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Chronic Hepatitis BPhase 2NCT02579382

Study to Evaluate the Safety, Tolerability, and Efficacy of Vesatolimod in Combination With Tenofovir Disoproxil Fumarate (TDF) in Adults With Chronic Hepatitis B (CHB) Infection Who Are Currently Not Being Treated

A Phase 2 study testing TDF and Vesatolimod in people with Chronic Hepatitis B, run by Gilead Sciences at 21 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objectives of this study are to evaluate the safety, tolerability, and efficacy of vesatolimod (formerly GS-9620) in adults with chronic hepatitis B (CHB) infection who are currently not being treated. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Chronic Hepatitis B
What is being tested?
TDF and Vesatolimod
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
192 participants
Where
21 sitesin 8 countries
Study dates
10 Nov 2015to 3 May 2019
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult males or females between the ages of 18-65
  • Chronic hepatitis B virus (HBV) infection
  • HBV deoxyribonucleic acid (DNA ) ≥ 2000 IU/mL at screening

Who cannot join

  • Extensive bridging fibrosis or cirrhosis
  • Received oral antiviral treatment for HBV or prolonged therapy with immune-modulators or biologics within 3 months of screening
  • Co-infection with hepatitis C virus (HCV), human immunodeficiency virus (HIV) or hepatitis D virus (HDV)
  • Chronic liver disease other than HBV
  • Lactating or pregnant females or those that wish to become pregnant during the course of the study
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

21 sites in 8 countries.

21 sites in 8 countries

United States9 sites
  • Study site

    Boston, Massachusetts

  • Study site

    Catonsville, Maryland

  • Study site

    Flushing, New York

  • Study site

    Honolulu, Hawaii

  • Study site

    Los Angeles, California

  • Study site

    Palo Alto, California

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    San Diego, California

  • Study site

    San Francisco, California

Other trials in United States

Italy4 sites
  • Study site

    Bologna

  • Study site

    Milan

  • Study site

    Pisa

  • Study site

    San Giovanni Rotondo

Other trials in Italy

South Korea2 sites
  • Study site

    Daegu

  • Study site

    Seoul

Other trials in South Korea

Taiwan2 sites
  • Study site

    Dalin

  • Study site

    Kaohsiung City

Other trials in Taiwan

Canada1 site
  • Study site

    Toronto, Ontario

Other trials in Canada

Hong Kong1 site
  • Study site

    Kowloon

Other trials in Hong Kong

New Zealand1 site
  • Study site

    Grafton, Auckland

Other trials in New Zealand

United Kingdom1 site
  • Study site

    London

Other trials in United Kingdom

About this study

Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multi-center Study to Evaluate the Safety and Efficacy of GS-9620 in Combination With Tenofovir Disoproxil Fumarate (TDF) for the Treatment of Subjects With Chronic Hepatitis B and Who Are Currently Not on Treatment

The primary objectives of this study are to evaluate the safety, tolerability, and efficacy of vesatolimod (formerly GS-9620) in adults with chronic hepatitis B (CHB) infection who are currently not being treated.

Being tested
TDF, Vesatolimod, Placebo
Keywords
HBV, Hepatitis, Liver Disease
Medical subject headings
Hepatitis B, Chronic, Hepatitis, Liver Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TDFDrug

    Also called Viread®

    300 mg tablets administered orally once daily

  • VesatolimodDrug

    Also called GS-9620

    Tablets administered orally once a week (every 7 days) for 12 doses

  • PlaceboDrug

    Placebo administered orally once a week (every 7 days) for 12 doses

Study groups in NCT02579382
Study groupRoleWhat they receive
TDF + placeboPlacebo comparatorMain Study Phase: Tenofovir disoproxil fumarate (TDF) 300 mg tablets orally once daily for up to 48 weeks + placebo administered orally once a week (every 7 days) for 12 doses. Optional Treatment Extension Phase: At Week 48 participants had the option to continue TDF 300 mg tablets orally once daily up to Week 144.
Receives: Drug: TDF; Drug: Placebo
TDF + Vesatolimod 1 mgExperimentalMain Study Phase:TDF 300 mg tablets orally once daily for up to 48 weeks + vesatolimod 1 mg tablet orally once a week (every 7 days) for 12 doses. Optional Treatment Extension Phase: At Week 48 participants had the option to continue TDF 300 mg tablets orally once daily up to Week 144.
Receives: Drug: TDF; Drug: Vesatolimod
TDF + Vesatolimod 2 mgExperimentalMain Study Phase: TDF 300 mg tablets orally once daily for up to 48 weeks + vesatolimod 2 mg tablet orally once a week (every 7 days) for 12 doses. Optional Treatment Extension Phase: At Week 48 participants had the option to continue TDF 300 mg tablets orally once daily up to Week 144.
Receives: Drug: TDF; Drug: Vesatolimod
TDF + Vesatolimod 4 mgExperimentalMain Study Phase: TDF 300 mg tablets orally once daily for up to 48 weeks + vesatolimod 4 mg tablet orally once a week (every 7 days) for 12 doses. Optional Treatment Extension Phase: At Week 48 participants had the option to continue TDF 300 mg tablets orally once daily up to Week 144.
Receives: Drug: TDF; Drug: Vesatolimod

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Change (Measured in log10 IU/mL) in Hepatitis B Surface Antigen (HBsAg) From Baseline at Week 24

    The change from baseline to Week 24 in HBsAg (log10 IU/mL) was analyzed using a mixed model for repeated measures (MMRM). The model included treatment, baseline HBsAg (log10 IU/mL), baseline Hepatitis B Envelope Antigen (HBeAg) status (positive or negative), baseline alanine aminotransferase (ALT) level relative to upper limit of normal (ULN) (> 19 vs ≤ 19 IU/L for females; > 30 vs ≤ 30 IU/L for males), visit and treatment-by-visit interaction as fixed effects, and visit as a repeated measure.

    Measured: Baseline; Week 24

Secondary outcomes (22)
  1. Percentage of Participants With HBeAg Loss and Seroconversion at Week 24

    HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at any postbaseline visit. HBeAg seroconversion was defined as qualitative Hepatitis B Envelope Antibody (HBeAb) result changing from negative at baseline to positive at any postbaseline visit. The Missing (M) = Failure (F) approach was used for this analysis.

    Measured: Week 24

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

    HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at any postbaseline visit. HBeAg seroconversion was defined as qualitative HBeAb result changing from negative at baseline to positive at any postbaseline visit. The Missing (M) = Failure (F) approach was used for this analysis.

    Measured: Week 48

  3. Percentage of Participants With HBsAg Loss and Seroconversion at Week 24

    HBsAg loss was defined as qualitative HBsAg result changing from positive at baseline to negative at any postbaseline visit. HBsAg seroconversion was defined as qualitative Hepatitis B Surface Antibody (HBsAb) result changing from negative at baseline to positive at any postbaseline visit. The Missing (M) = Failure (F) approach was used for this analysis.

    Measured: Week 24

  4. Percentage of Participants With HBsAg Loss and Seroconversion at Week 48

    HBsAg loss was defined as qualitative HBsAg result changing from positive at baseline to negative at any postbaseline visit. HBsAg seroconversion was defined as qualitative HBsAb result changing from negative at baseline to positive at any postbaseline visit. The Missing (M) = Failure (F) approach was used for this analysis.

    Measured: Week 48

  5. Mean Change (Measured in log10 IU/mL) in HBsAg From Baseline at Week 12

    Measured: Baseline; Week 12

  6. Mean Change (Measured in log10 IU/mL) in HBsAg From Baseline at Week 48

    Measured: Baseline; Week 48

  7. Percentage of Participants With a ≥ 0.5 log10 IU/mL Decline in Serum HBsAg Titers From Baseline at Week 12

    HBsAg ≥ 0.5 log10 IU/mL decline was defined as a decline from baseline in log10 IU/mL serum HBsAg ≥ 0.5 at the Week 12 post-baseline visit. Missing values were considered failures.

    Measured: Baseline to Week 12

  8. Percentage of Participants With a ≥ 0.5 log10 IU/mL Decline in Serum HBsAg Titers From Baseline at Week 24

    HBsAg ≥ 0.5 log10 IU/mL decline was defined as a decline from baseline in log10 IU/mL serum HBsAg ≥ 0.5 at the Week 24 post-baseline visit.

    Measured: Baseline to Week 24

  9. Percentage of Participants With a ≥ 0.5 log10 IU/mL Decline in Serum HBsAg Titers From Baseline at Week 48

    HBsAg ≥ 0.5 log10 IU/mL decline was defined as a decline from baseline in log10 IU/mL serum HBsAg ≥ 0.5 at the Week 12 post-baseline visit. Missing values were considered failures.

    Measured: Baseline to Week 48

  10. Percentage of Participants With Hepatitis B Virus Deoxyribonucleic Acid (HBV DNA) < Lower Limit of Quantitation (LLOQ) at Week 24

    LLOQ for HBV DNA was defined as 20 IU/mL. The participants with missing information were excluded from the analysis.

    Measured: Week 24

  11. Percentage of Participants With HBV DNA < LLOQ at Week 48

    LLOQ for HBV DNA was defined as 20 IU/mL. The participants with missing information were excluded from the analysis.

    Measured: Week 48

  12. Percentage of Participants Experiencing Virologic Breakthrough

    Virologic breakthrough was defined as confirmed HBV DNA ≥ 69 IU/mL after having had HBV DNA < 69 IU/mL or confirmed 1.0 log10 IU/mL or greater increase in HBV DNA from nadir. Confirmation requires 2 consecutive occurrences of elevation in HBV DNA to > 69 IU/mL after having had HBV DNA < 69 IU/mL or 1.0 log10 IU/mL or greater increases in HBV DNA from nadir.

    Measured: Weeks 24 and 48

  13. Number of Participants With Sequence Changes From Baseline Within the HBV Polymerase/Reverse Transcriptase (Pol/RT)

    Sequence analysis of the HBV pol/RT was attempted for any participant who had HBV DNA ≥ 69 IU/mL at Week 48 or early discontinuation. Results of the alignment of Week 48 and baseline sequence were reported as a change from baseline sequence.

    Measured: Baseline; Week 48

  14. Pharmacokinetic (PK) Parameter: AUClast of Vesatolimod

    AUClast is defined as the area under the concentration versus time curve from time zero to the last quantifiable concentration.

    Measured: Week 11: Predose, 0.5, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose

  15. PK Parameter: AUCinf of Vesatolimod

    AUCinf is defined as the concentration of drug extrapolated to infinite time.

    Measured: Week 11: Predose, 0.5, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose

  16. PK Parameter: %AUCexp of Vesatolimod

    %AUCexp is defined as the percentage of AUC extrapolated between AUClast and AUCinf.

    Measured: Week 11: Predose, 0.5, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose

  17. PK Parameter: Cmax of Vesatolimod

    Cmax is defined as the maximum concentration of drug.

    Measured: Week 11: Predose, 0.5, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose

  18. PK Parameter: Clast of Vesatolimod

    Clast is defined as the last observable concentration of drug.

    Measured: Week 11: Predose, 0.5, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose

  19. PK Parameter: Tmax of Vesatolimod

    Tmax is defined as the time (observed time point) of Cmax

    Measured: Week 11: Predose, 0.5, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose

  20. PK Parameter: Tlast of Vesatolimod

    Tlast is defined as the time (observed time point) of Clast.

    Measured: Week 11: Predose, 0.5, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose

  21. PK Parameter: T1/2 of Vesatolimod

    T1/2 is defined as the estimate of the terminal elimination half-life of the drug.

    Measured: Week 11: Predose, 0.5, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose

  22. PK Parameter: CL/F of Vesatolimod

    CL/F is defined as the apparent oral clearance following administration of the drug.

    Measured: Week 11: Predose, 0.5, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Oct 2015 (estimated)
  2. Study start10 Nov 2015
  3. Primary completion16 Jan 2017
  4. Study completion3 May 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
192 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02579382
Sponsor's protocol ID
GS-US-283-1062
Other IDs
2015-002017-30, 2015
Status last verified
May 2020
First submitted
15 Oct 2015
Last updated
18 May 2020
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Agarwal K, Ahn SH, Elkhashab M, Lau AH, Gaggar A, Bulusu A, Tian X, Cathcart AL, Woo J, Subramanian GM, Andreone P, Kim HJ, Chuang WL, Nguyen MH. Safety and efficacy of vesatolimod (GS-9620) in patients with chronic hepatitis B who are not currently on antiviral treatment. J Viral Hepat. 2018 Nov;25(11):1331-1340. doi: 10.1111/jvh.12942. Epub 2018 Aug 22.

    PubMed 29851204
  • Younossi ZM, Stepanova M, Janssen H, Agarwal K, Nguyen MH, Gane EJ, et al. The impact of treatment of chronic hepatitis B (CHB) on patient reported outcomes (PROs). Poster 1924. AASLD 2017. Hepatology; 66:1020A, 2017.

  • Lau A, Joshi A, Nguyen AH, Gaggar A, Patterson SD, Woo J. Peripheral blood immune cell profiling in virally suppressed chronic hepatitis B (CHB) patients and CHB patients not on an oral antiviral therapy. HBV International Meeting 2017.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TDF and Vesatolimod in people with Chronic Hepatitis B, run by Gilead Sciences at 21 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 May 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in United States, Italy, South Korea, Taiwan, Canada and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 May 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean Change (Measured in log10 IU/mL) in Hepatitis B Surface Antigen (HBsAg) From Baseline at Week 24 (time frame: Baseline; Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02579382, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 May 2020.

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