A Phase 2A Randomized, Double-blinded, Placebo-controlled, Multicenter, Dose Ranging Study of Safety and Efficacy of ATI-2173 in Combination With Tenofovir Disoproxil Fumarate in Subjects With Chronic Hepatitis B Virus Infection and in Subjects With Hepatitis D Virus Coinfection
Overview
- Phase
- Phase 2
- Intervention
- ATI-2173
- Conditions
- Hepatitis B, Chronic
- Sponsor
- Antios Therapeutics, Inc
- Enrollment
- 40
- Locations
- 2
- Primary Endpoint
- The percentage of subjects who experienced at least 1 treatment-emergent adverse event (TEAE)
- Status
- Terminated
- Last Updated
- 3 years ago
Overview
Brief Summary
This is a randomized, double-blinded, placebo-controlled, multi center, dose ranging study of safety and efficacy in both volunteers with chronic hepatitis B virus infection and in volunteers with hepatitis D virus coinfection. Volunteers will be administered multiple oral doses of ATI-2173 and assessed for safety and efficacy including blood tests to show how the body metabolizes and eliminates the investigational drug as well as how the drug effects the virus infection.
Investigators
Eligibility Criteria
Inclusion Criteria
- •ALL SUBJECTS:
- •Provision of signed and dated informed consent form (ICF)
- •Stated willingness to comply with all study procedures and availability for the duration of the study
- •If female, meets one of the following criteria:
- •Is of childbearing potential and agrees to use an acceptable contraceptive method. Acceptable contraceptive methods include:
- •Abstinence from heterosexual intercourse from the first study drug administration through to at least 6 months after the last dose of the study drug or until completion of the study, whichever is longer
- •Use a systemic contraceptive or an intrauterine device (with or without hormones), from at least 28 days prior to the first study drug administration through to at least 6 months after the last dose of the study drug or until completion of the study, whichever is longer, with a male condom or a diaphragm/cervical cap plus spermicide from the first study drug administration through to at least 30 days after the last dose of the study drug or until completion of the study, whichever is longer
- •Male partner vasectomized at least 6 months prior to the first study drug administration OR
- •Male partner has had a vasectomy less than 6 months prior to dosing, and the female subject agrees to use an additional acceptable contraceptive method from the first study drug administration through to at least 6 months after the last dose of the study drug or until completion of the study, whichever is longer Or
- •Is of non-childbearing potential, defined as surgically sterile (ie, has undergone complete hysterectomy, bilateral oophorectomy, or tubal ligation) or is in a postmenopausal state (ie, at least 1 year without menses without an alternative medical condition prior to the first study drug administration and follicle-stimulating hormone \[FSH\] levels within the normal ranges for postmenopausal state of the clinical site at screening)
Exclusion Criteria
- •Female who is lactating at screening
- •Female who is pregnant according to the pregnancy test at screening or prior to the first study drug administration
- •History of significant hypersensitivity to clevudine, tenofovir disoproxil fumarate or any related products (including excipients of ATI-2173, tenofovir disoproxil fumarate, and the placebo) as well as severe hypersensitivity reactions (like angioedema) to any drugs
- •History of significant cardiovascular, pulmonary, hematologic, neurological, psychiatric, endocrine, immunologic or dermatologic disease
- •Presence of clinically significant muscle disorders, myopathies or other forms of liver disease
- •Presence of any clinically significant disease, as captured in the medical history or evidence of findings on the physical examination, vital sign assessment and/or ECG assessment, and that would otherwise exclude subject from eligibility in the context of all other listed inclusion and exclusion criteria, as determined by an Investigator
- •Presence of clinically significant ECG abnormalities at the screening visit, as defined by medical judgment
- •Positive test result for alcohol and/or drugs of abuse at screening or prior to the first drug administration
- •Any history of tuberculosis
- •Active illicit drug use including, but not limited to, cocaine, heroin and methamphetamine (the use of cannabinoids is acceptable)
Arms & Interventions
ATI-2173 and Viread
ATI-2173 + Tenofovir disoproxil fumarate (Viread)
Intervention: ATI-2173
Placebo and Viread
ATI-2173 Placebo + Tenofovir disoproxil fumarate
Intervention: Viread
ATI-2173, Viread and AB-729
ATI-2173 + Tenofovir disoproxil fumarate (Viread) + AB-729
Intervention: AB-729
Placebo, Viread and AB-729 Placebo
ATI-2173 Placebo + Tenofovir disoproxil fumarate (Viread) + AB-729 Placebo
Intervention: Viread
Outcomes
Primary Outcomes
The percentage of subjects who experienced at least 1 treatment-emergent adverse event (TEAE)
Time Frame: Through study completion, an average of 1 year
The percentage of subjects who experienced at least one treatment emergent serious AE (SAE).
Time Frame: Through study completion, an average of 1 year
Percentage of subjects who experienced at least one treatment emergent Grade 1, 2, 3, 4 or 5 laboratory abnormality
Time Frame: Through study completion, an average of 1 year
Percentage of subjects who experienced a treatment-emergent dose limiting toxicity (DLT)
Time Frame: Through study completion, an average of 1 year
The reduction of HDV RNA on-treatment for HBV/HDV coinfected subjects
Time Frame: Through study completion, an average of 1 year
Percentage of subjects who discontinued study drug due to a TEAE
Time Frame: Through study completion, an average of 1 year
Alanine aminotransferase and aspartate aminotransferase levels versus time
Time Frame: Through study completion, an average of 1 year
Time to HBV viral load relapse in HBV-infected subjects
Time Frame: Through study completion, an average of 1 year
Secondary Outcomes
- Tmax of ATI-2173, clevudine, tenofovir and M1 in plasma(Through Day 120)
- AUEC(HDV) up to Day 90 and through end of study(Through study completion, an average of 1 year)
- Baseline-adjusted maximal reduction in HBV DNA viral load (Emax,HBV) through 6 months after end of treatment following ATI-2173 + tenofovir (with or without AB-729) or placebo + tenofovir for 90 days in HBV-infected and HBV/HDV coinfected subjects(Through study completion at 6 months follow up)
- Ctrough of ATI-2173, clevudine, tenofovir and M1 in plasma(Through Day 120)
- Proportion of subjects by treatment arm with HDV SVR12, SVR18, and SVR24 (HBV/HDV coinfected subjects only)(Through study completion, an average of 1 year)
- TE(max, HBV) up to Day 90 and through end of study with or without AB-729 or placebo + tenofovir(Through study completion, an average of 1 year)
- Cmax of ATI-2173, clevudine, tenofovir and M1 in plasma(Through Day 120)
- Ctau of ATI-2173, clevudine, tenofovir and M1 in plasma(Through Day 120)
- Correlation between individual Day 90 clevudine and tenofovir Cmin and Emax,HBV or Emax, HDV of viral load(Through Day 90)
- Proportion of subjects by treatment arm with HBV SVR12, SVR18, and SVR24(Through study completion, an average of 1 year)
- Effect on HBV pgRNA in subjects who reach SVR6 as measured by percentage of subjects by validated assay(Through end of study, an average of 1 year)
- AUEC(HBV) up to Day 90 and through end of study with or without AB-729 of placebo + tenofovir(Through study completion, an average of 1 year)
- AUC0-24 of ATI-2173, clevudine, tenofovir and M1 in plasma(Through Day 120)
- T1/2 of ATI-2173, clevudine, tenofovir and M1 in plasma(Through Day 120)
- TE(max, HDV) up to Day 90 and through end of study(Through study completion, an average of 1 year)
- Baseline-adjusted maximal reduction in HDV RNA viral load (Emax,HDV) through 6 months after end of treatment following ATI-2173 + tenofovir or placebo + tenofovir for 90 days in HBV/HDV coinfected subjects(Through study completion at 6 months follow up)
- RAC(Cmax) of ATI-2173, clevudine, tenofovir and M1 in plasma(Through Day 120)
- Proportion of subjects with HDV SVR6 by treatment arm (HBV/HDV coinfected subjects only)(Through study completion, an average of 1 year)
- RAC(AUC) of ATI-2173, clevudine, tenofovir and M1 in plasma(Through Day 120)
- Proportion of subjects by treatment arm with on-treatment ALT flares(Through Day 90)
- Proportion of subjects with HBV SVR6 by treatment arm(Through study completion, an average of 1 year)
- HBV pgRNA at end of treatment by treatment arm(Through Day 90)
- Effect on HBsAg in subjects who reach HBV SVR6 as measured by percentage of subjects by validated assay(Through end of study, an average of 1 year)
- AUEC(HBV) through 6 months after end of treatment following ATI-2173 + tenofovir for 90 days in HBV-infected subjects and in HBV/HDV coinfected subjects(Through end of study, an average of 1 year)
- AUEC(HDV) through 6 months after end of treatment following ATI-2173 + tenofovir for 90 days in HBV/HDV coinfected subjects(Through end of study, an average of 1 year)
- Proportion of subjects by treatment arm with off-treatment ALT flares, with no on-treatment ALT flares by treatment arm(From Day 90 through end of study, an average of 1 year)
- HBV DNA slope off-treatment(Through end of study, an average of 1 year)
- Reduction from baseline in HBsAg, HBV pgRNA, and HBcrAg following ATI-2173 + tenofovir (with or without AB-729) or placebo + tenofovir for 90 days in HBV-infected and HBV/HDV coinfected subjects(Through end of study, an average of 1 year)
- T(Emax,HBV) through 6 months after end of treatment following ATI-2173 + tenofovir for 90 days in HBV/HDV coinfected subjects(Through end of study, an average of 1 year)
- Change from baseline in HBsAg, HBV pgRNA, and HBcrAg at end of treatment and SVR6 in HBV-infected and in HBV/HDV coinfected subjects by treatment arm(Through end of study, an average of 1 year)
- T(Emax,HBV) through 6 months after end of treatment following ATI-2173 + tenofovir for 90 days in HBV-infected subjects and in HBV/HDV coinfected subjects(Through end of study, an average of 1 year)
- Correlation between individual time to viral load relapse and Day 90 clevudine and/or tenofovir Cmin and AUC(Through Day 90)
- Correlation between SVR6 and Day 90 clevudine and/or tenofovir Cmin and AUC(Through Day 90)