Clinical trial

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

Name
VIR-MHB1-V200
Description
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.
Trial arms
Trial start
2023-05-10
Estimated PCD
2026-03-01
Trial end
2027-03-01
Status
Active (not recruiting)
Phase
Early phase I
Treatment
VIR-3434
VIR-3434 given by subcutaneous injection
Arms:
STRIVE: Cohort 1a (VIR-3434 + TDF), STRIVE: Cohort 2a (VIR-3434 + TDF), STRIVE: Cohort 3a (VIR-3434 + TDF), STRIVE: Cohort 4a (VIR-3434 + VIR-2218 + TDF), STRIVE: Cohort 5a (VIR-3434 + VIR-2218 + TDF + PEG-IFNα), THRIVE: Cohort 1b (VIR-3434 + TDF), THRIVE: Cohort 2b (VIR-3434 + VIR-2218 + TDF)
Other names:
Tobevibart
VIR-2218
VIR-2218 given by subcutaneous injection
Arms:
STRIVE: Cohort 4a (VIR-3434 + VIR-2218 + TDF), STRIVE: Cohort 5a (VIR-3434 + VIR-2218 + TDF + PEG-IFNα), THRIVE: Cohort 2b (VIR-3434 + VIR-2218 + TDF)
Other names:
Elebsiran
TDF
TDF given orally
Arms:
STRIVE: Cohort 1a (VIR-3434 + TDF), STRIVE: Cohort 2a (VIR-3434 + TDF), STRIVE: Cohort 3a (VIR-3434 + TDF), STRIVE: Cohort 4a (VIR-3434 + VIR-2218 + TDF), STRIVE: Cohort 5a (VIR-3434 + VIR-2218 + TDF + PEG-IFNα), THRIVE: Cohort 1b (VIR-3434 + TDF), THRIVE: Cohort 2b (VIR-3434 + VIR-2218 + TDF)
PEG-IFNα
PEG-IFNα given by subcutaneous injection
Arms:
STRIVE: Cohort 5a (VIR-3434 + VIR-2218 + TDF + PEG-IFNα)
Size
150
Primary endpoint
STRIVE and THRIVE: Proportion of participants achieving suppression of HBV DNA (< LLOQ) with HBsAg loss (< 0.05 IU/mL) at the end of treatment
Up to 72 weeks
Eligibility criteria
Inclusion Criteria: * 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 Exclusion Criteria: * 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 * 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
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1', 'PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 150, 'type': 'ESTIMATED'}}
Updated at
2024-02-20

1 organization

4 products

2 indications

Organization
Vir Biotechnology
Product
VIR-2218
Indication
Hepatitis B
Indication
Chronic
Product
PEG-IFNα
Product
VIR-3434
Product
TDF