Trial Outcomes & Findings for HepTcell Immunotherapy in Patients With Inactive Chronic Hepatitis B (CHB) (NCT NCT04684914)

NCT ID: NCT04684914

Last Updated: 2025-12-08

Results Overview

Virologic response is defined as a 1.0-log reduction in quantitative hepatitis B surface antigen (HBsAg) or serologic clearance of HBsAg from Baseline to Day 169

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

87 participants

Primary outcome timeframe

Baseline to Day 169

Results posted on

2025-12-08

Participant Flow

Participant milestones

Participant milestones
Measure
HepTcell
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
Overall Study
STARTED
42
45
Overall Study
Treated
41
43
Overall Study
COMPLETED
40
43
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
HepTcell
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
Overall Study
Withdrawal by Subject
1
0
Overall Study
Discontinued before receiving study treatment
1
2

Baseline Characteristics

HepTcell Immunotherapy in Patients With Inactive Chronic Hepatitis B (CHB)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HepTcell
n=41 Participants
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
n=43 Participants
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
Total
n=84 Participants
Total of all reporting groups
Age, Continuous
50.95 years
STANDARD_DEVIATION 9.07 • n=37 Participants
53.21 years
STANDARD_DEVIATION 8.08 • n=37 Participants
52.11 years
STANDARD_DEVIATION 8.60 • n=74 Participants
Sex: Female, Male
Female
13 Participants
n=37 Participants
19 Participants
n=37 Participants
32 Participants
n=74 Participants
Sex: Female, Male
Male
28 Participants
n=37 Participants
24 Participants
n=37 Participants
52 Participants
n=74 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
Race (NIH/OMB)
Asian
27 Participants
n=37 Participants
24 Participants
n=37 Participants
51 Participants
n=74 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=37 Participants
6 Participants
n=37 Participants
8 Participants
n=74 Participants
Race (NIH/OMB)
White
12 Participants
n=37 Participants
11 Participants
n=37 Participants
23 Participants
n=74 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=37 Participants
0 Participants
n=37 Participants
0 Participants
n=74 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=37 Participants
2 Participants
n=37 Participants
2 Participants
n=74 Participants
Region of Enrollment
Canada
6 participants
n=37 Participants
8 participants
n=37 Participants
14 participants
n=74 Participants
Region of Enrollment
United States
6 participants
n=37 Participants
4 participants
n=37 Participants
10 participants
n=74 Participants
Region of Enrollment
United Kingdom
1 participants
n=37 Participants
4 participants
n=37 Participants
5 participants
n=74 Participants
Region of Enrollment
Germany
0 participants
n=37 Participants
1 participants
n=37 Participants
1 participants
n=74 Participants
Region of Enrollment
Spain
9 participants
n=37 Participants
11 participants
n=37 Participants
20 participants
n=74 Participants
Region of Enrollment
Thailand
13 participants
n=37 Participants
12 participants
n=37 Participants
25 participants
n=74 Participants
Region of Enrollment
Italy
6 participants
n=37 Participants
3 participants
n=37 Participants
9 participants
n=74 Participants

PRIMARY outcome

Timeframe: Baseline to Day 169

Population: mITT population

Virologic response is defined as a 1.0-log reduction in quantitative hepatitis B surface antigen (HBsAg) or serologic clearance of HBsAg from Baseline to Day 169

Outcome measures

Outcome measures
Measure
HepTcell
n=41 Participants
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
n=43 Participants
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
The Proportion of Patients Achieving Virologic Responses
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline to Day 169

Population: mITT

Outcome measures

Outcome measures
Measure
HepTcell
n=41 Participants
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
n=43 Participants
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
The Proportion of Patients Achieving Serologic Clearance of Hepatitis B Surface Antigen (HBsAg) on Day 169
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline to Day 169

Population: mITT

Outcome measures

Outcome measures
Measure
HepTcell
n=41 Participants
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
n=43 Participants
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
The Proportion of Patients Achieving Serologic Clearance of Hepatitis B Virus (HBV) DNA on Day 169
5 Participants
8 Participants

SECONDARY outcome

Timeframe: Baseline to Days 85 and 169

Population: mITT. Number analyzed are the number of participants with data at each time point. Changes from baseline are calculated only for participants with non-missing values for both the baseline and time point of interest.

Outcome measures

Outcome measures
Measure
HepTcell
n=41 Participants
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
n=43 Participants
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
Changes in Quantitative HBsAg Level
Day 85
-7.76 IU/mL
Standard Deviation 28.01
-8.47 IU/mL
Standard Deviation 15.85
Changes in Quantitative HBsAg Level
Day 169
-13.72 IU/mL
Standard Deviation 32.80
-10.19 IU/mL
Standard Deviation 31.87

SECONDARY outcome

Timeframe: Baseline to Days 85 and 169

Population: mITT. Number analyzed are the number of participants with data at each time point. Changes from baseline are calculated only for participants with non-missing values for both the baseline and time point of interest.

Outcome measures

Outcome measures
Measure
HepTcell
n=41 Participants
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
n=43 Participants
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
Changes in HBV DNA Levels
Day 85
-7559.73 IU/mL
Standard Deviation 46650.54
-5270.05 IU/mL
Standard Deviation 33240.79
Changes in HBV DNA Levels
Day 169
-7868.48 IU/mL
Standard Deviation 44871.40
-4690.12 IU/mL
Standard Deviation 32070.75

SECONDARY outcome

Timeframe: Baseline to Days 85 and 169

Population: mITT. Number analyzed are the number of participants with data at each time point. Changes from baseline are calculated only for participants with non-missing values for both the baseline and time point of interest.

Outcome measures

Outcome measures
Measure
HepTcell
n=41 Participants
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
n=43 Participants
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
Changes in Hepatitis B Core-related Antigen (HBCrAg) Levels
Day 85
-4.00 kU/mL
Standard Deviation 7.81
1.00 kU/mL
Standard Deviation NA
Data from a single subject
Changes in Hepatitis B Core-related Antigen (HBCrAg) Levels
Day 169
-1.00 kU/mL
Standard Deviation 1.00
1.00 kU/mL
Standard Deviation NA
Data from a single subject

SECONDARY outcome

Timeframe: Baseline to Days 85 and 169

Population: mITT. Number analyzed are the number of participants with data at each time point. Changes from baseline are calculated only for participants with non-missing values for both the baseline and time point of interest.

Outcome measures

Outcome measures
Measure
HepTcell
n=41 Participants
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
n=43 Participants
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
Changes in Pre-genomic RNA Levels
Day 85
0.26 Log U/mL
Standard Deviation 0.42
0.16 Log U/mL
Standard Deviation 0.39
Changes in Pre-genomic RNA Levels
Day 169
0.31 Log U/mL
Standard Deviation 0.44
0.30 Log U/mL
Standard Deviation 0.48

SECONDARY outcome

Timeframe: Baseline to Days 85 and 169

Population: mITT. Number analyzed are the number of participants with data at each time point. Changes from baseline are calculated only for participants with non-missing values for both the baseline and time point of interest.

Percent change in antigen-specific spot forming cells per million peripheral blood mononuclear cells (PBMCs)

Outcome measures

Outcome measures
Measure
HepTcell
n=41 Participants
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
n=43 Participants
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
Change in IFN-gamma Frequency by ELISpot Assay in PBMCs
Day 85
3.71 percent change
Standard Deviation 39.02
-0.14 percent change
Standard Deviation 21.50
Change in IFN-gamma Frequency by ELISpot Assay in PBMCs
Day 169
-5.28 percent change
Standard Deviation 28.56
3.45 percent change
Standard Deviation 45.56

Adverse Events

HepTcell

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
HepTcell
n=41 participants at risk
Dose administered at intervals of 4 weeks for 6 doses HepTcell: Intramuscular injection
Placebo
n=43 participants at risk
Dose administered at intervals of 4 weeks for 6 doses Placebo: Intramuscular injection
Infections and infestations
COVID-19
14.6%
6/41 • 6 months
9.3%
4/43 • 6 months
Musculoskeletal and connective tissue disorders
Back pain
7.3%
3/41 • 6 months
7.0%
3/43 • 6 months
Nervous system disorders
Headache
4.9%
2/41 • 6 months
4.7%
2/43 • 6 months
General disorders
Pyrexia
4.9%
2/41 • 6 months
4.7%
2/43 • 6 months
Investigations
Neutrophil count decreased
2.4%
1/41 • 6 months
7.0%
3/43 • 6 months
Gastrointestinal disorders
Diarrhea
2.4%
1/41 • 6 months
4.7%
2/43 • 6 months
Gastrointestinal disorders
Food poisoning
0.00%
0/41 • 6 months
4.7%
2/43 • 6 months
Musculoskeletal and connective tissue disorders
Arthralgia
2.4%
1/41 • 6 months
4.7%
2/43 • 6 months
Investigations
Influenza A virus test positive
0.00%
0/41 • 6 months
4.7%
2/43 • 6 months
General disorders
Fatigue
0.00%
0/41 • 6 months
4.7%
2/43 • 6 months
Injury, poisoning and procedural complications
Limb injury
0.00%
0/41 • 6 months
4.7%
2/43 • 6 months
Metabolism and nutrition disorders
Hyperglycemia
2.4%
1/41 • 6 months
2.3%
1/43 • 6 months
Metabolism and nutrition disorders
Iron deficiency
2.4%
1/41 • 6 months
2.3%
1/43 • 6 months
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
2.4%
1/41 • 6 months
2.3%
1/43 • 6 months
Skin and subcutaneous tissue disorders
Pruritus
2.4%
1/41 • 6 months
2.3%
1/43 • 6 months
Vascular disorders
Hypertension
2.4%
1/41 • 6 months
2.3%
1/43 • 6 months
Reproductive system and breast disorders
Breast pain
2.4%
1/41 • 6 months
2.3%
1/43 • 6 months

Additional Information

Randy Brown

Altimmune

Phone: 3179003335

Results disclosure agreements

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