AzTrials
AzTrials

Chronic Hepatitis BPhase 2NCT04820686

A Study Evaluating Treatment Regimens Containing Vebicorvir (ABI-H0731) in Participants With Chronic Hepatitis B Infection

A Phase 2 study testing VBR, AB-729 and SOC NrtI in people with Chronic Hepatitis B, run by Assembly Biosciences at 20 sites in 4 countries.

Terminated

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

Official record
Search all trials

Trial summary

The purpose of this study is to determine if vebicorvir (VBR, ABI-H0731) in combination with AB-729 is safe and effective in participants with chronic hepatitis B infection (cHBV) receiving a standard of care nucleos(t)ide/reverse transcriptase inhibitor (SOC NrtI). Read more about this study

Who is it for?
Ages 18 to 50 years
Conditions the study is for
Chronic Hepatitis B
What is being tested?
VBR, AB-729 and SOC NrtI
Could I receive a placebo?
No, everyone receives an active treatment
How many people
65 participants
Where
20 sitesin 4 countries
Study dates
7 May 2021to 30 Mar 2023
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 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Body mass index (BMI) 18 to 36 kg/m^2 and a minimum body weight of 45 kg (inclusive)
  • Female participants must be non-pregnant and have a negative serum pregnancy test at Screening and a negative urine pregnancy test at Day 1
  • Chronic Hepatitis B defined as HBV infection documented for ≥6 months prior to Screening
  • Hepatitis B 'e' antigen (HBeAg) negative at least 3 months prior to Screening Visit (historical documentation) AND at the Screening Visit
  • Virologically suppressed on SOC NrtI therapy with nonquantifiable HBV DNA for at least 6 months prior to Screening
  • On a stable SOC NrtI regimen of ETV, TDF, or TAF for >12 months
Show all 11Show fewer
  • HBsAg ≥100 international units/mL at Screening
  • Lack of bridging fibrosis or cirrhosis
  • Agreement to comply with protocol-specified contraceptive requirements
  • In good general health, except for cHBV, in the opinion of the Investigator
  • Able to take oral medication and willing to receive subcutaneous injections of AB-729.

Who cannot join

  • Co-infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis D virus (HDV), acute hepatitis A virus (HAV), or acute hepatitis E virus (HEV)
  • Females who are lactating or wish to become pregnant during the course of the study
  • History of liver transplant or evidence of advanced liver disease, cirrhosis, or hepatic decompensation at any time prior to, or at the time of Screening
  • History of persistent alcohol abuse or illicit drug abuse within 3 years prior to Screening
  • Clinically significant diseases or conditions, such as cardiac disease, including poorly-controlled or unstable hypertension; pulmonary disease; chronic or recurrent renal or urinary tract disease; liver disease other than cHBV; endocrine disorder; autoimmune disorder; poorly controlled diabetes mellitus; neuromuscular, musculoskeletal, or mucocutaneous conditions requiring frequent treatment, seizure disorders requiring treatment; ongoing infection or other medical conditions requiring frequent medical management or pharmacologic or surgical treatment that, in the opinion of the Investigator or the Sponsor, makes the subject unsuitable for study participation
  • History of hepatocellular carcinoma (HCC)
Show all 27Show fewer
  • History of malignancy other than HCC unless the subject's malignancy has been in complete remission off chemotherapy and without additional medical or surgical interventions during the 3 years before Screening
  • History or presence at Screening of electrocardiogram (ECG) abnormalities deemed clinically significant, in the opinion of the Investigator
  • History of hypersensitivity or idiosyncratic reaction to any components or excipients of the investigational drugs
  • History of any significant food or drug-related allergic reactions such as anaphylaxis or Stevens-Johnson syndrome
  • Exclusionary laboratory results at Screening:
  • Platelet count <100,000/mm^3
  • Albumin <3 g/dL
  • Direct bilirubin >1.2× upper limit of normal (ULN)
  • ALT ≥5× ULN
  • Serum alpha fetoprotein (AFP) ≥100 ng/mL. If AFP at Screening is > ULN but <100 ng/mL, the subject is eligible if hepatic imaging prior to initiation of study drug reveals no lesions indicative of possible HCC
  • International Normalized Ratio (INR) >1.5× ULN
  • Estimated creatinine clearance (CrCl) <50 mL/min (using the Cockcroft-Gault method) based on serum creatinine and actual body weight at Screening
  • Any other laboratory abnormality deemed clinically significant by the Investigator
  • Current or prior use of prohibited (per protocol) concomitant medications from 28 days prior to Day 1.
  • Current or prior treatment for cHBV with:
  • Lamivudine, telbivudine or adefovir (any duration)
  • HBV core inhibitor (any duration)
  • siRNA or other oligonucleotide therapeutic (any duration)
  • Interferon in the 6 months prior to Screening
  • Any investigational agent for cHBV in the 6 months prior to Screening.
  • Participation in another clinical study of a drug or device whereby the last investigational drug/device administration is within 60 days or 5 half-lives prior to study start.

Trial locations and contacts

20 sites in 4 countries.

20 sites in 4 countries

Australia8 sites
  • Saint Vincent's Hospital Sydney

    Darlinghurst, New South Wales, 2010

  • Footscray Hospital

    Footscray, Victoria, 3011

  • Saint George Hospital - Australia

    Kogarah, New South Wales, 2217

  • Liverpool Hospital

    Liverpool, New South Wales, 2170

  • The Alfred Hospital

    Melbourne, Victoria, 3004

  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia, 6009

  • Melbourne Health

    Parkville, Victoria, 3050

  • Westmead Hospital

    Westmead, New South Wales, 2145

Other trials in Australia

Canada6 sites
  • University Hospital - London Health Sciences Centre

    London, Ontario, N6A 2C2

  • Ottawa Hospital Research Institute

    Ottawa, Ontario, K1H 8L6

  • Centre Hospitalier Université de Québec - Université Laval

    Québec, G1V 4G2

  • Toronto Liver Centre

    Toronto, Ontario, M6H 3M1

  • Vancouver Infectious Disease Centre

    Vancouver, British Columbia, V6Z 2C7

  • Pacific Gastroenterology Associates

    Vancouver, British Columbia, V6Z 2K5

Other trials in Canada

Bulgaria4 sites
  • Diagnostic Consultative Center Aleksandrovska

    Sofia, Sofia-Grad, 1431

  • Acibadem City Clinic Tokuda Hospital

    Sofia, 1407

  • University Multiprofile Hospital for Active Treatment St. Ivan Rilski

    Sofia, 1431

  • Nov Rehabilitatsionen Tsentar EOOD

    Stara Zagora, 6000

Other trials in Bulgaria

New Zealand2 sites
  • Auckland Clinical Studies

    Auckland, 1010

  • Wellington Regional Hospital

    Wellington, 6021

Other trials in New Zealand

About this study

Official title: A Randomized Phase 2a, Multicenter, Open-Label, Multiple-Cohort Study Evaluating Regimens Containing Vebicorvir in Subjects With Chronic Hepatitis B Virus Infection

The purpose of this study is to determine if vebicorvir (VBR, ABI-H0731) in combination with AB-729 is safe and effective in participants with chronic hepatitis B infection (cHBV) receiving a standard of care nucleos(t)ide/reverse transcriptase inhibitor (SOC NrtI).

Read the detailed description

The initial cohort of participants will be enrolled in 3 treatment groups receiving 1) VBR + AB-729 + SOC NrtI, 2) VBR + SOC NrtI, or 3) AB-729 + SOC NrtI for up to 48 weeks. At Week 48, all participants will have an assessment of Treatment Stopping Criteria. Any participant who meets the Treatment Stopping Criteria, will discontinue their assigned treatment including NrtI and will remain in follow-up through Week 96. The participants who do not meet the Treatment Stopping Criteria will continue treatment with NrtI alone and will remain in follow-up through Week 96. Up to an additional 2 cohorts may be added to the study in future protocol amendments.

Being tested
VBR, AB-729, SOC NrtI
Keywords
cHBV, HBV, hepatitis B, vebicorvir, VBR, AB-729
Medical subject headings
Hepatitis B, Chronic, Hepatitis B

What participants receive

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

  • VBRDrug

    Also called Vebicorvir, ABI-H0731

    VBR is an HBV core protein inhibitor. Participants will receive VBR 300 mg tablets orally once daily (QD).

  • AB-729Drug

    AB-729 is a small interfering ribonucleic acid (siRNA) inhibitor of HBV. Participants will receive a 60-mg subcutaneous injection of AB-729 once every 8 weeks.

  • SOC NrtIDrug

    Also called Entecavir (ETV), Tenofovir disoproxil fumarate (TDF), Tenofovir alafenamide (TAF)

    Participants will receive their SOC NrtI (ETV, TDF or TAF) tablet orally as per approved package insert.

Study groups in NCT04820686
Study groupRoleWhat they receive
VBR + AB-729 + SOC NrtIExperimentalParticipants with cHBV received VBR + AB-729 + SOC NrtI for 48 weeks followed by 48 weeks in follow-up.
Receives: Drug: VBR; Drug: AB-729; Drug: SOC NrtI
VBR + SOC NrtIOtherParticipants with cHBV received VBR + SOC NrtI for 48 weeks followed by 48 weeks in follow-up. This treatment was used as a reference regimen.
Receives: Drug: VBR; Drug: SOC NrtI
AB-729 + SOC NrtIOtherParticipants with cHBV received AB-729 + SOC NrtI for 48 weeks followed by 48 weeks in follow-up. This treatment was used as a reference regimen.
Receives: Drug: AB-729; Drug: SOC NrtI

What is being measured

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

  1. Number of Participants With One or More Adverse Events (AEs)

    Measured: AEs were collected from the time of signing the informed consent until the final follow-up visit, up to 96 weeks.

  2. Number of Participants With Premature Treatment Discontinuation Due to AEs

    Measured: AEs were collected from the time of signing the informed consent until the final follow-up visit, up to 96 weeks.

  3. Number of Participants With One or More Abnormal Laboratory Result

    Measured: Laboratory results were collected from the time of signing the informed consent until the study was early terminated, up to 96 weeks.

Secondary outcomes (14)
  1. Change From Baseline in Mean log10 Serum Hepatitis B Surface Antigen (HBsAg) On-Treatment

    Subjects remained on their assigned oral agents (ie, VBR+NrtI for Groups 1 and 2; NrtI for Group 3) until Week 48 laboratory results required for Treatment Stopping Criteria assessment were available so there are some results past Week 48.

    Measured: Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 and 56.

  2. Number of Participants With Serum HBsAg Below the Lower Limit of Quantitation (<LLOQ)

    Measured: Pre-specified time points up to 96 weeks

  3. Number of Participants With HBV Deoxyribonucleic Acid (DNA) Not Detected (<5 IU/mL)

    Measured: Week 48

  4. Number of Participants With HBV Ribonucleic Acid (RNA) <LLOQ

    Measured: Week 48

  5. Change From Baseline in Mean log10 HBV RNA On-Treatment

    Subjects remained on their assigned oral agents (ie, VBR+NrtI for Groups 1 and 2; NrtI for Group 3) until Week 48 laboratory results required for Treatment Stopping Criteria assessment were available so there are some results past Week 48.

    Measured: Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, and 56.

  6. Change From Baseline in Mean log10 Hepatitis B Core-related Antigen (HBcrAg) On-Treatment

    Measured: Baseline and Week 48

  7. Number of Participants With HBsAg Seroconversion

    Measured: Week 48

  8. Number of Participants With Normal Alanine Aminotransferase (ALT)

    Measured: Baseline and at pre-specified time points up to 96 weeks

  9. Plasma Levels of VBR

    Measured: Before dosing at Baseline (Day 1) and at pre-specified time points up to 48 weeks, and at Week 52

  10. Plasma Levels of AB-729

    Measured: 2 hours after dosing at pre-specified time points up to 40 weeks

  11. Plasma Levels of SOC NrtI (ETV, TDF, TAF)

    Measured: Before dosing at Baseline (Day 1) and at pre-specified time points up to 48 weeks

  12. Change From Baseline in Mean log10 Serum Hepatitis B Surface Antigen (HBsAg) Off-Treatment

    Measured: Weeks 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92 and 96.

  13. Change From Baseline in Mean log10 HBV RNA Off-Treatment

    Measured: Weeks 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92 and 96.

  14. Change From Baseline in Mean log10 Hepatitis B Core-related Antigen (HBcrAg) Off-Treatment

    Measured: Weeks 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92 and 96.

Timeline

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

  1. First posted29 Mar 2021
  2. Study start7 May 2021
  3. Primary completion30 Mar 2023
  4. Study completion30 Mar 2023

Why it stopped: Sponsor decision

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
None (open label)
Enrolment
65 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04820686
Sponsor's protocol ID
ABI-H0731-204
Status last verified
Oct 2023
First submitted
25 Mar 2021
Last updated
14 Nov 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ligat G, Verrier ER, Nassal M, Baumert TF. Hepatitis B virus-host interactions and novel targets for viral cure. Curr Opin Virol. 2021 Aug;49:41-51. doi: 10.1016/j.coviro.2021.04.009. Epub 2021 May 22.

    PubMed 34029994

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VBR, AB-729 and SOC NrtI in people with Chronic Hepatitis B, run by Assembly Biosciences at 20 sites in 4 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 11 inclusion and 27 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 14 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Australia, Canada, Bulgaria, New Zealand. 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. 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 14 Nov 2023). 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?

Number of Participants With One or More Adverse Events (AEs) (time frame: AEs were collected from the time of signing the informed consent until the final follow-up visit, up to 96 weeks.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04820686, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Nov 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in