AzTrials
AzTrials

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.

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 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)
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

Other trials in Japan

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

Other trials in Russia

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

Other trials in United States

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

Other trials in France

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

Other trials in Germany

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

Other trials in Spain

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

Other trials in Turkey (Türkiye)

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

Other trials in Belgium

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

Other trials in Canada

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

Other trials in Italy

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

Other trials in Poland

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

Other trials in Czechia

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

Other trials in Malaysia

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

Other trials in South Korea

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

Other trials in Thailand

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

Other trials in United Kingdom

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

Other trials in Brazil

Hong Kong2 sites
  • The University of Hong Kong

    Hong Kong

  • The Chinese University of Hong Kong

    Shatin

Other trials in Hong Kong

China1 site
  • Nanfang Hospital

    Guangzhou, 510515

Other trials in China

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.

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 groups in NCT03982186
Study groupRoleWhat they receive
Arm 1: JNJ-73763989 (medium dose) + JNJ-56136379 + NAExperimentalParticipants 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 + NAExperimentalParticipants 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 + NAExperimentalParticipants 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 + NAExperimentalParticipants 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 + NAExperimentalParticipants 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 + NAPlacebo comparatorParticipants 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.

  1. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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)

  23. 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

  24. 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

  25. 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

  26. Change From Baseline in HBsAg Levels

    Change from baseline in HBsAg levels was reported.

    Measured: Baseline, Weeks 12, 24, 48, 60, 72, 96

  27. Change From Baseline in HBeAg Levels

    Change from baseline in HBeAg levels was reported.

    Measured: Baseline, Weeks 12, 24, 48, 60, 72, 96

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

  38. 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

  39. 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.

  1. First posted11 Jun 2019
  2. Study start1 Aug 2019
  3. Primary completion29 Mar 2021
  4. Study completion26 Apr 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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
471 participants (actual)
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
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 41362713
  • Yuen 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

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.

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