A Phase 2a Randomized, Double-blinded, Placebo-controlled, Multi Center, Dose Ranging Study of the Safety and Efficacy of ATI-2173 and Vebicorvir in Combination With Tenofovir Disoproxil Fumarate in Subjects With Chronic Hepatitis B Virus Infection
Overview
- Phase
- Phase 2
- Intervention
- ATI-2173 25mg
- Conditions
- Chronic Hepatitis b
- Sponsor
- Antios Therapeutics, Inc
- Enrollment
- 2
- 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 volunteers with chronic hepatitis B virus infection. Volunteers will be administered multiple oral doses of ATI-2173 vebicorvir in combination with tenofovir disoproxil fumarate 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
- •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 non-hormonal intrauterine device, 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
- •Use of a double-barrier method
- •Male partner vasectomized at least 6 months prior to the first study drug administration 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). If the subject engages in sexual relations, a barrier method (male or female condom) should be used to prevent the spread of HBV.
- •If male, meets one of the following criteria:
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 25mg, Vebicorvir 300mg and Tenofovir 300mg
Subjects randomized to active arm will receive active 25mg ATI-2173 + active Vebicorvir 300mg + active Tenofovir 300mg
Intervention: ATI-2173 25mg
ATI-2173 25mg, Vebicorvir 300mg and Tenofovir 300mg
Subjects randomized to active arm will receive active 25mg ATI-2173 + active Vebicorvir 300mg + active Tenofovir 300mg
Intervention: Vebicorvir 300mg
ATI-2173 25mg, Vebicorvir 300mg and Tenofovir 300mg
Subjects randomized to active arm will receive active 25mg ATI-2173 + active Vebicorvir 300mg + active Tenofovir 300mg
Intervention: Viread 300Mg Tablet
Tenofovir Disoproxil Fumarate
Subjects randomized to placebo arm will receive placebo 25mg ATI-2173 + placebo Vebicorvir 300mg + active Tenofovir 300mg
Intervention: Viread 300Mg Tablet
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 1 treatment-emergent serious adverse event (TE SAE)
Time Frame: Through study completion, an average of 1 year
The percentage of subjects who experienced a treatment-emergent dose-limiting toxicity (TE DLT)
Time Frame: Through study completion, an average of 1 year
The percentage of subjects who experienced at least 1 treatment-emergent Division of AIDS (DAIDS) Grade 1, 2, 3, 4, or 5 laboratory abnormality
Time Frame: Through study completion, an average of 1 year
The percentage of subjects who discontinued the 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 as measured by HBV DNA viral load in IU/mL
Time Frame: Through study completion, an average of 1 year, which is 6 months after end of treatment
Secondary Outcomes
- Baseline-adjusted maximal reduction in HBV DNA viral load (Emax,HBV) through 6 months after end of treatment following ATI-2173 + vebicorvir + TDF or placebo + TDF for 90 days in HBV-infected subjects(Through study completion, an average of 1 year, which is 6 months after end of treatment)
- TEmax,HBV through 6 months after end of treatment following ATI-2173 + vebicorvir + TDF or placebo + TDF for 90 days in HBV-infected subjects(Through study completion, an average of 1 year, which is 6 months after end of treatment)
- AUEC(HBV) through 6 months after end of treatment following ATI-2173 + vebicorvir + TDF or placebo + TDF for 90 days in HBV-infected subjects(Through study completion, an average of 1 year, which is 6 months after end of treatment)
- Proportion of subjects with HBV DNA sustained viral response as measured by HBV DNA viral load at 6 months after end of treatment(Through study completion, an average of 1 year, which is 6 months after end of treatment)
- Cmax of ATI-2173, clevudine and M1 in plasma(Through study completion, an average of 1 year)
- Tmax of ATI-2173, clevudine and M1 in plasma(Through study completion, an average of 1 year)
- Ctrough of ATI-2173, clevudine and M1 in plasma(Through study completion, an average of 1 year)
- Ctau of ATI-2173, clevudine and M1 in plasma(Through study completion, an average of 1 year)
- AUC0-24 of ATI-2173, clevudine and M1 in plasma(Through study completion, an average of 1 year)
- AUCtau of ATI-2173, clevudine and M1 in plasma(Through study completion, an average of 1 year)
- t1/2 of ATI-2173, clevudine and M1 in plasma(Through study completion, an average of 1 year)
- RAC(Cmax) of ATI-2173, clevudine and M1 in plasma(Through study completion, an average of 1 year)
- Tmax of tenofovir in plasma(Through study completion, an average of 1 year)
- Ctrough of tenofovir in plasma(Through study completion, an average of 1 year)
- Ctau of tenofovir in plasma(Through study completion, an average of 1 year)
- AUC0-24 of tenofovir in plasma(Through study completion, an average of 1 year)
- t1/2 of tenofovir in plasma(Through study completion, an average of 1 year)
- RAC(Cmax) of tenofovir in plasma(Through study completion, an average of 1 year)
- RAC(AUC) of tenofovir in plasma(Through study completion, an average of 1 year)
- RAC(AUC) of ATI-2173, clevudine and M1 in plasma(Through study completion, an average of 1 year)
- Proportion of subjects with HBV SVR12, SVR18, and SVR24months(Through study completion, an average of 1 year, or through 24 months if applicable)
- Proportion of subjects with on-treatment ALT flares(Through Day 90)
- Proportion of subjects with off-treatment ALT flares(From Day 90 through end of study, about 6 months)
- Rate of HBV viral load return to baseline off-treatment(From Day 90 through end of study, about 6 months)
- Relationship between HBV RNA and HBV Sustained Viral Response at 6 months(Through study completion, an average of 1 year, which is 6 months after treatment)
- Change from baseline value in HBV RNA at end of treatment and Sustained Viral Response at 6 months(Through study completion, an average of 1 year, 6 months after treatment)
- Change from baseline in HBsAg over time and Sustained Viral Response at 6 months(Through study completion, an average of 1 year, 6 months after treatment)
- Change from baseline value in HBcrAg at end of treatment and Sustained Viral Response at 6 months(Through study completion, an average of 1 year, 6 months after treatment)
- Relationship between HBV DNA Sustained Viral Response and HBsAg(Through study completion, an average of 1 year)
- Reduction from baseline in HBsAg following ATI-2173 + vebicorvir + TDF or placebo + TDF for 90 days in HBV-infected subjects(Through study completion, an average of 1 year)
- Reduction from baseline in HBV RNA following ATI-2173 + vebicorvir + TDF or placebo + TDF for 90 days in HBV-infected subjects(Through study completion, an average of 1 year)
- Reduction from baseline in HBcrAg following ATI-2173 + vebicorvir + TDF or placebo + TDF for 90 days in HBV-infected subjects(Through study completion, an average of 1 year)
- Cmax of tenofovir in plasma(Through study completion, an average of 1 year)
- RAC(AUC) of vebicorvir in plasma(Through study completion, an average of 1 year)
- Cmax of vebicorvir in plasma(Through study completion, an average of 1 year)
- Tmax of vebicorvir in plasma(Through study completion, an average of 1 year)
- Ctrough of vebicorvir in plasma(Through study completion, an average of 1 year)
- Ctau of vebicorvir in plasma(Through study completion, an average of 1 year)
- AUC0-24 of vebicorvir in plasma(Through study completion, an average of 1 year)
- t1/2 of vebicorvir in plasma(Through study completion, an average of 1 year)
- RAC(Cmax) of vebicorvir in plasma(Through study completion, an average of 1 year)
- Correlation between individual tie to viral load relapse and Day 90 clevudine, vebicorvir, and tenofovir Cmin and AUC(Through study completion, an average of 1 year)
- Correlation between SVR6 and Day 90 clevudine, vebicorvir, and tenofovir Cmin and AUC(Through study completion, an average of 1 year)