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Chronic Hepatitis BPhase 2NCT03615066

Study to Evaluate the Safety, Tolerability, and Antiviral Activity of Selgantolimod (Formerly GS-9688) in Viremic Adult Participants With Chronic Hepatitis B (CHB) Who Are Not Currently on Treatment

A Phase 2 study testing Selgantolimod and TAF in people with Chronic Hepatitis B, run by Gilead Sciences at 10 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 primary objectives of this study are to evaluate the safety and tolerability of multiple oral doses of selgantolimod and to evaluate the antiviral activity of selgantolimod in adult participants with chronic hepatitis B (CHB) who are viremic and not currently being treated. 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?
Selgantolimod and TAF
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
67 participants
Where
10 sitesin 3 countries
Study dates
28 Aug 2018to 12 Apr 2021
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, which must be obtained prior to initiation of study procedures.
  • Adult male and non-pregnant, non-lactating females
  • Documented evidence of chronic hepatitis B virus (HBV) infection with detectable hepatitis B surface antigen (HBsAg) levels at screening
  • Screening HBV deoxyribonucleic acid (DNA) ≥ 2000 international units per milliliter (IU/mL).
  • Screening electrocardiogram (ECG) without clinically significant abnormalities

Who cannot join

  • Extensive bridging fibrosis or cirrhosis
  • Received a commercially available HBV OAV treatment(s) within the 3 months prior to screening.
  • Received prolonged therapy with immunomodulators or biologics within 3 months of screening
  • Individuals meeting any of the following laboratory parameters at screening:
  • Alanine aminotransferase > 5 * upper limit of normal (ULN)
  • International normalized ratio > ULN unless the individual is stable on an anticoagulant regimen
Show all 17Show fewer
  • Albumin < 3.5 g/dL
  • Direct bilirubin >1.5x ULN
  • Platelet Count < 100,000/µL
  • Estimated creatinine clearance < 60 mL/min (using the Cockcroft-Gault method)
  • Co-infection with human immunodeficiency virus (HIV), hepatitis C virus or hepatitis D virus
  • Prior history of hepatocellular carcinoma or screening alpha-fetoprotein ≥ 50 ng/mL without imaging
  • Diagnosis of autoimmune disease, poorly controlled diabetes mellitus, significant psychiatric illness, severe chronic obstructive pulmonary disease, hemoglobinopathy, retinal disease, or are immunosuppressed.
  • Chronic liver disease of a non-HBV etiology except for non-alcoholic fatty liver disease.
  • Received solid organ or bone marrow transplant.
  • Use of another investigational agent within 90 days of screening, unless allowed by the sponsor.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

10 sites in 3 countries.

10 sites in 3 countries

South Korea4 sites
  • Seoul National University Hospital

    Seoul, 03080

  • Asan Medical Center

    Seoul, 05505

  • Chung-Ang University Hospital

    Seoul, 06973

  • Severance Hospital, Yonsei University Health System

    Seoul, 120-752

Other trials in South Korea

Canada3 sites
  • University of Calgary Liver Unit - Heritage Medical Research Clinic

    Calgary, Alberta, T2N4Z6

  • University Health Network, Toronto General Hospital, Toronto Centre for Liver Disease

    Toronto, Ontario, M5G 2C4

  • Toronto Liver Centre

    Toronto, Ontario, M6H 3M1

Other trials in Canada

Taiwan3 sites
  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City, 807

  • E-Da Hospital

    Kaohsiung City, 82445

  • National Taiwan University Hospital

    Taipei, 10002

Other trials in Taiwan

About this study

Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multi-center Study to Evaluate the Safety, Tolerability and Antiviral Activity of GS-9688 in Viremic Adult Subjects With Chronic Hepatitis B Who Are Not Currently on Treatment

The primary objectives of this study are to evaluate the safety and tolerability of multiple oral doses of selgantolimod and to evaluate the antiviral activity of selgantolimod in adult participants with chronic hepatitis B (CHB) who are viremic and not currently being treated.

Being tested
Placebo, Selgantolimod, TAF
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.

  • PlaceboDrug

    Tablet(s) administered orally every 7 days for 24 doses in fasted state

  • SelgantolimodDrug

    Also called GS-9688

    Tablet(s) administered orally every 7 days for 24 doses in fasted state

  • TAFDrug

    Also called Vemlidy®

    Tablet(s) administered orally once daily with food

Study groups in NCT03615066
Study groupRoleWhat they receive
Selgantolimod 3 mg + TAFExperimentalParticipants with Hepatitis B e antigen (HBeAg)-positive CHB or HBeAg-negative CHB currently not on oral antiviral (OAV) treatment, will receive selgantolimod 3 mg (2 x 1.5 mg tablet) on the same day once weekly for 24 doses along with tenofovir alafenamide (TAF) 25 mg once daily for 24 weeks. After the 24th dose, selgantolimod will be discontinued, and participants will continue to receive TAF until Week 48/early discontinuation (ED). At Week 48, per Principal Investigator's (PI's) discretion, participants can continue in the Treatment Free Follow-Up (TFFU) phase for up to an additional 48 weeks.
Receives: Drug: Selgantolimod; Drug: TAF
Selgantolimod 1.5 mg + TAFExperimentalParticipants with HBeAg-positive CHB or HBeAg-negative CHB currently not on OAV treatment, will receive selgantolimod 1.5 mg (1 x 1.5 mg tablet) and placebo (1 tablet) on the same day once weekly for 24 doses along with TAF 25 mg once daily for 24 weeks. After the 24th dose, selgantolimod will be discontinued, and participants will continue to receive TAF until Week 48/ED. At Week 48, per PI's discretion, participants can continue in the TFFU phase for up to an additional 48 weeks.
Receives: Drug: Placebo; Drug: Selgantolimod; Drug: TAF
Placebo + TAFPlacebo comparatorParticipants with HBeAg-positive CHB or HBeAg-negative CHB currently not on OAV treatment, will receive 2 tablets of placebo on the same day once weekly for 24 doses along with TAF 25 mg once daily for 24 weeks. After the 24th dose, placebo will be discontinued, and participants will continue to receive TAF until Week 48/ED. At Week 48, per PI's discretion, participants can continue in the TFFU phase for up to an additional 48 weeks.
Receives: Drug: Placebo; Drug: TAF

What is being measured

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

  1. Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 24

    Measured: Baseline, Week 24

  2. Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)

    An AE was any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE was any unfavorable and unintended sign, symptom, disease, and/or laboratory or physiological observation that may or may not be related to the investigational medicinal product. A TEAE was defined as any AE with an onset date on or after the first dose date and no later than 30 days after permanent discontinuation of selgantolimod/placebo; or any AE leading to premature discontinuation of study drugs.

    Measured: First dose date up to Week 24 plus 30 days

  3. Percentage of Participants With Treatment-Emergent Laboratory Abnormalities

    Treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from baseline at any postbaseline time point, up to and including the date of the last dose of study drug plus 30 days for selgantolimod/placebo at Week 24. If the relevant baseline laboratory value was missing, any abnormality of at least Grade 1 observed within the time frame specified above was considered treatment emergent. Clinical laboratory results were graded according to Gilead Grading Scale for Severity of Adverse Events and Laboratory Abnormalities.

    Measured: First dose date up to Week 24 plus 30 days

Secondary outcomes (28)
  1. Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 4

    Measured: Baseline, Week 4

  2. Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 8

    Measured: Baseline, Week 8

  3. Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 12

    Measured: Baseline, Week 12

  4. Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 48

    Measured: Baseline, Week 48

  5. Change From Baseline in Serum qHBsAg at Week 4

    Measured: Baseline, Week 4

  6. Change From Baseline in Serum qHBsAg at Week 8

    Measured: Baseline, Week 8

  7. Change From Baseline in Serum qHBsAg at Week 12

    Measured: Baseline, Week 12

  8. Change From Baseline in Serum qHBsAg at Week 24

    Measured: Baseline, Week 24

  9. Change From Baseline in Serum qHBsAg at Week 48

    Measured: Baseline, Week 48

  10. Percentage of Participants With Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) < Lower Limit of Quantification (LLOQ) at Week 12

    LLOQ was defined as 20 IU/mL.

    Measured: Week 12

  11. Percentage of Participants With HBV DNA < LLOQ at Week 24

    LLOQ was defined as 20 IU/mL.

    Measured: Week 24

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

    LLOQ was defined as 20 IU/mL.

    Measured: Week 48

  13. Percentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 12

    HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.

    Measured: Week 12

  14. Percentage of Participants With HBsAg Loss at Week 24

    HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.

    Measured: Week 24

  15. Percentage of Participants With HBsAg Loss at Week 48

    HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.

    Measured: Week 48

  16. Percentage of Participants With HBeAg Loss and Seroconversion at Week 12

    HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as Hepatitis B e antibody (HBeAb) loss and anti-HBe change from negative/missing at baseline to positive at a postbaseline visit.

    Measured: Week 12

  17. Percentage of Participants With HBeAg Loss and Seroconversion at Week 24

    HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as HBeAb loss and anti-HBe change from negative/missing at baseline to positive at a postbaseline visit.

    Measured: Week 24

  18. Percentage of Participants With HBeAg Loss and Seroconversion at Week 48

    HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as HBeAb test changing from negative or missing at baseline to positive at a postbaseline visit.

    Measured: Week 48

  19. Percentage of Participants With Virologic Breakthrough From Baseline up to Week 24

    Virologic breakthrough was defined as confirmed HBV DNA ≥ 69 IU/mL after having been < 69 IU/mL or confirmed HBV DNA ≥ 1 log10 IU/mL increase from nadir.

    Measured: Baseline up to Week 24

  20. Percentage of Participants With Virologic Breakthrough From Baseline up to Week 48

    Virologic breakthrough was defined as confirmed HBV DNA ≥ 69 IU/mL after having been < 69 IU/mL or confirmed HBV DNA ≥ 1 log10 IU/mL increase from nadir.

    Measured: Baseline up to Week 48

  21. Percentage of Participants With Drug Resistance Mutations

    Measured: Baseline up to Week 48

  22. Pharmacokinetic (PK) Parameter: AUClast of Selgantolimod

    AUClast is defined as the concentration of drug from time zero to the last observable concentration.

    Measured: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 8, and 24 hours postdose at Day 1 and Week 23

  23. PK Parameter: AUC0-24 of Selgantolimod

    AUC0-24 is defined as the concentration of drug over time from time zero to time 24 hours.

    Measured: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 8, and 24 hours postdose at Day 1 and Week 23

  24. PK Parameter: AUCinf of Selgantolimod

    AUC0-inf is defined as the concentration of drug over time from time zero to infinity.

    Measured: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 8, and 24 hours postdose at Day 1 and Week 23

  25. PK Parameter: Cmax of Selgantolimod

    Cmax is defined as the maximum concentration of drug.

    Measured: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 8, and 24 hours postdose at Day 1 and Week 23

  26. PK Parameter: Tmax of Selgantolimod

    Tmax is defined as the time (observed time point) of Cmax.

    Measured: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 8, and 24 hours postdose at Day 1 and Week 23

  27. PK Parameter: CL/F of Selgantolimod

    CL/F is defined as the apparent oral clearance following administration of the drug.

    Measured: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 8, and 24 hours postdose at Day 1 and Week 23

  28. PK Parameter: t1/2 of Selgantolimod

    t1/2 is defined as the estimate of the terminal elimination half-life of the drug.

    Measured: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 8, and 24 hours postdose at Day 1 and Week 23

Timeline

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

  1. First posted3 Aug 2018
  2. Study start28 Aug 2018
  3. Primary completion12 Dec 2019
  4. Study completion12 Apr 2021

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
Double blind
Who is masked
Participant, Investigator
Enrolment
67 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03615066
Sponsor's protocol ID
GS-US-389-2025
Status last verified
Apr 2022
First submitted
30 Jul 2018
Last updated
10 May 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Chen D, Kim S, Brooks A, McDonald C, Yang J, Gaggar A, et al. Potential Biomarkers of Response in Chronic Hepatitis B Patients Who Achieved HBeAg Loss Upon Treatment With Toll-Like Receptor 8 Agonist Selgantolimod [Poster]. The Digital International Liver Conference 2020 27-29 August.

  • Janssen H, Lampertico P, Chen C-Y, Heo J, Foumier C, Ahn S, et al. Safety and Efficacy of Switching to Tenofovir Alafenamide in Virally Suppressed Chronic Hepatitis B Patients With Renal Impairment: Week-48 Results From a Phase 2 Open-label Study [Poster]. The Digital International Liver Conference 2020 27-29 August.

  • Janssen H, Lim Y-S, Kim HJ, Tseng C-H, Coffin C, Elkashab M, et al. Safety and Efficacy of Oral TLR8 Agonist Selgantolimod in Viremic Adult Patients With Chronic Hepatitis B [Poster]. International Liver Congress 2021 23-26 June.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Selgantolimod and TAF in people with Chronic Hepatitis B, run by Gilead Sciences at 10 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 5 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 10 May 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in South Korea, Canada, Taiwan. 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 6 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?

Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 24 (time frame: Baseline, Week 24). The study lists 3 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 NCT03615066, which also lists 3 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 10 May 2022.

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