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Chronic Hepatitis BPhase 2NCT03576066

A Study Evaluating ABI-H0731 as Adjunctive Therapy in Participants With Chronic Hepatitis B Infection

A Phase 2 study testing ABI-H0731 and SOC NUC in people with Chronic Hepatitis B, run by Assembly Biosciences at 21 sites in 3 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 purpose of this study is to determine if ABI-H0731 given in combination with a standard of care (SOC) hepatitis B virus (HBV) nucleos(t)ide reverse transcriptase inhibitor (NUC) medication is safe and effective in participants with chronic hepatitis B virus infection (cHBV). Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Chronic Hepatitis B
What is being tested?
ABI-H0731 and SOC NUC
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
73 participants
Where
21 sitesin 3 countries
Study dates
11 Jun 2018to 5 Jul 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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female between ages 18 and 70 years
  • Virologically-suppressed (defined as HBV DNA ≤limit of quantitation (LOQ) for at least 6 months before screening on SOC NUC therapy
  • HBeAg-positive or HBeAg-negative at screening
  • In good general health except for cHBV

Who cannot join

  • Co-infection with HIV, hepatitis C virus (HCV), hepatitis E virus (HEV) or hepatitis D virus (HDV)
  • History or evidence of hepatic decompensation (including gastrointestinal bleeding or esophageal varices) at any time prior to or at time of screening
  • Clinically significant cardiac or pulmonary disease, chronic or recurrent renal or urinary tract disease, liver disease other than HBV, endocrine disorder, autoimmune disorder, diabetes mellitus requiring treatment with insulin or hypoglycemic agents, neuromuscular, musculoskeletal, or mucocutaneous conditions requiring frequent treatment, seizure disorders requiring treatment, or other medical conditions requiring frequent medical management or pharmacologic or surgical treatment that in the opinion of the Investigator or the Sponsor makes the participant unsuitable for the study
  • Previous treatment with an investigational agent for HBV other than ABI-H0731 in the last 6 months before screening
  • History of hepatocellular carcinoma (HCC)
  • Females who are lactating or pregnant or wish to become pregnant are excluded from the study
Show all 13Show fewer
  • Exclusionary laboratory parameters at screening include:
  • Platelet count <100,000/mm3
  • Albumin <lower limit of normal (LLN)
  • Direct bilirubin >1.2×upper limit of normal (ULN)
  • Alanine aminotransferase (ALT) >5×ULN at screening
  • International Normalized Ratio (INR) >1.5×ULN
  • Glomerular filtration rate (GFR) <60 mL/min/1.73 m2 by Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation

Trial locations and contacts

21 sites in 3 countries.

21 sites in 3 countries

United States17 sites
  • Johns Hopkins University School of Medicine

    Baltimore, Maryland, 21287

  • Cedars-Sinai Medical Center

    Beverly Hills, California, 90211

  • Digestive Disease Associates

    Catonsville, Maryland, 21228

  • Southern California Research Center

    Coronado, California, 92118

  • Sing Chan, MD

    Flushing, New York, 11354

  • Infectious Disease Care

    Hillsborough, New Jersey, 08844

  • Asia Pacific Liver Center

    Los Angeles, California, 90057

  • University of California Los Angeles

    Los Angeles, California, 90095

  • University of Miami Hospital and Clinics

    Miami, Florida, 33136

  • NYU Langone Health

    New York, New York, 10016

  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029

  • Thomas Jefferson University Hospital

    Philadelphia, Pennsylvania, 19107

  • Xiaoli Ma, MD

    Philadelphia, Pennsylvania, 19107

  • Research and Education

    San Diego, California, 92105

  • Medical Associates Research Group

    San Diego, California, 92123

  • Quest Clinical Research

    San Francisco, California, 94115

  • Stanford University Medical Center

    Stanford, California, 94305

Other trials in United States

Canada3 sites
  • Toronto General Hospital

    Toronto

  • Toronto Liver Center

    Toronto

  • GI Research Institute

    Vancouver

Other trials in Canada

New Zealand1 site
  • Auckland City Hospital

    Auckland

Other trials in New Zealand

About this study

Official title: A Phase 2a, Multi-center, Double-blind, Placebo-controlled Study Evaluating ABI-H0731 as Adjunctive Therapy in Virally-suppressed Patients With Chronic Hepatitis B

The purpose of this study is to determine if ABI-H0731 given in combination with a standard of care (SOC) hepatitis B virus (HBV) nucleos(t)ide reverse transcriptase inhibitor (NUC) medication is safe and effective in participants with chronic hepatitis B virus infection (cHBV).

Read the detailed description

This is a Phase 2a, Multi-center, Double-blind, Placebo-controlled Study Evaluating ABI-H0731 as Adjunctive Therapy in Virally-suppressed Participants with cHBV.

Being tested
ABI-H0731, SOC NUC, Placebo Oral Tablet
Keywords
Chronic hepatitis B, HBV, HBeAg-positive, hepatitis B, HBeAg-negative, vebicorvir, VBR
Medical subject headings
Hepatitis B, Chronic, Hepatitis B

What participants receive

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

  • ABI-H0731Drug

    Participants will receive ABI-H0731 300 mg tablets orally once daily (QD).

  • SOC NUCDrug

    Also called Entecavir (ETV), Tenofovir disoproxil fumarate (TDF), Tenofovir alafenamide (TAF)

    Participants will continue on their SOC NUC (ETV, TDF or TAF) tablet orally as per approved package insert.

  • Placebo Oral TabletDrug

    Participants will receive placebo matching ABI-0731 tablets orally QD.

Study groups in NCT03576066
Study groupRoleWhat they receive
ABI-H0731 + SOC NUCExperimentalVirologically suppressed participants will receive ABI-H0731 along with SOC NUC (ETV, TDF or TAF) tablets orally for 24 weeks. Eligible participants may enter a separate extension study after Week 24 to continue open-label ABI-H0731 for up to an additional year if necessary.
Receives: Drug: ABI-H0731; Drug: SOC NUC
Placebo + SOC NUCActive comparatorVirologically suppressed participants will receive matching placebo tablets and continue their SOC NUC (ETV, TDF or TAF) for 24 weeks. Eligible participants may enter a separate extension study after Week 24 to start treatment on open-label ABI-H0731 for up to a year if necessary.
Receives: Drug: SOC NUC; Drug: Placebo Oral Tablet

What is being measured

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

  1. Change in Mean log10 Serum HBsAg From Baseline (Day 1) to Week 24 on ABI-H0731 + SOC NUC as Compared to Placebo + SOC NUC

    Measured: Baseline to Week 24

  2. Change in Mean log10 Serum HBeAg From Baseline (Day 1) to Week 24 on ABI-H0731 + SOC NUC as Compared to Placebo + SOC NUC

    Measured: Baseline to Week 24

Secondary outcomes (12)
  1. Number of Participants With One or More Adverse Events

    Measured: Up to Follow-up (maximum up to Week 36)

  2. Number of Participants With Premature Study Discontinuation

    Measured: Up to Follow-up (maximum up to Week 36)

  3. Number of Participants With One or More Abnormal Safety Laboratory Result

    Measured: Up to Week 36

  4. Number of Participants With a Clinically-significant Electrocardiogram Abnormality

    Measured: Up to Week 24

  5. Number of Participants With a Clinically-significant Change in Vital Signs

    Vital signs assessed were body temperature, respiratory rate, and pulse rate

    Measured: Baseline and up to Week 24

  6. Number of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Have Normal ALT at Week 24 on ABI-H0731 + NUC Therapy as Compared With Placebo + NUC Therapy

    Abnormal ALT was defined as ≥1.25 x upper limit of normal (34 Units/L for female and 43 Units/L for male participants).

    Measured: Baseline to Week 24

  7. Trough Levels of ABI-H0731 on ABI-H0731 + SOC NUC Therapy

    Measured: Before dosing at Baseline (Day 1), Weeks 2, 4, 12, and 24

  8. Trough Levels of Entecavir (ETV) on ABI-H0731 + SOC NUC Therapy as Compared With Placebo + SOC NUC Therapy

    Measured: Before dosing at Baseline (Day 1), Weeks 2, 4, 12, and 24

  9. Trough Levels of Tenofovir Alafenamide (TAF) on ABI-H0731 + SOC NUC Therapy as Compared With Placebo + SOC NUC Therapy

    Measured: Before dosing at Baseline (Day 1), Weeks 2, 4, 12, and 24

  10. Trough Levels of Tenofovir Disoproxil Fumarate (TDF) on ABI-H0731 + SOC NUC Therapy as Compared With Placebo + SOC NUC Therapy

    Measured: Before dosing at Baseline (Day 1), Weeks 2, 4, 12, and 24

  11. Trough to Peak Ratios of ABI-H0731 on ABI-H0731 + SOC NUC Therapy

    Measured: Baseline, Weeks 2, 4, 12, and 24

  12. Trough to Peak Ratios of SOC NUC on ABI-H0731 + SOC NUC Therapy as Compared With Placebo + SOC NUC Therapy

    Measured: Baseline, Weeks 2, 4, 12, and 24

Timeline

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

  1. First posted3 Jul 2018
  2. Study start11 Jun 2018
  3. Primary completion5 Jul 2019
  4. Study completion5 Jul 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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
73 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03576066
Sponsor's protocol ID
ABI-H0731-201
Status last verified
Jan 2021
First submitted
6 Jun 2018
Last updated
17 Feb 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Yuen MF, Agarwal K, Ma X, Nguyen TT, Schiff ER, Hann HL, Dieterich DT, Nahass RG, Park JS, Chan S, Han SB, Gane EJ, Bennett M, Alves K, Evanchik M, Yan R, Huang Q, Lopatin U, Colonno R, Ma J, Knox SJ, Stamm LM, Bonacini M, Jacobson IM, Ayoub WS, Weilert F, Ravendhran N, Ramji A, Kwo PY, Elkhashab M, Hassanein T, Bae HS, Lalezari JP, Fung SK, Sulkowski MS. Safety and efficacy of vebicorvir in virologically suppressed patients with chronic hepatitis B virus infection. J Hepatol. 2022 Sep;77(3):642-652. doi: 10.1016/j.jhep.2022.04.005. Epub 2022 Apr 20.

    PubMed 35460726

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ABI-H0731 and SOC NUC in people with Chronic Hepatitis B, run by Assembly Biosciences at 21 sites in 3 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 4 inclusion and 13 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 17 Feb 2021. 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, Canada, New Zealand. 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. 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 28 Jan 2021). 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?

Change in Mean log10 Serum HBsAg From Baseline (Day 1) to Week 24 on ABI-H0731 + SOC NUC as Compared to Placebo + SOC NUC (time frame: Baseline to Week 24). The study lists 2 primary outcomes in all. 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 NCT03576066, which also lists 1 linked publication.

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 17 Feb 2021.

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