Safety, Tolerability, Pharmacokinetics(PK), Pharmacodynamics(PD) and Food Effect of HRS9950 in Healthy and CHB Subjects

Study Overview
=================
Brief Summary
-----------------
The study is a randomized, Double-Blind, Placebo-Controlled study to evaluate the safety, tolerability and pharmacokinetics, pharmacodynamics and food effect of HRS9950. The study will be conducted in three parts sequentially: Part 1, evaluate the safety, tolerability and pharmacokinetics, pharmacodynamics of single and multiple doses of HRS9950 tablet in healthy subjects. Part 1 will consist of 64 healthy subjects, 6 groups. Part 2, evaluate food effect of HRS9950 in healthy subjects. Part 2 will consist of 14 healthy subjects, 1 group (one of groups in Part 1). Part 3, evaluate the safety, tolerability and pharmacokinetics, pharmacodynamics of multiple doses of HRS9950 tablet in naïve and treatment-experienced chronic hepatitis B (CHB) patients. Part 3 will consist of 40 CHB patients, 1 group for naïve patients and 3 groups for treatment-experienced patients.

Official Title
-----------------
A Phase I Study to Evaluate the Safety, Tolerability and PK, PD of Oral HRS9950 in Healthy Subjects With Single or Multiple Dose and Chronic Hepatitis B Patients With Multiple Dose, and Food Effects of HRS9950 in Healthy Subjects

Conditions
-----------------
Chronic Hepatitis b

Intervention / Treatment
-----------------
* Drug: HRS9950
* Drug: Placebo


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Healthy subjects Signed informed consent. Aged 18 55. Body weight ≥ 50 kg for male; ≥ 45 kg for female, body mass index (BMI) between 18 to 28 kg/m2. Vital signs, physical examination, laboratory results are within normal range or considered not clinically significant. Female subjects (including partner) of childbearing potential must be using a medically acceptable form of birth control. CHB subjects Signed informed consent. Aged 18 65. CHB subjects should meet the following two criteria: IgM HBcAb negative and HBsAg positive. Two recorded HBsAg positive, and the time interval between the two tests was at least 6 months, one of which was the result of this screening 4. Treatment-experienced CHB subjects should also meet the following criteria: Have received nucleoside analogue treatment for at least 6 months HBeAg positive or negative, and the HBV DNA concentration should be less than 20 IU/mL for at least 6 months before enrollment Confirm ALT <1.5 ULN (upper limit of normal value) by two measurements within 6 months before enrollment 5. Treatment-naïve CHB subjects should also meet the following criteria: Have not received antiviral therapy (nucleosides or interferons) at screening HBeAg positive or negative, and the HBV DNA concentration should be greater than 2000 IU/mL for at least 6 months before enrollment Confirm ALT> 1 ULN by two measurements within 6 months before enrollment 6. Female subjects (including partner) of childbearing potential must be using a medically acceptable form of birth control. Exclusion Criteria: Healthy subjects Currently suffering from cardiovascular, liver, kidney, digestive, nervous, blood, thyroid or mental diseases. Medical history of malignant tumor. Have a digestive system disease or a medical history of severe digestive system disease. Have severe infection, severe trauma or major surgical operations within 3 months. 12-ECG test have clinical significant abnormality or the QT interval (QTc) > 450 ms. Clinical laboratory examinations or chest radiographs have clinical significant abnormality. Have a medical history of immune-mediated diseases. Screening for infectious diseases is positive (Including HBsAg, Anti-HCV, TPPA, Anti-HIV). Suspected allergy to any ingredient in the study drug. Have any drug that inhibits or induces liver metabolism within 1 month. Take any prescription drugs, over-the-counter drugs and Chinese herbal medicines within 14 days before taking the study drug, or took any drugs within 5 half-lives at the time of screening; plan to take other drugs during the test period. Participated in clinical trials of any drug or medical device within 3 months before screening, or within 5 half-lives before screening. Had donated blood or blood transfusion≥ 400 mL within 3 months prior to screening. The average daily smoking ≥ 5 cigarettes within three months; the average daily alcohol intake in a month exceeds 15 g (15 g alcohol is equivalent to 450 mL beer or 150 mL wine or 50 mL low-alcohol); Keep smoking, drinking alcohol or consuming caffeinated foods or beverages (more than 8 cups, 1 cup = 250 mL) 2 days before taking the study drug and during the study; and those who have special dietary requirements and cannot follow the unified diet; Pregnant or lactating women; Drug screening or alcohol breath test is positive. Other conditions that the investigator believes the subject is not suitable. CHB subjects Currently suffering from serious cardiovascular, liver, kidney, digestive, nervous, blood, thyroid or mental diseases other than hepatitis B. People have acute or chronic liver disease by non-HBV infection. Liver stiffness (LSM)> 12.4 kPa by noninvasive transient liver elastography (eg Fibroscan®) or recorded liver biopsy suggesting cirrhosis or extensive fibrosis Primary liver cancer, high-risk groups of primary liver cancer or AFP> 50g/L; Have clinically demonstrated or history of liver function decompensation, including but not limited to: hepatic encephalopathy, hepatorenal syndrome, splenomegaly, ascites, etc.; Laboratory inspection: Platelet count <90×109/L; White blood cell count <3.0×109/L; Absolute value of neutrophils <1.5×109/L; Serum total bilirubin>2×ULN; Albumin <30 g/L; Creatinine clearance rate ≤60ml/min; INR>1.5; ALT exceeds 5 times the upper limit of normal value on screening/baseline visit HIV and/or syphilis antibody positive Subjects who have previously received organ/bone marrow transplantation; Have used immunosuppressants, immunomodulators or cytotoxic drugs within 6 months before the study medication; Suspected allergy to any ingredient in the study drug. The average daily smoking ≥ 5 cigarettes within three months; the average daily alcohol intake in a month exceeds 15 g (15 g alcohol is equivalent to 450 mL beer or 150 mL wine or 50 mL low-alcohol); Keep smoking, drinking alcohol or consuming caffeinated foods or beverages (more than 8 cups, 1 cup = 250 mL) 2 days before taking the study drug and during the study; and those who have special dietary requirements and cannot follow the unified diet; Pregnant or lactating women; Drug screening or alcohol breath test is positive. Other conditions that the investigator believes the subject is not suitable.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment group A<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|
| Experimental: Treatment group B<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|
| Experimental: Treatment group C<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|
| Experimental: Treatment group D<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|
| Experimental: Treatment group E<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|
| Experimental: Treatment group F<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|
| Experimental: Treatment group C-<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|
| Experimental: Treatment group G<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|
| Experimental: Treatment group H<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|
| Experimental: Treatment group I<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|
| Experimental: Treatment group J<br> | Drug: HRS9950<br>* Group A to Group E: dose 1-dose 5, single dose Group F: dose 2, multiple doses Group C-: dose 3 food effect Group G to Group J: dose 2-dose4, multiple doses<br>Drug: Placebo<br>* Group A to Group J<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The incidence and severity of treatment-related adverse events as assessed by CTCAE v5.0 |  | 8 DAYS for Group A-E; 29 DAYS for Group F; 50 DAYS for Group G-J | 
| Maximum Plasma Concentration [Cmax] | Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma | 0-48 hours after each dose for Group A-J | 
| Area under the concentration time curve [AUC] | Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma | 0-48 hours after each dose for Group A-J | 
| Time to maximum plasma concentration [Tmax] | Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma | 0-48 hours after each dose for Group A-J | 
| Apparent clearance [CL/F] | Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma | 0-48 hours after each dose for Group A-J | 
| Half-time [t1/2] | Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma | 0-48 hours after each dose for Group A-J | 
| Apparent volume of distribution [Vz/F（Vd）] | Pharmacokinetic parameters of HRS9950, main metabolite and identified major metabolites in plasma | 0-48 hours after each dose for Group A-J | 
| The concentration of IL-12p40 in the serum | After single or multiple administration of HRS9950 | 0-48 hours after each dose for Group A-J |