AzTrials
AzTrials

Chronic Hepatitis BPhase 2NCT02166047

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

A Phase 2 study testing Vesatolimod in people with Chronic Hepatitis B, run by Gilead Sciences at 23 sites in 6 countries.

Completed

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

Official record
Search all trials

Trial summary

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). 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?
Vesatolimod
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
162 participants
Where
23 sitesin 6 countries
Study dates
30 Jun 2014to 20 Oct 2016
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

  • 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

Who cannot join

  • 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
Show all 20Show fewer
  • 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.

Trial locations and contacts

23 sites in 6 countries.

23 sites in 6 countries

United States9 sites
  • Study site

    Boston, Massachusetts, 02111

  • Study site

    Boston, Massachusetts, 02215

  • Study site

    Detroit, Michigan, 48202

  • Study site

    Flushing, New York, 11355

  • Study site

    Honolulu, Hawaii, 96734

  • Study site

    Los Angeles, California, 90095

  • Study site

    San Diego, California, 92154

  • Study site

    San Francisco, California, 94118

  • Study site

    San Jose, California, 95128

Other trials in United States

Canada4 sites
  • Study site

    Toronto, Ontario, M5G2C4

  • Study site

    Toronto, Ontario, M5T 2S8

  • Study site

    Vancouver, British Columbia, V5Z 1M9

  • Study site

    Winnipeg, Manitoba, R3E 3P4

Other trials in Canada

Italy4 sites
  • Study site

    Milan, 20122

  • Study site

    Parma, 43126

  • Study site

    Pisa, 56124

  • Study site

    San Giovanni Rotondo, FG, 71013

Other trials in Italy

South Korea4 sites
  • Study site

    Seoul, 110-744

  • Study site

    Seoul, 120-752

  • Study site

    Seoul, 135-710

  • Study site

    Seoul, 138-736

Other trials in South Korea

Netherlands1 site
  • Study site

    Rotterdam, 3015 CE

Other trials in Netherlands

New Zealand1 site
  • Study site

    Auckland, 1142

Other trials in New Zealand

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 for the Treatment of Virally-Suppressed Subjects With Chronic Hepatitis B

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).

Being tested
Vesatolimod, Placebo
Keywords
Hepatitis B, HBV, GS-9620, TLR-7 Agonist
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.

  • VesatolimodDrug

    Also called GS-9620

    Vesatolimod tablet administered orally

  • PlaceboDrug

    Placebo to match vesatolimod tablet administered orally

Study groups in NCT02166047
Study groupRoleWhat they receive
Placebo 4 Weeks (Cohort A)Placebo comparatorPlacebo tablet once a week for 4 weeks
Receives: Drug: Placebo
Vesatolimod 1 mg 4 Weeks (Cohort A)ExperimentalVesatolimod 1 mg tablet once a week for 4 weeks
Receives: Drug: Vesatolimod
Vesatolimod 2 mg 4 Weeks (Cohort A)ExperimentalVesatolimod 2 mg tablet once a week for 4 weeks
Receives: Drug: Vesatolimod
Vesatolimod 4 mg 4 Weeks (Cohort A)ExperimentalVesatolimod 4 mg tablet once a week for 4 weeks
Receives: Drug: Vesatolimod
Placebo 8 Weeks (Cohort B)Placebo comparatorPlacebo tablet once a week for 8 weeks
Receives: Drug: Placebo
Vesatolimod 1 mg 8 Weeks (Cohort B)ExperimentalVesatolimod 1 mg tablet once a week for 8 weeks
Receives: Drug: Vesatolimod
Vesatolimod 2 mg 8 Weeks (Cohort B)ExperimentalVesatolimod 2 mg tablet once a week for 8 weeks
Receives: Drug: Vesatolimod
Vesatolimod 4 mg 8 Weeks (Cohort B)ExperimentalVesatolimod 4 mg tablet once a week for 8 weeks
Receives: Drug: Vesatolimod
Placebo 12 Weeks (Cohort C)Placebo comparatorPlacebo tablet once a week for 12 weeks
Receives: Drug: Placebo
Vesatolimod 1 mg 12 Weeks (Cohort C)ExperimentalVesatolimod 1 mg tablet once a week for 12 weeks
Receives: Drug: Vesatolimod
Vesatolimod 2 mg 12 Weeks (Cohort C)ExperimentalVesatolimod 2 mg tablet once a week for 12 weeks
Receives: Drug: Vesatolimod
Vesatolimod 4 mg 12 Weeks (Cohort C)ExperimentalVesatolimod 4 mg tablet once a week for 12 weeks
Receives: Drug: Vesatolimod

What is being measured

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

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

    Measured: Baseline to Week 24

Secondary outcomes (8)
  1. Composite Endpoint Measuring the Percentage of Participants With Hepatitis B Envelope Antigen (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 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.

    Measured: Week 24

  2. Composite Endpoint Measuring the Percentage of Participants With Hepatitis B Envelope Antigen (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 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.

    Measured: Week 48

  3. Composite Endpoint Measuring the 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 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.

    Measured: Week 24

  4. Composite Endpoint Measuring the 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 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.

    Measured: Week 48

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

    Measured: Baseline; Week 4

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

    Measured: Baseline; Week 8

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

    Measured: Baseline; Week 12

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

    Measured: Baseline; 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 posted18 Jun 2014 (estimated)
  2. Study start30 Jun 2014
  3. Primary completion11 May 2016
  4. Study completion20 Oct 2016

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
Sequential
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
162 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02166047
Sponsor's protocol ID
GS-US-283-1059
Other IDs
2014-001400-22, ACTRN12614000628640, 2014
Status last verified
Sep 2020
First submitted
16 Jun 2014
Last updated
14 Oct 2020
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Boni C, Vecchi A, Rossi M, Laccabue D, Giuberti T, Alfieri A, Lampertico P, Grossi G, Facchetti F, Brunetto MR, Coco B, Cavallone D, Mangia A, Santoro R, Piazzolla V, Lau A, Gaggar A, Subramanian GM, Ferrari C. TLR7 Agonist Increases Responses of Hepatitis B Virus-Specific T Cells and Natural Killer Cells in Patients With Chronic Hepatitis B Treated With Nucleos(T)Ide Analogues. Gastroenterology. 2018 May;154(6):1764-1777.e7. doi: 10.1053/j.gastro.2018.01.030. Epub 2018 Jan 31.

    PubMed 29378197
  • Janssen HLA, Brunetto MR, Kim YJ, Ferrari C, Massetto B, Nguyen AH, Joshi A, Woo J, Lau AH, Gaggar A, Subramanian GM, Yoshida EM, Ahn SH, Tsai NCS, Fung S, Gane EJ. Safety, efficacy and pharmacodynamics of vesatolimod (GS-9620) in virally suppressed patients with chronic hepatitis B. J Hepatol. 2018 Mar;68(3):431-440. doi: 10.1016/j.jhep.2017.10.027. Epub 2017 Dec 11.

    PubMed 29104121

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Vesatolimod in people with Chronic Hepatitis B, run by Gilead Sciences at 23 sites in 6 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 6 inclusion and 20 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 14 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States, Canada, Italy, South Korea, Netherlands and 1 more country. 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 2 Sep 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?

Change From Baseline in Serum Hepatitis B Surface Antigen (HBsAg) Level at Week 24 (time frame: Baseline to 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 NCT02166047, which also lists 2 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 14 Oct 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in