Hepatitis B, ChronicPhase 2REEF-1NCT03982186
A Study of Different Combination Regimens Including JNJ-73763989 and/or JNJ-56136379 for the Treatment of Chronic Hepatitis B Virus Infection
A Phase 2 study testing JNJ-73763989, JNJ-56136379 and Nucleos(t)ide Analog (NA) in people with Hepatitis B, Chronic, run by Janssen Sciences Ireland UC at 108 sites in 19 countries.
Trial summary
The purpose of this study is to establish the dose-response relationship for antiviral activity of 3 dose levels of JNJ-73763989+nucleos(t)ide analog (NA) and to evaluate the efficacy of combination regimens of JNJ-73763989+NA (with and without JNJ-56136379) and of JNJ-56136379+NA. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Hepatitis B, Chronic
- What is being tested?
- JNJ-73763989, JNJ-56136379 and Nucleos(t)ide Analog (NA)
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 471 participants
- Where
- 108 sitesin 19 countries
- Study dates
- 1 Aug 2019to 26 Apr 2022
- 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
- Medically stable based on physical examination, medical history, vital signs, electrocardiogram (ECG) at screening
- Chronic hepatitis B virus (HBV) infection with documentation at least 6 months prior to screening
- Hepatitis B surface antigen (HBsAg) greater than (>) 100 International Units per Milliliter (IU/mL) at screening
- Body mass index (BMI) between 18.0 and 35.0 kilogram per meter square (kg/m^2), extremes included
- Highly effective contraceptive measures in place for female participants of childbearing potential or male participants with female partners of childbearing potential
- Liver fibrosis stage 0-2 (Metavir) or Fibroscan less than (<) 9 Kilopascal (kPa) at screening
Who cannot join
- Evidence of infection with hepatitis A, C, D or E virus infection or evidence of human immunodeficiency, virus type 1 (HIV-1) or HIV-2 infection at screening
- History or evidence of clinical signs/symptoms of hepatic decompensation including but not limited to: portal hypertension, ascites, hepatic encephalopathy, esophageal varices or any laboratory abnormalities indicating a reduced liver function as defined in the protocol
- Evidence of liver disease of non-HBV etiology
- Signs of hepatocellular carcinoma (HCC)
- Significant laboratory abnormalities as defined in the protocol at screening
- Participants with a history of malignancy within 5 years before screening
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- Abnormal sinus rhythm or ECG parameters at screening as defined in the protocol
- History of or current cardiac arrhythmia or history or clinical evidence of significant or unstable cardiac disease
- Participants with any current or previous illness for which, in the opinion of the investigator and/or sponsor, participation would not be in the best interest of the participant
- History of or current clinically significant skin disease or drug rash
- Participants with known allergies, hypersensitivity, or intolerance to JNJ-3989 and JNJ 6379 or their excipients or excipients of the placebo content
- Contraindications to the use of entecavir (ETV), tenofovir disoproxil fumarate (TDF), or tenofovir alafenamide (TAF) per local prescribing information
- Participants who have taken any therapies disallowed per protocol
- Female participants who are pregnant, or breast-feeding, or planning to become pregnant while enrolled in this study or within 90 days after the last dose of study intervention
- Male participants who plan to father a child while enrolled
- Participants who had or planned major surgery, (example, requiring general anesthesia) or who have received an organ transplant
- Vulnerable participants (example, incarcerated individuals, individuals under a legal protection measure)
Trial locations and contacts
108 sites in 19 countries.
108 sites in 19 countries
Japan15 sites
Tokyo Medical and Dental University Hospital
Bunkyō City, 113 8519
Chiba University Hospital
Chiba, 260 8677
Fukui-ken Saiseikai Hospital
Fukui, 918-8503
Fukuyama City Hospital
Fukuyama, 721-8511
Hiroshima University Hospital
Hiroshima, 734 8551
Kagawa Prefectural Central Hospital
Kagawa, 760-8557
Nara Medical University Hospital
Kashihara, 634-8522
Musashino Red Cross Hospital
Musashino, 180-8610
National Hospital Organization Nagasaki Medical Center
Nagasaki, 856-8562
Nagoya City University Hospital
Nagoya, 467 8602
The Hospital of Hyogo College of Medicine
Nishinomiya, 663-8501
Hokkaido University Hospital
Sapporo, 060-8648
Osaka University Hospital
Suita-shi, 565-0871
Toranomon Hospital
Tokyo, 105-8470
Fujita Health University Hospital
Toyoake, 470-1192
Russia11 sites
Ural State Medical University
Chelyabinsk, 454092
Krasnoyarsk Regional Center For AIDS And Infectious Diseases Treatment And Prophylaxis
Krasnoyarsk, 660049
Clinic of the Modern Medicine
Moscow, 121170
Medical Center SibNovoMed LLC
Novosibirsk, 630005
St. Petersburg City Center for AIDS and Infectious Diseases Treatment and Prophylaxis
Saint Petersburg, 190103
Clinical Infectious Diseases Hospital n. a. S.P. Botkin
Saint Petersburg, 195067
Republican Clinical Infectious Hospital
Saint Petersburg, 196645
Medical Company Hepatolog Ltd
Samara, 443063
Smolensk Regional Clinical Hospital
Smolensk, 214018
Stavropol State Medical University
Stavropol, 355017
Sverdlovsk Regional Clinical Hospital #1
Yekaterinburg, 620102
United States8 sites
The Office of Franco Felizarta, MD
Bakersfield, California, 93301
Johns Hopkins University
Baltimore, Maryland, 21287
I.D. Care, Inc.
Hillsborough, New Jersey, 08844
Ruane Clinical Research Group Inc
Los Angeles, California, 90036
NYU Hepatology Associates
New York, New York, 10016
Southern California GI and Liver Center
San Clemente, California, 92673
Washington University School Of Medicine
St Louis, Missouri, 63110
Johns Hopkins Office of Capital Region Research - Sibley Memorial Hospital
Washington D.C., District of Columbia, 20016
France8 sites
Hopital Beaujon
Clichy, 92110
CHU de Grenoble Hopital Albert Michallon
Grenoble, 38043
Hopital de La Croix Rousse
Lyon, 69004
Hopital Saint Joseph
Marseille, 13008
CHU de Nantes hotel Dieu
Nantes, 44093
Hopital Saint-Antoine
Paris, 75012
Chu Rennes Hopital Pontchaillou
Rennes, 35033
Hopital Paul Brousse
Villejuif, 94800
Germany8 sites
EPIMED GmbH
Berlin, 10787
Universitatsklinikum Essen
Essen, 45147
Universitätsklinikum Johann Wolfgang Goethe- Universität Frankfurt Medizinische Klinik 1
Frankfurt, 60590
ICH Study Center GmbH & Co. KG
Hamburg, 20146
University Medical Center
Hamburg, D-20246
Medizinische Hochschule Hannover
Hanover, 30625
Universitaetsklinikum Leipzig
Leipzig, 04103
Universitatsmedizin der Johannes Gutenberg Universitat Mainz
Mainz, 55131
Spain6 sites
Hosp Clinic de Barcelona
Barcelona, 08028
Hosp Univ Vall D Hebron
Barcelona, 8035
Hosp. Univ. 12 de Octubre
Madrid, 28041
Hospital Puerta De Hierro
Madrid, 28222
Hosp. Univ. Marques de Valdecilla
Santander, 39008
Hosp. Gral. Univ. Valencia
Valencia, 46014
Turkey (Türkiye)6 sites
Hacettepe University Hospital
Ankara, 06230
Ankara University Medical Faculty
Ankara, 06620
Ankara Bilkent Sehir Hastanesi
Ankara, 6800
Istanbul University Cerrahpasa Medical Faculty
Istanbul, 34098
Ege University Medical of Faculty, Department of Gastroenterology
Izmir, 35100
Karadeniz Teknik University Medical Faculty
Trabzon, 61080
Belgium5 sites
Cliniques Universitaires Saint Luc
Brussels, 1200
UZ Antwerpen
Edegem, 2650
UZA-SGS
Edegem, 2650
Universitair Ziekenhuis Gent
Ghent, 9000
UZ Leuven
Leuven, 3000
Canada5 sites
University of Calgary
Calgary, Alberta, T2N 4Z6
University of Alberta - Faculty of Medicine & Dentistry
Edmonton, Alberta, T6G 2G3
Toronto General Hospital
Toronto, Ontario, ON M5G 2C4
GI Research Institute (G.I.R.I.)
Vancouver, British Columbia, V6Z 2K5
Vancouver ID Research and Care Centre Society
Vancouver, British Columbia, V6Z2C7
Italy5 sites
Azienda Ospedaliera Universitaria Policlinico G. Martino
Messina, 98124
Irccs Ospedale Maggiore Di Milano
Milan, 20122
Azienda Ospedaliero-Universitaria di Modena, Ospedale di Baggiovara
Modena, 41126
Azienda Ospedaliero Universitaria Pisana
Pisa, 56124
Universita degli Studi di Roma 'La Sapienza' - Umberto I Policlinico di Roma
Rome, 00161
Poland5 sites
Wojewodzki Szpital Obserwacyjno-Zakazny im. Tadeusza Browicza w Bydgoszczy
Bydgoszcz, 85-030
Neutrum Lekarze M.Hlebowicz i Partnerzy spolka partnerska
Gdansk, 80-462
ID Clinic
Mysłowice, 41-400
Wojewodzki Szpital Zakazny w Warszawie
Warsaw, 01-201
SP ZOZ Wroclawskie Centrum Zdrowia
Wroclaw, 50-136
Czechia4 sites
FN Hradec Kralove
Hradec Králové, 500 05
RESEARCH SITE s.r.o.
Pilsen, 32600
KLIN MED s.r.o
Prague, 120 00
IKEM
Prague, 140 21
Malaysia4 sites
Hospital Sultanah Bahiyah
Alor Star, 05460
Hospital Selayang
Batu Caves, 68100
Hospital University Sains Malaysia
Kota Bharu, 16150
University Malaya Medical Centre
Kuala Lumpur, 59100
South Korea4 sites
Seoul National University Hospital
Seoul, 03080
Severance Hospital Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Thailand4 sites
King Chulalongkorn Memorial Hospital
Bangkok, 10500
Siriraj Hospital
Bangkok, 10700
Chiang Mai University Hospital
Chiang Mai, 50200
Prince Of Songkla University
Songkhla, 90110
United Kingdom4 sites
NHS Greater Glasgow and Clyde - Gartnavel General Hospital
Glasgow, G12 0YN
Grahame Hayton Unit
London, E1 1BB
Kings College Hospital
London, SE5 9RF
St Georges University of London and St George's University Hospitals NHS Foundation Trust
London, SW17 0RE
Brazil3 sites
Fundacao de Medicina Tropical Doutor Heitor Vieira Dourado - FMT
Manaus, 69040-000
Universidade Federal da Bahia - Hospital Professor Edgard Santos
Salvador, 40110-060
Hospital Das Clinicas Da Faculdade De Medicina Da USP
São Paulo, 05403-000
Hong Kong2 sites
The University of Hong Kong
Hong Kong
The Chinese University of Hong Kong
Shatin
About this study
Official title: A Phase 2b, Multicenter, Double-blind, Active-controlled, Randomized Study to Investigate the Efficacy and Safety of Different Combination Regimens Including JNJ-73763989 and/or JNJ-56136379 for the Treatment of Chronic Hepatitis B Virus Infection
The purpose of this study is to establish the dose-response relationship for antiviral activity of 3 dose levels of JNJ-73763989+nucleos(t)ide analog (NA) and to evaluate the efficacy of combination regimens of JNJ-73763989+NA (with and without JNJ-56136379) and of JNJ-56136379+NA.
Read the detailed description
Hepatitis B virus (HBV) is a small deoxyribonucleic acid virus that specifically infects the human liver. The acute phase of infection is either followed by an immune controlled state or progresses to chronic hepatitis B. The worldwide estimated prevalence of chronic HBV infection is about 292 million people affected. Hepatitis B surface antigen (HBsAg) seroclearance is currently considered to be associated with the most thorough suppression of HBV replication (termed functional cure). With current available NA treatment strategies, rate of HBsAg seroclearance remains very low (around 3 percent [%]) even under long-term treatment. Also, with the persistently high global prevalence of HBV-associated mortality, there is a medical need for more effective finite treatment options that lead to sustained HBsAg seroclearance. JNJ-73763989 is a liver-targeted antiviral therapeutic for subcutaneous injection designed to treat chronic HBV infection via ribonucleic acid interference mechanism. JNJ-56136379 is an orally administered capsid assembly modulator that is being developed for the treatment of chronic HBV infection. The aim of the study is to evaluate efficacy as measured by proportion of participants who completed 48-week study intervention and qualified for stopping NA treatment at Week 48. The study includes: Screening phase (4 weeks), Double-blind study intervention phase (from Day 1 up to Week 48), and Follow-up phase (48 weeks after end of investigational intervention with a maximum duration of 96 weeks). The duration of individual study participation will be between 100 and 150 weeks. Safety and tolerability (including adverse events [AEs] and Serious AEs, laboratory assessments, electrocardiogram [ECG], vital signs, physical examination), efficacy (including HBsAg seroclearance), and pharmacokinetics will be assessed throughout the study.
- Conditions
- Hepatitis B, Chronic
- Being tested
- JNJ-73763989, Placebo for JNJ-73763989, JNJ-56136379, Placebo for JNJ-56136379, Nucleos(t)ide Analog (NA)
- 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.
JNJ-73763989Drug
JNJ-73763989 will be administered as medium dose (Arms 1 and 3), high dose (Arm 2), and low dose (Arm 4) as subcutaneous injection.
Placebo for JNJ-73763989Drug
Placebo for JNJ-73763989 will be administered as subcutaneous injection.
JNJ-56136379Drug
JNJ-56136379 tablets will be administered orally.
Placebo for JNJ-56136379Drug
Placebo for JNJ-56136379 tablets will be administered orally.
Nucleos(t)ide Analog (NA)Drug
NA treatment that is either of ETV, TDF or TAF tablets will be administered orally.
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: JNJ-73763989 (medium dose) + JNJ-56136379 + NA | Experimental | Participants will receive medium dose of JNJ-73763989 along with JNJ-56136379 and nucleos(t)ide analog (NA) treatment (either entecavir [ETV], tenofovir disoproxil fumarate [TDF], or tenofovir alafenamide [TAF]) up to 48 weeks. Receives: Drug: JNJ-73763989; Drug: JNJ-56136379; Drug: Nucleos(t)ide Analog (NA) |
| Arm 2: JNJ-73763989 (high dose) + Placebo + NA | Experimental | Participants will receive high dose of JNJ-73763989 along with placebo for JNJ-56136379 and NA (either ETV, TDF, or TAF) up to 48 weeks. Receives: Drug: JNJ-73763989; Drug: Placebo for JNJ-56136379; Drug: Nucleos(t)ide Analog (NA) |
| Arm 3: JNJ-73763989 (medium dose) + Placebo + NA | Experimental | Participants will receive medium dose of JNJ-73763989 along with placebo for JNJ-56136379 and NA (either ETV, TDF, or TAF) up to 48 weeks. Receives: Drug: JNJ-73763989; Drug: Placebo for JNJ-56136379; Drug: Nucleos(t)ide Analog (NA) |
| Arm 4: JNJ-73763989 (low dose) + Placebo + NA | Experimental | Participants will receive low dose of JNJ-73763989 along with placebo for JNJ-56136379 and NA (either ETV, TDF, or TAF) up to 48 weeks. Receives: Drug: JNJ-73763989; Drug: Placebo for JNJ-56136379; Drug: Nucleos(t)ide Analog (NA) |
| Arm 5: Placebo + JNJ-56136379 + NA | Experimental | Participants will receive placebo for JNJ-73763989 and a fixed dose of JNJ-56136379 along with NA (either ETV, TDF, or TAF) up to 48 weeks. Receives: Drug: Placebo for JNJ-73763989; Drug: JNJ-56136379; Drug: Nucleos(t)ide Analog (NA) |
| Arm 6 (Control): Placebo + Placebo + NA | Placebo comparator | Participants will receive placebo for JNJ-73763989 and placebo for JNJ-56136379 along with NA (either ETV, TDF, or TAF) up to 48 weeks. Receives: Drug: Placebo for JNJ-73763989; Drug: Placebo for JNJ-56136379; Drug: Nucleos(t)ide Analog (NA) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Meeting the Nucleos(t)Ide Analog (NA) Treatment Completion Criteria at Week 48
Percentage of participants meeting the NA treatment completion criteria at Week 48 were reported. A participant was defined as a responder in meeting the NA treatment completion criteria at Week 48, if the following criteria were met based on the clinical laboratory tests performed at Week 44: participants had alanine transaminase (ALT) less than (<) 3*upper limit of normal range (ULN); had hepatitis B virus deoxyribonucleic acid (HBV DNA) < lower limit of quantification (LLOQ); was hepatitis B e antigen (HBeAg)-negative; had hepatitis B surface antigen (HBsAg) <10 international units per milliliter (IU/mL). Multiple Imputation using a longitudinal multiple regression model was applied to impute missing data.
Measured: Week 48
Secondary outcomes (39)
Double-blind Phase: Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
An AE was any untoward medical occurrence in a clinical study participants administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Treatment-emergent AEs were defined as AEs with onset or worsening on or after date of first dose of study treatment.
Measured: Baseline up to Week 48
Follow-up Phase 1: Percentage of Participants With TEAEs
An AE was any untoward medical occurrence in a clinical study participants administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Treatment-emergent AEs were defined as AEs with onset or worsening on or after date of first dose of study treatment.
Measured: From Week 48 up to Week 96
Follow-up Phase 2: Percentage of Participants With TEAEs
An AE was any untoward medical occurrence in a clinical study participants administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Treatment-emergent AEs were defined as AEs with onset or worsening on or after date of first dose of study treatment.
Measured: From Week 48 up to Week 96
Follow-up Phase 3: Percentage of Participants With TEAEs
An AE was any untoward medical occurrence in a clinical study participants administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Treatment-emergent AEs were defined as AEs with onset or worsening on or after date of first dose of study treatment.
Measured: From Week 48 up to Week 96
Extended Follow-up Phase: Percentage of Participants With TEAEs
An AE was any untoward medical occurrence in a clinical study participants administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Treatment-emergent AEs were defined as AEs with onset or worsening on or after date of first dose of study treatment.
Measured: Extended Follow up Week 1 to extended follow up Week 48
Double-blind Phase: Percentage of Participants With Serious Adverse Events (SAEs)
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE was any untoward medical occurrence that at any dose may result in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product, and was medically important.
Measured: Baseline up to Week 48
Follow-up Phase 1: Percentage of Participants With SAEs
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE was any untoward medical occurrence that at any dose may result in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product, and was medically important.
Measured: From Week 48 up to Week 96
Follow-up Phase 2: Percentage of Participants With SAEs
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE was any untoward medical occurrence that at any dose may result in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product, and was medically important.
Measured: From Week 48 up to Week 96
Follow-up Phase 3: Percentage of Participants With SAEs
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE was any untoward medical occurrence that at any dose may result in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product, and was medically important.
Measured: From Week 48 up to Week 96
Extended Follow-up Phase: Percentage of Participants With SAEs
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE was any untoward medical occurrence that at any dose may result in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product, and was medically important.
Measured: Extended Follow up Week 1 to extended follow up Week 48
Percentage of Participants With Abnormalities in Clinical Laboratory Tests (Hematology)
Percentage of participants with abnormalities in clinical laboratory tests (hematology: Abnormally low [AL] and Abnormally high [AH] basophils, eosinophils, erthrocytes mean corpuscular hemoglobin concentration, erthrocytes mean corpuscular heamoglobin, erthrocytes mean corpuscular volume, erthrocytes, hematocrit, lymphocytes atypical, metamyelocytes, monocytes, myelocytes, neutrophils, segmented, reticulocytes) were reported. Abnormality was determined at the investigator's discretion. Here, M.C: Mean corpuscular. Participants with abnormally low or high values were reported.
Measured: Double blind (DB) phase: Baseline (Day 1) up to Week 48, Follow up (FU) phase: Week 48 up to Week 96
Percentage of Participants With Abnormalities in Clinical Laboratory Tests (Chemistry)
Percentage of participants with abnormalities in clinical laboratory tests (Chemistry: abnormally high and serum alpha fetoprotein, serum chloride, Serum gamma glutamyl tranferase [GGT], Serum high density cholesterol [HDL] Cholesterol, Indirect Bilirubin, Lactate Dehydrogenase, Serum Protein, Urea Nitrogen) were reported. Abnormality was determined at the investigator's discretion. Participants with abnormally low or high values were reported.
Measured: Double blind (DB) phase: Baseline up to Week 48, Follow up (FU) phase: Week 48 up to Week 96
Percentage of Participants With Abnormalities in Clinical Laboratory Tests (Urinalysis)
Percentage of participants with abnormalities in clinical laboratory tests(Urinalysis: abnormally high and low urine granular casts, urine hyaline casts, Urine Leukocytes,Urine Specific Gravity,Urine Squamous Epithelial cell, Urine T.E Cells, Urine Transitinoal erythrocyte count [E.C],Urine Tubular erthrocyte count ) were reported. Abnormality was determined at the investigator's discretion. Participants with abnormally low or high values were reported.
Measured: Double blind (DB) phase: Baseline up to Week 48, Follow up (FU) phase: Week 48 up to Week 96
Percentage of Participants With Abnormalities in Electrocardiogram (ECG)
Percentage of participants with abnormalities in ECG parameters (heart rate, PR interval, QRS duration, and QTcF interval) were reported. Abnormality criteria: Heart rate abnormally low (AL): <45 beats per minute (bpm); PR interval AH:>220 msec; QRS duration AH:>120 msec; QTcF borderline prolonged (BP) QT: 450 msec to <=480 msec. Participants with abnormally low or high values were reported.
Measured: Double blind (DB) phase: Baseline (Day 1) up to Week 48, Follow up (FU) phase: Week 48 up to Week 96
Percentage of Participants With Abnormalities in Vital Signs
Percentage of participants with abnormalities in vital signs parameters (pulse rate, diastolic and systolic blood pressure) were reported. Abnormality criteria: Pulse rate AL:<=45 bpm; Systolic blood pressure (SBP) AL: <=90 millimeters of mercury (mmHg), mild:>140 mmHg to <160 mmHg; moderate:>=160 mmHg to <180 mmHg; Diastolic blood pressure (DBP): AL: <=150 mmHg; mild:>90 mmHg to <100 mmHg; moderate: >=100 mmHg to <110 mmHg; severe:>=110 mmHg. Abnormality was determined at the investigator's discretion. Participants with abnormally low or high values were reported.
Measured: Double blind (DB) phase: Baseline (Day 1) up to Week 48, Follow up (FU) phase: Week 48 up to Week 96
Percentage of Participants With HBsAg Seroclearance 24 Weeks After Completion of All Study Intervention at Week 48
Percentage of participants with HBsAg seroclearance 24 weeks after completion of all study intervention at Week 48 were reported. HBsAg seroclearance was defined as HBsAg (less than [<] lower limit of quantification LLOQ [0.05 IU/mL]). Responder was defined as a participant who achieved functional cure at Week 72. A participant was defined as having achieved functional cure at Week 72 if he/she: had met the criteria for stopping NA treatment at Week 48 and stopped treatment; had HBsAg seroclearance at Week 72 (that is, 24 weeks after stopping all study interventions); did not require NA re-treatment between Weeks 48 and 72. Multiple Imputation using a longitudinal multiple regression model was applied to impute missing data.
Measured: Week 72
Percentage of Participants With HBsAg Seroclearance 48 Weeks After Completion of All Study Intervention at Week 48
Percentage of participants with HBsAg seroclearance 48 weeks after completion of all study intervention at Week 48 were reported. HBsAg Seroclearance was defined as HBsAg <LLOQ (0.05 IU/mL). A responder was defined as a participant who achieved HBsAg seroclearance at Week 96 if the participant completed 48 weeks of treatment, met the criteria for stopping NA treatment at Week 48, did not require NA re-treatment between Week 48 and Week 96, and had HBsAg seroclearance at Week 96. Multiple Imputation using a longitudinal multiple regression model was applied to impute missing data.
Measured: Week 96
Percentage of Participants With HBV DNA <LLOQ 24 and 48 Weeks After Completion of All Study Intervention at Week 48
Percentage of participants with HBV DNA <LLOQ at 24 and 48 weeks after completion of all study intervention at Week 48 were reported. A responder was defined as a participant who achieved HBV DNA <LLOQ 24 and 48 weeks after stopping all study treatments at any time during the study and without restarting NA treatment thereafter.
Measured: Weeks 72 and 96
Percentage of Participants Meeting the NA Treatment Completion Criteria During Follow-up
Percentage of participants meeting the NA treatment completion criteria during follow-up were reported. A participant was defined as a responder in meeting the NA treatment completion criteria at Week 48, if the following criteria were met based on the clinical laboratory tests performed at Week 44: participants had alanine transaminase (ALT) less than (<) 3*upper limit of normal range (ULN); had hepatitis B virus deoxyribonucleic acid (HBV DNA) < lower limit of quantification (LLOQ); was hepatitis B e antigen (HBeAg)-negative; had hepatitis B surface antigen (HBsAg) <10 international units per milliliter (IU/mL). A responder was defined as a participant who stopped NA at Week 48 and met the NA treatment completion criteria at any time during the follow-up phase, regardless of the treatment duration.
Measured: Week 48 up to Week 96
Percentage of Participants With HBsAg Seroclearance After Completion of NA Treatment at Weeks 60, 84, and 96
Percentage of participants with HBsAg seroclearance after completion of NA treatment at Weeks 60, 84, and 96 were reported. Seroclearance of HBsAg was defined as HBsAg level <LLOQ (0.05 IU/mL). For Week 60: a responder was defined as a participant who achieved HBsAg seroclearance 12 weeks off treatment if the subject achieved HBsAg seroclearance 12 weeks after stopping; for Week 84:A responder was defined as a participant who achieved HBsAg seroclearance 36 weeks off-treatment if the participant achieved HBsAg seroclearance 36 weeks after stopping all study treatments; for Week 96:A responder was defined as a participant who achieved HBsAg seroclearance at Week 96 if the participant completed 48 weeks of treatment, met the criteria for stopping NA treatment at Week 48, did not require NA re-treatment between Week 48 and Week 96, and had HBsAg seroclearance at Week 96.
Measured: Weeks 60, 84, and 96
Percentage of Participants Who Required NA Re-treatment During Follow-up
Percentage of participants who required NA re-treatment during follow-up were reported. Responder was defined as a participant who met the criteria for NA re-treatment at any time during follow-up, for those participants who met the NA treatment completion criteria at any time during the study and actually stopped NA treatment. NA re-treatment criteria: (1) Re-start NA treatment immediately with signs of decreasing liver function based on laboratory findings (eg, International Normalized Ratio [INR], direct bilirubin) or clinical assessment (eg, ascites, hepatic encephalopathy). (2) Immediately with an HBV DNA value of >100,000 IU/mL (irrespective of confirmation and/or ALT increase). (3) With confirmed post-treatment HBeAg seroreversion (HBeAg positive after it was negative at NA completion) (4) With confirmed* post-treatment increases in HBV DNA >2,000 IU/mL and ALT >5x ULN (5) With confirmed* post-treatment increases in HBV DNA >20,000 IU/mL.
Measured: Week 48 up to Week 96
Percentage of Participants With Flares
Percentage of participants with flares (virologic, biochemical, and clinical) were reported. Virologic flare: confirmed HBV DNA >peak threshold ( 20,000 IU/mL 2,000 IU/mL and 200 IU/mL); biochemical Flare: confirmed ALT and/or AST increase of 3*ULN and 3*nadir; clinical flare: confirmed HBV DNA >peak threshold and confirmed ALT and/or AST increase of 3*ULN and 3*nadir. Virologic and clinical flare was assessed only for those participants who were off-treatment and had HBV DNA<LLOQ at the last observed time point on all study treatments and biochemical flares was identified on treatment and off treatment, respectively. Each virologic flare was categorized based on the confirmed (i.e., two consecutive values) peak HBV DNA above any of the three thresholds within the start and end date of that flare as follows: 20,000 IU/mL 2,000 IU/mL and 200 IU/mL. A participant was defined as off-treatment failure if he/she required NA re-treatment after stopping all study interventions.
Measured: Follow-up phase (Week 48 up to Week 96)
Number of Participants With (Sustained) Reduction, Suppression, and/or Seroclearance Considering Single and Multiple Marker
Number of participants with (sustained) reduction considering multiple markers were reported. HBV DNA results <LLOQ were reported as: (a) target detected, that is, traces of HBV DNA were detected/found but were too low to be quantified, or (b) target not detected, that is, no traces of HBV DNA were detected/found. LLOQ value for HBV DNA was 20 IU/mL.
Measured: Weeks 12, 24, 36 and 48
Percentage of Participants With HBsAg Seroconversion
HBsAg seroconversion was defined as achieving HBsAg seroclearance (HBsAg [quantitative] <LLOQ [0.05 IU/mL]) together with an appearance of anti-HBs antibodies (baseline anti-HBs antibodies [quantitative] <LLOQ and a post-baseline assessment greater than or equal to [>=] LLOQ).
Measured: Weeks 48, 60, 72, and 96
Percentage of Participants With HBeAg Seroconversion
HBeAg seroconversion was defined as achieving HBeAg seroclearance (HBeAg [quantitative] <LLOQ) together with an appearance of anti-HBe antibodies (baseline anti-HBe antibodies [qualitative] with a "negative" result and a post-baseline assessment with "positive" result.
Measured: Weeks 48, 60, 72, and 96
Change From Baseline in HBsAg Levels
Change from baseline in HBsAg levels was reported.
Measured: Baseline, Weeks 12, 24, 48, 60, 72, 96
Change From Baseline in HBeAg Levels
Change from baseline in HBeAg levels was reported.
Measured: Baseline, Weeks 12, 24, 48, 60, 72, 96
Change From Baseline in HBV DNA Levels
Change from baseline in HBV DNA levels were reported.
Measured: Baseline, Weeks 12, 24, 48, 60, 72, 96
Time to Achieve HBsAg Seroclearance
Time to HBsAg seroclearance (defined as HBsAg level <LLOQ [0.05 IU/mL]) was defined as the number of days between the date of first study treatment intake and the date of the first occurrence of HBsAg seroclearance.
Measured: Baseline (Day 1) up to Week 96
Time to Achieve HBeAg Seroclearance
Time to HBeAg seroclearance (defined as HBeAg level <LLOQ [0.11 IU/mL]) was defined as the number of days between the date of first study treatment intake and the date of the first occurrence of HBeAg seroclearance.
Measured: Baseline (Day 1) up to Week 96
Percentage of Participants With HBsAg Levels <100 IU/mL
Percentage of participants with HBsAg levels <100 IU/mL was reported.
Measured: Baseline, Weeks 12, 24, 48, 60, 72, 96
Percentage of Participants With HBsAg Levels >1 log10 IU/mL Reduction From Baseline
Percentage of participants with HBsAg levels >1 log10 IU/mL reduction from baseline was reported.
Measured: Weeks 12, 24, 48, 60, 72, 96
Percentage of HBeAg-positive Participants With HBeAg Levels <LLOQ
Percentage of HBeAg-positive participants with HBeAg levels <LLOQ were reported.
Measured: Weeks 12, 24, 48, 60, 72, 96
Percentage of HBeAg-positive Participants With HBeAg Levels >1 log10 IU/mL
Percentage of HBeAg-positive partcipants with HBeAg levels >1 log10 IU/mL were reported.
Measured: Weeks 12, 24, 48, 60, 72, 96
Percentage of Participants With HBV DNA Levels <LLOQ
Percentage of participants with HBV DNA levels <LLOQ (20 IU/mL) were reported.
Measured: Baseline, Weeks 12, 24, 48, 60, 72, 96
Mean Change From Baseline in ALT at EOT (Week 48) in Participants With Elevated ALT at Baseline
Mean change from baseline in ALT at EOT (Week 48) in participants with elevated ALT at baseline were reported.
Measured: Baseline and Week 48
Percentage of Participants With ALT Normalization
Percentage of participants with ALT normalization was reported. A participant with ALT elevation at baseline was considered to achieve ALT normalization if his/her ALT value was <ULN at any given postbaseline analysis time point. A participant was defined as on treatment failure if he/she never met the criteria for stopping NA treatment during the study. A participant was defined as off-treatment failure if he/she required NA re-treatment after stopping all study interventions.
Measured: Baseline, Weeks 12, 24, 48, 60, 72, 96
Percentage of Participants With Virologic Breakthrough
Virologic breakthrough was defined as having a confirmed on-treatment HBV DNA increase by >1 log10 from nadir (that is, lowest value during treatment) or a confirmed HBV DNA level >200 IU/mL in participants who had on-treatment HBV DNA level below the LLOQ (20 IU/mL). On-treatment was defined as the time period in which the participant received any of the study intervention.
Measured: Baseline (Day 1) up to Week 48
Percentage of Participants With Undetectable HBV DNA Levels After Re-start of NA Treatment During Follow-up
Percentage of participants with undetectable HBV DNA levels after re-start of NA treatment during follow-up was reported.
Measured: Week 48 up to Week 96
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jun 2019
- Study start1 Aug 2019
- Primary completion29 Mar 2021
- Study completion26 Apr 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Hepatitis B, ChronicStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 471 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Sciences Ireland UC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Sciences Ireland UC Clinical Trial, Study director, Janssen Sciences Ireland UC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03982186
- Sponsor's protocol ID
- CR108608
- Other IDs
- 2019-000622-22, 73763989HPB2001, 2019
- Acronym
- REEF-1
- Status last verified
- Jan 2025
- First submitted
- 10 Jun 2019
- Last updated
- 4 Feb 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale open Data Access (YODA) Project site at yoda.yale.edu
Publications
Verbinnen T, Lathouwers E, Jezorwski J, Biermer M, Augustyns I, Grant C, Agarwal K, Yuen MF, De Meyer S, Lenz O. Viral sequence analysis of chronic hepatitis B patients treated with the siRNA JNJ-73763989 in phase II clinical trials. JHEP Rep. 2025 Oct 9;7(12):101618. doi: 10.1016/j.jhepr.2025.101618. eCollection 2025 Dec.
PubMed 41362713Yuen MF, Asselah T, Jacobson IM, Brunetto MR, Janssen HLA, Takehara T, Hou JL, Kakuda TN, Lambrecht T, Beumont M, Kalmeijer R, Guinard-Azadian C, Mayer C, Jezorwski J, Verbinnen T, Lenz O, Shukla U, Biermer M; REEF-1 Study Group. Efficacy and safety of the siRNA JNJ-73763989 and the capsid assembly modulator JNJ-56136379 (bersacapavir) with nucleos(t)ide analogues for the treatment of chronic hepatitis B virus infection (REEF-1): a multicentre, double-blind, active-controlled, randomised, phase 2b trial. Lancet Gastroenterol Hepatol. 2023 Sep;8(9):790-802. doi: 10.1016/S2468-1253(23)00148-6. Epub 2023 Jul 10.
PubMed 37442152
Study at a glance
From the registry record, last updated by the sponsor on 4 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b, Multicenter, Double-blind, Active-controlled, Randomized Study to Investigate the Efficacy and Safety of Different Combination Regimens Including JNJ-73763989 and/or JNJ-56136379 for the Treatment of Chronic Hepatitis B Virus Infection
- ClinicalTrials.gov ID
- NCT03982186
- Acronym / sponsor ID
- REEF-1 / CR108608
- Conditions
- Hepatitis B, Chronic
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 471 participants (actual)
- Lead sponsor
- Janssen Sciences Ireland UCIndustry (pharma, biotech, devices)
- Study start
- 1 Aug 2019 (actual)
- Primary completion
- 29 Mar 2021 (actual)
- Study completion
- 26 Apr 2022 (actual)
- First posted
- 11 Jun 2019 (actual)
- Results
- Posted 10 Jul 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to establish the dose-response relationship for antiviral activity of 3 dose levels of JNJ-73763989+nucleos(t)ide analog (NA) and to evaluate the efficacy of combination regimens of JNJ-73763989+NA (with and without JNJ-56136379) and of JNJ-56136379+NA.
Detailed description
Hepatitis B virus (HBV) is a small deoxyribonucleic acid virus that specifically infects the human liver. The acute phase of infection is either followed by an immune controlled state or progresses to chronic hepatitis B. The worldwide estimated prevalence of chronic HBV infection is about 292 million people affected. Hepatitis B surface antigen (HBsAg) seroclearance is currently considered to be associated with the most thorough suppression of HBV replication (termed functional cure). With current available NA treatment strategies, rate of HBsAg seroclearance remains very low (around 3 percent [%]) even under long-term treatment. Also, with the persistently high global prevalence of HBV-associated mortality, there is a medical need for more effective finite treatment options that lead to sustained HBsAg seroclearance. JNJ-73763989 is a liver-targeted antiviral therapeutic for subcutaneous injection designed to treat chronic HBV infection via ribonucleic acid interference mechanism. JNJ-56136379 is an orally administered capsid assembly modulator that is being developed for the treatment of chronic HBV infection. The aim of the study is to evaluate efficacy as measured by proportion of participants who completed 48-week study intervention and qualified for stopping NA treatment at Week 48. The study includes: Screening phase (4 weeks), Double-blind study intervention phase (from Day 1 up to Week 48), and Follow-up phase (48 weeks after end of investigational intervention with a maximum duration of 96 weeks). The duration of individual study participation will be between 100 and 150 weeks. Safety and tolerability (including adverse events [AEs] and Serious AEs, laboratory assessments, electrocardiogram [ECG], vital signs, physical examination), efficacy (including HBsAg seroclearance), and pharmacokinetics will be assessed throughout the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Arm 1: JNJ-73763989 (medium dose) + JNJ-56136379 + NA | Experimental | Drug: JNJ-73763989, Drug: JNJ-56136379, Drug: Nucleos(t)ide Analog (NA)Participants will receive medium dose of JNJ-73763989 along with JNJ-56136379 and nucleos(t)ide analog (NA) treatment (either entecavir [ETV], tenofovir disoproxil fumarate [TDF], or tenofovir alafenamide [TAF]) up to 48 weeks. |
| Arm 2: JNJ-73763989 (high dose) + Placebo + NA | Experimental | Drug: JNJ-73763989, Drug: Placebo for JNJ-56136379, Drug: Nucleos(t)ide Analog (NA)Participants will receive high dose of JNJ-73763989 along with placebo for JNJ-56136379 and NA (either ETV, TDF, or TAF) up to 48 weeks. |
| Arm 3: JNJ-73763989 (medium dose) + Placebo + NA | Experimental | Drug: JNJ-73763989, Drug: Placebo for JNJ-56136379, Drug: Nucleos(t)ide Analog (NA)Participants will receive medium dose of JNJ-73763989 along with placebo for JNJ-56136379 and NA (either ETV, TDF, or TAF) up to 48 weeks. |
| Arm 4: JNJ-73763989 (low dose) + Placebo + NA | Experimental | Drug: JNJ-73763989, Drug: Placebo for JNJ-56136379, Drug: Nucleos(t)ide Analog (NA)Participants will receive low dose of JNJ-73763989 along with placebo for JNJ-56136379 and NA (either ETV, TDF, or TAF) up to 48 weeks. |
| Arm 5: Placebo + JNJ-56136379 + NA | Experimental | Drug: Placebo for JNJ-73763989, Drug: JNJ-56136379, Drug: Nucleos(t)ide Analog (NA)Participants will receive placebo for JNJ-73763989 and a fixed dose of JNJ-56136379 along with NA (either ETV, TDF, or TAF) up to 48 weeks. |
| Arm 6 (Control): Placebo + Placebo + NA | Placebo comparator | Drug: Placebo for JNJ-73763989, Drug: Placebo for JNJ-56136379, Drug: Nucleos(t)ide Analog (NA)Participants will receive placebo for JNJ-73763989 and placebo for JNJ-56136379 along with NA (either ETV, TDF, or TAF) up to 48 weeks. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Medically stable based on physical examination, medical history, vital signs, electrocardiogram (ECG) at screening
- Chronic hepatitis B virus (HBV) infection with documentation at least 6 months prior to screening
- Hepatitis B surface antigen (HBsAg) greater than (>) 100 International Units per Milliliter (IU/mL) at screening
- Body mass index (BMI) between 18.0 and 35.0 kilogram per meter square (kg/m^2), extremes included
- Highly effective contraceptive measures in place for female participants of childbearing potential or male participants with female partners of childbearing potential
Key exclusion criteria (17 listed)
- Evidence of infection with hepatitis A, C, D or E virus infection or evidence of human immunodeficiency, virus type 1 (HIV-1) or HIV-2 infection at screening
- History or evidence of clinical signs/symptoms of hepatic decompensation including but not limited to: portal hypertension, ascites, hepatic encephalopathy, esophageal varices or any laboratory abnormalities indicating a reduced liver function as defined in the protocol
- Evidence of liver disease of non-HBV etiology
- Signs of hepatocellular carcinoma (HCC)
- Significant laboratory abnormalities as defined in the protocol at screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| JNJ-73763989JNJ-73763989 will be administered as medium dose (Arms 1 and 3), high dose (Arm 2), and low dose (Arm 4) as subcutaneous injection. | Drug | Arm 1: JNJ-73763989 (medium dose) + JNJ-56136379 + NA, Arm 2: JNJ-73763989 (high dose) + Placebo + NA, Arm 3: JNJ-73763989 (medium dose) + Placebo + NA, Arm 4: JNJ-73763989 (low dose) + Placebo + NA |
| Placebo for JNJ-73763989Placebo for JNJ-73763989 will be administered as subcutaneous injection. | Drug | Arm 5: Placebo + JNJ-56136379 + NA, Arm 6 (Control): Placebo + Placebo + NA |
| JNJ-56136379JNJ-56136379 tablets will be administered orally. | Drug | Arm 1: JNJ-73763989 (medium dose) + JNJ-56136379 + NA, Arm 5: Placebo + JNJ-56136379 + NA |
| Placebo for JNJ-56136379Placebo for JNJ-56136379 tablets will be administered orally. | Drug | Arm 2: JNJ-73763989 (high dose) + Placebo + NA, Arm 3: JNJ-73763989 (medium dose) + Placebo + NA, Arm 4: JNJ-73763989 (low dose) + Placebo + NA, Arm 6 (Control): Placebo + Placebo + NA |
| Nucleos(t)ide Analog (NA)NA treatment that is either of ETV, TDF or TAF tablets will be administered orally. | Drug | Arm 1: JNJ-73763989 (medium dose) + JNJ-56136379 + NA, Arm 2: JNJ-73763989 (high dose) + Placebo + NA, Arm 3: JNJ-73763989 (medium dose) + Placebo + NA, Arm 4: JNJ-73763989 (low dose) + Placebo + NA, Arm 5: Placebo + JNJ-56136379 + NA, Arm 6 (Control): Placebo + Placebo + NA |
Primary outcome
Percentage of Participants Meeting the Nucleos(t)Ide Analog (NA) Treatment Completion Criteria at Week 48
Time frame: Week 48
Percentage of participants meeting the NA treatment completion criteria at Week 48 were reported. A participant was defined as a responder in meeting the NA treatment completion criteria at Week 48, if the following criteria were met based on the clinical laboratory tests performed at Week 44: participants had alanine transaminase (ALT) less than (<) 3*upper limit of normal range (ULN); had hepatitis B virus deoxyribonucleic acid (HBV DNA) < lower limit of quantification (LLOQ); was hepatitis B e antigen (HBeAg)-negative; had hepatitis B surface antigen (HBsAg) <10 international units per milliliter (IU/mL). Multiple Imputation using a longitudinal multiple regression model was applied to impute missing data.
39 secondary outcomes
Double-blind Phase: Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
Time frame: Baseline up to Week 48
Follow-up Phase 1: Percentage of Participants With TEAEs
Time frame: From Week 48 up to Week 96
Follow-up Phase 2: Percentage of Participants With TEAEs
Time frame: From Week 48 up to Week 96
Follow-up Phase 3: Percentage of Participants With TEAEs
Time frame: From Week 48 up to Week 96
Extended Follow-up Phase: Percentage of Participants With TEAEs
Time frame: Extended Follow up Week 1 to extended follow up Week 48
Double-blind Phase: Percentage of Participants With Serious Adverse Events (SAEs)
Time frame: Baseline up to Week 48
Follow-up Phase 1: Percentage of Participants With SAEs
Time frame: From Week 48 up to Week 96
Follow-up Phase 2: Percentage of Participants With SAEs
Time frame: From Week 48 up to Week 96
Follow-up Phase 3: Percentage of Participants With SAEs
Time frame: From Week 48 up to Week 96
Extended Follow-up Phase: Percentage of Participants With SAEs
Time frame: Extended Follow up Week 1 to extended follow up Week 48
Percentage of Participants With Abnormalities in Clinical Laboratory Tests (Hematology)
Time frame: Double blind (DB) phase: Baseline (Day 1) up to Week 48, Follow up (FU) phase: Week 48 up to Week 96
Percentage of Participants With Abnormalities in Clinical Laboratory Tests (Chemistry)
Time frame: Double blind (DB) phase: Baseline up to Week 48, Follow up (FU) phase: Week 48 up to Week 96
Percentage of Participants With Abnormalities in Clinical Laboratory Tests (Urinalysis)
Time frame: Double blind (DB) phase: Baseline up to Week 48, Follow up (FU) phase: Week 48 up to Week 96
Percentage of Participants With Abnormalities in Electrocardiogram (ECG)
Time frame: Double blind (DB) phase: Baseline (Day 1) up to Week 48, Follow up (FU) phase: Week 48 up to Week 96
Percentage of Participants With Abnormalities in Vital Signs
Time frame: Double blind (DB) phase: Baseline (Day 1) up to Week 48, Follow up (FU) phase: Week 48 up to Week 96
Percentage of Participants With HBsAg Seroclearance 24 Weeks After Completion of All Study Intervention at Week 48
Time frame: Week 72
Percentage of Participants With HBsAg Seroclearance 48 Weeks After Completion of All Study Intervention at Week 48
Time frame: Week 96
Percentage of Participants With HBV DNA <LLOQ 24 and 48 Weeks After Completion of All Study Intervention at Week 48
Time frame: Weeks 72 and 96
Percentage of Participants Meeting the NA Treatment Completion Criteria During Follow-up
Time frame: Week 48 up to Week 96
Percentage of Participants With HBsAg Seroclearance After Completion of NA Treatment at Weeks 60, 84, and 96
Time frame: Weeks 60, 84, and 96
Percentage of Participants Who Required NA Re-treatment During Follow-up
Time frame: Week 48 up to Week 96
Percentage of Participants With Flares
Time frame: Follow-up phase (Week 48 up to Week 96)
Number of Participants With (Sustained) Reduction, Suppression, and/or Seroclearance Considering Single and Multiple Marker
Time frame: Weeks 12, 24, 36 and 48
Percentage of Participants With HBsAg Seroconversion
Time frame: Weeks 48, 60, 72, and 96
Percentage of Participants With HBeAg Seroconversion
Time frame: Weeks 48, 60, 72, and 96
Change From Baseline in HBsAg Levels
Time frame: Baseline, Weeks 12, 24, 48, 60, 72, 96
Change From Baseline in HBeAg Levels
Time frame: Baseline, Weeks 12, 24, 48, 60, 72, 96
Change From Baseline in HBV DNA Levels
Time frame: Baseline, Weeks 12, 24, 48, 60, 72, 96
Time to Achieve HBsAg Seroclearance
Time frame: Baseline (Day 1) up to Week 96
Time to Achieve HBeAg Seroclearance
Time frame: Baseline (Day 1) up to Week 96
Percentage of Participants With HBsAg Levels <100 IU/mL
Time frame: Baseline, Weeks 12, 24, 48, 60, 72, 96
Percentage of Participants With HBsAg Levels >1 log10 IU/mL Reduction From Baseline
Time frame: Weeks 12, 24, 48, 60, 72, 96
Percentage of HBeAg-positive Participants With HBeAg Levels <LLOQ
Time frame: Weeks 12, 24, 48, 60, 72, 96
Percentage of HBeAg-positive Participants With HBeAg Levels >1 log10 IU/mL
Time frame: Weeks 12, 24, 48, 60, 72, 96
Percentage of Participants With HBV DNA Levels <LLOQ
Time frame: Baseline, Weeks 12, 24, 48, 60, 72, 96
Mean Change From Baseline in ALT at EOT (Week 48) in Participants With Elevated ALT at Baseline
Time frame: Baseline and Week 48
Percentage of Participants With ALT Normalization
Time frame: Baseline, Weeks 12, 24, 48, 60, 72, 96
Percentage of Participants With Virologic Breakthrough
Time frame: Baseline (Day 1) up to Week 48
Percentage of Participants With Undetectable HBV DNA Levels After Re-start of NA Treatment During Follow-up
Time frame: Week 48 up to Week 96
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Feb 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41362713Verbinnen T, Lathouwers E, Jezorwski J, Biermer M, Augustyns I, Grant C, Agarwal K, Yuen MF, De Meyer S, Lenz O. Viral sequence analysis of chronic hepatitis B patients treated with the siRNA JNJ-73763989 in phase II clinical trials. JHEP Rep. 2025 Oct 9;7(12):101618. doi: 10.1016/j.jhepr.2025.101618. eCollection 2025 Dec.
- Derived from this study: PubMed 37442152Yuen MF, Asselah T, Jacobson IM, Brunetto MR, Janssen HLA, Takehara T, Hou JL, Kakuda TN, Lambrecht T, Beumont M, Kalmeijer R, Guinard-Azadian C, Mayer C, Jezorwski J, Verbinnen T, Lenz O, Shukla U, Biermer M; REEF-1 Study Group. Efficacy and safety of the siRNA JNJ-73763989 and the capsid assembly modulator JNJ-56136379 (bersacapavir) with nucleos(t)ide analogues for the treatment of chronic hepatitis B virus infection (REEF-1): a multicentre, double-blind, active-controlled, randomised, phase 2b trial. Lancet Gastroenterol Hepatol. 2023 Sep;8(9):790-802. doi: 10.1016/S2468-1253(23)00148-6. Epub 2023 Jul 10.
- Individual participant dataSharing planned: Yes. The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale open Data Access (YODA) Project site at yoda.yale.edu
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janssen Sciences Ireland UC Clinical Trial study director
Janssen Sciences Ireland UC
108 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing JNJ-73763989, JNJ-56136379 and Nucleos(t)ide Analog (NA) in people with Hepatitis B, Chronic, run by Janssen Sciences Ireland UC at 108 sites in 19 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 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 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 108 sites in Japan, Russia, United States, France, Germany and 14 more countries. 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 10 Jul 2024). 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 Meeting the Nucleos(t)Ide Analog (NA) Treatment Completion Criteria at Week 48 (time frame: Week 48). 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 NCT03982186, 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 Feb 2025.