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Chronic Hepatitis BPhase 1NCT05763576

A Study to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RO7565020 in Healthy Participants and in Participants With Chronic Hepatitis B Virus Infection

A Phase 1 study testing RO7565020 and Nucleos(t)ide analogue (NUC) treatment in people with Chronic Hepatitis B, run by Hoffmann-La Roche at 9 sites in 7 countries.

Terminated

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

Official record

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Trial summary

This is a first in human (FIH), multi-center, dose-finding, and dose-escalation Phase I clinical study of RO7565020 to investigate the safety and tolerability and to characterize the pharmacokinetics and pharmacodynamics following single and/or multiple doses of RO7565020 in healthy participants and/or virologically… Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Chronic Hepatitis B
What is being tested?
RO7565020 and Nucleos(t)ide analogue (NUC) treatment
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
9 sitesin 7 countries
Study dates
28 Apr 2023to 23 Dec 2024
Phase
Phase 1

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy volunteers:
  • Healthy participants
  • Body mass index (BMI) between 18 and 32 kg/m^2
  • CHB participants:
  • CHB infection (HBsAg-positive for >/= 6 months)
  • On NUC (ETV, TAF, or TDF) monotherapy for >/= 12 months
  • Liver biopsy, FibroScan, or equivalent test within the past 6 months demonstrating liver disease consistent with chronic HBV infection without evidence of bridging fibrosis or cirrhosis
  • BMI between 18 and 32 kg/m^2

Who cannot join

  • Healthy volunteers:
  • History of any clinically significant disease
  • Concomitant disease that could interfere with treatment or conduct of study
  • Use of any treatment within the 2 weeks or within 5 half-lives prior to first dosing (whichever is longer)
  • CHB participants:
  • Evidence of liver cirrhosis or decompensated liver disease
Show all 9Show fewer
  • History or suspicion of hepatocellular carcinoma (HCC)
  • History or evidence of a medical condition associated with chronic liver disease other than HBV infection, or clinically significant and not adequately controlled non-hepatic disease
  • History of or currently receiving any systemic anti-neoplastic or immune-modulatory treatment within the 8 weeks prior to the first dosing or the expectation that such treatment will be needed at any time during the study.

Trial locations and contacts

9 sites in 7 countries.

9 sites in 7 countries

Hong Kong2 sites
  • Queen Mary Hospital

    Hong Kong

  • Prince of Wales Hospital

    Shatin, New Territories

Other trials in Hong Kong

Thailand2 sites
  • Faculty of Medicine Siriraj Hospital

    Bangkok, 10700

  • Maharaj Nakorn Chiang Mai Hospital

    Chiang Mai, 50200

Other trials in Thailand

United States1 site
  • Quest Clinical Research

    San Francisco, California, 94115

Other trials in United States

New Zealand1 site
  • New Zealand Clinical Research - Auckland

    Auckland, 1010

Other trials in New Zealand

South Korea1 site
  • Hallym University Chuncheon Sacred Heart Hospital

    Chuncheon, 24253

Other trials in South Korea

Spain1 site
  • Hospital Alvaro Cunqueiro

    Vigo, Pontevedra, 36312

Other trials in Spain

Taiwan1 site
  • Chang Gung Medical Foundation Linkou Branch

    Taoyuan City, 333

Other trials in Taiwan

About this study

Official title: A Phase I Study to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RO7565020 in Healthy Participants and in Participants With Chronic Hepatitis B Virus Infection

This is a first in human (FIH), multi-center, dose-finding, and dose-escalation Phase I clinical study of RO7565020 to investigate the safety and tolerability and to characterize the pharmacokinetics and pharmacodynamics following single and/or multiple doses of RO7565020 in healthy participants and/or virologically suppressed participants with chronic hepatitis B (CHB).

Being tested
RO7565020, Placebo, Nucleos(t)ide analogue (NUC) treatment
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.

  • RO7565020Drug

    RO7565020 will be administered by subcutaneous injection or intravenous infusion.

  • PlaceboOther

    Matching placebo will be administered by subcutaneous injection or intravenous infusion.

  • Nucleos(t)ide analogue (NUC) treatmentDrug

    NUC treatment, including tenofovir disoproxil fumarate (TDF), tenofovir alafenamide (TAF), or entecavir (ETV), will be administered orally per local prescribing information.

Study groups in NCT05763576
Study groupRoleWhat they receive
RO7565020ExperimentalNot described
Receives: Drug: RO7565020; Drug: Nucleos(t)ide analogue (NUC) treatment
PlaceboPlacebo comparatorNot described
Receives: Other: Placebo

What is being measured

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

  1. Part 1a: Number of Healthy Volunteers With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including abnormal laboratory finding), symptoms, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is any significant hazard, contraindication, or side effect that is fatal or life-threatening, requires hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention.

    Measured: Up to approximately 40 weeks

  2. Part 2a: Number of CHB Participants With AEs and SAEs

    An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including abnormal laboratory finding), symptoms, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is any significant hazard, contraindication, or side effect that is fatal or life-threatening, requires hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention.

    Measured: Up to approximately 32 weeks

  3. Part 1a: Number of Healthy Volunteers With Adverse Events of Special Interest (AESI)

    An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including abnormal laboratory finding), symptoms, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AESI includes elevated alanine aminotransferase (ALT) or aspartate aminotransferase (AST) value in combination with either an elevated bilirubin value or clinical jaundice and suspected transmission of an infectious agent by the study treatment.

    Measured: Up to approximately 40 weeks

  4. Part 2a: Number of CHB Participants With AESI

    An AE was any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including abnormal laboratory finding), symptoms, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AESI includes elevated ALT or AST value in combination with either an elevated bilirubin value or clinical jaundice and suspected transmission of an infectious agent by the study treatment.

    Measured: Up to approximately 32 weeks

Secondary outcomes (17)
  1. Part 1a (SC Cohorts) and Part 2a: Time to Maximum Concentration (Tmax) of RO7565020

    Measured: Part 1a: Predose, 1, 4, and 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 21, 29, 57, 85, 141, 197, and 253. Part 2a: Predose, 1, 4, and 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, and 169

  2. Part 1a (IV Cohorts): Tmax of RO7565020

    Measured: Predose, 0.08, 1, 4, and 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 21, 29, 57, 85, 141, 197, and 253

  3. Parts 1a and 2a: Maximum Serum Concentration (Cmax) of RO7565020

    Measured: Both Part 1a & 2a Cohorts: Predose, 1, 4, 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 29, 57, 85, & 141. Additionally, Part 1a: Days 21, 197, & 253; Part 2a: Days 22, 113, & 169; IV Cohorts: 0.08 hours after start of infusion, Days 21, 197, & 253

  4. Parts 1a and 2a: Area Under the Time-concentration Curve From Time 0 to Time of Last Sampling Point or Last Quantifiable Sample, Whichever Comes First (AUC0-last) of RO7565020

    Measured: Both Part 1a & 2a Cohorts: Predose, 1, 4, 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 29, 57, 85, & 141. Additionally, Part 1a: Days 21, 197, & 253; Part 2a: Days 22, 113, & 169; IV Cohorts: 0.08 hours after start of infusion, Days 21, 197, & 253

  5. Parts 1a and 2a: Area Under the Time-concentration Curve From Time 0 to Infinity (AUC0-inf) of RO7565020

    Measured: Both Part 1a & 2a Cohorts: Predose, 1, 4, 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 29, 57, 85, & 141. Additionally, Part 1a: Days 21, 197, & 253; Part 2a: Days 22, 113, & 169; IV Cohorts: 0.08 hours after start of infusion, Days 21, 197, & 253

  6. Parts 1a and 2a: Terminal Half-life (t1/2) of RO7565020

    Measured: Both Part 1a & 2a Cohorts: Predose, 1, 4, 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 29, 57, 85, & 141. Additionally, Part 1a: Days 21, 197, & 253; Part 2a: Days 22, 113, & 169; IV Cohorts: 0.08 hours after start of infusion, Days 21, 197, & 253

  7. Part 1a (IV Cohorts): Volume of Distribution (Vss) of RO7565020

    Measured: Predose, 0.08, 1, 4, and 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 21, 29, 57, 85, 141, 197 and 253

  8. Part 1a (IV Cohorts): Clearance (CL) of RO7565020

    Measured: Predose, 0.08, 1, 4, and 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 21, 29, 57, 85, 141, 197 and 253

  9. Part 1a (SC Cohorts) and Part 2a: Apparent Clearance (CL/F) of RO7565020

    Measured: Part 1a: Predose, 1, 4, and 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 21, 29, 57, 85, 141, 197, and 253. Part 2a: Predose, 1, 4, and 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, and 169

  10. Part 1a (SC Cohorts) and Part 2a: Apparent Volume of Distribution (Vz/F) at Terminal Phase of RO7565020

    Measured: Part 1a: Predose, 1, 4, and 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 21, 29, 57, 85, 141, 197, and 253. Part 2a: Predose, 1, 4, and 8 hours post-dose on Day 1; Days 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, and 169

  11. Part 2a: Change From Baseline in Serum Quantitative Hepatitis B Surface Antigen (HBsAg)

    IU/mL= international units per milliliter

    Measured: Baseline, 4- and 8-hours post-dose on Day 1; subsequently on Days 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, and 169

  12. Part 2a: Maximum Reduction From Baseline in Serum HBsAg

    Measured: Up to Day 169

  13. Part 2a: Percentage of Participants With HBsAg Loss

    Measured: Up to Day 169

  14. Part 2a: Percentage of Participants With HBsAg Seroconversion

    HBsAg seroconversion was defined as sustained loss of HBsAg and detection of anti-HBs antibody.

    Measured: Up to Day 169

  15. Part 2a: Percentage of Participants With Hepatitis B e Antigen (HBeAg) Loss Among HBeAg-positive Participants at Baseline

    Measured: At Days 2, 3, 4, 8, 15, 22, 29, 57, 85, 113, 141, and 169

  16. Part 2a: Percentage of Participants With HBeAg Seroconversion Among HBeAg-positive Participants at Baseline

    HBeAg seroconversion was defined as sustained loss of HBeAg and detection of anti-HBe antibody.

    Measured: Up to Day 169

  17. Number of Participants With Anti-Drug Antibodies (ADAs) to RO7565020

    The number of ADA-positive participants at baseline (baseline prevalence) and after drug administration was determined in participants exposed to RO7565020 (post-baseline). Participants were considered ADA positive if they had ADA negative or have missing data at baseline but develop an ADA response following study treatment administration (treatment-induced ADA response), or if they are ADA positive at baseline and the titer of one or more post-baseline samples is at least 4-fold (e.g., ≥ 0.60-titer units) greater than the titer of the baseline sample (treatment enhanced ADA response).

    Measured: Part 1a: Baseline and post-baseline (up to approximately 40 weeks); Part 2a: Baseline and post-baseline (up to approximately 32 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 Mar 2023
  2. Study start28 Apr 2023
  3. Primary completion23 Dec 2024
  4. Study completion23 Dec 2024

Why it stopped: The Sponsor decided to discontinue the development of RO7565020 and as a result the BP44118 study was terminated.

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05763576
Sponsor's protocol ID
BP44118
Other IDs
EU Trial Number
Status last verified
Jan 2026
First submitted
28 Feb 2023
Last updated
22 Jan 2026
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

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