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Completed

NCT Number: NCT02166047

Study To Evaluate Safety and Efficacy of Vesatolimod for the Treatment of Chronic Hepatitis B Virus in Virally-Suppressed Participants

The primary objectives of this study are to evaluate the safety, tolerability, and efficacy of vesatolimod in participants with chronic hepatitis B (CHB) infection currently being treated with oral antivirals (OAV).

Participants will be randomized in 3 sequential cohorts (Cohorts A, B, and C). Within each cohort, participants will be randomized in a 1:3:3:3 ratio to placebo or one of the doses of vesatolimod (1, 2, or 4 mg).

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Vancouver, British Columbia, Canada

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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; consent must be obtained prior to initiation of study procedures
  • Documented evidence of CHB infection (eg, hepatitis B surface antigen [HBsAg] positive for more than 6 months) with detectable HBsAg levels at screening
  • Have been on approved HBV OAV treatment for ≥ 1 year prior to screening, with HBV DNA below lower limit of quantitation (LLOQ), measured at least once, 6 or more months prior to screening, and HBV DNA < 20 IU/mL at screening
  • Currently taking an approved HBV OAV (tenofovir, entecavir, adefovir, lamivudine, or telbivudine, either as single agents or in combination) with no change in regimen for 3 months prior to screening
  • Willing to provide blood sample for toll-like receptor 7 (TLR-7) and interleukin 28 B (IL28B) single-nucleotide polymorphism (SNP) assessment
  • Must be willing and able to comply with all study requirements

Key Exclusion Criteria:

  • Extensive bridging fibrosis or cirrhosis
  • Laboratory parameters not within defined thresholds for neutropenia, anemia, thrombocytopenia, leukopenia, or other evidence of inadequate liver function
  • Coinfection with hepatitis C virus (HCV), HIV, or hepatitis D virus (HDV)
  • Evidence of hepatocellular carcinoma
  • Malignancy within 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection (basal cell skin cancer, etc.). Participants under evaluation for possible malignancy are not eligible.
  • Significant cardiovascular, pulmonary, or neurological disease
  • Any of the following conditions that may worsen in response to interferon (IFN):
  • Autoimmune disease (eg, lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, sarcoidosis, moderate or severe psoriasis)
  • Poorly controlled diabetes mellitus
  • Significant psychiatric disorders
  • Thyroid disorder (unless controlled under treatment)
  • Significant pulmonary diseases (eg, chronic obstructive pulmonary disease)
  • Retinal disease
  • Immunodeficiency disorders
  • Received solid organ or bone marrow transplant
  • Received prolonged therapy with immunomodulators (eg, corticosteroids) or biologics (eg, monoclonal Ab, interferon) within 3 months of screening
  • Use of another investigational agents within 3 months of screening
  • Current alcohol or substance abuse judged by the investigator to potentially interfere with compliance
  • Females who are pregnant or may wish to become pregnant during the study

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

Treatment and study plan

Vesatolimod

Drug

Vesatolimod tablet administered orally

Other names: GS-9620

Placebo

Drug

Placebo to match vesatolimod tablet administered orally

Primary outcomes

  1. Change From Baseline in Serum Hepatitis B Surface Antigen (HBsAg) Level at Week 24

    Time frame: Baseline to Week 24

    A mixed effect model for repeated measures (MMRM) was used to analyze HBsAg change from baseline, which included treatment, baseline HBsAg level (> 5000 IU/mL or ≤ 5000 IU/mL), HBeAg baseline status (positive or negative), visit and treatment-by-visit interaction as fixed effect and visit as repeated measurement.

Secondary outcomes

  1. Composite Endpoint Measuring the Percentage of Participants With Hepatitis B Envelope Antigen (HBeAg) Loss and Seroconversion at Week 24

    Time frame: Week 24

    HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window.

    HBeAg seroconversion was defined as qualitative hepatitis B envelope antibody (HBeAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window.

    Participants who had missing information were assumed to have no HBeAg loss and no HBeAg seroconversion.

  2. Composite Endpoint Measuring the Percentage of Participants With Hepatitis B Envelope Antigen (HBeAg) Loss and Seroconversion at Week 48

    Time frame: Week 48

    HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window.

    HBeAg seroconversion was defined as qualitative hepatitis B envelope antibody (HBeAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window.

    Participants who had missing information were assumed to have no HBeAg loss and no HBeAg seroconversion.

    Only participants who were HBeAg+ at baseline were included.

  3. Composite Endpoint Measuring the Percentage of Participants With HBsAg Loss and Seroconversion at Week 24

    Time frame: Week 24

    HBsAg loss was defined as qualitative HBsAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window.

    HBsAg seroconversion was defined as qualitative hepatitis B surface antibody (HBsAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window.

    Participants who had missing information were assumed to have no HBsAg loss and no HBsAg seroconversion.

  4. Composite Endpoint Measuring the Percentage of Participants With HBsAg Loss and Seroconversion at Week 48

    Time frame: Week 48

    HBsAg loss was defined as qualitative HBsAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window.

    HBsAg seroconversion was defined as qualitative hepatitis B surface antibody (HBsAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window.

    Participants who had missing information were assumed to have no HBsAg loss and no HBsAg seroconversion.

  5. Change From Baseline in Serum HBsAg Level at Week 4

    Time frame: Baseline; Week 4

  6. Change From Baseline in Serum HBsAg Level at Week 8

    Time frame: Baseline; Week 8

  7. Change From Baseline in Serum HBsAg Level at Week 12

    Time frame: Baseline; Week 12

  8. Change From Baseline in Serum HBsAg Level at Week 48

    Time frame: Baseline; Week 48

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 and Efficacy of GS-9620 for the Treatment of Virally-Suppressed Subjects With Chronic Hepatitis B

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Jun 18, 2014
Registry last updated
Oct 14, 2020

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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