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Phase 2 Completed N=108 Randomized Treatment

Study of Sequential GSK3228836 and Peginterferon Treatment in Participants With Chronic Hepatitis B (CHB)

Source: ClinicalTrials.gov NCT04676724 ↗
Enrolled (actual)
108
Serious AEs
7.4%
Results posted
May 2024
Primary outcomePrimary: Treatment Arm 1 - Percentage of Participants Achieving Sustained Virologic Response (SVR) for 24 Weeks After End of Treatment — 9 Percentage of Participants

Summary

This study is intended to evaluate if 12 or 24 weeks of treatment with GSK3228836 followed by up to 24 weeks of pegylated interferon (PegIFN) can increase the rate of hepatitis B virus surface antigen (HBsAg) loss in participants on stable nucleos(t)ide analogue (NA) therapy, and whether virologic response can be sustained once PegIFN treatment is discontinued. Participants will be randomized to receive GSK3228836 for 12 or 24 weeks followed by up to 24 weeks of PegIFN.

Outcome Measures

OutcomeResultp-value
PRIMARY
Treatment Arm 1 - Percentage of Participants Achieving Sustained Virologic Response (SVR) for 24 Weeks After End of Treatment
9
PRIMARY
Treatment Arm 2 - Percentage of Participants Achieving Sustained Virologic Response (SVR) for 24 Weeks After End of Treatment
15
SECONDARY
Treatment Arm 1: Percentage of Participants Achieving HBsAg and HBV DNA < Lower Limit of Quantitation (LLOQ)
15; 13
SECONDARY
Treatment Arm 2: Percentage of Participants Achieving HBsAg and HBV DNA < Lower Limit of Quantitation (LLOQ)
15; 17; 15
SECONDARY
Treatment Arm 1: Percentage of Participants With Categorical Changes From Baseline in HBsAg Values
18; 13; 24; 45; 42; 44
SECONDARY
Treatment Arm 2: Percentage of Participants With Categorical Changes From Baseline in HBsAg Values
15; 17; 15; 26; 42; 43
SECONDARY
Treatment Arm 1: Number of Participants With Alanine Aminotransferase (ALT) Normalization
4; 0; 2
SECONDARY
Treatment Arm 2: Number of Participants With Alanine Aminotransferase (ALT) Normalization
10; 1; 5; 6
SECONDARY
Treatment Arm 1: Number of Participants With HBe Antibody (Anti-HBeAg) Levels
2; 5; 4
SECONDARY
Treatment Arm 2: Number of Participants With HBe Antibody (Anti-HBeAg) Levels
1; 1; 1; 0
SECONDARY
Treatment Arm 1: Mean Change From Baseline in HBe Antibody Levels
-1.04; -0.81
SECONDARY
Treatment Arm 2: Mean Change From Baseline in HBe Antibody Levels
-0.52; -0.58; -0.65
SECONDARY
Treatment Arm 1: Actual Values of HBsAg Levels
3.34; 1.52; 1.72
SECONDARY
Treatment Arm 2: Actual Values of HBsAg Levels
3.32; 1.70; 2.12; 2.12
SECONDARY
Treatment Arm 1: Mean Change From Baseline in HBsAg Levels
-1.76; -1.58
SECONDARY
Treatment Arm 2: Mean Change From Baseline in HBsAg Levels
-1.54; -1.20; -1.20
SECONDARY
Treatment Arm 1: Actual Values of HBV DNA Levels
0.64; 0.97; 0.17
SECONDARY
Treatment Arm 2: Actual Values of HBV DNA Levels
0.57; 0.70; 0.34; 0.35
SECONDARY
Treatment Arm 1: Mean Change From Baseline in HBV DNA Levels
0.40; -0.39
SECONDARY
Treatment Arm 2: Mean Change From Baseline in HBV DNA Levels
0.21; -0.21; -0.22
SECONDARY
Treatment Arm 1: Actual Values of Hepatitis B Virus E-antigen (HBeAg) Levels
14.221; 0.250; 1.197
SECONDARY
Treatment Arm 2: Actual Values of Hepatitis B Virus E-antigen (HBeAg) Levels
8.510; 3.008; 3.410; 2.797
SECONDARY
Treatment Arm 1: Mean Change From Baseline in HBeAg Levels
-21.774; -19.482
SECONDARY
Treatment Arm 2: Mean Change From Baseline in HBeAg Levels
-5.270; -26.384; -26.345
SECONDARY
Treatment Arm 1: Actual Values of HBs Antibody Levels
0.62; 1.06; 0.82
SECONDARY
Treatment Arm 2: Actual Values of HBs Antibody Levels
0.69; 0.87; 0.80; 0.76
SECONDARY
Treatment Arm 1: Mean Change From Baseline in HBs Antibody Levels
0.42; 0.18
SECONDARY
Treatment Arm 2: Mean Change From Baseline in HBs Antibody Levels
0.18; 0.09; 0.05
SECONDARY
Treatment Arm 1: Actual Values of ALT
22.7; 53.1; 19.2
SECONDARY
Treatment Arm 2: Actual Values of ALT
26.9; 55.3; 22.1; 23.5
SECONDARY
Treatment Arm 1: Change From Baseline in ALT
27.6; -3.8
SECONDARY
Treatment Arm 2: Change From Baseline in ALT
27.8; -4.3; -3.1
SECONDARY
Treatment Arm 1 - Median Time to ALT Normalization in Absence of Rescue Medication for 24 Weeks After End of Treatment
NA
SECONDARY
Treatment Arm 2 - Median Time to ALT Normalization in Absence of Rescue Medication for 24 Weeks After End of Treatment
4.1
SECONDARY
Percentage of Participants Achieving Sustained Virologic Response (SVR) for 24 Weeks Off Treatment for Comparison of Efficacy Between Different Treatment Durations
9; 15

Eligibility Criteria

Inclusion Criteria

  • 18 to 75 years of age at the time of signing the informed consent.
  • Participants who are eligible to be treated with PegIFN.
  • Documented chronic HBV infection >=6 months prior to screening and currently receiving stable NA therapy except telbivudine, defined as no changes to their NA 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 International Units per milliliter (IU/mL).
  • Plasma or serum HBV DNA concentration 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 of Fibrosure/FibroTest score, if the participant meets one of the following criteria, they will be excluded from the study: a) Liver biopsy (i.e., Metavir Score F4); b) Liver stiffness >12 kilopascals (kPa).
  • Diagnosed or suspected hepatocellular carcinoma as evidenced by the following: Alpha- fetoprotein concentration >=200 nanogram per milliliter (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 milligram (mg)/mg (or >=30 mg/g). In the event of an ACR above this threshold, eligibility may be confirmed by a second measurement. 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.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04676724). 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.

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