performed using the Roche COBAS® TaqMan High+Pure system (HPS) assay. HBV DNA =\> 50 IU/mL = approximately =\> 300 copies/mL.

Number of Participants With HBV DNA by PCR >= 50 IU/mL Through Week 72
At baseline (day 1), week 12, 24, 36, 48, 60, and 72

HBV DNA assessments were performed using the Roche COBAS® TaqMan High+Pure system (HPS) assay. HBV DNA =\> 50 IU/mL = approximately =\> 300 copies/mL.

Percentage of Participants Who Achieved Hepatitis B Virus DNA (HBV DNA) Levels <50 IU/mL by Polymerase Chain Reaction (PCR) at Week 96
At Week 96

HBV DNA levels \<50 IU/mL=approximately 300 copies/mL. Analyses of binary efficacy endpoint during on-treatment period focused on participants who received treatment and used the analysis of noncompleter=failure (NC=F). All participants who received treatment were included in the denominator, and participants with missing measurements were counted as nonresponders for the specific endpoints.

Change From Baseline in Hepatitis B Virus DNA (HBV DNA) by Polymerase Chain Reaction (PCR) Assay at Week 12
Baseline, Week 12

Antiviral efficacy, as measured by the mean reduction in serum HBV DNA levels by PCR (log10 copies/mL) at Week 12, adjusted for baseline (Week 12 - baseline). A negative value = improvement.

The number and percentage of subjects with adverse events, laboratory abnormalities, and discontinuations due to adverse events
Through 3 years of dosing and up to 48 weeks of off treatment follow up
Change From Baseline in Hepatitis B Virus (HBV) DNA by Polymerase Chain Reaction (PCR) at Week 24
Baseline, Week 24

Mean reduction in serum HBV DNA determined by PCR assay (log10 copies/mL) at Week 24 adjusted for baseline HBV DNA and lamivudine resistance (LVDr) status, based on linear regression analysis.

To provide open-label entecavir to subjects who have completed previous blinded entecavir trials in Japan and are assessed by the investigator as likely to benefit from additional anti-hepatitis B therapy
24 weeks
Mean change from baseline in HBV DNA levels as measured by by PCR (log10 copies/mL)
at Week 22
Incidence of clinical adverse events and discontinuations due to adverse events of entecavir at doses of 0.5 and 1 mg
Week 52 (end of dosing) plus 5 days
Incidence of laboratory abnormalities of entecavir at doses of 0.5 and 1 mg for 52 weeks
Week 52 (end of dosing) plus 5 days
Proportion of subjects with reduction in HBV DNA by ≥2 log10 or to undetectable level (<400 copies/mL) by PCR assay
Week 48
To assess the safety (the incidence of clinical adverse events and discontinuations due to adverse events)
Week 52 (end of dosing) plus 5 days
To assess the proportion of subjects with reduction in HBV DNA by ≥ 2 log10 or to undetectable level (< 400 copies/mL)
at Week 48
Overall Study: Number of Participants With Death As Outcome, Any Adverse Event (AE), Grade 3-4 AEs, Serious Adverse Events (SAEs), and Discontinuations Due to AEs
Continuously from Day 1 through Week 240

An AE is a new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not be causally related to treatment. An SAE is an unfavorable medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency or abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Grade 1=mild; Grade 2=moderate; Grade 3=severe; Grade 4=life-threatening or disabling. ALT=alanine transaminase; ULN=upper limit of normal.

Overall Study: Number of Participants With Normal Hematology Values at Baseline and Abnormalities in Hematology Laboratory Test Results Through Week 240
Day 1 of treatment through Week 240

Hemoglobin (g/dL): Grade (Gr) 1=9.5-11.0; Gr 2=8.0-\<9.5; Gr 3=6.5-\<8.0; Gr 4=\<6.5 White blood cells (cells/mm\^3): Gr 1=2,500-\<4,000; Gr 2=1,000-\<2,500; Gr 3=800-\<1,000; Gr 4=\<800. Neutrophils (cells/mm\^3): Gr 1=1000-\<1500; Gr 2=750-\<1000; Gr 3=500-\<750; Gr 4=\<500. Platelets (cells/mm\^3): Gr 1=75,000-99,000; Gr 2=50,000-\<75,000; Gr 3=20,000-\<50,000; Gr 4=\<20,000. Prothrombin time (seconds): Gr 1=1.01-\<1.26\*ULN; Gr 2=1.26-\<1.51 \*ULN; Gr 3=1.51-3\*ULN; Gr 4=\>3\*ULN. INR: Gr 1=1.24-1.5; Gr 2=1.5-2; Gr 3=2-3; Gr 4=\>3. INR=international normalized ratio; ULN=upper limit of normal. .

Overall Study: Number of Participants With Normal Pancreatic Enzyme and Renal Function Values at Baseline and Abnormalities in Pancreatic Enzyme and Renal Function Laboratory Test Results at End of Dosing
Day 1 of treatment through Week 240

Amylase: Grade 1=1.10-\<1.40\*ULN; Grade 2=1.40-\< 2.10\*ULN; Grade 3=2.10-5.00\*ULN; Grade 4=\>5.00\*ULN. Lipase: Grade 1.1-\<1.4\*ULN; Grade 2=1.4-\<2.1\*ULN; Grade 3=2.1-5.0\*ULN; Grade 4=\>5.0\*ULN. Creatinine: Grade 1=1.10-\< 1.60\*ULN; Grade 2=1.60-\<3.10\*ULN; Grade 3=3.10-6.00\*ULN; Grade 4=\>6.00\*ULN. Blood urea nitrogen (BUN): Grade 1=1.25-\<2.60\*ULN; Grade 2=2.60-\<5.10\*ULN; Grade 3=5.10-10\*ULN; Grade 4=\>10\*ULN. ULN=upper limit of normal.

Overall Study: Number of Participants With Normal Electrolyte and Fasting Glucose Values at Baseline and Abnormalities in Electrolyte and Fasting Glucose Laboratory Test Results at End of Dosing
Day 1 of treatment through Week 240

Hypochloremia: Grade (Gr) 1=90-93; Gr 2=85-\<90; Gr 3=80-\<85; Gr 4=40-\<80. Hyperchloremia: Gr 1=113-\<117; Gr 2=117-\<121; Gr 3=121-125; Gr 4\>125. Hypocarbia: Gr 1=19-21; Gr 2=15-\<19; Gr 3=41-45; Gr 4=\>45. Hypercarbia: Gr 1=31-36; Gr 2=37-40; Gr 3=41-45; Gr 4=\>45. Hyponatremia: Gr 1=130-132; Gr 2=123-\<130; Gr 3=116-\<123; Gr 4\<116. Hypernatremia: Gr 1=148-\<151; Gr 2=151-\<158; Gr 3=158-165; Gr 4=\>165. Hypokalemia: Gr 1=3-3.4; Gr 2=2.5-\<3; Gr 3=2-\<2.5; Gr 4=\<2. Hyperkalemia: Gr 1=5.6-\<6.1; G2=6.1-\<6.6; Gr 3=6.6-7; Gr 4=\>7. Hypoglycemia: Gr 1=55-64; Gr 2=40-\<55; Gr 3=30-\< 40; G4=-\<30. Hyperglycemia: Gr 1=116-\<161; Gr 2=161-\<251; Gr 3=251-500; Gr 4\>500.

Week 144: Number of Participants With Death As Outcome, Any AE, Grade 3-4 AEs, SAEs, Discontinuations Due to AEs, and Abnormalities in Selected Laboratory Test Results
Continuously from Day 1 through Week 144

An AE is any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not necessarily have a causal relationship with treatment. An SAE is any unfavorable medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency or abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Grade 1=mild; Grade 2=moderate; Grade 3=severe; Grade 4=life-threatening or disabling. AST=aspartate aminotransferase; ULN=upper limit of normal.

Week 192: Number of Participants With Death As Outcome, Any AE, Grade 3-4 AEs, SAEs, Discontinuations Due to AEs, and Abnormalities in Selected Laboratory Test Results
Continuously from Day 1 through Week 192

An AE is any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not necessarily have a causal relationship with treatment. An SAE is any unfavorable medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency or abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. CTC Grade 1=mild; Grade 2=moderate; Grade 3=severe; Grade 4=life-threatening or disabling. ALT=alanine aminotransferase; ULN=upper limit of normal.

Off-treatment Follow-up: Percentage of Participants With Sustained Hepatitis B Virus (HBV) DNA <10,000 Copies by Polymerase Chain Reaction (PCR) Assay (Amendment 11 Cohort)
End of dosing to Week 48 off-treatment follow-up

The Amendment 11 Cohort consisted of participants who were hepatitis B e antigen (HBeAg) negative and who had compensated liver disease, a minimum of 192 weeks (4 years) of treatment with entecavir, HBV DNA \<300 copies/mL by PCR assay for ≥48 weeks before end of dosing and on the last observed result ≤24 weeks prior to end of dosing, and serum ALT levels ≤1.0\*ULN at the end of study drug dosing.ALT=alanine aminotransferase; ULN=upper limit of normal.

Maximum Observed Plasma Concentration (Cmax)
Up to 24 hours

Cmax is defined as the peak plasma concentration

Time of Maximum Observed Plasma Concentration (Tmax)
Up to 24 hours

Tmax is defined as the time of maximum observed plasma concentration, measured in hours

Trough Observed Plasma (Predose) Concentration (Ctrough)
prior to administration of drug (predose)

Ctrough is defined as the trough in observed plasma (predose) concentrations

Observed Plasma Concentration at 24 Hours Postdose (C24)
24 hours post-dose

C24 is defined as the observed plasma concentration at 24 hours post-dose

Area Under the Concentration-time Curve in One Dosing Interval [AUC(TAU)]
Up to 24 hours

AUC(TAU) is defined as the area under the concentration-time curve in one dosing interval

Apparent Total Body Clearance (CLT/F)
Up to 24 hours

CLT/F is defined as the apparent total body clearance

Number of Participants With Serious Adverse Events (SAE) and Discontinuations Due to Adverse Events (AEs) - On Treatment
Day 1 to Week 120

AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Medical Dictionary for Regulatory Activities (MedDRA) version 16.0 was used.

Secondary Endpoints

Percentage of Participants With Hepatitis B Virus (HBV) DNA <50 IU/mL at Week 48
At Week 48
Percentage of Participants With Serum Alanine Aminotransferase ≤1*Upper Limit of Normal at Week 48
At Week 48
Percentage of Participants With Hepatitis B Virus DNA <Limit of Quantitation (LOQ) at Week 48
At Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EntecavirACTIVE_COMPARATORParticipants received entecavir, 0.015 mg/kg up to 0.5 mg, once daily, for 96 to 144 weeks, depending on response
PlaceboPLACEBO_COMPARATORParticipants received placebo, 0 mg, once daily, for 48 to 96 weeks, depending on response
Entecavir + TenofovirEXPERIMENTAL -
Adefovir + LamivudineACTIVE_COMPARATOR -
Entecavir + AdefovirACTIVE_COMPARATOR -
TDF 0.5 mgEXPERIMENTALTDF=tenofovir
ETV 0.5 mg +TDF 300 mgEXPERIMENTALETV=entecavir; TDF=tenofovir
A1ACTIVE_COMPARATOR -
A2ACTIVE_COMPARATOR -
Entecavir 0.5ACTIVE_COMPARATOR -
Entecavir 1.0ACTIVE_COMPARATOR -
Entecavir (0.01 mg)EXPERIMENTAL -
Entecavir (0.1 mg)EXPERIMENTAL -
Entecavir (0.5 mg)EXPERIMENTAL -
Entecavir (1mg)EXPERIMENTAL -
Entecavir, 1.0 mg, with or without lamivudineEXPERIMENTAL -
Arm AEXPERIMENTAL -
Arm 1: EntecavirEXPERIMENTAL -

Interventions

NameTypeDescription
EntecavirDRUGTablets/oral solution, 0.015 mg/kg up to 0.5 mg, administered orally, once daily, for 96 to144 weeks, depending on response
PlaceboDRUGTablets/oral solution, 0 mg, administered orally, once daily, for 48 to 96 weeks, depending on response
TenofovirDRUGTablets, Oral, 300 mg, once daily, 96 weeks
AdefovirDRUGTablets, Oral, 10mg, once daily, 100 weeks
LamivudineDRUGTablets, Oral, 100mg, once daily, 100 weeks
Entecavir + TenofovirDRUGTablets, Oral, ETV = 0.5 mg + TFV = 300 mg, once daily, 100 weeks
Entecavir (ETV)DRUGTablets, Oral, 1 mg once daily, 96 weeks from the time the last patient is randomized
Adefovir (ADV)DRUGTablets, Oral, 10 mg, once daily, 96 weeks from the time the last patient is randomized
BaracludeDRUGSpecified dose on specified day
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Eligibility Criteria

Age Range2 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites44

Key Inclusion Criteria * Males and females, aged 2 to \<18 years * Hepatitis B surface antigen-positive * Detectable hepatitis B e (HBe) antigen, and no detectable anti-HBe antibodies * Alanine aminotransferase (ALT) 1.5 to \<10 times the upper limit of normal at screening and within 8 to 24 weeks ...

Countries:United StatesArgentinaBelgiumCanadaGermanyGreeceIndiaIsraelPolandRomaniaRussiaSouth KoreaTaiwanUnited KingdomFranceItalyNetherlandsSpainAustraliaBrazilHong KongIndonesiaMalaysiaPhilippinesSingaporeThailandTurkey (Türkiye)MexicoSouth AfricaJapan
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Frequently asked questions about Baraclude

What is Baraclude used for?

Baraclude is used for the treatment of Hepatitis B Virus infection. It is a small molecule therapeutic being developed in the infectious disease area. The drug is currently in Phase 1 clinical development, with studies conducted to better understand its pharmacokinetic properties in a real world clinical setting.

Who makes Baraclude?

Baraclude is developed by Bristol-Myers Squibb Company, which trades under the ticker symbol BMY. The company is conducting clinical research on this small molecule drug for Hepatitis B Virus infection, with a completed Phase 1 study in Japan.

What phase is Baraclude in?

Baraclude is in Phase 1 clinical development. It is an investigational drug, not yet approved by regulatory authorities. One Phase 1 study has been completed, which enrolled 6 participants with Hepatitis B Virus in Japan to evaluate the drug's pharmacokinetic properties.

What clinical trials is Baraclude in?

Baraclude has one completed clinical trial registered as NCT03083821, titled "A Study to Provide a Better Understanding of Baraclude's Pharmacokinetic Properties in a Real World Clinical Setting." This Phase 1 study enrolled 6 participants with Hepatitis B Virus in Japan, with a minimum age of 20 years.

How does Baraclude work?

Baraclude is a small molecule therapeutic being studied for Hepatitis B Virus infection. The specific molecular target of Baraclude has not been disclosed in the available clinical trial information. The completed Phase 1 study focused on understanding its pharmacokinetic properties in a real world clinical setting.