Clinical Efficacy of ABX203 Therapeutic Vaccine in HBeAg Negative Patients With Chronic Hepatitis B
Phase IIB-III Efficacy Study of ABX203 Vaccine as an Adjunct Therapy to Nucleos(t)Ide Analogs to Maintain Control of HBV Replication After Cessation of Treatment in HBeAg Negative Patients With Chronic Hepatitis B
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
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Camperdown, Australia, 2050
- Royal Prince Alfred Hospital
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Clayton, Australia, 3168
- Monash Medical Centre Clayton
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Fitzroy, Australia, 3065
- St Vincent's Hospital Melbourne
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Heidelberg, Australia, 3084
- Austin Hospital
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Liverpool, Australia, 2170
- Liverpool Hospital
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Melbourne, Australia, 3004
- The Alfred Hospital
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Parkville, Australia, 3050
- Royal Melbourne Hospital
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Perth, Australia, 6000
- Royal Perth Hospital
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Westmead, Australia, 2145
- Westmead Hospital
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Auckland, New Zealand, 1023
- Auckland City Hospital
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Hamilton West, New Zealand, 3240
- Waikato Hospital
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Wellington, New Zealand, 6021
- Wellington Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female subject between 18 and 65 years of age at the time of randomization.
- Must be HBeAg negative and anti-HBe Abs positive for at least 1 year prior to screening and at screening.
- Has HBV DNA < 40 IU/mL for at least 1 year prior to screening and at screening
- Has both ALT and AST levels ≤ ULN for at least 1 year prior to screening and at screening.
- Must be HBsAg positive at screening.
- Has been treated with NUCs for at least 2 years prior to screening.
- Has not been treated with PEG-IFN or IFN for at least 1 year prior to screening.
- For all females, must have a negative serum pregnancy test at screening. For female of childbearing potential, must have been using adequate contraception and must agree to continue to use it during all study period and for 6 months after completion of the study product administration.
- Has provided written informed consent.
Exclusion Criteria:
- Has elevated blood levels of alpha-fetoprotein (AFP) (> 500 ng/mL).
Has cirrhosis, defined as
- platelet count < 150,000/mm3, with esophageal varices on imaging and spleen size > 12, or
- liver stiffness of 11 kilopascal [kPa] as measured by elastography using FibroScan® or .an AST to Platelet Ratio Index (APRI) > 2).
- Has hepatocellular carcinoma (HCC) (diagnosed by ultrasonography).
- Has liver decompensation (albumin < 3.5 g/dL and bilirubin ≥1.3 mg/dL).
- Is Hepatitis C virus (HCV) Ab positive at screening.
- Is Hepatitis delta virus (HDV) Ab positive at screening.
- Is Human Immunodeficiency Virus (HIV) Ab positive at screening.
- Has an immune suppressive disorder or treatment with immunosuppressive drugs.
- Has been treated with corticosteroids within 12 weeks prior to the first administration of study product, with the exception of topical or inhaled corticosteroids.
- Has been treated with rituximab.
- Has other hepatic diseases of different etiology (such as auto-immune hepatitis, toxic hepatitis, Wilson disease, alcoholic or hemochromatosis).
- Has a history of allergic disease or reactions likely to be exacerbated by any component of the study products.
- Has a history of a substance abuse (drug or alcohol) problem within the previous 3 years.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Group 1 - ABX203 therapeutic Hepatitis B vaccine treatment arm
ABX203 therapeutic vaccine in addition to NUCs background therapy
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No Intervention: Group 2 - Control arm
NUCs background therapy only
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percentage of subjects with viral load < 40 IU/mL at Week 48.
Time Frame: Week 48
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Week 48
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Clinical response defined as changes in viral load, liver function, time to relapse
Time Frame: Week 48 and Week 96
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Week 48 and Week 96
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Immune response defined as T-cell response by ICS (CD4 and CD8 to HBcAg and HBsAg)
Time Frame: Week 48
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Week 48
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Safety assessment will be conducted throughout the study and will include physical examinations, vital signs, clinical laboratory évaluations, and the recording of AEs
Time Frame: Participants will be followed for the duration of their study participation up to 96 weeks
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Participants will be followed for the duration of their study participation up to 96 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Liver Diseases
- Hepatitis, Viral, Human
- Hepadnaviridae Infections
- DNA Virus Infections
- Enterovirus Infections
- Picornaviridae Infections
- Hepatitis B
- Hepatitis
- Hepatitis A
- Hepatitis B, Chronic
- Hepatitis, Chronic
Other Study ID Numbers
Other Study ID Numbers
- ABX203-002
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