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Completed

NCT Number: NCT03491553

Safety, Tolerability and Antiviral Activity of Selgantolimod in Virally-Suppressed Participants With Chronic Hepatitis B

The primary objectives of this study are to evaluate the safety, tolerability and antiviral activity of selgantolimod (formerly GS-9688) in virally suppressed chronic hepatitis B (CHB) adults on oral antiviral (OAV) agents.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Auckland Clinical Studies Limited, Auckland, New Zealand

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Must have the ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
  • Adult males and non-pregnant, non-lactating females
  • Documented evidence of chronic HBV infection with detectable hepatitis B surface antigen (HBsAg) levels
  • On commercially available HBV OAV treatment(s) for at least 6 months with no change in regimen for 3 months prior to screening
  • HBV Deoxyribonucleic acid (DNA) ≤ 20 IU/mL for 6 or more months prior to screening
  • Screening Electrocardiogram (ECG) without clinically significant abnormalities

Key Exclusion Criteria:

  • Extensive bridging fibrosis or cirrhosis
  • Adults meeting any of the protocol defined exclusionary laboratory parameters at screening:
  • Alanine aminotransferase (ALT) > 3x Upper Limit of Normal (ULN)
  • International normalized ratio (INR) > ULN unless the adult is stable on an anticoagulant regimen
  • Albumin < 3.5 g/dL
  • Direct bilirubin > 1.5x ULN
  • Platelet Count < 100,000/uL
  • Estimated creatinine clearance < 60 mL/min (using the Cockcroft-Gault method)
  • Co-infection with human immunodeficiency virus, hepatitis C virus or hepatitis D virus
  • Prior history of hepatocellular carcinoma (HCC) or screening alpha-fetoprotein ≥ 50 ng/mL without imaging
  • Diagnosis of autoimmune disease, poorly controlled diabetes mellitus, significant psychiatric illness, severe chronic obstructive pulmonary disease, hemoglobinopathy, retinal disease, or are immunosuppressed.
  • Chronic liver disease of a non-HBV etiology, except for non-alcoholic fatty liver disease
  • Received solid organ or bone marrow transplant
  • Received prolonged therapy with immunomodulators or biologics within 3 months of screening
  • Use of another investigational agent within 90 days of screening, unless allowed by the Sponsor

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

Selgantolimod

Drug

Tablet(s) administered orally once weekly

Other names: GS-9688

Placebo

Drug

Placebo to match (PTM) selgantolimod tablet(s) administered orally once weekly

Hepatitis B virus (HBV) OAV Therapy

Drug

Commercially available HBV OAV therapy could include one of the following:

Tenofovir disoproxil fumarate (TDF; Viread®) Entecavir (Baraclude®) Adefovir (Hepsera®) Lamivudine (Epivir® ) Telbivudine (Tyzeka®) Tenofovir alafenamide (TAF; Vemlidy®)

Primary outcomes

  1. Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 24

    Time frame: Week 24

Secondary outcomes

  1. Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 4

    Time frame: Week 4

  2. Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 8

    Time frame: Week 8

  3. Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 12

    Time frame: Week 12

  4. Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 48

    Time frame: Week 48

  5. Change From Baseline in Serum qHBsAg at Week 4

    Time frame: Baseline, Week 4

  6. Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 8

    Time frame: Baseline, Week 8

  7. Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 12

    Time frame: Baseline, Week 12

  8. Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 24

    Time frame: Baseline, Week 24

  9. Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 48

    Time frame: Baseline, Week 48

  10. Percentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 12

    Time frame: Week 12

    HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.

  11. Percentage of Participants With HBsAg Loss at Week 24

    Time frame: Week 24

    HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.

  12. Percentage of Participants With HBsAg Loss at Week 48

    Time frame: Week 48

    HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.

  13. Percentage of Participants With HBeAg Loss and Seroconversion at Week 12

    Time frame: Week 12

    HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as HBeAb test changing from negative or missing at baseline to positive at a postbaseline visit.

  14. Percentage of Participants With HBeAg Loss and Seroconversion at Week 24

    Time frame: Week 24

    HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as HBeAb test changing from negative or missing at baseline to positive at a postbaseline visit.

  15. Percentage of Participants With HBeAg Loss and Seroconversion at Week 48

    Time frame: Week 48

    HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as hepatitis B e antibody (HBeAb) test changing from negative or missing at baseline to positive at a postbaseline visit.

  16. Percentage of Participants With Virologic Breakthrough

    Time frame: Baseline up to Week 48

    Virologic breakthrough was defined as having two consecutive visits of hepatitis B virus (HBV) deoxyribonucleic acid (DNA) ≥ 69 IU/mL.

  17. Percentage of Participants With Drug Resistance Mutations

    Time frame: Baseline up to Week 48

    The criteria for a drug resistance mutation was having two consecutive visits of HBV DNA ≥ 69 IU/mL.

Sponsors and collaborators

Lead sponsor

Gilead Sciences

Industry

Registry information

Official study title

A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multi-center Study to Evaluate the Safety, Tolerability and Antiviral Activity of GS-9688 in Virally-Suppressed Adult Subjects With Chronic Hepatitis B

Important dates

Study start
2018
Primary completion
2019
Study completion
2020
First posted
Apr 9, 2018
Registry last updated
Aug 19, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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