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临床试验/NCT05612581
NCT05612581
已完成
1 期

A Platform Study Evaluating the Efficacy and Safety of Investigational Therapies in Participants With Chronic Hepatitis B Infection (PREVAIL)

Vir Biotechnology, Inc.14 个研究点 分布在 6 个国家目标入组 33 人2023年5月10日

概览

阶段
1 期
干预措施
TDF
疾病 / 适应症
未指定
发起方
Vir Biotechnology, Inc.
入组人数
33
试验地点
14
主要终点
STRIVE and THRIVE: Proportion of Participants Achieving Suppression of HBV DNA (< LLOQ) With HBsAg Loss (< 0.05 IU/mL) at the End of Treatment
状态
已完成
最后更新
2个月前

概览

简要总结

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.

详细描述

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.

注册库
euclinicaltrials.eu
开始日期
2023年5月10日
结束日期
2025年8月19日
最后更新
2个月前
研究类型
Interventional
研究设计
Parallel
性别
All

研究者

责任方
Sponsor
主要研究者

Carey Hwang

Scientific

Vir Biotechnology Inc.

入排标准

入选标准

  • 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

排除标准

  • 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

研究组 & 干预措施

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

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

干预措施: TDF

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

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

干预措施: VIR-3434

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

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

干预措施: TDF

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

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

干预措施: VIR-3434

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

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

干预措施: TDF

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

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

干预措施: VIR-3434

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

干预措施: VIR-3434

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

干预措施: VIR-2218

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

干预措施: TDF

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

干预措施: VIR-3434

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

干预措施: VIR-2218

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

干预措施: TDF

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

干预措施: PEG-IFNα

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

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

干预措施: VIR-3434

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

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

干预措施: TDF

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

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

干预措施: VIR-3434

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

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

干预措施: VIR-2218

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

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

干预措施: TDF

结局指标

主要结局

STRIVE and THRIVE: Proportion of Participants Achieving Suppression of HBV DNA (< LLOQ) With HBsAg Loss (< 0.05 IU/mL) at the End of Treatment

时间窗: Up to 48 weeks

次要结局

  • STRIVE and THRIVE: Proportion of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)(Up to 96 weeks)
  • STRIVE and THRIVE: Proportion of Participants With Serum HBsAg ≤ 10 IU/mL at End of Treatment(Up to 48 weeks)
  • STRIVE and THRIVE: Proportion of Participants With Serum HBsAg ≤ 10 IU/mL at 24 Weeks Post-end of Treatment(Up to 72 weeks)
  • STRIVE and THRIVE: Serum HBsAg Levels and Change From Baseline Across Timepoints in the Study(Up to 96 weeks)
  • STRIVE and THRIVE: Serum HBsAg Level at Nadir During the Study(Up to 96 weeks)
  • STRIVE and THRIVE: Time to Achieve Nadir of Serum HBsAg During the Study(Up to 96 weeks)
  • STRIVE and THRIVE: Time to Achieve Serum HBsAg Loss (< 0.05 IU/mL)(Up to 96 weeks)
  • STRIVE and THRIVE: Proportion of Participants With HBsAg Loss With Anti-HBs Seroconversion at End of Treatment and at 24 Weeks Post-end of Treatment(Up to 76 weeks)
  • STRIVE: Proportion of Participants Achieving Sustained Suppression of HBV DNA (< LLOQ) With HBsAg Loss (< 0.05 IU/mL) After Discontinuation of All Treatment at 24 Weeks and at the F48 Follow-Up Visit(Up to 96 weeks)
  • STRIVE: Proportion of Participants With HBsAg Loss (<0.05 IU/mL) at End of Treatment and at 24 Weeks Post-end of Treatment(Up to 72 weeks)
  • STRIVE: Proportion of Participants Achieving Sustained Suppression of HBV DNA (< LLOQ) After Discontinuation of All Treatment at 24 Weeks and at the F48 Follow-Up Visit(Up to 96 weeks)
  • STRIVE: For HBeAg-positive Participants: Proportion of Participants With HBeAg Loss (Undetectable HBeAg) and/or Anti-HBe Seroconversion(Up to 72 weeks)
  • STRIVE: Incidence and Titers of Anti-drug Antibodies (ADA; if Applicable) to VIR-3434(Up to 96 weeks)
  • STRIVE: Mean Change in Serum HBsAg Level From Baseline Across Timepoints in the Study(Up to 96 weeks)
  • STRIVE: Proportion of Participants Achieving HBV DNA (< LLOQ) Across Timepoints in the Study(Up to 96 weeks)
  • STRIVE: Proportion of Participants Achieving ALT ≤ ULN Across Timepoints in the Study(Up to 96 weeks)
  • THRIVE: Proportion of Participants Achieving Sustained Suppression of HBV DNA (< LLOQ) With HBsAg Loss (< 0.05 IU/mL) After Discontinuation of All Treatment at 24 Weeks and at 48 Weeks(Up to 92 weeks)
  • THRIVE: Proportion of Participants Achieving HBsAg Loss (< 0.05 IU/mL) at End of Treatment and at 24 Weeks Post-end of Treatment(Up to 44 weeks)
  • THRIVE: Proportion of Participants Achieving Sustained Suppression of HBV DNA (< LLOQ) After Discontinuation of All Treatment at 24 Weeks and at 48 Weeks(Up to 68 weeks)
  • THRIVE: Incidence and Titers of ADA (if Applicable) to VIR-3434(Up to 92 weeks)
  • THRIVE: Mean Change in Serum HBsAg Level From Baseline Across Timepoints in the Study(Up to 92 weeks)
  • THRIVE: Proportion of Participants Achieving HBV DNA (< LLOQ)(Up to 92 weeks)

研究点 (14)

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