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Phase 1/2 study of IMC-I109V in non-cirrhotic HBeAg-negative chronic HBV infectio

Phase 1
Conditions
chronic hepatitis B virus (HBV) infection
MedDRA version: 20.0Level: LLTClassification code 10019182Term: HBVSystem Organ Class: 100000004848
MedDRA version: 20.0Level: LLTClassification code 10019743Term: Hepatitis B virus (HBV)System Organ Class: 100000004848
Therapeutic area: Diseases [C] - Virus Diseases [C02]
Registration Number
EUCTR2019-004212-64-RO
Lead Sponsor
Immunocore Ltd
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
80
Inclusion Criteria

1. Aged 18 to 55 years inclusive, at the time of signing the informed consent.
2. HLA-A*02:01 positive (central laboratory testing)
3. Documented evidence of CHB based on one of the following:
a. Positive HBsAg and HBV DNA at least 6 months prior to the screening visit; OR
b. Historical liver biopsy consistent with CHB infection available.
4. If previously HBeAg-positive, participants must be HBeAg-negative at the screening visit and have historical HBeAg-negative status >3 months prior to the screening visit available for review.
5. Have been receiving entecavir and/or tenofovir (including tenofovir alafenamide) for = 12 months prior to screening and are willing to continue.
6. HBV DNA negative (below the LLOQ) at screening
7. Quantitative HBV surface antigen = 1000 IU/mL at the screening visit. Participants with HBsAg levels = 1000 IU/mL and = 3000 IU/mL may be eligible after consultation with, and approval by, the Sponsor’s Medical Monitor.
8. All participants must have no history of liver cirrhosis AND prior assessment of fibrosis demonstrating non-cirrhotic status at screening as defined by one of the following:
a. Liver biopsy demonstrating a Metavir Fibrosis Score of F0-2 (or equivalent); OR
b. Fibroscan® result of < 9 kPa.
NOTE: A confirmatory Fibroscan® is required within 6 months prior to Day 1.
9. Liver imaging confirming absence of clinically significant abnormalities is required within 6 months prior to Day 1.
10. Male and female participants of childbearing potential who are sexually active with a nonsterilized partner must agree to use highly effective methods of birth control from the trial screening date until 3 months after the final dose of the study intervention or longer if required by local regulations; cessation of birth control after this point should be discussed with a responsible physician. *Male participants are not allowed to donate sperm from the time of enrollment until 3 months post-administration of study interventions or longer if required by local regulations.
*Female participants must refrain from egg donation during the course of the study
11. Capable of giving signed informed consent
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 80
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Medical Conditions
1. Known co-infection with any of the following:
a. HIV
b. Hepatitis C virus OR
c. Hepatitis D virus
2. Changes in HBeAg status within 3 months prior to the screening visit
3. Known HBV genotype A
4. History of HCC
5. Gilbert’s syndrome
6. Any known pre-existing medical or psychiatric condition that could interfere with the participant’s ability to provide informed consent or participate in study conduct, or that may confound study findings
7. Significant immunosuppression from, but not limited to immunodeficiency conditions
such as common variable hypogammaglobulinemia
8. Evidence of active or suspected malignancy, or a history of malignancy = 3 years prior to
the screening visit (except adequately treated carcinoma in situ and basal cell carcinoma
of the skin). NOTE: Participants under evaluation for malignancy are not eligible
9. Known or suspected hypersensitivity or previous severe reactions to any of the constituents of IMC-I109V, or the drugs used in the pre-treatment regimen (eg, dexamethasone, ibuprofen and paracetamol)
10. Pregnant or lactating women
Prior/Concomitant Therapy
11. Receiving or planning to receive systemic immunosuppressive medications during the study or = 2 months prior to Day 1, including but not limited to prednisone > 10 mg/day (or equivalent), methotrexate, cyclosporine, or interferon. NOTE: Local steroid therapy are allowed (eg, inhaled, otic, ophthalmic, or intra-articular medications).
Prior/Concurrent Clinical Study Experience
12. Use of any live vaccines against infectious diseases within 4 weeks of the first planned administration of study intervention or use of any non-live vaccines against infectious diseases within 2 weeks of the first planned administration of study intervention.
13. Treatment with any investigational drug or enrollment in any other clinical study = 6 months prior to Day 1, or at any time during participation in the study
Laboratory Exclusion Criteria
14. If any of the laboratory exclusion criteria are met, then the site may have the participant retested. If a single value is within ±10% of the listed laboratory exclusion criterion value upon retest, and the value is considered to be not clinically significant by the physician investigator, the participant may be considered for enrollment.
Other Exclusions
15. Clinical diagnosis of substance abuse with alcohol, narcotics, or cocaine = 12 months prior to the screening visit, except for those participants monitored in an opioid substitution maintenance program
16. Poor venous access that precludes routine peripheral blood sampling or intravenous (IV) infusion required for this study
17. Participants who have a planned need for anesthesia for outpatient surgery or any other reasons during the study
18. Employed as site personnel directly involved with this study

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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