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Hepatitis B, ChronicPhase 1NCT03772249

Study of Safety and Tolerability of DCR HBVS

A Phase 1 study testing DCR-HBVS in people with Hepatitis B, Chronic, run by Dicerna Pharmaceuticals, Inc., a Novo Nordisk company at 9 sites in 5 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

DCR-HBVS will be evaluated for safety and efficacy in healthy volunteers and chronic hepatitis B patients. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Hepatitis B, Chronic
What is being tested?
DCR-HBVS
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
82 participants
Where
9 sitesin 5 countries
Study dates
28 Dec 2018to 12 Jul 2022
Phase
Phase 1
Are there results?
None posted in the registry

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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy at the time of screening as determined by medical evaluation.
  • Capable of giving informed consent.
  • 12-lead ECG within normal limits or with no clinically significant abnormalities.
  • Negative screen for alcohol or drugs of abuse.
  • Non-smokers for at least 3 months with a negative urinary cotinine concentration at screening.
  • BMI within range 18.0 - 32.0 kg/m2 (inclusive).
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  • Female participants not pregnant, not breastfeeding, and not of childbearing potential or willing to follow contraceptive guidance.
  • Chronic hepatitis B infection (Group B and C only).
  • Clinical history compatible with compensated liver disease with no evidence of cirrhosis (Group B and C only).
  • Continuously on nucleotides (NUC) therapy for at least 12 weeks prior to screening (Group C only).

Who cannot join

  • History of any medical condition that may interfere with the absorption, distribution, or elimination of study drug.
  • Poorly controlled or unstable hypertension.
  • History of diabetes mellitus treated with insulin or hypoglycemic agents.
  • History of asthma requiring hospital admission within the preceding 12 months.
  • Evidence of G-6-PD deficiency.
  • Currently poorly controlled endocrine conditions, excluding thyroid conditions.
Show all 13Show fewer
  • History of multiple drug allergies or history of allergic reaction to an oligonucleotide or GalNAc.
  • Clinically relevant surgical history.
  • Use of prescription medications (excluding contraception for women) within 4 weeks prior to the administration of study intervention.
  • Use of clinically relevant over-the-counter medication or supplements (excluding routine vitamins) within 7 days of first dosing.
  • Has received an investigational agent within the 3 months prior to dosing or is in follow-up of another study.
  • Antiviral therapy (other than entecavir or tenofovir) within 3 months of screening or treatment with interferon in the last 3 years (Group B and C only).
  • Use within the last 6 months of anticoagulants or systemically administered corticosteroids, immunomodulators, or immunosuppressants (Group B and C only).

Trial locations and contacts

9 sites in 5 countries.

9 sites in 5 countries

Australia2 sites
  • Monash Health

    Clayton, Victoria, 3168

  • St Vincent's Hospital Melbourne

    Fitzroy, Victoria, 3065

Other trials in Australia

New Zealand2 sites
  • Clinical Site

    Auckland, 1023

  • Middlemore Hospital

    Auckland

Other trials in New Zealand

South Korea2 sites
  • Seoul National University Hospital

    Seoul

  • Seoul Metropolitan Government - Seoul National University Boramae Medical Center

    Soeul

Other trials in South Korea

Thailand2 sites
  • King Culalongkorn Memorial Hospital

    Bangkok

  • Srinagarind Hospital

    Khon Kaen

Other trials in Thailand

Hong Kong1 site
  • Queen Mary Hospital (The University of Hong Kong)

    Hong Kong

Other trials in Hong Kong

About this study

Official title: A Three-Part, Phase 1, Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics Study of DCR-HBVS in Healthy Volunteers and Patients With Chronic Hepatitis B

DCR-HBVS will be evaluated for safety and efficacy in healthy volunteers and chronic hepatitis B patients.

Read the detailed description

DCR HBVS is being developed for the treatment of chronic hepatitis B (CHB) in adults. The study will be conducted in 3 parts, a single ascending-dose (SAD) phase in normal healthy volunteers (Group A), a single-dose (SD) phase in patients with CHB (Group B), and a multiple ascending-dose (MAD) phase in patients with CHB (Group 1c-3c). Cohort 4c is a single ascending dose with a possible duration of up to 48 weeks. Cohort 5c is a multiple dose cohort with a possible duration of up to 72 weeks.

Being tested
DCR-HBVS, Placebo for DCR-HBVS
Keywords
Chronic Hepatitis B, DNA Virus Infections, CHB, HBsAg, Liver Disease, RNAi
Medical subject headings
Hepatitis B, Chronic, DNA Virus Infections, Liver Diseases

What participants receive

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

  • DCR-HBVSDrug

    Also called DCR-S219

    DCR-HBVS is a synthetic ribonucleic acid interference (RNAi) drug that consists of a double-stranded oligonucleotide conjugated to N-acetyl-D-galactosamine (GalNAc) ligands. DCR-HBVS is a sterile solution of the siRNA (DCR-S219) at a concentration of 195 mg/mL in water for injection (WFI).

  • Placebo for DCR-HBVSDrug

    Also called Placebo

    Sterile 9% saline for injection.

Study groups in NCT03772249
Study groupRoleWhat they receive
Cohort A1 DCR-HBVSExperimentalSingle dose, Subcutaneous injection of 0.1mg/kg of DCR-HBVS (HV)
Receives: Drug: DCR-HBVS
Cohort A1 PlaceboPlacebo comparatorSingle dose, Subcutaneous injection of 0.1mg/kg of Placebo for DCR-HBVS (HV)
Receives: Drug: Placebo for DCR-HBVS
Cohort A2 DCR-HBVSExperimentalSingle dose, Subcutaneous injection of 1.5mg/kg of DCR-HBVS (HV)
Receives: Drug: DCR-HBVS
Cohort A2 PlaceboPlacebo comparatorSingle dose, Subcutaneous injection of 1.5mg/kg of Placebo for DCR-HBVS (HV)
Receives: Drug: Placebo for DCR-HBVS
Cohort A3 DCR-HBVSExperimentalSingle dose, Subcutaneous injection of 3mg/kg of DCR-HBVS (HV)
Receives: Drug: DCR-HBVS
Cohort A3 PlaceboPlacebo comparatorSingle dose, Subcutaneous injection of 3mg/kg of Placebo for DCR-HBVS (HV)
Receives: Drug: Placebo for DCR-HBVS
Cohort A4 DCR-HBVSExperimentalSingle dose, Subcutaneous injection of 6mg/kg of DCR-HBVS (HV)
Receives: Drug: DCR-HBVS
Cohort A4 PlaceboPlacebo comparatorSingle dose, Subcutaneous injection of 6mg/kg of Placebo for DCR-HBVS (HV)
Receives: Drug: Placebo for DCR-HBVS
Cohort A5 DCR-HBVSExperimentalSingle dose, Subcutaneous injection of 12mg/kg of DCR-HBVS (HV)
Receives: Drug: DCR-HBVS
Cohort A5 PlaceboPlacebo comparatorSingle dose, Subcutaneous injection of 12mg/kg of Placebo for DCR-HBVS (HV)
Receives: Drug: Placebo for DCR-HBVS
Cohort B DCR-HBVSExperimentalSingle dose, Subcutaneous injection of 3mg/kg of for DCR-HBVS (NUC naïve, CHB)
Receives: Drug: DCR-HBVS
Cohort B PlaceboPlacebo comparatorSingle dose, Subcutaneous injection of 3mg/kg of Placebo for DCR-HBVS (NUC naïve, CHB)
Receives: Drug: Placebo for DCR-HBVS
Cohort C1 DCR-HBVSExperimental4 doses- Subcutaneous injection of 1.5mg/kg of DCR-HBVS administered every 28 days (NUC experienced, CHB)
Receives: Drug: DCR-HBVS
Cohort C1 PlaceboPlacebo comparator4 doses- Subcutaneous injection of 1.5mg/kg of Placebo for DCR-HBVS administered every 28 days (NUC experienced, CHB)
Receives: Drug: Placebo for DCR-HBVS
Cohort C2 DCR-HBVSExperimental4 doses- Subcutaneous injection of 3mg/kg of DCR-HBVS administered every 28 days (NUC experienced, CHB)
Receives: Drug: DCR-HBVS
Cohort C2 PlaceboPlacebo comparator4 doses- Subcutaneous injection of 3mg/kg of Placebo for DCR-HBVS administered every 28 days (NUC experienced, CHB)
Receives: Drug: Placebo for DCR-HBVS
Cohort C3 DCR-HBVSExperimental4 doses- Subcutaneous injection of 6mg/kg of DCR-HBVS administered every 28 days (NUC experienced, CHB)
Receives: Drug: DCR-HBVS
Cohort C3 PlaceboPlacebo comparator4 doses- Subcutaneous injection of 6mg/kg of Placebo for DCR-HBVS administered every 28 days (NUC experienced, CHB)
Receives: Drug: Placebo for DCR-HBVS
Cohort 4C DCR-HBVSExperimental1 dose- Subcutaneous injection of 100mg (NUC experienced, CHB) 1 dose- Subcutaneous injection of 200mg (NUC experienced, CHB) 1 dose- Subcutaneous injection of 400mg (NUC experienced, CHB)
Receives: Drug: DCR-HBVS
Cohort 5C1 DCR-HBVSExperimental4 doses- Subcutaneous injection of 200mg administered every 4 weeks (NUC experienced, CHB)
Receives: Drug: DCR-HBVS
Cohort 5C2 DCR-HBVSExperimental2 doses- Subcutaneous injection of 200mg administered every 8 weeks (NUC experienced, CHB)
Receives: Drug: DCR-HBVS
Cohort 5C3 DCR-HBVSExperimental2 doses- Subcutaneous injection of 400mg administered every 12 weeks (NUC experienced, CHB)
Receives: Drug: DCR-HBVS

What is being measured

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

  1. Number of healthy volunteers with Adverse Events as assessed by CTCAE v5.0

    Number of participants with abnormalities in vital signs, electrocardiogram (ECG), and clinically significant laboratory findings

    Measured: 4 weeks

  2. Number participants with non-cirrhotic chronic Hepatitis B with Adverse Events as assessed by CTCAE v5.0

    Number of participants with abnormalities in vital signs, electrocardiogram (ECG), and clinically significant laboratory findings

    Measured: 16 weeks

Secondary outcomes (4)
  1. To characterize the pharmacokinetics of DCR-HBVS in healthy volunteers by monitoring plasma pharmacokinetics profiles of DCR-S219

    Measure the amount of DCR-HBVS excreted in urine

    Measured: 4 weeks

  2. To characterize the pharmacokinetics of DCR-HBVS in healthy volunteers by monitoring through concentrations of DCR-S219

    Measure the amount of DCR-HBVS renal clearance (CLR).

    Measured: 4 weeks

  3. To characterize the pharmacokinetics of DCR-HBVS in participants with non-cirrhotic CHB by monitoring plasma pharmacokinetics profiles of DCR-HBVS.

    Measure the amount of DCR-HBVS excreted in urine

    Measured: 12 weeks

  4. To characterize the pharmacokinetics of DCR-HBVS in participants with non-cirrhotic CHB by monitoring through concentrations of DCR-HBVS.

    Measure DCR-HBVS renal clearance (CLR).

    Measured: 12 weeks

Timeline

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

  1. First posted11 Dec 2018
  2. Study start28 Dec 2018
  3. Primary completion12 Jul 2022
  4. Study completion12 Jul 2022

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
Progression from the SAD phase to the first cohort in the MAD phase is contingent upon the Safety Review Committee (SRC) review of a minimum of 14 days post-dose safety and tolerability data from all NHV in at least the first 2 SAD cohorts. The SRC will select one (or more) well-tolerated dose(s) from the SAD phase for administration in the SD and MAD phases. Group B at 3 mg/kg will start in parallel with Group C at the 3 mg/kg dose level. In all study phases, dosing will be staggered with the use of sentinel participants to allow time for the assessment of safety before additional subjects are exposed to study drug. The fixed dosing regimen for Cohorts 4c and 5c was determined following SRC review and assessment of all data up to Cohort 3c. No sentinel dosing will occur in Cohorts 4c and 5c.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
82 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03772249
Sponsor's protocol ID
DCR-HBVS-101
Other IDs
U1111-1220-7021
Status last verified
Sep 2024
First submitted
3 Dec 2018
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Gane EJ, Kim W, Lim TH, Tangkijvanich P, Yoon JH, Sievert W, Sukeepaisarnjaroen W, Thompson AJ, Pavlovic V, Surujbally B, Wat C, Brown BD, Achneck HE, Yuen MF. First-in-human randomized study of RNAi therapeutic RG6346 for chronic hepatitis B virus infection. J Hepatol. 2023 Nov;79(5):1139-1149. doi: 10.1016/j.jhep.2023.07.026. Epub 2023 Jul 29.

    PubMed 37524230

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing DCR-HBVS in people with Hepatitis B, Chronic, run by Dicerna Pharmaceuticals, Inc., a Novo Nordisk company at 9 sites in 5 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 10 inclusion and 13 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 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in Australia, New Zealand, South Korea, Thailand, Hong Kong. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Number of healthy volunteers with Adverse Events as assessed by CTCAE v5.0 (time frame: 4 weeks). The study lists 2 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 NCT03772249, 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 19 Sep 2024; AzTrials last refreshed its copy on 7 Nov 2026.

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