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Entecavir

Phase 3

Pediatric Immuno-Tolerant Chronic Hepatitis B | Small molecule | Infectious Disease |Roche Holding AG|Last Updated: Aug 24, 2020

Success Probability

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Trial Design

RandomizedNO_TREATMENT_CONTROLLED
Total Trials1
Total Enrollment62

FDA Designations

No designations recorded

Clinical trial landscape

Entecavir · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT02263079A Study of Pegylated Interferon Alfa-2A in Combination With Lamivudine or Entecavir Compared With Untreated Control Group in Children With Hepatitis B Envelope Antigen (HBeAg)-Positive Chronic Hepatitis B (CHB) in the Immune-Tolerant PhasePediatric Immuno-Tolerant Chronic Hepatitis B
COMPLETED62 Analytics
PHASE3COMPLETED
A Study of Pegylated Interferon Alfa-2A in Combination With Lamivudine or Entecavir Compared With Untreated Control Group in Children With Hepatitis B Envelope Antigen (HBeAg)-Positive Chronic Hepatitis B (CHB) in the Immune-Tolerant Phase
Pediatric Immuno-Tolerant Chronic Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Loss of Hepatitis B Surface Antigen (HBsAg) at 24 Weeks Post-End of Treatment/End of Untreated Observation
24 weeks post-treatment/at the end of untreated observation (Week 80)

This endpoint is defined as loss of HBsAg at 24 weeks post-treatment (follow-up Week 24)/end of untreated observation (Week 80). The percentage of responders (response rate) and 95% CI (using the Clopper-Pearson method) for the response rate are presented for each group.

Safety: Percentage of Participants with Adverse Events
Baseline up to approximately 36 weeks

Secondary Endpoints

Percentage of Participants With Loss of HBsAg
1 year post-end of treatment (End of treatment = Week 56)
Percentage of Participants With Loss of Hepatitis B Virus Envelope Antigen (HBeAg)
24 weeks post-treatment /end of untreated observation (Week 80), and 1 year post-end of treatment (End of treatment = Week 56)
Percentage of Participants With Seroconversion to Hepatitis B Surface Antibody (Anti-HBs), Defined as Loss of HBsAg and Presence of Anti-HBs
24 weeks post-treatment /end of untreated observation (Week 80), and 1 year post-end of treatment (End of treatment = Week 56)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Peg-IFN-Alfa-2A + Lamivudine or EntecavirEXPERIMENTALParticipants will receive lamivudine or entecavir alone for 8 weeks followed by peg-IFN-alfa-2A in combination with lamivudine or entecavir for 48 weeks.
Untreated Control ParticipantsNO_INTERVENTIONUntreated control participants will be observed up to 80 weeks.
Peg-INF-Alfa-2A MonotherapyEXPERIMENTALParticipants will receive Peginterferon Alfa 2A subcutaneously once weekly with dosing based on body surface area (BSA) categories for 48 weeks.
Placebo, Every Other Day (QOD)PLACEBO_COMPARATORPlacebo orally (PO) QOD for 12 weeks + noninvestigational entecavir or tenofovir as prescribed by participant's physician
Placebo, Once a Week (QWk)PLACEBO_COMPARATORPlacebo PO QWk for 12 weeks + noninvestigational entecavir or tenofovir as prescribed by participant's physician
RO6864018, 1200 milligrams (mg) QODEXPERIMENTALRO6864018 1200 mg PO QOD for 12 weeks + noninvestigational entecavir or tenofovir as prescribed by participant's physician
RO6864018, 1200 mg QWkEXPERIMENTALRO6864018 1200 mg PO QWk for 12 weeks + noninvestigational entecavir or tenofovir as prescribed by participant's physician
RO6864018, 800 mg QODEXPERIMENTALRO6864018 800 mg PO QOD for 12 weeks + noninvestigational entecavir or tenofovir as prescribed by participant's physician
RO6864018, 800 mg QWkEXPERIMENTALRO6864018 800 mg PO QWk for 12 weeks + noninvestigational entecavir or tenofovir as prescribed by participant's physician

Interventions

NameTypeDescription
EntecavirDRUGParticipants will receive entecavir, either as a film-coated tablet or oral solution, once daily at a dose of 0.015 milligrams per kilogram (mg/kg) (maximum daily dose of 0.5 mg).
LamivudineDRUGParticipants will receive lamivudine, either as a film-coated tablet or oral solution, once daily at a dose of 3 mg/kg (maximum daily dose of 100 mg).
Pegylated Interferon Alfa-2ADRUGParticipants will receive pegylated interferon-alfa-2A at a body surface area (BSA) based dose of 180 micrograms per 1.73 square meter (mcg/1.73m\^2) BSA.
PlaceboDRUGParticipants will be administered PO placebo capsules matched to RO6864018, either QOD or QWk for 12 weeks of treatment.
RO6864018DRUGParticipants will be administered RO6864018 as 200-mg PO capsules at a dose of 800 mg or 1200 mg, either QOD or QWk for 12 weeks of treatment.
TenofovirDRUGTenofovir will be administered as per local labeling.
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Eligibility Criteria

Age Range3 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites25

Inclusion Criteria: * Positive for HBsAg and HBeAg for more than 6 months prior to baseline * Detectable HBV-DNA (\>20,000 IU/mL) as measured by polymerization chain reaction (PCR) or hybridization on at least 2 occasions at least one month apart with the latest determination obtained less than or ...

Countries:United StatesAustraliaBelgiumGermanyItalyMalaysiaRomaniaRussiaTaiwanTurkey (Türkiye)UkraineUnited KingdomHong KongNew ZealandSingaporeSouth Korea
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Frequently asked questions about Entecavir

What is Entecavir used for?

Entecavir is used for the treatment of chronic hepatitis B, including pediatric immuno-tolerant chronic hepatitis B. It is a small molecule antiviral being studied in combination with other agents for hepatitis B virus infection. The drug is currently in clinical development for these indications.

What does Entecavir target?

Entecavir is a nucleoside analog reverse transcriptase inhibitor that targets the hepatitis B virus polymerase. It works by inhibiting viral DNA replication, thereby reducing the viral load in patients with chronic hepatitis B infection.

Who makes Entecavir?

Entecavir is being developed by Roche Holding AG, which trades under the ticker RHHBY. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with chronic hepatitis B.

What phase is Entecavir in?

Entecavir is in Phase 2 clinical development for chronic hepatitis B. It has completed a Phase 2 trial (NCT02391805) and a Phase 3 trial (NCT02263079) in pediatric patients with immuno-tolerant chronic hepatitis B.

What clinical trials is Entecavir in?

Entecavir has been studied in two completed trials: NCT02263079, a Phase 3 study in children with HBeAg-positive chronic hepatitis B, and NCT02391805, a Phase 2 study in virologically suppressed adults with chronic HBV infection.

Is Entecavir the same as Baraclude?

Entecavir is the generic name for the drug also known as Baraclude. It is a nucleoside analog used to treat chronic hepatitis B, and it is being investigated in combination with other therapies for improved outcomes.