Trial Outcomes & Findings for Myrcludex B vs Entecavir in Patients With HBeAg Negative Chronic Hepatitis B (NCT NCT02881008)

NCT ID: NCT02881008

Last Updated: 2018-09-19

Results Overview

HBsAg response is defined as serum HBsAg decline of at least 0.5 logs IU/ml (or HBsAg negativation) at week 12 compared to baseline.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

48 participants

Primary outcome timeframe

12 week

Results posted on

2018-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
Arm A
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
Entecavir 0.5 mg daily for 24 weeks
Arm E
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
Overall Study
STARTED
8
8
8
8
8
8
Overall Study
COMPLETED
8
8
8
8
8
8
Overall Study
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Myrcludex B vs Entecavir in Patients With HBeAg Negative Chronic Hepatitis B

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A
n=8 Participants
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
n=8 Participants
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
n=8 Participants
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
n=8 Participants
Entecavir 0.5 mg daily for 24 weeks
Arm E
n=8 Participants
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
n=8 Participants
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
Total
n=48 Participants
Total of all reporting groups
Age, Continuous
38.3 years
STANDARD_DEVIATION 8.5 • n=5 Participants
32.9 years
STANDARD_DEVIATION 10.6 • n=7 Participants
42.4 years
STANDARD_DEVIATION 11.1 • n=5 Participants
40.2 years
STANDARD_DEVIATION 13.0 • n=4 Participants
36.4 years
STANDARD_DEVIATION 9.5 • n=21 Participants
34.5 years
STANDARD_DEVIATION 6.7 • n=8 Participants
37.4 years
STANDARD_DEVIATION 8.9 • n=8 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
4 Participants
n=4 Participants
3 Participants
n=21 Participants
2 Participants
n=8 Participants
16 Participants
n=8 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
7 Participants
n=7 Participants
5 Participants
n=5 Participants
4 Participants
n=4 Participants
5 Participants
n=21 Participants
6 Participants
n=8 Participants
32 Participants
n=8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
0 Participants
n=8 Participants
2 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
8 Participants
n=7 Participants
8 Participants
n=5 Participants
8 Participants
n=4 Participants
7 Participants
n=21 Participants
8 Participants
n=8 Participants
46 Participants
n=8 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
Region of Enrollment
Russia
8 participants
n=5 Participants
8 participants
n=7 Participants
8 participants
n=5 Participants
8 participants
n=4 Participants
8 participants
n=21 Participants
8 participants
n=8 Participants
48 participants
n=8 Participants

PRIMARY outcome

Timeframe: 12 week

Population: For the efficacy assessments the main analysis set was Full analysis set (FAS): All patients of the Safety set.

HBsAg response is defined as serum HBsAg decline of at least 0.5 logs IU/ml (or HBsAg negativation) at week 12 compared to baseline.

Outcome measures

Outcome measures
Measure
Arm A
n=8 Participants
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
n=8 Participants
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
n=8 Participants
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
n=8 Participants
Entecavir 0.5 mg daily for 24 weeks
Arm E
n=8 Participants
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
n=8 Participants
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
Proportion of Patients With HBsAg Response at 12 Week of Therapy
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: This variable was assessed in the patients administered 24-week treatment: patients of Arm F who received Myrcludex B 10 mg and patients of Arm D who received Entecavir 0.5 mg.

HBsAg response is defined as serum HBsAg decline of at least 0.5 logs IU/ml (or HBsAg negativation) at week 24 compared to baseline.

Outcome measures

Outcome measures
Measure
Arm A
n=8 Participants
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
n=8 Participants
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
Entecavir 0.5 mg daily for 24 weeks
Arm E
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
Proportion of Patients With HBsAg Response at 24 Week of Therapy
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 12 weeks

Population: For the efficacy assessments the main analysis set was Full analysis set (FAS): All patients of the Safety set.

HBV DNA response is defined as persistent reduction of HBV DNA by \>1 log IU/ml or negativation at week 12 compared to baseline.

Outcome measures

Outcome measures
Measure
Arm A
n=8 Participants
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
n=8 Participants
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
n=8 Participants
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
n=8 Participants
Entecavir 0.5 mg daily for 24 weeks
Arm E
n=8 Participants
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
n=8 Participants
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
Proportion of Patients With HBV DNA Response at Week 12 of Therapy
2 Participants
0 Participants
2 Participants
8 Participants
1 Participants
6 Participants

SECONDARY outcome

Timeframe: 12 weeks

Population: Only patients with abnormal ALT levels at baseline were included in data analysis.

Biochemical response is defined as normalization of ALT level at week 12 compared to baseline.

Outcome measures

Outcome measures
Measure
Arm A
n=7 Participants
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
n=7 Participants
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
n=8 Participants
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
n=7 Participants
Entecavir 0.5 mg daily for 24 weeks
Arm E
n=4 Participants
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
n=6 Participants
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
Proportion of Patients With Biochemical Response at 12 Weeks of Therapy
3 Participants
4 Participants
4 Participants
4 Participants
2 Participants
4 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: Virological cccDNA response was to be estimated only for patients of group F administered 24-week therapy with Myrcludex B in the dose of 10 mg and to whom liver biopsy during screening period and at week 24 was performed.

Virological cccDNA response is defined as reduction of intrahepatic cccDNA by 0.5 logs in comparison to baseline at week 24.

Outcome measures

Outcome measures
Measure
Arm A
n=5 Participants
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
Entecavir 0.5 mg daily for 24 weeks
Arm E
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
Proportion of Patients With cccDNA Response at 24 Week of Therapy
0 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: This variable was assessed in the patients administered 24-week treatment: patients of Arm F who received Myrcludex B 10 mg and patients of Arm D who received Entecavir 0.5 mg.

HBV DNA response is defined as persistent reduction of HBV DNA by \>1 log IU/ml or negativation at week 24 compared to baseline.

Outcome measures

Outcome measures
Measure
Arm A
n=8 Participants
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
n=8 Participants
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
Entecavir 0.5 mg daily for 24 weeks
Arm E
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
Proportion of Patients With HBV DNA Response at Week 24 of Therapy
7 Participants
6 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: This variable was assessed in the patients administered 24-week treatment: patients of Arm F who received Myrcludex B 10 mg and patients of Arm D who received Entecavir 0.5 mg. Only patients with abnormal ALT levels at baseline were included in data analysis.

Biochemical response is defined as normalization of ALT level at week 24 compared to baseline.

Outcome measures

Outcome measures
Measure
Arm A
n=7 Participants
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
n=6 Participants
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
Entecavir 0.5 mg daily for 24 weeks
Arm E
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
Proportion of Patients With Biochemical Response at 24 Weeks of Therapy
5 Participants
3 Participants

Adverse Events

Arm A

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Arm B

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

Arm C

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Arm D

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Arm E

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Arm F

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm A
n=8 participants at risk
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
n=8 participants at risk
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
n=8 participants at risk
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
n=8 participants at risk
Entecavir 0.5 mg daily for 24 weeks
Arm E
n=8 participants at risk
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
n=8 participants at risk
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
General disorders
Drug withdrawal syndrome
0.00%
0/8
12.5%
1/8 • Number of events 1
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8

Other adverse events

Other adverse events
Measure
Arm A
n=8 participants at risk
Myrcludex B 0.5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm B
n=8 participants at risk
Myrcludex B 1 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm C
n=8 participants at risk
Myrcludex B 2 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm D
n=8 participants at risk
Entecavir 0.5 mg daily for 24 weeks
Arm E
n=8 participants at risk
Myrcludex B 5 mg daily for 12 weeks, followed by 12 weeks follow-up period
Arm F
n=8 participants at risk
Myrcludex B 10 mg daily for 24 weeks, followed by 12 weeks follow-up period
Gastrointestinal disorders
Diarrhoea
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 2
General disorders
Asthenia
0.00%
0/8
12.5%
1/8 • Number of events 1
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
General disorders
Drug withdrawal syndrome
0.00%
0/8
12.5%
1/8 • Number of events 1
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
General disorders
Injection site dermatitis
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
37.5%
3/8 • Number of events 5
General disorders
Injection site reaction
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
12.5%
1/8 • Number of events 1
General disorders
Pain
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
General disorders
Pyrexia
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
Immune system disorders
Hypersensitivity
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
Infections and infestations
Influenza
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
Infections and infestations
Nasopharyngitis
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
Infections and infestations
Rhinovirus infection
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
Investigations
Alanine aminotransferase increased
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
12.5%
1/8 • Number of events 1
12.5%
1/8 • Number of events 1
Investigations
Amylase increased
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Investigations
Aspartate aminotransferase increased
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
Investigations
Blood bilirubin increased
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Investigations
Blood creatinine increased
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
Blood and lymphatic system disorders
Eosinophilia
25.0%
2/8 • Number of events 2
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
25.0%
2/8 • Number of events 2
Blood and lymphatic system disorders
Leukopenia
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
Cardiac disorders
Bundle branch block right
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
Cardiac disorders
Ventricular arrhythmia
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
Cardiac disorders
Ventricular extrasystoles
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
Investigations
Body temperature increased
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Investigations
Gamma-glutamyltransferase increased
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
Investigations
Lipase increased
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Investigations
Reticulocyte count increased
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
Investigations
Weight decreased
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
Nervous system disorders
Somnolence
25.0%
2/8 • Number of events 2
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
Psychiatric disorders
Insomnia
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Renal and urinary disorders
Haematuria
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pharyngitis
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory tract infection
25.0%
2/8 • Number of events 2
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
Skin and subcutaneous tissue disorders
Dermatitis atopic
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Erythema
25.0%
2/8 • Number of events 2
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Skin and subcutaneous tissue disorders
Furuncle
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
Skin and subcutaneous tissue disorders
Hyperhidrosis
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Skin and subcutaneous tissue disorders
Psoriasis
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Skin and subcutaneous tissue disorders
Rash
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Xeroderma
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
Vascular disorders
Hypertension
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1

Additional Information

Dr. med. Alexander Alexandrov

MYR GmbH

Phone: +491777168259

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER