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Hepatitis B, ChronicPhase 1/2NCT05612581

A Platform Study to Evaluate Investigational Therapies in Chronic Hepatitis B Infection

A Phase 1/2 study testing VIR-3434, VIR-2218 and TDF in people with Hepatitis B, Chronic, run by Vir Biotechnology, Inc. at 15 sites in 6 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

This is a Phase 1b/2 platform study framework to evaluate the safety and efficacy of investigational candidate(s) and their combinations as potential treatments for adults with chronic hepatitis B virus infection. Read more about this study

Who is it for?
Ages 18 to 66 years
Conditions the study is for
Hepatitis B, Chronic
What is being tested?
VIR-3434, VIR-2218 and TDF
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33 participants
Where
15 sitesin 6 countries
Study dates
10 May 2023to 19 Aug 2025
Phase
Phase 1/2
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 66 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female ages 18 or older
  • Chronic HBV infection for >/= 6 months
  • Chronic HBV infection defined as a positive serum HBsAg, HBV DNA, or HBeAg on 2 occasions at least 6 months apart based on previous or current laboratory documentation
  • STRIVE: HBeAg positive or negative, HBV DNA > 2,000 IU/mL, ALT > ULN and ≤ 5x ULN
  • THRIVE: Must be/have the following, within the 1-year period prior to screening: HBeAg negative, HBV DNA ≤ 2,000 IU/mL, ALT ≤ ULN

Who cannot join

  • Any clinically significant chronic or acute medical condition that makes the participant unsuitable for participation
  • History of clinically significant liver disease from non-HBV etiology
  • History or current evidence of hepatic decompensation
  • Co-infection with human immunodeficiency virus (HIV), hepatitis A virus (HAV), hepatitis C virus (HCV), hepatitis D virus (HDV) or hepatitis E virus (HEV).
  • History or clinical evidence of alcohol or drug abuse
  • STRIVE and THRIVE: Significant fibrosis or cirrhosis
Show all 12Show fewer
  • STRIVE and THRIVE: History of immune complex disease
  • STRIVE and THRIVE: History of autoimmune disorder
  • STRIVE and THRIVE: History of allergic reactions, hypersensitivity, or intolerance to monoclonal antibodies, antibody fragments, or any excipients of VIR-3434
  • STRIVE: Prior NRTI or PEG-IFN therapy
  • STRIVE: History of known contraindication to any interferon product
  • THRIVE: Prior NRTI therapy < 24 weeks of study or any prior PEG-IFN therapy

Trial locations and contacts

15 sites in 6 countries.

15 sites in 6 countries

France4 sites
  • Investigative Site

    Clichy, 92110

  • Investigative Site

    Nice, 06200

  • Investigative Site

    Rennes, 35000

  • Investigative Site

    Toulouse, 31000

Other trials in France

United Kingdom4 sites
  • Investigative Site

    Glasgow, G4 0SF

  • Investigative Site

    London, EC1A 7BE

  • Investigative Site

    London, SE5 9RS

  • Investigative Site

    Manchester, M8 5RB

Other trials in United Kingdom

South Korea3 sites
  • Investigative Site

    Busan, 49241

  • Investigative Site

    Seoul, 5505

  • Investigative Site

    Yangsan, 50612

Other trials in South Korea

Hong Kong2 sites
  • Investigative Site

    Hong Kong, Sha Tin

  • Investigative Site

    Hong Kong

Other trials in Hong Kong

Moldova1 site
  • Investigative Site

    Chisinau, MD 2025

Other trials in Moldova

Romania1 site
  • Investigative Site

    Bucharest, 021105

Other trials in Romania

About this study

Official title: A Platform Study Evaluating the Efficacy and Safety of Investigational Therapies in Participants With Chronic Hepatitis B Infection (PREVAIL)

This is a Phase 1b/2 platform study framework to evaluate the safety and efficacy of investigational candidate(s) and their combinations as potential treatments for adults with chronic hepatitis B virus infection.

Read the detailed description

VIR-SHB1-V201 (STRIVE) Sub-Protocol A is a Phase 2 study under the PREVAIL platform trial. This is a multi-center, open-label study designed to evaluate the safety and efficacy of regimens containing VIR-3434, VIR-2218, PEGASYS (PEG-IFNα), and nucleotide reverse transcriptase inhibitors (NRTI) in noncirrhotic adult participants with chronic HBV infection that have not received prior NRTI or PEGASYS treatment.

VIR-SHB1-V202 (THRIVE) Sub-Protocol B is a Phase 2 study under the PREVAIL platform trial. This is a multi-center open-label study designed to evaluate the safety and efficacy of regimens containing VIR-3434 and NRTI with or without VIR-2218 in noncirrhotic adult participants with low viral burden of chronic HBV infection.

Being tested
VIR-3434, VIR-2218, TDF, PEG-IFNα
Keywords
Hepatitis B Virus, Chronic Hepatitis B, HBV, Hepatitis
Medical subject headings
Hepatitis B, Chronic, Hepatitis B, Hepatitis

What participants receive

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

  • VIR-3434Drug

    Also called Tobevibart

    VIR-3434 given by subcutaneous injection

  • VIR-2218Drug

    Also called Elebsiran

    VIR-2218 given by subcutaneous injection

  • TDFDrug

    TDF given orally

  • PEG-IFNαDrug

    PEG-IFNα given by subcutaneous injection

Study groups in NCT05612581
Study groupRoleWhat they receive
STRIVE: Cohort 1a (VIR-3434 + TDF)ExperimentalParticipants will receive combination therapy with VIR-3434 + TDF for 44 weeks total
Receives: Drug: VIR-3434; Drug: TDF
STRIVE: Cohort 2a (VIR-3434 + TDF)ExperimentalParticipants will receive combination therapy with VIR-3434 + TDF for 44 weeks total
Receives: Drug: VIR-3434; Drug: TDF
STRIVE: Cohort 3a (VIR-3434 + TDF)ExperimentalParticipants will receive combination therapy with VIR-3434 + TDF for 36 or 40 weeks total
Receives: Drug: VIR-3434; Drug: TDF
STRIVE: Cohort 4a (VIR-3434 + VIR-2218 + TDF)ExperimentalParticipants will receive combination therapy with VIR-3434 + VIR-2218 + TDF for 20 or 44 weeks total
Receives: Drug: VIR-3434; Drug: VIR-2218; Drug: TDF
STRIVE: Cohort 5a (VIR-3434 + VIR-2218 + TDF + PEG-IFNα)ExperimentalParticipants will receive combination therapy with VIR-3434 + VIR-2218 +TDF + PEG-IFNα for 48 weeks total
Receives: Drug: VIR-3434; Drug: VIR-2218; Drug: TDF; Drug: PEG-IFNα
THRIVE: Cohort 1b (VIR-3434 + TDF)ExperimentalParticipants will receive combination therapy with VIR-3434 + TDF for 44 weeks
Receives: Drug: VIR-3434; Drug: TDF
THRIVE: Cohort 2b (VIR-3434 + VIR-2218 + TDF)ExperimentalParticipants will receive combination therapy with VIR-3434 + VIR-2218 + TDF for 44 weeks total
Receives: Drug: VIR-3434; Drug: VIR-2218; Drug: TDF

What is being measured

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

  1. STRIVE and THRIVE: Proportion of Participants Achieving Suppression of HBV DNA (< LLOQ) With HBsAg Loss (< 0.05 IU/mL) at the End of Treatment

    Measured: Up to 48 weeks

Secondary outcomes (22)
  1. STRIVE and THRIVE: Proportion of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Measured: Up to 96 weeks

  2. STRIVE and THRIVE: Proportion of Participants With Serum HBsAg ≤ 10 IU/mL at End of Treatment

    Measured: Up to 48 weeks

  3. STRIVE and THRIVE: Proportion of Participants With Serum HBsAg ≤ 10 IU/mL at 24 Weeks Post-end of Treatment

    Measured: Up to 72 weeks

  4. STRIVE and THRIVE: Serum HBsAg Levels and Change From Baseline Across Timepoints in the Study

    Measured: Up to 96 weeks

  5. STRIVE and THRIVE: Serum HBsAg Level at Nadir During the Study

    Measured: Up to 96 weeks

  6. STRIVE and THRIVE: Time to Achieve Nadir of Serum HBsAg During the Study

    Measured: Up to 96 weeks

  7. STRIVE and THRIVE: Time to Achieve Serum HBsAg Loss (< 0.05 IU/mL)

    Measured: Up to 96 weeks

  8. STRIVE and THRIVE: Proportion of Participants With HBsAg Loss With Anti-HBs Seroconversion at End of Treatment and at 24 Weeks Post-end of Treatment

    Measured: Up to 76 weeks

  9. STRIVE: Proportion of Participants Achieving Sustained Suppression of HBV DNA (< LLOQ) With HBsAg Loss (< 0.05 IU/mL) After Discontinuation of All Treatment at 24 Weeks and at the F48 Follow-Up Visit

    Measured: Up to 96 weeks

  10. STRIVE: Proportion of Participants With HBsAg Loss (<0.05 IU/mL) at End of Treatment and at 24 Weeks Post-end of Treatment

    Measured: Up to 72 weeks

  11. STRIVE: Proportion of Participants Achieving Sustained Suppression of HBV DNA (< LLOQ) After Discontinuation of All Treatment at 24 Weeks and at the F48 Follow-Up Visit

    Measured: Up to 96 weeks

  12. STRIVE: For HBeAg-positive Participants: Proportion of Participants With HBeAg Loss (Undetectable HBeAg) and/or Anti-HBe Seroconversion

    Measured: Up to 72 weeks

  13. STRIVE: Incidence and Titers of Anti-drug Antibodies (ADA; if Applicable) to VIR-3434

    Measured: Up to 96 weeks

  14. STRIVE: Mean Change in Serum HBsAg Level From Baseline Across Timepoints in the Study

    Measured: Up to 96 weeks

  15. STRIVE: Proportion of Participants Achieving HBV DNA (< LLOQ) Across Timepoints in the Study

    Measured: Up to 96 weeks

  16. STRIVE: Proportion of Participants Achieving ALT ≤ ULN Across Timepoints in the Study

    Measured: Up to 96 weeks

  17. THRIVE: Proportion of Participants Achieving Sustained Suppression of HBV DNA (< LLOQ) With HBsAg Loss (< 0.05 IU/mL) After Discontinuation of All Treatment at 24 Weeks and at 48 Weeks

    Measured: Up to 92 weeks

  18. THRIVE: Proportion of Participants Achieving HBsAg Loss (< 0.05 IU/mL) at End of Treatment and at 24 Weeks Post-end of Treatment

    Measured: Up to 44 weeks

  19. THRIVE: Proportion of Participants Achieving Sustained Suppression of HBV DNA (< LLOQ) After Discontinuation of All Treatment at 24 Weeks and at 48 Weeks

    Measured: Up to 68 weeks

  20. THRIVE: Incidence and Titers of ADA (if Applicable) to VIR-3434

    Measured: Up to 92 weeks

  21. THRIVE: Mean Change in Serum HBsAg Level From Baseline Across Timepoints in the Study

    Measured: Up to 92 weeks

  22. THRIVE: Proportion of Participants Achieving HBV DNA (< LLOQ)

    Measured: Up to 92 weeks

Timeline

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

  1. First posted10 Nov 2022
  2. Study start10 May 2023
  3. Primary completion15 Oct 2024
  4. Study completion19 Aug 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05612581
Sponsor's protocol ID
VIR-MHB1-V200
Status last verified
Oct 2025
First submitted
3 Nov 2022
Last updated
9 Feb 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing VIR-3434, VIR-2218 and TDF in people with Hepatitis B, Chronic, run by Vir Biotechnology, Inc. at 15 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 12 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 9 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in France, United Kingdom, South Korea, Hong Kong, Moldova and 1 more country. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 26 Nov 2025). 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?

STRIVE and THRIVE: Proportion of Participants Achieving Suppression of HBV DNA (< LLOQ) With HBsAg Loss (< 0.05 IU/mL) at the End of Treatment (time frame: Up to 48 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Feb 2026.

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