Phase 1
Completed N=119
A Study to Evaluate the Safety, Tolerability and Pharmacokinetics and Pharmacodynamics of RO7062931in Healthy Volunteers and Subjects With Chronic Hepatitis B
Source: ClinicalTrials.gov NCT03038113 ↗Enrolled (actual)
119
Serious AEs
0.0%
Results posted
Dec 2020
Primary outcomePrimary: Percentage of Participants With Adverse Events (AEs) and AEs of Special Interest — 75.0; 87.5; 37.5; 75.0 Percentage of Participants
Summary
This randomized study will be conducted in two parts to evaluate the safety, tolerability, pharmacodynamics, and pharmacokinetics of subcutaneous administration of RO7062931. Part 1 will include only healthy participants and Part 2 will include only participants with chronic hepatitis B (CHB). Part 1 is an adaptive, single-ascending dose study with an adaptive dose-escalating schedule to determine the best dose to be evaluated in participants with CHB. Part 2 is an adaptive, parallel multiple-dose study comprised of three sub-parts which will be used to further refine the dose and dosing regimen, and to evaluate the safety and efficacy of RO7062931 when administered with standard-of-care (SoC) therapy.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With Adverse Events (AEs) and AEs of Special Interest |
75.0; 87.5; 37.5; 75.0; 87.5; 50.0 | — |
| PRIMARY Percentage of Participants With Laboratory Abnormalities Based on Hematology, Blood Chemistry, Coagulation, and Urinalysis Test Results - Part 1 |
0; 0; 12.5; 0; 0; 0 | — |
| PRIMARY Percentage of Participants With Laboratory Abnormalities Based on Hematology, Blood Chemistry, Coagulation, and Urinalysis Test Results - Part 2 |
0; 0; 0; 14.3; 0; 0 | — |
| PRIMARY Percentage of Participants With Electrocardiogram (ECG) Abnormalities Based on ECG Interpretation - Part 1 |
12.5; 50.0; 0; 0; 37.5; 25.0 | — |
| PRIMARY Percentage of Participants With Electrocardiogram (ECG) Abnormalities Based on ECG Interpretation - Part 2 |
33.3; 14.3; 50.0; 50.0; 100; 50.0 | — |
| PRIMARY Percentage of Participants With T-Wave Abnormalities Based on T-Wave Assessment - Part 1 |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Percentage of Participants With U-Wave Abnormalities Based on U-Wave Assessment - Part 1 |
12.5; 0; 0; 0; 0; 0 | — |
| PRIMARY Percentage of Participants With T-Wave Abnormalities Based on T-Wave Assessment - Part 2 |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Percentage of Participants With U-Wave Based on U-Wave Assessment - Part 2 |
0; 14.3; 0; 7.1; 0; 25.0 | — |
| PRIMARY Percentage of Participants With QTcF Values Between 450 Msec - 480 Msec - Part 2 |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Maximum Plasma Concentration (Cmax) After Single Ascending Doses - Part 1 |
7.78; 19.53; 41.69; 103.68; 312.53; 153.53 | — |
| SECONDARY Cmax After Multiple Ascending Doses - Part 2 |
21.17; 72.44; 169.56; 158.61; 218.05; 232.54 | — |
| SECONDARY Time to Reach Maximum Plasma Concentration (Tmax) After Single-Ascending Doses - Part 1 |
1.75; 2.00; 3.00; 2.00; 3.00; 2.00 | — |
| SECONDARY Tmax After Multiple Ascending Doses - Part 2 |
2.98; 2.00; 2.00; 4.00; 3.98; 2.00 | — |
| SECONDARY Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) After Single-Ascending Doses - Part 1 |
39.21; 92.72; 308.48; 792.36; 2478.56; 1257.23 | — |
| SECONDARY AUC0-inf After Multiple Ascending Doses - Part 2 |
175.30; 567.07; 1606.49; 1434.39; 1857.98; 2371.66 | — |
| SECONDARY Area Under the Plasma Concentration-Time Curve From Time Zero Until the Last Quantifiable Time-Point (AUC0-last) After Single Ascending Doses - Part 1 |
39.10; 92.62; 310.69; 789.27; 2448.99; 1253.26 | — |
| SECONDARY AUC0-last After Multiple Ascending Doses - Part 2 |
147.30; 555.16; 1603.81; 1458.57; 1929.56; 2279.78 | — |
| SECONDARY Terminal Elimination Half-Life (t1/2) After Single Ascending Doses - Part 1 |
3.77; 3.99; 44.32; 97.06; 115.24; 85.70 | — |
| SECONDARY Terminal Elimination Half-Life (t1/2) After Multiple Ascending Doses - Part 2 |
2.99; 18.81; 88.59; NA; 37.96; 15.09 | — |
| SECONDARY Total Clearance (CL) After Single Ascending Doses - Part 1 |
26.68; 35.97; 37.36; 26.9; 16.15; 23.46 | — |
| SECONDARY Total Clearance (CL) After Multiple Ascending Doses - Part 2 |
31.12; NA; 18.12; 21.76; 19.37; 18.75 | — |
| SECONDARY Volume of Distribution (Vss) After Single Ascending Doses - Part 1 |
145.22; 206.96; 2389.08; 3767.16; 2684.87; 2900.19 | — |
| SECONDARY Volume of Distribution (Vss) After Multiple Ascending Doses - Part 2 |
173.27; NA; 3122.3; 5405.97; 1734.46; 4131.91 | — |
| SECONDARY Cumulative Amount Excreted Unchanged in Urine (Ae) After Single Ascending Doses - Part 1 |
6180.14; 17111.86; 50248.03; 108870.36; 317169.45; 206781.39 | — |
| SECONDARY Cumulative Amount Excreted Unchanged in Urine (Ae) After Multiple Ascending Doses - Part 2 |
48.45; 183.38; 587.05; 790.51; 615.33; 1146.02 | — |
| SECONDARY Change From Baseline of Quantitative HBsAg (qHBsAg) (log10) After Multiple Ascending Doses - Part 2 |
3.39; 3.37; 3.37; 3.68; 3.76; 3.69 | — |
| SECONDARY Summary of Maximum qHBsAg Decrease on Days 1-113 - Part 2 |
-0.105; -0.360; -0.279; -0.495; -0.394; -0.336 | — |
| SECONDARY Summary of Time to Maximum qHBsAg Decrease on Day 1-113 - Part 2 |
49.5; 43.0; 43.0; 43.0; 39.5; 61.0 | — |
Eligibility Criteria
Inclusion Criteria
FOR HEALTHY VOLUNTEERS ONLY - PART 1 -
- A Body Mass Index (BMI) between 18 to 30 kg/m2 inclusive and a body weight of at least 50 kg.
- Women should be of non-childbearing potential. A woman is considered to be of childbearing potential if she is post-menarcheal but has not reached a post-menopausal state and has not undergone surgical sterilization (removal of ovaries and/or uterus).
- Men must agree to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures during treatment and up to 105 days after the last dose, and agree to refrain from donating sperm.
- Non-smoker (nor tobacco containing products) for at least 90 days prior to dosing on Day 1 and agree to remain as non-smoker during the study.
FOR CHB PARTICIPANTS ONLY - PARTS 2a and 2b:
- A BMI between 18 to 32 kg/m2 inclusive.
- Chronic hepatitis B (HBV) infection.
- Positive test for HBsAg for more than 6 months prior to randomization and HBsAg titer ≥ 10^3 IU/mL at screening.
- On entecavir, tenofovir, adefovir or telbivudine treatment for at least 6 months prior to randomization and will remain on stable treatment during the study.
- HBV deoxyribonucleic acid (DNA) ≤ 90 IU/mL for at least the preceding 6 months.
- Screening laboratory values (hematology, chemistry, urinalysis) obtained up to 56 days prior to first study treatment within normal ranges.
- Liver biopsy, fibroscan® or equivalent test obtained within the past 6 months demonstrating liver disease consistent with chronic HBV infection without evidence of bridging fibrosis or cirrhosis
- Women should be of non-childbearing potential. A woman is considered to be of childbearing potential if she is post-menarcheal but has not reached a post-menopausal state and has not undergone surgical sterilization (removal of ovaries and/or uterus).
- Men must agree to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures during treatment and up to 105 days after the last dose, and agree to refrain from donating sperm.
FOR CHB PARTICIPANTS ONLY - PART 2c
- BMI between 18 to 32 kg/m2 inclusive
- CHB infection (HBsAg-positive for at least 6 months)
- For NUC-suppressed CHB participants: Must have been treated with a single NUC for at least 12 months, and have been on the same NUC therapy for at least 3 months prior to screening; HBV DNA 30 days prior to screening); alanine aminotransferase (ALT) 6 months prior to screening and confirmed at screening; total bilirubin within normal range at screening, except for patients with Gilbert's syndrome
- For treatment-naive and immune-active participants: HBV DNA at screening >/=2x10^4 IU/mL for HBeAg positive participants, or >/=2x10^3 IU/mL for HBeAg negative participants; elevated serum ALT>2 ULN to ULN (except for participants with Gilbert's disease); international normalized ratio (INR) > 1.1 ULN; serum albumin 13 ng/mL; positive results for anti-mitochondrial antibodies (AMA > 1:80), anti-nuclear antibody (ANA > 1:80), anti-smooth muscle antibody (ASMA > 1:40), anti-thyroperoxidase antibodies (a-TPO), anti-thyroglobulin, or anti-platelet antibodies; thyroid stimulating hormone (TSH) outside of normal range; platelet count ULN or calculated creatinine clearance < 70 mL/min
- Donation or loss of blood over 500 mL within 3 months prior to randomization
- Administration of any blood product within 3 months prior to randomization
- History of alcohol abuse and/or drug abuse
Data sourced from ClinicalTrials.gov (NCT03038113). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.