Safety and Efficacy of GS-4774 for the Treatment of Chronic Hepatitis B

NCT ID: NCT01943799

Last Updated: 2019-11-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

178 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-13

Study Completion Date

2015-03-03

Brief Summary

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The primary objectives of this study are to evaluate the safety and efficacy of GS-4774 in adults with chronic hepatitis B (CHB) viral infection who have been virally suppressed with an oral antiviral (OAV) medication.

Detailed Description

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Conditions

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Chronic HBV Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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OAV Alone

Participants will continue their prebaseline OAV regimen alone from baseline to Week 48.

Group Type EXPERIMENTAL

OAV Regimen

Intervention Type DRUG

Administered prior to study enrollment (tenofovir disoproxil fumarate, entecavir, adefovir, lamivudine, or telbivudine either as single agents or in combination)

OAV + GS-4774 2 YU

Participants will continue their prebaseline OAV regimen from baseline to Week 48, and will receive GS-4774 2 yeast units (YU) from baseline to Week 20.

Group Type EXPERIMENTAL

GS-4774

Intervention Type BIOLOGICAL

Administered as a subcutaneous injection every 4 weeks for a total of 6 doses

OAV Regimen

Intervention Type DRUG

Administered prior to study enrollment (tenofovir disoproxil fumarate, entecavir, adefovir, lamivudine, or telbivudine either as single agents or in combination)

OAV + GS-4774 10 YU

Participants will continue their prebaseline OAV regimen from baseline to Week 48, and will receive GS-4774 10 YU from baseline to Week 20.

Group Type EXPERIMENTAL

GS-4774

Intervention Type BIOLOGICAL

Administered as a subcutaneous injection every 4 weeks for a total of 6 doses

OAV Regimen

Intervention Type DRUG

Administered prior to study enrollment (tenofovir disoproxil fumarate, entecavir, adefovir, lamivudine, or telbivudine either as single agents or in combination)

OAV + GS-4774 40 YU

Participants will continue their prebaseline OAV regimen from baseline to Week 48, and will receive GS-4774 40 YU from baseline to Week 20.

Group Type EXPERIMENTAL

GS-4774

Intervention Type BIOLOGICAL

Administered as a subcutaneous injection every 4 weeks for a total of 6 doses

OAV Regimen

Intervention Type DRUG

Administered prior to study enrollment (tenofovir disoproxil fumarate, entecavir, adefovir, lamivudine, or telbivudine either as single agents or in combination)

Interventions

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GS-4774

Administered as a subcutaneous injection every 4 weeks for a total of 6 doses

Intervention Type BIOLOGICAL

OAV Regimen

Administered prior to study enrollment (tenofovir disoproxil fumarate, entecavir, adefovir, lamivudine, or telbivudine either as single agents or in combination)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
* Currently taking an approved HBV oral antiviral medication
* Documented evidence of chronic HBV infection (eg, HBsAg positive for more than 6 months)
* Virally-suppressed (HBV DNA below the lower limit of quantification (LLOQ) for ≥ 1 year)

Exclusion Criteria

* Cirrhosis
* Inadequate liver function
* Co-infection with hepatitic C virus (HCV), HIV or hepatitic D virus (HDV)
* Evidence of hepatocellular carcinoma
* Significant cardiovascular, pulmonary, or neurological disease
* Females who are pregnant or may wish to become pregnant during the study
* Received solid organ or bone marrow transplant
* Use of another investigational agents within 3 months of screening
* Current alcohol or substance abuse judged by the investigator to potentially interfere with compliance
* History of demyelinating disease (Guillain-Barre), Bell's Palsy, Crohn's disease ulcerative colitis, autoimmune disease
* Known hypersensitivity to study drug, metabolites or formulation excipients
* Malignancy within 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection (basal cell skin cancer, etc). Participants under evaluation for possible malignancy are not eligible.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Dumont-UCLA Liver Transplant Center

Los Angeles, California, United States

Site Status

Huntington Medical Research Institutes

Pasadena, California, United States

Site Status

Kaiser Permanente

Sacramento, California, United States

Site Status

Kaiser Permanente

San Diego, California, United States

Site Status

Kaiser Permanente

San Francisco, California, United States

Site Status

Silicon Valley Research Institute

San Jose, California, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

Digestive Disease Associates, PA

Baltimore, Maryland, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Henry Ford Hospital and Health System

Detroit, Michigan, United States

Site Status

St.Louis University

St Louis, Missouri, United States

Site Status

Medical Pro-care

Flushing, New York, United States

Site Status

North Shore LIJ Health System

Manhasset, New York, United States

Site Status

Bon Secours St. Mary's Hospital of Richmond

Newport News, Virginia, United States

Site Status

Auckland Clinical Studies

Grafton, , New Zealand

Site Status

Countries

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United States New Zealand

References

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Lok AS, Pan CQ, Han SH, Trinh HN, Fessel WJ, Rodell T, Massetto B, Lin L, Gaggar A, Subramanian GM, McHutchison JG, Ferrari C, Lee H, Gordon SC, Gane EJ. Randomized phase II study of GS-4774 as a therapeutic vaccine in virally suppressed patients with chronic hepatitis B. J Hepatol. 2016 Sep;65(3):509-16. doi: 10.1016/j.jhep.2016.05.016. Epub 2016 May 19.

Reference Type DERIVED
PMID: 27210427 (View on PubMed)

Other Identifiers

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GS-US-330-0101

Identifier Type: -

Identifier Source: org_study_id

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