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Hepatitis BPhase 2NCT02604199

A Multi-dose Study of ARC-520 in Patients With Hepatitis B 'e' Antigen (HBeAg) Negative, Chronic Hepatitis B Virus (HBV) Infection

A Phase 2 study testing ARC-520 Injection, entecavir and tenofovir in people with Hepatitis B, run by Arrowhead Pharmaceuticals at 16 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Patients with chronic HBV infection will receive either ARC-520 or placebo in combination with entecavir or tenofovir, and be evaluated for safety and efficacy. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Hepatitis B
What is being tested?
ARC-520 Injection, entecavir and tenofovir
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
58 participants
Where
16 sitesin 3 countries
Study dates
Sep 2015to Jan 2017
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female, 18 to 75 years of age
  • Written informed consent
  • No clinically significant abnormalities at screening/pre-dose 12-lead ECG assessment
  • No new abnormal finding of clinical relevance at the screening evaluation.
  • Diagnosis of HBeAg negative, immune active, chronic HBV infection
  • > 2 months of continuous treatment with daily, oral entecavir or tenofovir
  • Willingness to continue taking entecavir or tenofovir throughout the study.
  • Must use 2 effective methods of contraception (double barrier contraception or hormonal contraceptive along with a barrier contraceptive) (both male and female partners)

Who cannot join

  • Pregnant or lactating
  • Acute signs of hepatitis/other infection within 4 weeks of screening
  • Antiviral therapy other than entecavir or tenofovir within 3 months of screening
  • Prior treatment with interferon in the last 3 years.
  • Use within the last 6 months or anticipated requirement for anticoagulants, corticosteroids, immunomodulators, or immunosuppressants.
  • Use of prescription medication within 14 days prior to treatment administration except: topical products without systemic absorption, statins (except rosuvastatin), hypertension medications, or hormonal contraceptives.
Show all 33Show fewer
  • Depot injection or implant of any drug within 3 months prior to treatment administration, except injectable/implantable birth control.
  • Diagnosis of diabetes mellitus.
  • History of autoimmune disease especially autoimmune hepatitis.
  • Human immunodeficiency virus (HIV) infection.
  • Sero-positive for Hepatitis C Virus (HCV), and/or a history of delta virus hepatitis.
  • Hypertension defined as blood pressure > 150/100 mmHg
  • History of cardiac rhythm disturbances
  • Family history or congenital long QT syndrome, Brugada syndrome or unexplained sudden cardiac death
  • Symptomatic heart failure, unstable angina, myocardial infarction, severe cardiovascular disease within 6 months prior to study entry.
  • History of malignancy except for adequately treated basal cell carcinoma, squamous cell skin cancer, superficial bladder tumors, or in situ cervical cancer.
  • Has had a major surgery within 3 months of screening.
  • History of alcohol and/or drug abuse < 12 months from screening.
  • Regular uses of alcohol within 6 months prior to screening (ie, more than 14 units of alcohol per week).
  • Evidence of severe systemic acute inflammation, sepsis, or hemolysis.
  • Diagnosed with a significant psychiatric disorder.
  • Use of recreational drugs, such as marijuana, within 3 months prior to screening
  • Use of drugs such as cocaine, phencyclidine (PCP), and methamphetamines, within 1 year prior to screening.
  • History of allergy to bee sting.
  • Use of investigational agents or devices within 30 days prior to planned study dosing or current participation in an investigational study.
  • Clinically significant history or presence of any gastrointestinal pathology, unresolved gastrointestinal symptoms, liver or kidney disease.
  • Presence of cholangitis, cholecystitis, cholestasis, or duct obstruction.
  • Clinically significant history or presence of poorly controlled/uncontrolled systemic disease.
  • History of fever within 2 weeks of screening.
  • Immunized with a live attenuated vaccine within 7 days prior to dosing or planned vaccination (excluding flu vaccine by injection).
  • Presence of any medical or psychiatric condition or social situation that impacts compliance or results in additional safety risk.
  • Participated in excessive exercise/physical activity within 7 days of screening or planned during the trial.
  • History of coagulopathy/stroke within past 6 months, and/or concurrent anticoagulant medication(s).

Trial locations and contacts

16 sites in 3 countries.

16 sites in 3 countries

Germany9 sites
  • Research Site 11

    Frankfurt, 60590

  • Research Site 9

    Hamburg, 20099

  • Research Site 8

    Hanover, 30625

  • Research Site 10

    Leipzig, 04103

  • Research Site 4

    Leipzig, 4103

  • Research Site 5

    München, 81377

  • Research Site 3

    Tübingen, 72076

  • Research Site 6

    Ulm, 89081

  • Research Site 7

    Würzburg, 97080

Other trials in Germany

South Korea5 sites
  • Research Site 13

    Busan, 602-739

  • Research Site 15

    Incheon, 405-760

  • Research Site 14

    Seoul, 110-744

  • Research Site 16

    Seoul, 120-752

  • Research Site 12

    Yangsan-si Gyeongnam, 626-770

Other trials in South Korea

China2 sites
  • Research Site 1

    Hong Kong, 999077

  • Research Site 2

    Hong Kong

Other trials in China

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled, Multi-dose Study to Determine the Depth of Hepatitis B Surface Antigen (HBsAg) Reduction Following Intravenous ARC-520 in Combination With Entecavir or Tenofovir in Patients With HBeAg Negative, Chronic Hepatitis B Virus (HBV) Infection

Patients with chronic HBV infection will receive either ARC-520 or placebo in combination with entecavir or tenofovir, and be evaluated for safety and efficacy.

Read the detailed description

This is a multicenter, randomized, double-blind, placebo-controlled, multi-dose study of ARC-520 in combination with entecavir or tenofovir administered to patients with Hepatitis B 'e' Antigen (HBeAg) negative and immune active chronic HBV infection. Eligible patients who have signed an Ethics Committee - approved informed consent, will be enrolled and will receive ARC-520 or placebo in combination with entecavir or tenofovir. The study will enroll up to a total of 60 eligible chronic HBV infected patients. Patients will undergo the following evaluations at regular intervals during the study: medical history, physical examinations, vital sign measurements (blood pressure, heart rate, respiratory rate and temperature), weight, adverse events assessment (AEs), 12-lead electrocardiograms (ECGs), liver fibrosis testing, concomitant medication assessment, blood sample collection for hematology, coagulation,chemistry, lactate, Pharmacokinetic (PK) measures (in a subset of patients), exploratory Pharmacodynamic (PD) measures, urinalysis, HBV serology, Follicle Stimulating Hormone (FSH) testing (post-menopausal females) and pregnancy testing for females of childbearing potential. Clinically significant changes including AEs will be followed until resolution, until the condition stabilizes, until the event is otherwise explained, or until the patient is lost to follow-up. For each patient, the duration of the study is approximately 33 weeks from screening to the Day 169 follow-up visit. For patients enrolling into a planned extension study, the total duration of this study is approximately 25 weeks from screening to Day 113 end of study visit.

Conditions
Hepatitis B
Being tested
ARC-520 Injection, placebo, entecavir, tenofovir, antihistamine
Medical subject headings
Hepatitis B

What participants receive

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

  • ARC-520 InjectionDrug

    ARC-520 Injection was administered concomitantly, IV with 0.9% normal saline using an infusion rate of 0.4 mL/min for study treatment and 3.6 mL/min for saline.

  • placeboOther

    Placebo was administered concomitantly, IV with 0.9% normal saline using an infusion rate of 0.4 mL/min for study treatment and 3.6 mL/min for saline.

  • entecavirDrug

    All participants will take entecavir or tenofovir throughout the study. Participants will be instructed to take their medication daily.

  • tenofovirDrug

    All participants will take entecavir or tenofovir throughout the study. Participants will be instructed to take their medication daily.

  • antihistamineDrug

    All participants will be pretreated with an oral antihistamine, administered 2 hours (±30 minutes) pre-dose. The antihistamine used should in general be an H1>H2 receptor blocker and would include diphenhydramine 50 mg, cetirizine 10 mg, chlorpheniramine 8 mg or hydroxyzine 50 mg. The Investigator is free to choose any of these antihistamines available locally and consistent with their country's Marketing Authorisation.

Study groups in NCT02604199
Study groupRoleWhat they receive
PBO Low DosePlacebo comparator0.9% normal saline, once every 4 weeks for 4 doses plus daily oral entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg) throughout the study period
Receives: Other: placebo; Drug: entecavir; Drug: tenofovir; Drug: antihistamine
PBO High DosePlacebo comparator0.9% normal saline, once every 4 weeks for 4 doses plus daily oral entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg) throughout the study period
Receives: Other: placebo; Drug: entecavir; Drug: tenofovir; Drug: antihistamine
ARC-520 Injection 1 mg/kgExperimentalIntravenous ARC-520 at 1.0 mg/kg, once every 4 weeks for 4 doses plus daily oral entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg) throughout the study period
Receives: Drug: ARC-520 Injection; Drug: entecavir; Drug: tenofovir; Drug: antihistamine
ARC-520 Injection 2 mg/kgExperimentalIntravenous ARC-520 at 2.0 mg/kg, once every 4 weeks for 4 doses plus daily oral entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg) throughout the study period
Receives: Drug: ARC-520 Injection; Drug: entecavir; Drug: tenofovir; Drug: antihistamine

What is being measured

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

  1. Change From Baseline in Quantitative Hepatitis B Surface Antigen (Log qHBsAg) at Day 113

    Change From Baseline in log qHBsAg at Day 113 in response to multiple doses of ARC-520 versus placebo, using a a mixed effect model for repeated measures (MMRM). Includes parameter baseline as a continuous covariate, and treatment and visit as fixed factors, interaction of treatment and visit, and interaction of parameter baseline and visit.

    Measured: Baseline, Day 113

Secondary outcomes (10)
  1. Change From Baseline in Quantitative Hepatitis B Surface Antigen (Log qHBsAg) Over Time

    Change From Baseline in log qHBsAg at Day 113 in response to multiple doses of ARC-520 versus placebo, using a a mixed effect model for repeated measures (MMRM). Includes parameter baseline as a continuous covariate, and treatment and visit as fixed factors, interaction of treatment and visit, and interaction of parameter baseline and visit.

    Measured: Baseline, Day 15, 29, 43, 57, 71, 85, 99

  2. Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Deaths and Discontinuations Due to AEs

    An AE is any untoward medical occurrence which does not necessarily have a causal relationship with this treatment. An SAE is any AE that: results in death; is life-threatening; requires inpatient hospitalization or prolongation of an existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; or is a medically important event or reaction. A treatment emergent AE (TEAE) was defined as an AE that was not present prior to the first study medication administration and started at/after the time of initiation of administration of study medication, or an AE which was present prior to initiation of study medication administration, which increased in severity after study medication administration.

    Measured: Through Day 169

  3. Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours (AUC0-24)

    Measured: Through 48 hours post-dosing on Day 1 and Day 85

  4. Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 to the Last Quantifiable Plasma Concentration (AUClast)

    Measured: Through 48 hours post-dosing on Day 1 and Day 85

  5. Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUCinf)

    Measured: Through 48 hours post-dosing on Day 1 and Day 85

  6. Pharmacokinetics of ARC-520: Maximum Observed Plasma Concentration (Cmax)

    Measured: Through 48 hours post-dosing on Day 1 and Day 85

  7. Pharmacokinetics of ARC-520: Clearance (CL)

    Measured: Through 48 hours post-dosing on Day 1 and Day 85

  8. Pharmacokinetics of ARC-520: Apparent Volume of Distribution (V)

    Measured: Through 48 hours post-dosing on Day 1 and Day 85

  9. Pharmacokinetics of ARC-520: Terminal Elimination Rate Constant (Kel)

    Measured: Through 48 hours post-dosing on Day 1 and Day 85

  10. Pharmacokinetics of ARC-520: Terminal Elimination Half-Life (t1/2)

    Measured: Through 48 hours post-dosing on Day 1 and Day 85

Timeline

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

  1. First posted13 Nov 2015 (estimated)
  2. Study startSep 2015
  3. Primary completionJan 2017
  4. Study completionJan 2017

Why it stopped: Company decision to discontinue trial

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
58 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02604199
Sponsor's protocol ID
Heparc-2002
Other IDs
2014-004145-27, 2014
Status last verified
Dec 2025
First submitted
11 Nov 2015
Last updated
13 Jan 2026
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ARC-520 Injection, entecavir and tenofovir in people with Hepatitis B, run by Arrowhead Pharmaceuticals at 16 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 8 inclusion and 33 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: stopped early, as of the sponsor's last update on 13 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in Germany, South Korea, China. 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 16 Apr 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?

Change From Baseline in Quantitative Hepatitis B Surface Antigen (Log qHBsAg) at Day 113 (time frame: Baseline, Day 113). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 13 Jan 2026.

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