A Platform Study to Evaluate Investigational Therapies in Chronic Hepatitis B Infection

NCT ID: NCT05612581

Last Updated: 2025-11-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-10

Study Completion Date

2025-08-19

Brief Summary

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This is a Phase 1b/2 platform study framework to evaluate the safety and efficacy of investigational candidate(s) and their combinations as potential treatments for adults with chronic hepatitis B virus infection.

Detailed Description

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VIR-SHB1-V201 (STRIVE) Sub-Protocol A is a Phase 2 study under the PREVAIL platform trial. This is a multi-center, open-label study designed to evaluate the safety and efficacy of regimens containing VIR-3434, VIR-2218, PEGASYS (PEG-IFNα), and nucleotide reverse transcriptase inhibitors (NRTI) in noncirrhotic adult participants with chronic HBV infection that have not received prior NRTI or PEGASYS treatment.

VIR-SHB1-V202 (THRIVE) Sub-Protocol B is a Phase 2 study under the PREVAIL platform trial. This is a multi-center open-label study designed to evaluate the safety and efficacy of regimens containing VIR-3434 and NRTI with or without VIR-2218 in noncirrhotic adult participants with low viral burden of chronic HBV infection.

Conditions

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Hepatitis B, Chronic

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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STRIVE: Cohort 5a (VIR-3434 + VIR-2218 + TDF + PEG-IFNα)

Participants will receive combination therapy with VIR-3434 + VIR-2218 +TDF + PEG-IFNα for 48 weeks total

Group Type EXPERIMENTAL

VIR-3434

Intervention Type DRUG

VIR-3434 given by subcutaneous injection

VIR-2218

Intervention Type DRUG

VIR-2218 given by subcutaneous injection

TDF

Intervention Type DRUG

TDF given orally

PEG-IFNα

Intervention Type DRUG

PEG-IFNα given by subcutaneous injection

THRIVE: Cohort 1b (VIR-3434 + TDF)

Participants will receive combination therapy with VIR-3434 + TDF for 44 weeks

Group Type EXPERIMENTAL

VIR-3434

Intervention Type DRUG

VIR-3434 given by subcutaneous injection

TDF

Intervention Type DRUG

TDF given orally

THRIVE: Cohort 2b (VIR-3434 + VIR-2218 + TDF)

Participants will receive combination therapy with VIR-3434 + VIR-2218 + TDF for 44 weeks total

Group Type EXPERIMENTAL

VIR-3434

Intervention Type DRUG

VIR-3434 given by subcutaneous injection

VIR-2218

Intervention Type DRUG

VIR-2218 given by subcutaneous injection

TDF

Intervention Type DRUG

TDF given orally

STRIVE: Cohort 1a (VIR-3434 + TDF)

Participants will receive combination therapy with VIR-3434 + TDF for 44 weeks total

Group Type EXPERIMENTAL

VIR-3434

Intervention Type DRUG

VIR-3434 given by subcutaneous injection

TDF

Intervention Type DRUG

TDF given orally

STRIVE: Cohort 2a (VIR-3434 + TDF)

Participants will receive combination therapy with VIR-3434 + TDF for 44 weeks total

Group Type EXPERIMENTAL

VIR-3434

Intervention Type DRUG

VIR-3434 given by subcutaneous injection

TDF

Intervention Type DRUG

TDF given orally

STRIVE: Cohort 3a (VIR-3434 + TDF)

Participants will receive combination therapy with VIR-3434 + TDF for 36 or 40 weeks total

Group Type EXPERIMENTAL

VIR-3434

Intervention Type DRUG

VIR-3434 given by subcutaneous injection

TDF

Intervention Type DRUG

TDF given orally

STRIVE: Cohort 4a (VIR-3434 + VIR-2218 + TDF)

Participants will receive combination therapy with VIR-3434 + VIR-2218 + TDF for 20 or 44 weeks total

Group Type EXPERIMENTAL

VIR-3434

Intervention Type DRUG

VIR-3434 given by subcutaneous injection

VIR-2218

Intervention Type DRUG

VIR-2218 given by subcutaneous injection

TDF

Intervention Type DRUG

TDF given orally

Interventions

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VIR-3434

VIR-3434 given by subcutaneous injection

Intervention Type DRUG

VIR-2218

VIR-2218 given by subcutaneous injection

Intervention Type DRUG

TDF

TDF given orally

Intervention Type DRUG

PEG-IFNα

PEG-IFNα given by subcutaneous injection

Intervention Type DRUG

Other Intervention Names

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Tobevibart Elebsiran

Eligibility Criteria

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Inclusion Criteria

* Male or female ages 18 or older
* Chronic HBV infection for \>/= 6 months
* Chronic HBV infection defined as a positive serum HBsAg, HBV DNA, or HBeAg on 2 occasions at least 6 months apart based on previous or current laboratory documentation
* STRIVE: HBeAg positive or negative, HBV DNA \> 2,000 IU/mL, ALT \> ULN and ≤ 5x ULN
* THRIVE: Must be/have the following, within the 1-year period prior to screening: HBeAg negative, HBV DNA ≤ 2,000 IU/mL, ALT ≤ ULN

Exclusion Criteria

* Any clinically significant chronic or acute medical condition that makes the participant unsuitable for participation
* History of clinically significant liver disease from non-HBV etiology
* History or current evidence of hepatic decompensation
* Co-infection with human immunodeficiency virus (HIV), hepatitis A virus (HAV), hepatitis C virus (HCV), hepatitis D virus (HDV) or hepatitis E virus (HEV).
* History or clinical evidence of alcohol or drug abuse
* STRIVE and THRIVE: Significant fibrosis or cirrhosis
* STRIVE and THRIVE: History of immune complex disease
* STRIVE and THRIVE: History of autoimmune disorder
* STRIVE and THRIVE: History of allergic reactions, hypersensitivity, or intolerance to monoclonal antibodies, antibody fragments, or any excipients of VIR-3434
* STRIVE: Prior NRTI or PEG-IFN therapy
* STRIVE: History of known contraindication to any interferon product
* THRIVE: Prior NRTI therapy \< 24 weeks of study or any prior PEG-IFN therapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

66 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vir Biotechnology, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Investigative Site

Clichy, , France

Site Status

Investigative Site

Nice, , France

Site Status

Investigative Site

Rennes, , France

Site Status

Investigative Site

Toulouse, , France

Site Status

Investigative Site

Hong Kong, Sha Tin, Hong Kong

Site Status

Investigative Site

Hong Kong, , Hong Kong

Site Status

Investigative Site

Chisinau, , Moldova

Site Status

Investigative Site

Bucharest, , Romania

Site Status

Investigative Site

Busan, , South Korea

Site Status

Investigative Site

Seoul, , South Korea

Site Status

Investigative Site

Yangsan, , South Korea

Site Status

Investigative Site

Glasgow, , United Kingdom

Site Status

Investigative Site

London, , United Kingdom

Site Status

Investigative Site

London, , United Kingdom

Site Status

Investigative Site

Manchester, , United Kingdom

Site Status

Countries

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France Hong Kong Moldova Romania South Korea United Kingdom

Provided Documents

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Document Type: Study Protocol: PREVAIL

View Document

Document Type: Study Protocol: STRIVE

View Document

Document Type: Study Protocol: THRIVE

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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VIR-MHB1-V200

Identifier Type: -

Identifier Source: org_study_id

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