Clinical trial
A Phase 2 Randomized, Open-label, Parallel-group, Multicenter Study to Assess Intrahepatic and Peripheral Changes of Immunologic and Virologic Markers in Response to Combination Regimens Containing JNJ-73763989 and Nucleos(t)Ide Analog With or Without JNJ-56136379 in Patients With Chronic Hepatitis B Virus Infection
Name
CR108790
Description
The purpose of this study is to assess changes in intrahepatic hepatitis B surface antigen (HBsAg) between baseline and on-treatment liver biopsy in response to JNJ-3989-based combination treatment.
Trial arms
Trial start
2021-03-11
Estimated PCD
2023-02-08
Trial end
2024-01-09
Status
Completed
Phase
Early phase I
Treatment
JNJ-73763989
JNJ-73763989 will be administered subcutaneously once every 4 weeks up to Week 44.
Arms:
Panel 1: JNJ-73763989+ NA, Panel 2: JNJ-73763989+ NA
JNJ-56136379
JNJ-56136379 tablets will be administered orally once daily up to 48 weeks.
Arms:
Panel 1: JNJ-73763989+ NA, Panel 2: JNJ-73763989+ NA
Entecavir (ETV)
ETV tablet will be administered orally once daily up to 48 weeks as NA treatment.
Arms:
Panel 1: JNJ-73763989+ NA, Panel 2: JNJ-73763989+ NA
Tenofovir disoproxil
Tenofovir disoproxil will be administered orally once daily up to 48 weeks as NA treatment.
Arms:
Panel 1: JNJ-73763989+ NA, Panel 2: JNJ-73763989+ NA
Tenofovir alafenamide (TAF)
TAF will be administered orally once daily up to 48 weeks as NA treatment.
Arms:
Panel 1: JNJ-73763989+ NA, Panel 2: JNJ-73763989+ NA
PegIFN-alpha-2a (Optional)
PegIFN-alpha-2a injection will be administered subcutaneously once weekly after Week 40 for either 12 or 24 weeks.
Arms:
Panel 1: JNJ-73763989+ NA, Panel 2: JNJ-73763989+ NA
Size
24
Primary endpoint
Panel 1 and 2: Absolute Change From Baseline in the Percentage of Hepatitis B Surface Antigen (HBsAg) Hepatocytes at Week 40
Baseline, Week 40
Eligibility criteria
Inclusion Criteria:
* Medically stable on the basis of physical examination, medical history, vital signs, and triplicate 12-lead electrocardiogram (ECG) performed at screening
* Hepatitis B virus (HBV) infection with documentation at least 6 months prior to screening: participants be either currently not treated with HBeAg positive status or virologically (nucleos\[t\]ide analog \[NA\]) suppressed with HBeAg negative status
* 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
* Fibroscan liver stiffness measurement less than and equal to (\<=) 9 Kilopascal (kPa) within 6 months prior to screening or at the time of screening
Exclusion Criteria:
* 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
* History or signs of cirrhosis or portal hypertension, signs of hepatocellular carcinoma (HCC) or clinically relevant renal abnormalities on an abdominal ultrasound performed within 6 months prior to screening or at the time of screening
* Presence of coagulopathy or bleeding disorder as indicated by: (a) International normalized ratio (INR) greater than or equal to (\>=) 1.1\* upper limit of normal (ULN); (b) Partial thromboplastin time \>1.1\*ULN; (c) Any signs of prolonged bleeding (\>10 minutes)
* Presence of hemoglobinopathy (including sickle cell disease, thalassemia)
* Liver biopsy performed prior to screening that led to complications and that in the opinion of the investigator would prohibit another liver biopsy
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'As per protocol amendment-5, JNJ-56136379 has been removed as study intervention and all participants are counted as single arm in each panel.', 'primaryPurpose': 'OTHER', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 24, 'type': 'ACTUAL'}}
Updated at
2024-03-05
1 organization
6 products
1 indication
Product
Tenofovir alafenamideIndication
Hepatitis BProduct
PegIFN-alpha-2aOrganization
Janssen Research & DevelopmentProduct
EntecavirProduct
Tenofovir disoproxilProduct
JNJ-73763989Product
JNJ-56136379