Phase 2
N=12
A Mechanistic Study of GSK3228836 With Fine Needle Aspiration (FNA) in Participants With Chronic Hepatitis B
Hepatitis B
Bottom Line
View on ClinicalTrials.gov: NCT04544956 ↗Enrolled (actual)
12
Serious AEs
0.0%
Results posted
Dec 2024
Primary outcome: Primary: Percentage of Participants Achieving Serum Hepatitis B Virus Surface Antigen (HBsAg) Level Less Than (<) Lower Limit of Quantitation (LLOQ) — 25 Percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- GSK3228836 (Drug); Nucleos(t)ide therapy (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Nov 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Achieving Serum Hepatitis B Virus Surface Antigen (HBsAg) Level Less Than (<) Lower Limit of Quantitation (LLOQ) |
25 | — |
| SECONDARY Percentage of Participants With Sustained HBsAg Response (HBsAg <LLOQ) for 24 Weeks After the Planned and Actual End of GSK3228836 Treatment |
8; 8 | — |
| SECONDARY Percentage of Participants Achieving Sustained Virologic Response (HBsAg <LLOQ and HBV DNA <LLOQ) for 24 Weeks After the Planned and Actual End of GSK3228836 Treatment |
8; 8 | — |
| SECONDARY Percentage of Participants Achieving HBsAg <LLOQ at Indicated Time Points |
0; 30; 18 | — |
| SECONDARY Percentage of Participants Achieving HBV DNA <LLOQ at Indicated Time Points |
92; 78; 100 | — |
| SECONDARY Percentage of Participants Achieving HBsAg <LLOQ and HBV DNA <LLOQ at Indicated Time Points |
0; 20; 18 | — |
| SECONDARY Percentage of Participants With Categorical Change From Baseline in HBsAg Values at Indicated Time Points |
30; 10; 90; 80; 80; 50 | — |
| SECONDARY Number of Participants With Alanine Aminotransferase (ALT) Greater Than (>)3 Times Upper Limit of Normal (ULN) at Indicated Time Points |
0; 0; 0; 0; 0; 1 | — |
| SECONDARY Number of Participants With HBe Antibody (Anti-HBeAg) Levels |
11; 11; 0; 9; 9; 10 | — |
| SECONDARY Actual Values of HBsAg at Indicated Time Points |
3.29; 0.33; 2.08 | — |
| SECONDARY Mean Change From Baseline in HBsAg at Indicated Time Points |
-2.923; -1.183 | — |
| SECONDARY Actual Values of HBV DNA at Indicated Time Points |
0.43; 0.31; 0.24 | — |
| SECONDARY Mean Change From Baseline in HBV DNA at Indicated Time Points |
-0.271; -0.237 | — |
| SECONDARY Actual Values of HB Surface Antibody (Anti-HBsAg) Levels at Indicated Time Points |
0.60; 0.71; 0.70 | — |
| SECONDARY Area Under the Concentration-time Curve (AUC) for ALT at Indicated Time Points |
494.75; 650.58; 1173.72 | — |
| SECONDARY Time to Maximum ALT |
NA | — |
Summary
Hepatitis B virus (HBV) infection, especially chronic, is a significant worldwide medical problem. This is an exploratory study of the therapeutic mechanism of GSK3228836 in participants with chronic hepatitis B (CHB) on stable nucleos(t)ide therapy (which is the first line therapy for CHB). This study is a Phase IIa, multi-center open label exploratory study of the therapeutic mechanism of GSK3228836 in participants with hepatitis B virus e-antigen (HBeAg)-negative CHB on stable nucleos(t)ide therapy using repeat fine needle aspirations of the liver for intrahepatic immunophenotyping. It will investigate the virologic and immunologic correlates of hepatitis B virus surface antigen (HBsAg) loss observed in participants when treated for 12 weeks with 300 milligrams (mg) GSK3228836. Repeat fine needle aspirates of the liver will be performed to enable analysis of liver-resident immune cells to investigate any immunomodulatory properties of GSK3228836 and to study the biology of underlying treatment-associated liver flares. The study will consist of a screening, treatment, and post-treatment follow-up phase. Approximately 20 participants will be enrolled in the study.
Eligibility Criteria
Inclusion Criteria
- Participants should be at least 18 years of age at the time of signing the informed consent.
- Participants who have documented chronic HBV infection >=6 months prior to screening and currently receiving stable nucleos(t)ide analogue therapy, defined as no changes to their nucleos(t)ide regimen from at least 6 months prior to screening and with no planned changes to the stable regimen over the duration of the study.
- Plasma or serum HBsAg concentration >100 IU/mL
- Plasma or serum HBV DNA concentration must be adequately suppressed, defined as plasma or serum HBV DNA
- A confirmed menstrual period prior to the first dose of study intervention (additional evaluation [e.g. amenorrhea in athletes, birth control] should also be considered)
- and a negative highly sensitive pregnancy test (urine or serum) within 24 hours before the first dose of study treatment
- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
Exclusion Criteria
- Clinically significant abnormalities, aside from chronic HBV infection in medical history (e.g., moderate-severe liver disease other than chronic HBV, acute coronary syndrome within 6 months of screening, major surgery within 3 months of screening, significant/unstable cardiac disease, uncontrolled diabetes, bleeding diathesis or coagulopathy) or physical examination.
- Co-infection with:
- Current or past history of Hepatitis C virus (HCV)
- Human immunodeficiency virus (HIV)
- Hepatitis D virus (HDV).
- History of or suspected liver cirrhosis and/or evidence of cirrhosis as determined by
- Both Aspartate aminotransferase (AST)-Platelet Index (APRI) >2 and FibroSure/FibroTest result >0.7
- If only one parameter (APRI or FibroSure/FibroTest) result is positive, a discussion with the Medical Monitor is required before inclusion in study is permitted.
- Regardless of APRI or Fibrosure/FibroTest score participants will be excluded from the study if their past history includes one of the following criteria:
- Liver biopsy showing Metavir 4 or equivalent
- Liver stiffness >12 kilopascals (kPa)
- Diagnosed or suspected hepatocellular carcinoma as evidenced by the following
- Alpha-fetoprotein concentration >=200 nanograms (ng)/mL
- If the screening alpha fetoprotein concentration is >=50 ng/mL and =450 milliseconds (msec) (if single electrocardiogram [ECG] at screening shows QTcF >=450 msec, a mean of triplicate measurements should be used to confirm that participant meets exclusion criterion).
- Laboratory results as follows
- Serum albumin 1.25
- Platelet count 1.25 times ULN
- For participants with benign unconjugated hyperbilirubinemia with total bilirubin >1.25 times ULN, discussion for inclusion to the study is required with the Medical Monitor
- Urine albumin to creatinine ratio (ACR) >=0.03 mg/mg (or >=30 mg/g). In the event of an ACR above this threshold, eligibility may be confirmed by a second measurement 1) In cases where participants have low urine albumin and low urine creatinine levels resulting in a urine ACR calculation >=0.03 mg/mg (or >=30 mg/g), the investigator should confirm that the participant does not have a history of diabetes, hypertension or other risk factors that may affect renal function and discuss with the Medical Monitor, or designee.
- History of/sensitivity to GSK3228836 or components thereof or a history of drug or other allergy that, in the opinion of the investigator or Medical Monitor, contraindicates their participation.
Data sourced from ClinicalTrials.gov (NCT04544956). 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.