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A 2 PART STUDY EVALUATING EDP-721 IN HEALTHY SUBJECTS AND EDP-721 IN COMBINATION WITH EDP-514 IN PATIENTS WITH CHRONIC HEPATITIS B VIRUS INFECTION.

Phase 1
Terminated
Conditions
Chronic Hepatitis B Virus Infection
Interventions
Drug: Placebo (Part 1)
Drug: EDP-721 (Part 2)
Drug: Placebo (Part 2)
Registration Number
NCT04971512
Lead Sponsor
Enanta Pharmaceuticals, Inc
Brief Summary

Part 1 is a randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, and pharmacokinetics of single and multiple ascending doses of EDP-721 in healthy subjects.

Part 2 is a randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics and antiviral activity of EDP-721 in combination with EDP-514 in patients with chronic hepatitis B virus infection.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
26
Inclusion Criteria
  • An informed consent document signed and dated by the subject.
  • Healthy male and female subjects of any ethnic origin between the ages of 18 and 65 years, inclusive.
Exclusion Criteria
  • Clinically relevant evidence or history of illness or disease.
  • Pregnant or nursing females.
  • History of febrile illness within 7 days prior to the first dose of study drug or subjects with evidence of active infection.
  • A positive urine drug screen at screening or Day -1.
  • Current tobacco smokers or use of tobacco within 3 months prior to screening.
  • Any condition possibly affecting drug absorption (e.g., gastrectomy, cholecystectomy).
  • History of regular alcohol consumption.
  • Receipt of any vaccine, an investigational agent or biological product within 28 days or 5 times the t½, whichever one is longer, prior to first dose.

Part 2 (CHB Population)

Inclusion Criteria (Nuc-Suppressed CHB Population)

  • An informed consent document signed and dated by the subject.

  • Healthy male and female subjects of any ethnic origin between the ages of 18 and 70 years, inclusive

  • HBsAg detectable in serum/plasma at Screening and in the most recent HBsAg serum/plasma testing at least 6 months previously.

  • HBV DNA levels:

    • A Screening HBV DNA level in serum/plasma that is <LLOQ and
    • No HBV DNA serum/plasma test values ≥LLOQ over the previous 12 months (using an approved test)
  • CHB subjects must have been on their prescribed HBV NUC treatment with no change in regimen for 12 months prior to Screening

Inclusion Criteria (Viremic CHB Population):

  • An informed consent document signed and dated by the subject.

  • Healthy male and female subjects of any ethnic origin between the ages of 18 and 70 years, inclusive

  • HBsAg detectable in serum/plasma at Screening and in the most recent HBsAg serum/plasma testing at least 6 months previously.

  • HBV DNA levels:

    • For subjects who are HBeAg positive at Screening, a Screening HBV DNA level in serum/plasma that is ≥20,000 IU/ml, or
    • For subjects who are HBeAg negative at Screening, a Screening HBV DNA level in serum/plasma that is ≥2,000 IU/mL, and
    • For all subjects, no HBV DNA serum/plasma test values <1,000 IU/ml over the previous 12 months (using an approved test)
  • CHB subjects must not have been on prescribed anti-HBV treatment, specifically pegIFN and/or NUC therapy for at least 12 months prior to Screening

Exclusion Criteria (Nuc-Suppressed and Viremic CHB Population):

  • A documented prior diagnosis of cirrhosis
  • Pregnant or nursing females
  • Coinfection with human immunodeficiency virus (HIV), HCV, HDV, HAV, or HEV
  • Chronic liver disease of a non-HBV etiology; coexisting liver or biliary diseases

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
EDP-721 HV SAD Placebo CohortPlacebo (Part 1)Matching placebo, in one single administration
EDP-721 HV MAD Placebo CohortPlacebo (Part 1)Matching placebo, once daily for 14 days
EDP-721+ EDP-514 HBV MAD CohortsEDP-721 (Part 2)EDP-721 once daily for 14 days followed by EDP-721+EDP-514 once daily for 28 days
EDP-721+ EDP-514 HBV MAD Placebo CohortsPlacebo (Part 2)Matching placebo once daily for 42 days
EDP-721+ EDP-514 HBV MAD CohortsEDP-514EDP-721 once daily for 14 days followed by EDP-721+EDP-514 once daily for 28 days
EDP-721 HV SAD CohortsEDP-721EDP-721 Dose 1, Dose 2, Dose 3 and Dose 4, in one single administration
EDP-721 HV MAD CohortsEDP-721EDP-721 Dose 1, Dose 2 and Dose 3, once daily for 14 days
Primary Outcome Measures
NameTimeMethod
Safety measured by adverse eventsUp to 98 Days in Viremic CHB MAD Cohorts
Secondary Outcome Measures
NameTimeMethod
Cmax of EDP-721Up to 18 Days in HV MAD Cohorts
AUC of EDP-721Up to 18 Days in HV MAD Cohorts
Cmax of EDP-721 alone and in combination with EDP-514Up to 28 Days in All CHB MAD Cohorts
Cmax of EDP-514 in combination with EDP-721Up to 28 Days in All CHB MAD Cohorts
AUC of EDP-721 alone and in combination with EDP-514Up to 28 Days in All CHB MAD Cohorts
AUC of EDP-514 in combination with EDP-721Up to 28 Days in All CHB MAD Cohorts
Change from baseline in HBV DNA Viral Load AssayThrough Day 28 in All CHB MAD Cohorts
Change from baseline in quantitative HBsAgThrough Day 28 in All CHB MAD Cohorts

Trial Locations

Locations (1)

New Zealand Clinical Research Ltd

🇳🇿

Auckland, New Zealand

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