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Chronic Hepatitis BPhase 2NCT02174276

Safety and Efficacy of GS-4774 in Combination With Tenofovir Disoproxil Fumarate (TDF) for the Treatment of Participants With Chronic Hepatitis B (CHB) and Who Are Currently Not on Treatment

A Phase 2 study testing Tenofovir disoproxil fumarate and GS-4774 in people with Chronic Hepatitis B, run by Gilead Sciences at 33 sites in 6 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 GS-4774 in adults with CHB and who are currently not on treatment. Participants will be randomized to receive TDF alone or GS-4774 plus TDF for 20 weeks. After Week 20, GS-4774 will be discontinued. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Hepatitis B
What is being tested?
Tenofovir disoproxil fumarate and GS-4774
Could I receive a placebo?
No, everyone receives an active treatment
How many people
195 participants
Where
33 sitesin 6 countries
Study dates
24 Jul 2014to 30 May 2018
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 years and older
  • 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, which must be obtained prior to initiation of study
  • Documented evidence of chronic hepatitis B virus (HBV) infection, for example, hepatitis B surface antigen (HBsAg) positive for more than 6 months
  • Screening HBV DNA ≥ 2000 IU/mL
  • A negative serum pregnancy test is required for females (unless surgically sterile or > 2 years post-menopausal)

Who cannot join

  • Cirrhosis
  • Inadequate liver function
  • Co-infection with hepatitis C virus (HCV), HIV or hepatitis D virus (HDV)
  • Received antiviral treatment for HBV within 3 months of screening
  • Evidence of hepatocellular carcinoma (eg, as evidenced by recent imaging)
  • Significant cardiovascular, pulmonary, or neurological disease
Show all 17Show fewer
  • Women who are pregnant or may wish to become pregnant during the course of the study
  • Received solid organ or bone marrow transplant
  • Received prolonged therapy with immunomodulators (eg, corticosteroids) or biologics (eg, monoclonal antibody, interferon) within 3 months of screening
  • Use of investigational agents within 3 months of screening
  • Current alcohol or substance abuse judged by the investigator to potentially interfere with individual's compliance
  • Receipt of immunoglobulin or other blood products within 3 months prior to enrollment
  • History of demyelinating disease (Guillain-Barre), Bell's Palsy, Crohn's disease, Ulcerative colitis, or autoimmune disease
  • Documented history of yeast allergy
  • Known hypersensitivity to study drugs, metabolites or formulation excipients
  • Malignancy within 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection (basal cell skin cancer, etc). Individuals under evaluation for possible malignancy are not eligible
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

33 sites in 6 countries.

33 sites in 6 countries

United States12 sites
  • Digestive Disease Associates, PA

    Baltimore, Maryland

  • Tufts Medical Center

    Boston, Massachusetts

  • The Queen's Medical Center

    Honolulu, Hawaii

  • Icahn School of Medicine at Mount Sinai

    New York, New York

  • Stanford University Medical Center

    Palo Alto, California

  • Xiaoli Ma, PC

    Philadelphia, Pennsylvania

  • Virginia Commonwealth University

    Richmond, Virginia

  • Kaiser Permanente

    Sacramento, California

  • Research and Education, Inc.

    San Diego, California

  • Kaiser Permanente San Francisco

    San Francisco, California

  • Silicon Valley Research Institute

    San Jose, California

  • Kaiser Permanente

    Springfield, Virginia

Other trials in United States

South Korea8 sites
  • Kyungpook National University Hospital

    Daegu

  • The Catholic University of Korea

    Seocho

  • Seoul National University Bundang Hospital

    Seongnam

  • Samsung Medical Center

    Seoul

  • Seoul National University College of Medicine

    Seoul

  • Yonsei Universiity

    Seoul

  • Pusan National University Yangsan Hospital

    Yangsan

  • The Catholic University of Korea

    Yangsan

Other trials in South Korea

Canada6 sites
  • Toronto General Hospital-The University Health Network

    Toronto, Ontario

  • Toronto Liver Centre

    Toronto, Ontario

  • Toronto Western Hospital-The University Health Network

    Toronto, Ontario

  • Gordon & Leslie Diamond Health Care Centre

    Vancouver, British Columbia

  • Liver and Intestinal Research Center

    Vancouver, British Columbia

  • University of Manitoba

    Winnipeg, Manitoba

Other trials in Canada

Italy4 sites
  • Aou-S.Orsola-Malpighi - Universita Degli Studi Di

    Bologna

  • Azienda Ospedaliero-Universitaria di Parma

    Parma

  • Azienda Ospedaliero-Universitaria Pisana

    Pisa

  • IRCCS Casa Sollievo della Sofferenza

    San Giovanni Rotondo

Other trials in Italy

Romania2 sites
  • Dr. Victor Babes Hospital for Infectious Diseases

    Bucharest

  • Institutul National de Boli Infectioase Prof.Dr. Matei Bals

    Bucharest

Other trials in Romania

New Zealand1 site
  • Auckland Clinical Studies

    Auckland

Other trials in New Zealand

About this study

Official title: A Phase 2, Randomized, Open-Label Study to Evaluate the Safety and Efficacy of GS-4774 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 GS-4774 in adults with CHB and who are currently not on treatment. Participants will be randomized to receive TDF alone or GS-4774 plus TDF for 20 weeks. After Week 20, GS-4774 will be discontinued. All participants will continue on TDF and will be followed for an additional 28 weeks. Following completion of the 48 week study period, all participants will be eligible for a treatment extension for 96 weeks.

Being tested
Tenofovir disoproxil fumarate, GS-4774
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.

  • Tenofovir disoproxil fumarateDrug

    Also called TDF, Viread®

    TDF 300 mg tablet administered orally once daily

  • GS-4774Biological

    GS-4774 subcutaneous injection administered every 4 weeks for a total of 6 doses

Study groups in NCT02174276
Study groupRoleWhat they receive
TDF 48 weeksActive comparatorParticipants will receive TDF for 48 weeks. After Week 48, participants will have the option to continue receiving TDF for up to 144 weeks.
Receives: Drug: Tenofovir disoproxil fumarate
TDF plus GS-4774 2 YUExperimentalParticipants will receive TDF plus GS-4774 2 yeast units (YU) for 20 weeks. After Week 20, GS-4774 will be discontinued and participants will continue on TDF for an additional 28 weeks. After Week 48, participants will have the option to continue receiving TDF for up to 144 weeks.
Receives: Drug: Tenofovir disoproxil fumarate; Biological: GS-4774
TDF plus GS-4774 10 YUExperimentalParticipants will receive TDF plus GS-4774 10 YU for 20 weeks. After Week 20, GS-4774 will be discontinued and participants will continue on TDF for an additional 28 weeks. After Week 48, participants will have the option to continue receiving TDF for up to 144 weeks.
Receives: Drug: Tenofovir disoproxil fumarate; Biological: GS-4774
TDF plus GS-4774 40 YUExperimentalParticipants will receive TDF plus GS-4774 40 YU for 20 weeks. After Week 20, GS-4774 will be discontinued and participants will continue on TDF for an additional 28 weeks. After Week 48, participants will have the option to continue receiving TDF for up to 144 weeks.
Receives: Drug: Tenofovir disoproxil fumarate; Biological: GS-4774

What is being measured

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

  1. Mean Change in Serum HBsAg From Baseline to Week 24

    The change from baseline to Week 24 in HBsAg was analyzed using a mixed effect model for repeated measures (MMRM). The model included treatment groups, ALT levels (> ULN or ≤ ULN) at baseline, HBeAg status (positive or negative) at baseline, HBsAg level at baseline, visit and treatment-by-visit interaction as fixed effects and visit as a repeated measurement. Estimated least square means of treatment effects are presented with the 95% confidence intervals (CIs).

    Measured: Baseline to Week 24

Secondary outcomes (18)
  1. Mean Change in HBsAg From Baseline to Week 12

    The change from baseline to Week 12 in HBsAg was analyzed using a MMRM. The model included treatment groups, ALT levels (> ULN or ≤ ULN) at baseline, HBeAg status (positive or negative) at baseline, HBsAg level at baseline, visit and treatment-by-visit interaction as fixed effects and visit as a repeated measurement. Estimated least square means of treatment effects are presented with the 95% CIs.

    Measured: Baseline to Week 12

  2. Mean Change in HBsAg From Baseline to Week 48

    The change from baseline to Week 48 in HBsAg was analyzed using a MMRM. The model included treatment groups, ALT levels (> ULN or ≤ ULN) at baseline, HBeAg status (positive or negative) at baseline, HBsAg level at baseline, visit and treatment-by-visit interaction as fixed effects and visit as a repeated measurement. Estimated least square means of treatment effects are presented with the 95% CIs.

    Measured: Baseline to Week 48

  3. Percentage of Participants With HBsAg Loss at Week 24

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

    Measured: Baseline to Week 24

  4. Percentage of Participants With HBsAg Loss at Week 48

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

    Measured: Baseline to Week 48

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

    HBsAg loss was defined as qualitative HBsAg test changing from positive at baseline to negative at any postbaseline visit within the targeted time window. HBsAg loss and seroconversion was defined as qualitative HBsAb result changing from negative at baseline to positive at any postbaseline visit and the participant must have achieved HBsAg loss within the targeted time window.

    Measured: Baseline to Week 24

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

    HBsAg loss was defined as qualitative HBsAg test changing from positive at baseline to negative at any postbaseline visit within the targeted time window. HBsAg loss and seroconversion was defined as qualitative HBsAb result changing from negative at baseline to positive at any postbaseline visit and the participant must have achieved HBsAg loss within the targeted time window.

    Measured: Baseline to Week 48

  7. Percentage of Participants With a ≥ 0.5 Log10 IU/mL or a ≥ 1.0 Log10 IU/mL Decline in HBsAg at Week 12

    HBsAg with a ≥ 0.5 or ≥ 1.0 log10 IU/mL decline was defined as ≥ 0.5 or ≥ 1.0 decline from baseline in log10 IU/mL serum HBsAg at any postbaseline visit within the targeted time window.

    Measured: Baseline to Week 12

  8. Percentage of Participants With a ≥ 0.5 Log10 IU/mL or a ≥ 1.0 Log10 IU/mL Decline in HBsAg at Week 24

    HBsAg with a ≥ 0.5 or ≥ 1.0 log10 IU/mL decline was defined as ≥ 0.5 or ≥ 1.0 decline from baseline in log10 IU/mL serum HBsAg at any postbaseline visit within the targeted time window.

    Measured: Baseline to Week 24

  9. Percentage of Participants With a ≥ 0.5 Log10 IU/mL or a ≥ 1.0 Log10 IU/mL Decline in HBsAg at Week 48

    HBsAg with a ≥ 0.5 or ≥ 1.0 log10 IU/mL decline was defined as ≥ 0.5 or ≥ 1.0 decline from baseline in log10 IU/mL serum HBsAg at any postbaseline visit within the targeted time window.

    Measured: Baseline to Week 48

  10. Percentage of Participants With HBeAg Loss at Week 24

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

    Measured: Baseline to Week 24

  11. Percentage of Participants With HBeAg Loss at Week 48

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

    Measured: Baseline to Week 48

  12. Composite Endpoint Measuring the Percentage of Participants With HBeAg Loss and HBeAg Seroconversion at Week 24

    HBeAg loss was defined as qualitative HBeAg test changing from positive at baseline to negative at any postbaseline visit within the targeted time window. HBeAg loss and seroconversion was defined as qualitative HBeAb result changing from negative at baseline to positive at any postbaseline visit and the participant must have achieved HBeAg loss within the targeted time window.

    Measured: Baseline to Week 24

  13. Composite Endpoint Measuring the Percentage of Participants With HBeAg Loss and HBeAg Seroconversion at Week 48

    HBeAg loss was defined as qualitative HBeAg test changing from positive at baseline to negative at any postbaseline visit within the targeted time window. HBeAg loss and seroconversion was defined as qualitative HBeAb result changing from negative at baseline to positive at any postbaseline visit and the participant must have achieved HBeAg loss within the targeted time window.

    Measured: Baseline to Week 48

  14. Percentage of Participants With HBV DNA < Lower Limit of Quantification (LLOQ) at Week 24

    The LLOQ was defined as 20 IU/mL.

    Measured: Week 24

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

    The LLOQ was defined as 20 IU/mL.

    Measured: Week 48

  16. Percentage of Participants Experiencing Virologic Breakthrough at Week 24

    Virologic breakthrough was defined as HBV DNA ≥ 69 IU/mL after having been < 69 IU/mL, or having had ≥ 1.0 log10 increase in HBV DNA from nadir. Two consecutive visits that met the definition were required for a participant to be classified as having had virologic breakthrough.

    Measured: Baseline to Week 24

  17. Percentage of Participants Experiencing Virologic Breakthrough at Week 48

    Virologic breakthrough was defined as HBV DNA ≥ 69 IU/mL after having been < 69 IU/mL, or a ≥ 1.0 log10 increase in HBV DNA from nadir. Two consecutive visits that met the definition were required for a participant to be classified as having had virologic breakthrough.

    Measured: Baseline to Week 48

  18. Number of Participants With Drug-Resistance Mutations at Week 48 or at the Last Visit Available

    Resistance surveillance analysis was conducted at Week 48 or Early Discontinuation (with at least 24 weeks of exposure to TDF) for any participants who met inclusion criteria (HBV DNA ≥ 69 IU/mL). Drug-resistant mutation status was assessed using HBV polymerase/ reverse transcriptase (pol/RT) population sequencing.

    Measured: Baseline to 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 posted25 Jun 2014 (estimated)
  2. Study start24 Jul 2014
  3. Primary completion17 Feb 2016
  4. Study completion30 May 2018

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
195 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02174276
Sponsor's protocol ID
GS-US-330-1401
Other IDs
2014-001011-39, 2014
Status last verified
May 2019
First submitted
23 Jun 2014
Last updated
4 Jun 2019
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Janssen HL, Yoon SK, Yoshida EM, Trinh HN, Rodell TC, Nguyen AH, et al. Safety and Efficacy of GS-4774 in combination with TDF in Patients with Chronic Hepatitis B not on Antiviral Medication [Abstract 231]. Hepatology AASLD Abstracts 2016;64 (Suppl S1):122A.

  • Boni C, Janssen HLA, Rossi M, Yoon SK, Vecchi A, Barili V, Yoshida EM, Trinh H, Rodell TC, Laccabue D, Alfieri A, Brillo F, Fisicaro P, Acerbi G, Pedrazzi G, Andreone P, Cursaro C, Margotti M, Santoro R, Piazzolla V, Brunetto MR, Coco B, Cavallone D, Zhao Y, Joshi A, Woo J, Lau AH, Gaggar A, Subramanian GM, Massetto B, Fung S, Ahn SH, Ma X, Mangia A, Ferrari C. Combined GS-4774 and Tenofovir Therapy Can Improve HBV-Specific T-Cell Responses in Patients With Chronic Hepatitis. Gastroenterology. 2019 Jul;157(1):227-241.e7. doi: 10.1053/j.gastro.2019.03.044. Epub 2019 Mar 28.

    PubMed 30930022

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tenofovir disoproxil fumarate and GS-4774 in people with Chronic Hepatitis B, run by Gilead Sciences at 33 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 4 inclusion and 17 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 4 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in United States, South Korea, Canada, Italy, Romania 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. 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 4 Jun 2019). 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 in Serum HBsAg From Baseline to 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 NCT02174276, 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 4 Jun 2019.

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