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
Trial overview
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)
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)
- 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.
- Written or witnessed/thumb printed informed consent obtained from the participant prior to performance of any study-specific procedure.
- A male or female between, and including, 18 and 65 years of age at the time of signing of the informed consent (except for South Korea, where a male or female between, and including, 19 and 65 years of age at the time of signing of the informed consent can participate in the study).
- Participants who are Hepatitis B envelop antigen (HBeAg) positive or negative.
- Participants who have documented chronic HBV infection >=6 months prior to screening and currently stable on NA therapy defined as no changes to their nucleos(t)ide regimen from at least 6 months prior to screening and with no planned changes to the stable regimen over the duration of the study.
- CHB patient, under and adherent to treatment with a NA with high barrier to resistance (e.g. entecavir, tenofovir disoproxil fumarate and tenofovir alafenamide).
- Participants with ALT <=2x upper limit of normal (ULN) (i.e., no ALT >2x ULN) documented in approximately the last 6 months.
- Participants with plasma or serum HBsAg concentration >100 IU/mL.
- Participants must be adequately suppressed, defined as plasma or serum HBV DNA <90 IU/mL.
- A male participant is eligible if he agrees to the following during the intervention period and for at least 90 days after the last dose of study intervention:
- Refrain from donating sperm
- AND be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agree to remain abstinent OR Must agree to use contraception/barrier as detailed below.
- A female participant is eligible:
- If she is not pregnant or breastfeeding
- AND at least one of the following conditions applies:
- Is not a WOCBP
- A WOCBP must have a negative highly sensitive pregnancy test (urine or serum as required by local regulations) within 24 hours before the first dose of study intervention.
Participants, who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
Agree to use a male condom [and should also be advised of the benefit for a female partner to use a highly effective method of contraception as a condom may break or leak] when having sexual intercourse with a woman of childbearing potential (WOCBP) who is not currently pregnant.
Is a WOCBP and using a contraceptive method that is highly effective (with a failure rate of <1% per year), preferably with low user dependency during the intervention period and for at least 90 days after the last dose of study treatment.
- Clinically significant abnormalities, aside from chronic HBV infection.
- Co-infection with:
- Current or past history of HCV
- HIV
- History of or suspected liver cirrhosis and/or evidence of cirrhosis as determined by:
- both AST-Platelet Index (APRI) >2 and FibroSure/FibroTest result >0.7
- FibroScan TE score >9.6 kPa and FibroTest score >0.59 at Screening.
- Diagnosed or suspected HCC.
- History of:
- malignancy within the past 5 years except of specific cancers that are cured by surgical resection
- vasculitis or presence of symptoms and signs of potential vasculitis
- Positive (or borderline positive) ANCA at screening.
- Low C3/C4 at screening AND evidence of past history or current manifestations of vasculitic/inflammatory/autoimmune conditions.
- History of alcohol or drug abuse/dependence.
- QTcF >=450 msec.
- Laboratory results as follows:
- Serum albumin <3.5 g/dL
- GFR <60 mL/min/1.73m^2
- INR >1.25
- PLT count <140x10^9/L
- HGB <10 g/dl
- T Bil >1.25xULN unless considered as clinically not significant by the Investigator
- Medical history of hepatic decompensation.
- Planned or previous liver transplantation.
- Documented evidence of other currently active cause of hepatitis.
- Any other clinical condition that might pose additional risk to the participant due to participation in the study.
- Major congenital defects.
- Recurrent history or uncontrolled neurological disorders or seizures.
- History of any reaction or hypersensitivity likely to be exacerbated by any component of the study intervention(s). Prior/Concomitant therapy
- Use of any investigational or non-registered product other than the study interventions within 30 days before the first dose of study interventions, or their planned use during the study.
- Use of systemic cytotoxic agents, chronic antiviral agents or Chinese herbal medicines which may have activity against HBV within 6 months prior the study.
- Currently taking, or took within 12 months of screening, any interferon-containing therapy.
- Administration of adenovirus/adenovector-based or MVA-based vaccine within the last 12 months, except for adenovirus/adenovector-based COVID-19 vaccines that could be administered up to 30 days prior to the first study vaccine dose (applicable for all patients except for the patients in France) OR Administration of adenovirus/adenovector-based or MVA-based vaccine within the last 12 months (applicable for the patients in France only).
- Planned administration/administration of a vaccine not foreseen by the study protocol within 14 days before the first dose and/or 30 days after the last dose of study intervention administration, with the exception of influenza vaccine that may be given at any time except within a 7-day period before or after each dose and COVID-19 vaccine that may be given at any time except within a 30-day period before or after each vaccine dose apart from COVID-19 mRNA based-vaccines that may be administered any time except for the period of 14 days before and 30 days after each study vaccine dose.
- Administration of:
- long-acting immune-modifying drugs at any time during the study
- Chronic administration of immunosuppressants or other immune-modifying drugs within 3 months prior to the first study intervention (e.g. prednisone equivalent >=20 mg/day; >=10 mg/day applicable in Germany only). Inhaled and topical steroids are allowed.
- Participants for whom immunosuppressive treatment is not advised.
- Treatment with nephrotoxic drugs or competitors of renal excretion within 2 months prior to Screening or planned during the study.
- Participants requiring anti-coagulation therapies. Prior/Concurrent clinical study experience
- Concurrently participating in another clinical study, at any time during the study period, in which the participant has been/will be exposed to an investigational/a non-investigational intervention.
- Previous participation in clinical trials with administration of either GSK3228836 or GSK3528869A.
- Previous participation in a clinical study in which he/she has received an investigational product within the following time period prior to the first dosing day in the current study: 5 half-lives or twice the duration of the biological effect of the study treatment or 90 days.
- Prior treatment with any other oligonucleotide/siRNA within 12 months prior to the first dosing day. Other exclusions:
- Pregnant or lactating female.
- Female planning to become pregnant/to discontinue contraceptive precautions.
- Any study personnel or their immediate dependents, family, or household members.
- History of/sensitivity to GSK3228836, or components thereof, or a history of drug or other allergy that contraindicates their participation.
Medical conditions
HDV
Liver biopsy (METAVIR Score F4) or Liver stiffness >12 kPa
extrahepatic disorders possibly related to HBV immune conditions
ACR >=0.03 mg/mg
immunoglobulins and/or any blood products or plasma derivatives within 3 months before the first dose of study interventions or planned administration during the study
Trial location(s)
Study documents
If you wish to request for full study report, please contact - [email protected]