Last updated: 08/12/2026 05:31:39

A Study on the Safety, Efficacy and Immune Response Following Sequential Treatment with an Anti-sense Oligonucleotide Against Chronic Hepatitis B (CHB) and Chronic Hepatitis B Targeted Immunotherapy (CHB-TI) in CHB Patients Receiving Nucleos(t)ide Analogue (NA) Therapy

GSK study ID
217023
Clinicaltrials.gov ID
EudraCT ID
EU CT Number
Trial status
Completed
Completed
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A Phase 2, Single-blinded, Randomised, Controlled, Multi-country Study to Evaluate the Safety, Reactogenicity, Efficacy and Immune Response Following Sequential Treatment with an Anti-sense Oligonucleotide (ASO) Against Chronic Hepatitis B (CHB) Followed by Chronic Hepatitis B Targeted Immunotherapy (CHB-TI) in CHB Patients Receiving Nucleos(t)ide Analogue (NA) Therapy
Trial description: This study assessed the safety, efficacy and immune response following the sequential treatment of GlaxoSmithKline’s (GSK) ASO compound (GSK3228836) and CHB-TI (GSK3528869A) in participants 18 to 65 years stable on NA treatment for CHB. The aim was to quantify the efficacy of sequential therapy as well as to determine an added value of sequential therapy over GSK3228836 therapy in CHB patients treated with NAs. In addition, the study assessed the effect of different treatment durations of GSK3228836 (12 or 24 weeks) prior to initiating GSK3528869A treatment.
Primary purpose:
Treatment
Trial design:
Sequential Assignment
Masking:
Single (Participant)
Allocation:
Randomized
Primary outcomes:

Number of participants reporting grade 3 or higher adverse events (AEs)

Timeframe: From first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)

Number of participants reporting any serious adverse events (SAEs)

Timeframe: From first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)

Number of participants reporting grade 3 or higher adverse events of special interest (AESIs)

Timeframe: From first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)

Number of participants who achieved sustained virologic response (SVR) for 24 weeks after the planned end of active treatment in the absence of rescue medication, and difference between treatment arms (corresponding to GSK3228836 regimens)

Timeframe: For up to 24 weeks after the planned end of active treatment (planned end of active treatment = Treatment 1-Day 78 for ASO12-Placebo group, Treatment 1-Day 162 for ASO24-Placebo group and Treatment 2-Day 169 for ASO12 CHB-TI and ASO24 CHB-TI groups)

Secondary outcomes:

Number of participants reporting any solicited administration site events post-administration of GSK3528869A/placebo

Timeframe: Within 7 days post-administration of each dose of GSK3528869A/placebo [occurring at Day 1 (Dose 1), Day 57 (Dose 2), Day 113 (Dose 3) and Day 169 (Dose 4) of Treatment 2 period]

Number of participants reporting any solicited systemic events post-administration of GSK3528869A/placebo

Timeframe: Within 7 days post-administration of each dose of GSK3528869A/placebo [occurring at Day 1 (Dose 1), Day 57 (Dose 2), Day 113 (Dose 3) and Day 169 (Dose 4) of Treatment 2 period]

Number of participants reporting any unsolicited AEs post-administration of GSK3528869A/placebo

Timeframe: Within 30 days post-administration of each dose of GSK3528869A/placebo [occurring at Day 1 (Dose 1), Day 57 (Dose 2), Day 113 (Dose 3) and Day 169 (Dose 4) of Treatment 2 period]

Number of participants reporting any AEs from first dose of GSK3228836 (Treatment 1-Day 1) until end of Treatment 1 period

Timeframe: From first dose of GSK3228836 (Treatment 1-Day 1) until end of Treatment 1 period (Treatment 1-Day 78 for ASO12 group and Treatment 1-Day 162 for ASO24 group)

Number of participants reporting any AEs from first dose of GSK3528869A/placebo up to study end

Timeframe: From first dose of GSK3528869A/placebo (Treatment 2-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)

Number of participants reporting any AESIs from first dose of GSK3228836 (Treatment 1-Day 1) until end of Treatment 1 period

Timeframe: From first dose of GSK3228836 (Treatment 1-Day 1) until end of Treatment 1 period (Treatment 1-Day 78 for ASO12 group and Treatment 1-Day 162 for ASO24 group)

Number of participants reporting any AESIs from first dose of GSK3528869A/placebo up to study end

Timeframe: From first dose of GSK3528869A/placebo (Treatment 2-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)

Number of participants reporting any potential immune-mediated diseases (pIMDs) from first dose of GSK3528869A/placebo up to study end

Timeframe: From first dose of GSK3528869A6/placebo (Treatment 2-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)

Number of participants reporting hematological, biochemical or urinalysis laboratory abnormalities at screening and at the specified time points post-GSK3228836 administration

Timeframe: At Screening (Day -29) and at Treatment 1 Weeks: 1 (Day 1), 2 (Day 8), 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23 and 24

Number of participants reporting hematological, biochemical or urinalysis laboratory abnormalities at the specified time points post-GSK3528869A/placebo administration

Timeframe: At Treatment 2 Weeks: 1 (Day 1), 1 (Day 3), 2, 3, 5, 9, 10, 11, 13, 17, 18, 19, 21, 25, 26, 27, 29 and follow-up Weeks: 33 (Day 225), 41 (Day 281), 49 (Day 337), 61 (Day 421), 73 (Day 505), 97 (Day 673) and 121 (Day 841)

Number of participants with >=0.5 log decrease of quantitative Hepatitis B surface antigen (qHBsAg) at the specified time points compared to Baseline (Treatment 1-Day 1)

Timeframe: At Treatment 1 Weeks: 2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24, at Treatment 2 Weeks: 1,3,5,9,11,13,17,21,25,29, and at follow-up Weeks: 33,41,49,61,73,97 and 121 compared to Baseline (Treatment 1-Day 1)

Number of participants with >=1 log decrease of qHBsAg at the specified time points compared to Baseline (Treatment 1-Day 1)

Timeframe: At Treatment 1 Weeks: 2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24, at Treatment 2 Weeks: 1,3,5,9,11,13,17,21,25,29, and at follow-up Weeks: 33,41,49,61,73,97 and 121 compared to Baseline (Treatment 1-Day 1)

Number of participants with qHBsAg loss at the specified time points compared to Baseline (Treatment 1-Day 1)

Timeframe: At Treatment 1 Weeks: 2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24, at Treatment 2 Weeks: 1,3,5,9,11,13,17,21,25,29, and at follow-up Weeks: 33,41,49,61,73,97 and 121 compared to Baseline (Treatment 1-Day 1)

Number of participants who achieved any log changes in qHBsAg at the specified time points compared to Baseline (Treatment 1-Day 1)

Timeframe: At Treatment 1 Weeks: 2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24, at Treatment 2 Weeks: 1,3,5,9,11,13,17,21,25,29, and at follow-up Weeks: 33,41,49,61,73,97 and 121 compared to Baseline (Treatment 1-Day 1)

Number of participants with qHBsAg loss and anti-HBs seroconversion at the specified time points compared to Baseline (Treatment 2-Day 1)

Timeframe: At Treatment 2-Week 25 and at Treatment 2-Week 49 (Day 337) compared to Baseline (Treatment 2-Day 1)

Geometric mean concentrations (GMCs) of qHBsAg

Timeframe: At Treatment 1 Weeks: 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24, at Treatment 2 Weeks: 1,3,5,9,11,13,17,21,25,29, and at Follow-up Weeks: 33,41,49,61,73,97,121

Duration in days of SVR in terms of time to the first occurrence of HBsAg and/or HBV DNA reversion

Timeframe: From planned end of active treatment (Treatment 1-Day 78 for ASO12-Placebo group, Treatment 1-Day 162 for ASO24-Placebo group & Treatment 2-Day 169 for ASO12 CHB-TI & ASO24 CHB-TI groups) to the first occurrence of HBsAg and/or HBV DNA reversion

Number of participants who experienced HBV DNA virologic breakthrough

Timeframe: From planned end of active treatment (Treatment 1-Day 78 for ASO12-Placebo group, Treatment 1-Day 162 for ASO24-Placebo group & Treatment 2-Day 169 for ASO12 CHB-TI & ASO24 CHB-TI groups) to onset of experiencing HBV DNA virologic breakthrough

Number of participants with anti-hepatitis B core antibody (HBc) antibody response

Timeframe: At Treatment 2 Days: 1, 15, 57, 71, 113, 127, 169, 183 and 337

Anti-HBc antibody concentrations

Timeframe: At Treatment 2 Days: 1, 15, 57, 71, 113, 127, 169, 183 and 337

Number of participants with anti-Hepatitis B surface protein (HBs) seroconversion

Timeframe: At Treatment 2 Days: 1, 15, 57, 71, 113, 127, 169, 183, 337 and 505

Number of participants with anti-HBs antibody response

Timeframe: At Treatment 2 Days: 1, 15, 57, 71, 113, 127, 169, 183, 337 and 505

Anti-HBs antibody concentrations

Timeframe: At Treatment 2 Days: 1, 15, 57, 71, 113, 127, 169, 183, 337 and 505

Number of participants with anti-HBs antibody concentrations >=100 mIU/mL

Timeframe: At Treatment 2 Days: 1, 15, 57, 71, 113, 127, 169, 183, 337 and 505

Frequency of HBc-specific cluster of differentiation (CD)4+ T-cells

Timeframe: At Treatment 1-Day 1 and at Treatment 2 Days: 1, 71, 127, 183, 337, 505

Frequency of HBs-specific CD4+ T-cells

Timeframe: At Treatment 1-Day 1 and at Treatment 2 Days: 1, 71, 127, 183, 337, 505

Frequency of HBc-specific CD8+ T-cells

Timeframe: At Treatment 1-Day 1 and at Treatment 2 Days: 1, 71, 127, 183, 337, 505

Frequency of HBs-specific CD8+ T-cells

Timeframe: At Treatment 1-Day 1 and at Treatment 2 Days: 1, 71, 127, 183, 337, 505

Number of HBc-specific CD4+ T-cells responders

Timeframe: At Treatment 2 Days: 71, 127, 183, 337 and 505 compared to pre-vaccination (Treatment 2-Day 1)

Number of HBs-specific CD4+ T-cells responders

Timeframe: At Treatment 2 Days: 71, 127, 183, 337 and 505 compared to pre-vaccination (Treatment 2-Day 1)

Number of HBc-specific CD8+ T-cells responders

Timeframe: At Treatment 2 Days: 71, 127, 183, 337 and 505 compared to pre-vaccination (Treatment 2-Day 1)

Number of HBs-specific CD8+ T-cells responders

Timeframe: At Treatment 2 Days: 71, 127, 183, 337 and 505 compared to pre-vaccination (Treatment 2-Day 1)

Interventions:
Drug: GSK3228836
Biological/vaccine: GSK3528869A
Drug: Placebo
Enrollment:
174
Observational study model:
Not applicable
Primary completion date:
2025-05-08
Time perspective:
Not applicable
Clinical publications:
Not applicable
Medical condition
Hepatitis B, Chronic
Product
Not applicable
Collaborators
Not applicable
Study date(s)
March 2022 to August 2025
Type
Interventional
Phase
2

Participation criteria

Sex
Female & Male
Age
18 - 65 Years
Accepts healthy volunteers
No
  • Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
  • Written or witnessed/thumb printed informed consent obtained from the participant prior to performance of any study-specific procedure.
  • Medical conditions
  • Clinically significant abnormalities, aside from chronic HBV infection.

Trial location(s)

Location
Status
Contact us
Contact us
Location
GSK Investigational Site
Cottingham, United Kingdom, HU16 5JQ
Status
Study Complete
Location
GSK Investigational Site
Strasbourg, France, 67091
Status
Study Complete
Location
GSK Investigational Site
Madrid, Spain, 28046
Status
Study Complete
Location
GSK Investigational Site
Santander, Spain, 39008
Status
Study Complete
Location
GSK Investigational Site
Madrid, Spain, 28034
Status
Study Complete
Location
GSK Investigational Site
Sevilla, Spain, 41013
Status
Study Complete
Location
GSK Investigational Site
Leicester, United Kingdom, LE1 5WW
Status
Study Complete
Location
GSK Investigational Site
Madrid, Spain, 28006
Status
Study Complete
Location
GSK Investigational Site
Tainan, Taiwan, 704
Status
Study Complete
Location
GSK Investigational Site
Linkou - Taoyuan Hsien, Taiwan, 333
Status
Study Complete
Location
GSK Investigational Site
Barcelona, Spain, 08011
Status
Study Complete
Location
GSK Investigational Site
Kaohsiung, Taiwan, 807
Status
Study Complete
Location
GSK Investigational Site
Taichung, Taiwan, 40705
Status
Study Complete
Location
GSK Investigational Site
Edegem, Belgium, 2650
Status
Study Complete
Location
GSK Investigational Site
Berlin, Germany, 10787
Status
Study Complete
Location
GSK Investigational Site
Frankfurt, Germany, 60590
Status
Study Complete
Location
GSK Investigational Site
CrEteil Cedex, France, 94010
Status
Study Complete
Location
GSK Investigational Site
ChiangMai, Thailand, 50200
Status
Study Complete
Location
GSK Investigational Site
Pokfulam, Hong Kong, N/A
Status
Study Complete
Location
GSK Investigational Site
Myslowice, Poland, 41-400
Status
Study Complete
Location
GSK Investigational Site
Chia-Yi, Taiwan, 600
Status
Study Complete
Location
GSK Investigational Site
Leipzig, Germany, 04103
Status
Study Complete
Location
GSK Investigational Site
Singapore, Singapore, 119074
Status
Study Complete
Location
GSK Investigational Site
Sofia, Bulgaria, 1431
Status
Study Complete
Location
GSK Investigational Site
Sofia, Bulgaria, 1797
Status
Study Complete
Location
GSK Investigational Site
Veliko Tarnovo, Bulgaria, 5000
Status
Study Complete
Location
GSK Investigational Site
Roma, Italy, 00133
Status
Study Complete
Location
GSK Investigational Site
Rozzano MI, Italy, 20089
Status
Study Complete
Location
GSK Investigational Site
Clichy Cedex, France, 92118
Status
Study Complete
Location
GSK Investigational Site
Craiova Dolj, Romania, 200515
Status
Study Complete
Location
GSK Investigational Site
Rize, Turkey, 53020
Status
Study Complete
Location
GSK Investigational Site
Sofia, Bulgaria, 1407
Status
Study Complete
Location
GSK Investigational Site
Madrid, Spain, 28007
Status
Study Complete
Location
GSK Investigational Site
Istanbul, Turkey, 6690
Status
Study Complete
Location
GSK Investigational Site
Bangkok, Thailand, 10330
Status
Study Complete
Location
GSK Investigational Site
Bergamo, Italy
Status
Study Complete
Location
GSK Investigational Site
Cluj Napoca, Romania, 400162
Status
Study Complete
Location
GSK Investigational Site
Krakow, Poland, 31-202
Status
Study Complete
Location
GSK Investigational Site
Lancut, Poland, 37-100
Status
Study Complete
Location
GSK Investigational Site
Lyon, France, 69317
Status
Study Complete
Location
GSK Investigational Site
Makati City, Philippines, 1229
Status
Study Complete
Location
GSK Investigational Site
Milano, Italy, 20122
Status
Study Complete
Location
GSK Investigational Site
Milano, Italy, 20157
Status
Study Complete
Location
GSK Investigational Site
Pasig City, Philippines, 1605
Status
Study Complete
Location
GSK Investigational Site
Vigo, Spain, 36071
Status
Study Complete
Location
GSK Investigational Site
Singapore, Singapore, 169608
Status
Study Complete
Location
GSK Investigational Site
Sliven, Bulgaria, 8800
Status
Study Complete
Location
GSK Investigational Site
Sofia, Bulgaria, 1784
Status
Study Complete
Location
GSK Investigational Site
Taichung, Taiwan, 404
Status
Study Complete
Location
GSK Investigational Site
Vratsa, Bulgaria, 3000
Status
Study Complete
Location
GSK Investigational Site
Aachen, Germany, 52074
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Antwerpen, Belgium, 2650
Status
Terminated/Withdrawn
Location
GSK Investigational Site
MADRID, Spain, 28222
Status
Study Complete
Location
GSK Investigational Site
Wroclaw, Poland, 51-162
Status
Terminated/Withdrawn

Study documents

Protocol
Available language(s): English
Statistical analysis plan
Available language(s): English

If you wish to request for full study report, please contact - [email protected]

Results overview

Results posted on ClinicalTrials.gov

Recruitment status
Completed
Actual primary completion date
2025-05-08
Actual study completion date
2025-05-08

Plain language summaries

Summary of results in plain language
Available language(s): Bulgarian, Dutch (Belgium), French (Belgium), French, German, Italian, Polish, Romanian, Chinese (Singapore), Spanish, Tagalog, Thai, Chinese (Hong Kong), Chinese (Taiwan), Turkish, English

Additional information about the trial

Additional information
Not applicable
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