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Hepatitis B, ChronicPhase 2OCTOPUS-1NCT05275023

An Efficacy and Safety Study of a Combination of JNJ-73763989, Nucleos(t)Ide Analogs (NA), and a Programmed Cell Death Protein Receptor-1 (PD-1) Inhibitor in Chronic Hepatitis B Participants

A Phase 2 study testing JNJ-73763989, PD-1 inhibitor and Tenofovir Disoproxil in people with Hepatitis B, Chronic, run by Janssen Research & Development, LLC at 26 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 purpose of this study is to evaluate efficacy of the study intervention, based on hepatitis B surface antigen (HBsAg) levels at follow-up (FU) Week 24. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Hepatitis B, Chronic
What is being tested?
JNJ-73763989, PD-1 inhibitor and Tenofovir Disoproxil
Could I receive a placebo?
No, everyone receives an active treatment
How many people
37 participants
Where
26 sitesin 8 countries
Study dates
30 Jun 2022to 31 May 2024
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 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Participants must have chronic hepatitis B virus (HBV) infection
  • Participants must have fibroscan liver stiffness measurement less than or equal to (<=) 9.0 kilopascal (kPa) or a liver biopsy result classified as metavir F0-F2

Who cannot join

  • Participants with evidence of hepatitis A virus infection (hepatitis A antibody immunoglobulin IgM), hepatitis C virus (HCV) infection (HCV antibody), hepatitis D virus (HDV) infection (HDV antibody), hepatitis E virus (HEV) infection (hepatitis E antibody IgM), or human immunodeficiency virus type 1 (HIV-1) or human immunodeficiency virus type 2 (HIV-2) infection (laboratory confirmed) at screening
  • History or evidence of clinical signs or symptoms of hepatic decompensation, including but not limited to portal hypertension, ascites, hepatic encephalopathy, esophageal varices
  • Participants with history or signs of cirrhosis or portal hypertension or signs of hepatocellular carcinoma (HCC) or clinically relevant renal abnormalities
  • Participants with personal/familial history/indicative of immune-mediated disease risk

Trial locations and contacts

26 sites in 8 countries.

26 sites in 8 countries

Turkey (Türkiye)5 sites
  • Hacettepe University Medical Faculty

    Ankara, 06230

  • Istanbul University Cerrahpasa Medical Faculty

    Istanbul, 34098

  • Ege University Medical Faculty

    Izmir, 35040

  • Kocaeli University Medical Faculty

    Kocaeli, 41001

  • Karadeniz Teknik University Medical Faculty

    Trabzon, 61080

Other trials in Turkey (Türkiye)

France4 sites
  • Hopital Beaujon

    Clichy, 92110

  • Hopital Saint Joseph

    Marseille, 13008

  • Chu Rennes Hopital Pontchaillou

    Rennes, 35000

  • CHRU Nancy Brabois

    Vandœuvre-lès-Nancy, 54500

Other trials in France

Spain4 sites
  • Hosp Univ Vall D Hebron

    Barcelona, 8035

  • Hosp. Univ. Pta. de Hierro Majadahonda

    Madrid, 28222

  • Hosp. Montecelo

    Pontevedra, 36071

  • Hosp. Gral. Univ. Valencia

    Valencia, 46014

Other trials in Spain

Taiwan4 sites
  • Kaohsiung Medical University Chung Ho Memorial Hospital

    Kaohsiung City, 80756

  • E-DA Hospital

    Kaohsiung City, 824

  • China Medical University Hospital

    Taichung, 40447

  • Linkou Chang Gung Memorial Hospital

    Taoyuan, 33305

Other trials in Taiwan

Italy3 sites
  • Fondazione IRCCS Ca Granda Ospedale Policlinico Di Milano

    Milan, 20122

  • Azienda Ospedaliero Universitaria Pisana

    Pisa, 56124

  • Universita degli Studi di Roma 'La Sapienza' - Umberto I Policlinico di Roma

    Rome, 00161

Other trials in Italy

United Kingdom3 sites
  • Glasgow Royal Infirmary

    Glasgow, G31 2ER

  • Kings College Hospital

    London, SE5 9RS

  • Imperial College London and Imperial College Healthcare NHS Trust

    London, W2 1NY

Other trials in United Kingdom

Czechia2 sites
  • Fakultni nemocnice Hradec Kralove

    Hradec Králové, 500 05

  • IKEM

    Prague, 140 21

Other trials in Czechia

Canada1 site
  • Toronto General Hospital

    Toronto, Ontario, M5G 2C4

Other trials in Canada

About this study

Official title: A Phase 2 Open-label Trial to Evaluate Safety, Efficacy, Tolerability, and Pharmacodynamics of a Combination of JNJ-73763989, Nucleos(t)Ide Analogs, and a PD-1 Inhibitor in Chronic Hepatitis B Patients

The purpose of this study is to evaluate efficacy of the study intervention, based on hepatitis B surface antigen (HBsAg) levels at follow-up (FU) Week 24.

Read the detailed description

JNJ-73763989 (JNJ-3989) is a small interfering ribonucleic acid (siRNA) targeting all hepatitis B virus (HBV) messenger ribonucleic acid (mRNAs). The programmed cell death protein receptor-1 (PD-1) inhibitor aims at preventing the interaction of PD-1 with its ligands. The purpose of this study to determine whether at least one of the combination regimens of JNJ-3989 + PD-1 inhibitor + Nucleos(t)ide analog (NA) is more efficacious than JNJ-3989 + NA treatment. This study will be conducted in 3 periods: screening period, treatment period and follow-up (FU) period. Safety assessments will include adverse events (AEs), serious AEs, clinical safety laboratory tests, electrocardiograms (ECGs), vital signs, and physical examinations. Total duration of individual participation will be up to 78 weeks (including screening period).

Being tested
JNJ-73763989, PD-1 inhibitor, Tenofovir Disoproxil, Tenofovir Alafenamide, Entecavir
Medical subject headings
Hepatitis B, Chronic

What participants receive

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

  • JNJ-73763989Drug

    Also called JNJ-3989

    JNJ-73763989 will be administered subcutaneously.

  • PD-1 inhibitorDrug

    PD-1 inhibitor will be administered as IV infusion.

  • Tenofovir DisoproxilDrug

    Tenofovir disoproxil film-coated tablets will be administered orally.

  • Tenofovir AlafenamideDrug

    TAF film-coated tablets will be administered orally.

  • EntecavirDrug

    ETV film-coated tablets will be administered orally.

Study groups in NCT05275023
Study groupRoleWhat they receive
Arm 1: JNJ-73763989 + PD-1 Inhibitor + Nucleos(t)ide analog (NA)ExperimentalParticipants will receive JNJ-73763989 subcutaneous (SC) injections and single dose of programmed cell death protein receptor-1 (PD-1) inhibitor as intravenous (IV) infusion. Participants will also receive background treatment with NA (either tenofovir disoproxil, tenofovir alafenamide [TAF] or entecavir [ETV]).
Receives: Drug: JNJ-73763989; Drug: PD-1 inhibitor; Drug: Tenofovir Disoproxil; Drug: Tenofovir Alafenamide; Drug: Entecavir
Arm 2: JNJ-73763989 + PD-1 Inhibitor + NAExperimentalParticipants will receive JNJ-73763989 SC injections and multiple doses of PD-1 inhibitor as IV infusion. Participants will also receive background treatment with NA (either tenofovir disoproxil, TAF or ETV).
Receives: Drug: JNJ-73763989; Drug: PD-1 inhibitor; Drug: Tenofovir Disoproxil; Drug: Tenofovir Alafenamide; Drug: Entecavir

What is being measured

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

  1. Percentage of Participants Who Achieved Hepatitis B Surface Antigen (HBsAg) Seroclearance at Follow-up (FU) Week 24

    Percentage of participants who achieved HBsAg seroclearance at FU Week 24 were reported. Seroclearance of HBsAg was defined as a (quantitative) HBsAg level less than (<) lower limit of quantification (LLOQ) (0.05 international unit per milliliters [IU/mL]).

    Measured: At FU Week 24

Secondary outcomes (19)
  1. Percentage of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs) of Special Interest

    An AE was any untoward medical occurrence in a participant participating in a clinical study that does not necessarily had a causal relationship with the pharmaceutical/biological agent under study. Any AE occurring at or after the initial administration of study intervention was considered to be treatment emergent. AEs of interest were significant AEs that are judged to be of special interest because of clinical importance, known class effects or based on nonclinical signals.

    Measured: IP: Week 0 up to Week 24; FU Phase: FU Week 1 up to FU Week 48

  2. Number of Participants With TEAEs by Severity

    Number of participants with TEAEs by severity were reported. An AE was any untoward medical occurrence in a participant participating in a clinical study that did not necessarily had a causal relationship with the pharmaceutical/biological agent under study. Any AE occurring at or after the initial administration of study intervention was considered to be treatment emergent. Severity of AE were graded by using Division of Acquired Immunodeficiency Syndrome (DAIDS) grading scale that ranges from Grade 1 to Grade 5. Grade 1 indicates a mild event, Grade 2 indicates a moderate event, Grade 3 indicates a severe event, Grade 4 indicated a potentially life-threatening event, Grade 5 indicated death.

    Measured: IP: Week 0 up to Week 24; FU Phase: FU Week 1 up to FU Week 48

  3. Number of Participants With Immune Related TEAEs

    Number of participants with immune related TEAEs were reported. An AE was any untoward medical occurrence in a participant participating in a clinical study that did not necessarily have a causal relationship with the pharmaceutical/ biological agent under study. Any AE occurring at or after the initial administration of study intervention was considered to be treatment emergent. Immune-related AEs (irAEs) were alanine aminotransferase/alanine aminotransferase (ALT/AST) elevations including immune-related hepatic AEs, infusion-related reaction (IRRs) and other irAEs (including gastrointestinal AEs, neurological AEs, pulmonary AEs, renal AEs, endocrinopathies, rash, uveitis and visual complaints, lipase/amylase elevations, and infection), hematological abnormalities and injection site reactions.

    Measured: IP: Week 0 up to Week 24; FU Phase: FU Week 1 up to FU Week 48

  4. Number of Participants With Abnormalities in Vital Signs

    Number of participants with abnormalities in vital signs measurements (including pulse rate: abnormally low: less than or equal to [<=] 45 beats per minute [bpm], abnormally high: greater than or equal to [>=] 120 bpm; diastolic blood pressure [BP]: abnormally low: <=50 millimeters of mercury [mmHg], mild: >90 to <100 mmHg, moderate: >=100 to <110 mmHg, and severe: >=110 mmHg; systolic BP: abnormally low: <=90 mmHg, mild: >140 to <160 mmHg, moderate: >=160 to <180 mmHg, and severe: >=180 mmHg) were reported.

    Measured: IP: Week 0 up to Week 24; FU Phase: FU Week 1 up to FU Week 48

  5. Number of Participants With Abnormalities in 12-lead Electrocardiogram (ECGs)

    Number of participants with abnormalities in 12-lead ECGs: heart rate (abnormally low: <45 beats per minute [bpm], abnormally high: greater than or equal [>=] 120 bpm), PR interval (abnormally high: greater than [>] 220 millisecond [msec]), QRS interval (abnormally high: >=120 msec), QTc interval Fridericia (Borderline prolonged QT: 450< QTc <=480 msec; Prolonged QT: 480 < QTc <=500; Pathologically prolonged QT: QTc >500) were reported.

    Measured: IP: Week 0 up to Week 24; FU Phase: FU Week 1 up to FU Week 48

  6. Number of Participants With Abnormalities in Physical Examinations

    Number of participants with abnormalities in physical examinations were reported.

    Measured: IP: Week 0 up to Week 24; FU Phase: FU Week 1 up to FU Week 48

  7. Percentage of Participants With Abnormalities in Clinical Laboratory Parameters: Hematology

    Percentage of participants with abnormalities in hematology parameters (including basophils/Leukocytes high, erythrocytes mean corpuscular volume high, erythrocytes high and low, lymphocytes/leukocytes high and low, monocytes/leukocytes high and low, neutrophils, segmented+band form high and low, reticulocytes/erythrocytes high and low, basophils/leukocytes, eosinophils/leukocytes high, erythrocyte mean corpuscular hemoglobin low, reticulocytes/erythrocytes high and low, lymphocytes atypical/leukocytes high, lymphocytes atypical high, hematocrit high, monocytes low and high) were reported. Abnormalities with at least 1 participant is included. Low and high categorization depend on investigator's discretion.

    Measured: IP: Week 0 up to Week 24; FU Phase: FU Week 1 up to FU Week 48

  8. Number of Participants With Abnormalities in Clinical Laboratory Parameters: Clinical Chemistry

    Number of participants with abnormalities in clinical chemistry parameters (including C reactive protein high, cystatin C low and high, gamma glutamyl transferase low, high density lipoprotein [HDL] cholesterol low and high, indirect bilirubin high, lactate dehydrogenase high, protein high, thyrotropin low and high, free thyroxine high, free triiodothyronine low and high, and urea nitrogen high) were reported. Abnormalities with at least 1 participant is included. Low and high categorization depend on investigator's discretion.

    Measured: IP: Week 0 up to Week 24; FU Phase: FU Week 1 up to FU Week 48

  9. Number of Participants With Abnormalities in Clinical Laboratory Parameters: Urinalysis

    Number of participants with abnormalities in clinical laboratory parameters (including specific gravity high and urine hyaline casts high) were reported. Abnormalities with at least 1 participant is included. Low and high categorization depend on investigator's discretion.

    Measured: IP: Week 0 up to Week 24; FU Phase: FU Week 1 up to FU Week 48

  10. Change From Baseline in Hepatitis B Surface Antigen (HBsAg) Levels

    Change from baseline in HBsAg levels were reported. International units per milliliters=IU/mL. End of Study Intervention (EOSI) was the last post-baseline visit in study intervention period. End of study (EOS) was the last visit in the study.

    Measured: IP: Baseline, Weeks 1, 2, 3, 4, 8, 12, 16, 20, and End of Study Intervention (EOSI; Week 24); FU Phase: FU Weeks 4, 8, 12, 16, 20, 24, 32, 40, 48, and EOS (last visit at FU Week 48)

  11. Percentage of Participants With Change in HBsAg Levels Below/Above Different Cut-offs Over Time

    Percentage of participants with change in HBsAg levels below/above different cut-offs (<0.05 IU/mL, <1 U/mL, <10 IU/mL, <100 IU/mL , <1000 IU/mL) over time were reported. EOSI was the last post-baseline visit in study intervention period. EOS was the last visit in the study.

    Measured: IP: Baseline, Weeks 1, 2, 3, 4, 8, 12, 16, 20, and EOSI (Week 24); FU Phase: FU Weeks 4, 8, 12, 16, 20, 24, 32, 40, 48, and EOS (last visit at FU Week 48)

  12. Percentage of Participants With HBsAg Seroclearance

    Percentage of participants with HBsAg seroclearance were reported. Seroclearance of HBsAg was defined as a HBsAg level <lower limit of quantification (LLOQ) (0.05 IU/mL).

    Measured: IP: Week 0 to Week 24; FU Phase: FU Week 1 up to FU Week 48

  13. Percentage of Participants With HBsAg Seroconversion

    Percentage of participants with HBsAg seroconversion were reported. Seroconversion of HBsAg was defined as having achieved HBsAg seroclearance and appearance of anti-HBs antibodies (baseline anti-HBs antibodies <LLOQ and a post-baseline assessment >=LLOQ).

    Measured: IP: Week 0 to Week 24; FU Phase: FU Week 1 up to FU Week 48

  14. Time to Achieve HBsAg Seroclearance

    Time to achieve HBsAg seroclearance was reported. Seroclearance of HBsAg was defined as a (quantitative) HBsAg level <LLOQ (0.05 IU/mL).

    Measured: Week 0 up to FU Week 48 (up to Week 72)

  15. Time to Achieve HBsAg Seroconversion

    Time to achieve HBsAg seroconversion were reported. Seroconversion of HBsAg was defined as having achieved HBsAg seroclearance and appearance of anti-HBs antibodies (baseline anti-HBs antibodies <LLOQ and a post-baseline assessment >=LLOQ).

    Measured: Week 0 up to FU Week 48 (up to Week 72)

  16. Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) Levels Over Time

    HBV DNA levels over time were reported. EOSI was the last post-baseline visit in study intervention period. EOS was the last visit in the study.

    Measured: IP: Baseline, Weeks 2, 4, 8, 12, 16, 20 and EOSI (Week 24); FU Phase: FU Weeks 4, 8, 12, 16, 20, 24, 32, 40, 48, and EOS (last visit at FU Week 48)

  17. Percentage of Participants With Hepatitis B Virus Deoxyribonucleic Acid (HBV DNA) Level Below/Above Different Cut-offs Over Time

    Percentage of participants with HBV DNA level below/above different cut-offs over time were reported. HBV DNA cut offs: <LLOQ target detected (TD): that is, traces of HBV DNA were detected/found but were too low to be quantified; <LLOQ target not detected (TND): that is, no traces of HBV DNA were detected/found. EOSI was the last post-baseline visit in study intervention period. EOS was the last visit in the study. The LLOQ for HBV DNA was 20 IU/mL. As indicated in the data table, the sum of percentage values of each sub-categories within the specific timepoints "IP: Week 2" and "FU Phase: Week 4", shows a slight deviation from 100% due to rounding.

    Measured: IP: Baseline, Weeks 2, 4, 8, 12, 16, 20, and EOSI (Week 24); FU Phase: FU Weeks 4, 8, 12, 16, 20, 24, 32, 40, 48, and EOS (last visit at FU Week 48)

  18. Percentage of Participants With Hepatitis B e Antigen (HBeAg) Level Below/Above Different Cut-offs Over Time

    Percentage of participants with HBeAg level below/above different cut-offs over time were reported. HBeAg cut-offs: <LLOQ (0.11 IU/mL). EOSI was the last post-baseline visit in study intervention period. EOS was the last visit in the study.

    Measured: IP: Baseline, Weeks 2, 4, 8, 12, 20, and EOSI (Week 24); FU Phase: FU Weeks 12, 16, 20, 24, 32, 40, 48, and EOS (last visit at FU Week 48)

  19. Percentage of Participants With Virologic Breakthrough

    Percentage of participants with virologic breakthrough (confirmed on-treatment HBV DNA increase by >1 log10 IU/mL from nadir in participants who did not have on-treatment HBV DNA level below LLOQ or a confirmed on-treatment HBV DNA level >200 IU/mL in participants who had on-treatment HBV DNA level below LLOQ) were reported.

    Measured: IP: Week 0 to Week 24; FU Phase: FU Week 1 up to FU Week 48

Timeline

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

  1. First posted11 Mar 2022
  2. Study start30 Jun 2022
  3. Primary completion12 Dec 2023
  4. Study completion31 May 2024

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
None (open label)
Enrolment
37 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05275023
Sponsor's protocol ID
CR109161
Other IDs
73763989PAHPB2008, 2021-005132-33
Acronym
OCTOPUS-1
Status last verified
Apr 2025
First submitted
2 Mar 2022
Last updated
25 Apr 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Publications

  • Asselah T, Fung SK, Akhan S, Chuang WL, Buti M, Brunetto M, Agarwal K, Diba C, Jezorwski J, Berger V, T'jollyn H, Tsou WI, Kakuda TN, Lonjon-Domanec I, Nalpas C, Guinard-Azadian C, Verbinnen T, Lathouwers E, De Creus A, Lenz O, Biermer M. No Impact of Low-Dose Nivolumab Addition to JNJ-73763989 on Hepatitis B Surface Antigen Declines in Chronic Hepatitis B: The OCTOPUS-1 Study. Clin Gastroenterol Hepatol. 2026 Jun 19:S1542-3565(26)00471-4. doi: 10.1016/j.cgh.2026.06.018. Online ahead of print.

    PubMed 42320551

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing JNJ-73763989, PD-1 inhibitor and Tenofovir Disoproxil in people with Hepatitis B, Chronic, run by Janssen Research & Development, LLC at 26 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 2 inclusion and 4 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 25 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in Turkey (Türkiye), France, Spain, Taiwan, Italy 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. 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 10 Feb 2025). 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?

Percentage of Participants Who Achieved Hepatitis B Surface Antigen (HBsAg) Seroclearance at Follow-up (FU) Week 24 (time frame: At FU 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 NCT05275023, 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 25 Apr 2025.

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