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A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CB06-036 in Subjects With Chronic Hepatitis B

Primary Purpose

Chronic Hepatitis b

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
CB06-036
Placebo
Sponsored by
Shanghai Zhimeng Biopharma, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis b focused on measuring Chronic Hepatitis b

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: 1. Provide written informed consent before any study assessment is performed. 2. Male or nonpregnant, nonlactating female between the ages of 18 and 65 years (inclusive) at screening. Females of childbearing potential (as defined in Appendix 3) must have a negative serum pregnancy test at screening and a negative urine pregnancy test at baseline prior to enrollment. and agree to use 2 methods of birth control. Methods must include Protocol CONFIDENTIAL Labcorp Drug Development Study: 000000244098 Protocol Reference: CB06-036-102 Protocol Version 1.0, 24 January 2023 Page 7 of 68 1 highly effective method with a secondary method of birth control during the study and for 3 months following the last dose of CB06-036. These methods are defined in Appendix 3. Note: Females must agree not to breastfeed during the study and 30 days after receiving the last administration of CB06-036 and not to donate eggs (ova, oocytes) for assisted reproduction during the study and 90 days after receiving the last administration of CB06-036. Females of nonchildbearing potential defined as permanently sterile (ie, due to hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) or postmenopausal, as defined in Appendix 3. Males with a female partner(s) of childbearing potential will agree to use contraception as detailed in Appendix 3. Male subjects must not donate sperm during the study and for at least 90 days after the last administration of CB06-036. 3. Documented evidence of chronic HBV infection (eg, HBsAg positive for more than 6 months) with detectable HBsAg level at screening. Cohort 4 only: qHBsAg should be <3000 IU/mL. 4. Have been on commercially available HBV NA treatment(s) (tenofovir alafenamide, tenofovir disoproxil fumarate, entecavir, either as a single agent or in combination) for at least 6 months with no change in regimen for 3 months prior to screening. 5. HBV DNA <90 IU/mL; measured at least once by local laboratory assessment within 6 months prior to screening. 6. HBV DNA <90 IU/mL at screening. 7. HBeAg Status (Cohorts 1 to 3): HBeAg-positive or negative, Cohort 4 only: HBeAg-negative. 8. Body mass index (BMI) of 18.0 to 32.0 kg/m2 (inclusive), and a total body weight ≥50.0 kg for males and ≥45.0 kg for females at screening. 9. Electrocardiogram (ECG) without clinically significant abnormalities and with QT interval corrected using Fridericia's formula (QTcF) ≤450 msec for males and ≤470 msec for females at screening. 10. Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures as specified in the protocol. Exclusion Criteria: 1. CHB patients with extensive bridging fibrosis or cirrhosis (METAVIR ≥3 or Ishak ≥4 by a liver biopsy within 5 years, FibroTest score >0.48 and APRI >1, or a historic FibroScan >9 kPa within 6 months prior to screening). 2. Subjects met any of the following laboratory parameters at screening: hemoglobin <12 g/dL (for males) or <11 g/dL (for females) white blood cell count <2500 cells/mm3 Protocol CONFIDENTIAL Labcorp Drug Development Study: 000000244098 Protocol Reference: CB06-036-102 Protocol Version 1.0, 24 January 2023 Page 8 of 68 neutrophil count <1500 cells/mm3 (or <1000 cells/mm3 if considered a physiological variant in a subject of African descent) ALT >2 × ULN INR >ULN unless the subject is stable on an anticoagulant regimen affecting INR albumin <3.5 g/dL direct bilirubin >1.5 × ULN platelet Count <100,000/μL estimated creatinine clearance (CrCl) <60 mL/min (using the Cockcroft-Gault method). 3. Active systemic infections (other than common cold) within 2 weeks before randomization. 4. At screening, known history of lymphoma, leukemia, or malignancy within the past 5 years, except for squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years. 5. History or presence of a medical condition associated with liver disease other than HBV infection (eg, hemochromatosis, autoimmune hepatitis, alcoholic liver disease, toxin exposure, thalassemia, nonalcoholic steatohepatitis). Other known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). 6. Personal or family history or symptomatology indicative of a risk of immune-mediated disease (eg, inflammatory bowel disease, idiopathic thrombocytopenic purpura, lupus erythematosus, autoimmune hemolytic anemia, scleroderma, severe psoriasis, rheumatoid arthritis, autoimmune uveitis, multiple sclerosis). 7. Received solid organ or bone marrow transplant. 8. Received prolonged systemic therapy with immunomodulators (eg, corticosteroids) or biologics (eg, monoclonal antibody, interferon) within 3 months of screening. 9. Blood donation of approximately 500 mL within 56 days prior to first administration of study drug, plasma from 2 weeks prior to screening, or platelets from 6 weeks prior to screening. 10. Have a known history of asthma. Note: Subjects with resolved childhood asthma with no history of hospitalization due to asthma are allowed. 11. Are currently enrolled in, or discontinued from, a clinical trial involving an investigational product or non-approved drug within the last 4 weeks or at least 5 half-lives of the last dosing; or concurrently enrolled in any other types of medical research judged not to be scientifically or medically compatible with this study. 12. Have had a live vaccination within 12 weeks before randomization, or intend to have a live vaccination during the course of the study, or have participated in a vaccine clinical trial within 12 weeks prior to randomization. Investigators should review the vaccination status of the subjects and follow the local guidelines for adult vaccination Protocol CONFIDENTIAL Labcorp Drug Development Study: 000000244098 Protocol Reference: CB06-036-102 Protocol Version 1.0, 24 January 2023 Page 9 of 68 with non-live vaccines intended to prevent infectious disease prior to first administration of study drug. 13. Co-infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis D virus (HDV). • Subjects who are HCV Ab positive, but have a documented negative HCV RNA, are eligible. 14. Abnormal clinical laboratory values at screening that, in the opinion of the investigator, pose an unacceptable risk to the subject or of interfering with the interpretation of study results if participating in the study. 15. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin laboratory test at screening or at Days -7 to -4. 16. Have any other condition that precludes the subject from following and completing the protocol in the opinion of the investigator. 17. Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, retinal, or psychiatric disorder, as determined by the investigator (or designee). 18. History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and hernia repair will be allowed). 19. Use or intend to use any nonprescription medications or products including vitamins, minerals, and herbal supplements (ie, traditional Chinese medicine), protein powders or fish oils preparations within 7 days prior to screening, considered to potentially impact subject safety or the objectives of the study, as determined by the investigator (or designee). 20. Alcohol consumption of >21 units per week for males and >14 units for females. One unit of alcohol equals 12 oz (360 mL) beer, 1½ oz (45 mL) liquor, or 5 oz (150 mL) wine. 21. Ingestion of Seville orange-, or grapefruit-containing foods or beverages within 7 days prior to screening.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm 7

    Arm 8

    Arm Type

    Experimental

    Placebo Comparator

    Experimental

    Placebo Comparator

    Experimental

    Placebo Comparator

    Experimental

    Placebo Comparator

    Arm Label

    CB06-036 Cohort 1

    Placebo Cohort 1

    CB06-036 Cohort 2

    Placebo Cohort 2

    CB06-036 Cohort 3

    Placebo Cohort 3

    CB06-036 Cohort 4

    Placebo Cohort 4

    Arm Description

    CB06-036 1.5 mg once weekly

    Placebo 1.5 mg once weeky

    CB06-036 3.0 mg once weekly

    Placebo 3.0 mg once weekly

    CB06-036 1.5 mg twice-a-week, for 4 weeks

    Placebo 3.0 mg twice-a-week, for 4 weeks

    CB06-036 3.0 mg once weekly for 4 weeks

    Placebo 3.0 mg once weekly for 4 weeks

    Outcomes

    Primary Outcome Measures

    To evaluate the safety and tolerability of CB06-036 following multiple oral dose administration of CB06-036 in virally suppressed subjects with CHB.
    Number of participants with treatment-related adverse events as assessed by CTCAE V5.0 or higher

    Secondary Outcome Measures

    Maximum Plasma Concentration (Cmax) of CB06-036 following multiple oral dose administration in virally suppressed subjects with CHB.
    Plasma will be collected at multiple timepoints from within 30 minutes pre-dose to 24 hours post-dose
    Area Under the Plasma Concentration Versus Time Curve (AUC) of CB06-036
    Plasma will be collected at multiple timepoints from within 30 minutes pre-dose to 24 hours post-dose
    The following inflammatory cytokines and chemokines will be analyzed in serum: CCL11 (Eotaxin-1), CCL2 (MCP1), CCL20 (MIP3α), CCL4 (MIP1ß), CCL8 (MCP2), CRP, CXCL10 (IP10), CXCL8 (IL-8), CXCL9 (MIG), IFN-γ, IL-12p40, IL-12p70, IL-1RA, SAA, TNF-α
    Blood samples will be collected on Day 1 at pre-dose and at 8, 24, 72 hours post-dose of the last dose of study drug

    Full Information

    First Posted
    April 12, 2023
    Last Updated
    April 12, 2023
    Sponsor
    Shanghai Zhimeng Biopharma, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05828745
    Brief Title
    A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CB06-036 in Subjects With Chronic Hepatitis B
    Official Title
    A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Multiple Ascending Doses of CB06-036 in Subjects With Chronic Hepatitis B
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    August 1, 2023 (Anticipated)
    Primary Completion Date
    March 27, 2024 (Anticipated)
    Study Completion Date
    March 30, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Shanghai Zhimeng Biopharma, Inc.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    CB06-036 is an investigational drug developed by Shanghai Zhimeng Biopharma Inc. for the treatment of Chronic Hepatitis B.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Hepatitis b
    Keywords
    Chronic Hepatitis b

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Sequential Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    40 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    CB06-036 Cohort 1
    Arm Type
    Experimental
    Arm Description
    CB06-036 1.5 mg once weekly
    Arm Title
    Placebo Cohort 1
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo 1.5 mg once weeky
    Arm Title
    CB06-036 Cohort 2
    Arm Type
    Experimental
    Arm Description
    CB06-036 3.0 mg once weekly
    Arm Title
    Placebo Cohort 2
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo 3.0 mg once weekly
    Arm Title
    CB06-036 Cohort 3
    Arm Type
    Experimental
    Arm Description
    CB06-036 1.5 mg twice-a-week, for 4 weeks
    Arm Title
    Placebo Cohort 3
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo 3.0 mg twice-a-week, for 4 weeks
    Arm Title
    CB06-036 Cohort 4
    Arm Type
    Experimental
    Arm Description
    CB06-036 3.0 mg once weekly for 4 weeks
    Arm Title
    Placebo Cohort 4
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo 3.0 mg once weekly for 4 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    CB06-036
    Intervention Description
    CB06-036 capsule
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo capsule
    Primary Outcome Measure Information:
    Title
    To evaluate the safety and tolerability of CB06-036 following multiple oral dose administration of CB06-036 in virally suppressed subjects with CHB.
    Description
    Number of participants with treatment-related adverse events as assessed by CTCAE V5.0 or higher
    Time Frame
    From the signing of the consent form until 90 days following the last dose of the study drug
    Secondary Outcome Measure Information:
    Title
    Maximum Plasma Concentration (Cmax) of CB06-036 following multiple oral dose administration in virally suppressed subjects with CHB.
    Description
    Plasma will be collected at multiple timepoints from within 30 minutes pre-dose to 24 hours post-dose
    Time Frame
    From 30 minutes pre-dose to 24 hours post-dose
    Title
    Area Under the Plasma Concentration Versus Time Curve (AUC) of CB06-036
    Description
    Plasma will be collected at multiple timepoints from within 30 minutes pre-dose to 24 hours post-dose
    Time Frame
    From 30 minutes pre-dose to 24 hours post-dose
    Title
    The following inflammatory cytokines and chemokines will be analyzed in serum: CCL11 (Eotaxin-1), CCL2 (MCP1), CCL20 (MIP3α), CCL4 (MIP1ß), CCL8 (MCP2), CRP, CXCL10 (IP10), CXCL8 (IL-8), CXCL9 (MIG), IFN-γ, IL-12p40, IL-12p70, IL-1RA, SAA, TNF-α
    Description
    Blood samples will be collected on Day 1 at pre-dose and at 8, 24, 72 hours post-dose of the last dose of study drug
    Time Frame
    From pre-dose to 72 hours post-dose of the last dose of study drug

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: 1. Provide written informed consent before any study assessment is performed. 2. Male or nonpregnant, nonlactating female between the ages of 18 and 65 years (inclusive) at screening. Females of childbearing potential (as defined in Appendix 3) must have a negative serum pregnancy test at screening and a negative urine pregnancy test at baseline prior to enrollment. and agree to use 2 methods of birth control. Methods must include Protocol CONFIDENTIAL Labcorp Drug Development Study: 000000244098 Protocol Reference: CB06-036-102 Protocol Version 1.0, 24 January 2023 Page 7 of 68 1 highly effective method with a secondary method of birth control during the study and for 3 months following the last dose of CB06-036. These methods are defined in Appendix 3. Note: Females must agree not to breastfeed during the study and 30 days after receiving the last administration of CB06-036 and not to donate eggs (ova, oocytes) for assisted reproduction during the study and 90 days after receiving the last administration of CB06-036. Females of nonchildbearing potential defined as permanently sterile (ie, due to hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) or postmenopausal, as defined in Appendix 3. Males with a female partner(s) of childbearing potential will agree to use contraception as detailed in Appendix 3. Male subjects must not donate sperm during the study and for at least 90 days after the last administration of CB06-036. 3. Documented evidence of chronic HBV infection (eg, HBsAg positive for more than 6 months) with detectable HBsAg level at screening. Cohort 4 only: qHBsAg should be <3000 IU/mL. 4. Have been on commercially available HBV NA treatment(s) (tenofovir alafenamide, tenofovir disoproxil fumarate, entecavir, either as a single agent or in combination) for at least 6 months with no change in regimen for 3 months prior to screening. 5. HBV DNA <90 IU/mL; measured at least once by local laboratory assessment within 6 months prior to screening. 6. HBV DNA <90 IU/mL at screening. 7. HBeAg Status (Cohorts 1 to 3): HBeAg-positive or negative, Cohort 4 only: HBeAg-negative. 8. Body mass index (BMI) of 18.0 to 32.0 kg/m2 (inclusive), and a total body weight ≥50.0 kg for males and ≥45.0 kg for females at screening. 9. Electrocardiogram (ECG) without clinically significant abnormalities and with QT interval corrected using Fridericia's formula (QTcF) ≤450 msec for males and ≤470 msec for females at screening. 10. Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures as specified in the protocol. Exclusion Criteria: 1. CHB patients with extensive bridging fibrosis or cirrhosis (METAVIR ≥3 or Ishak ≥4 by a liver biopsy within 5 years, FibroTest score >0.48 and APRI >1, or a historic FibroScan >9 kPa within 6 months prior to screening). 2. Subjects met any of the following laboratory parameters at screening: hemoglobin <12 g/dL (for males) or <11 g/dL (for females) white blood cell count <2500 cells/mm3 Protocol CONFIDENTIAL Labcorp Drug Development Study: 000000244098 Protocol Reference: CB06-036-102 Protocol Version 1.0, 24 January 2023 Page 8 of 68 neutrophil count <1500 cells/mm3 (or <1000 cells/mm3 if considered a physiological variant in a subject of African descent) ALT >2 × ULN INR >ULN unless the subject is stable on an anticoagulant regimen affecting INR albumin <3.5 g/dL direct bilirubin >1.5 × ULN platelet Count <100,000/μL estimated creatinine clearance (CrCl) <60 mL/min (using the Cockcroft-Gault method). 3. Active systemic infections (other than common cold) within 2 weeks before randomization. 4. At screening, known history of lymphoma, leukemia, or malignancy within the past 5 years, except for squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years. 5. History or presence of a medical condition associated with liver disease other than HBV infection (eg, hemochromatosis, autoimmune hepatitis, alcoholic liver disease, toxin exposure, thalassemia, nonalcoholic steatohepatitis). Other known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). 6. Personal or family history or symptomatology indicative of a risk of immune-mediated disease (eg, inflammatory bowel disease, idiopathic thrombocytopenic purpura, lupus erythematosus, autoimmune hemolytic anemia, scleroderma, severe psoriasis, rheumatoid arthritis, autoimmune uveitis, multiple sclerosis). 7. Received solid organ or bone marrow transplant. 8. Received prolonged systemic therapy with immunomodulators (eg, corticosteroids) or biologics (eg, monoclonal antibody, interferon) within 3 months of screening. 9. Blood donation of approximately 500 mL within 56 days prior to first administration of study drug, plasma from 2 weeks prior to screening, or platelets from 6 weeks prior to screening. 10. Have a known history of asthma. Note: Subjects with resolved childhood asthma with no history of hospitalization due to asthma are allowed. 11. Are currently enrolled in, or discontinued from, a clinical trial involving an investigational product or non-approved drug within the last 4 weeks or at least 5 half-lives of the last dosing; or concurrently enrolled in any other types of medical research judged not to be scientifically or medically compatible with this study. 12. Have had a live vaccination within 12 weeks before randomization, or intend to have a live vaccination during the course of the study, or have participated in a vaccine clinical trial within 12 weeks prior to randomization. Investigators should review the vaccination status of the subjects and follow the local guidelines for adult vaccination Protocol CONFIDENTIAL Labcorp Drug Development Study: 000000244098 Protocol Reference: CB06-036-102 Protocol Version 1.0, 24 January 2023 Page 9 of 68 with non-live vaccines intended to prevent infectious disease prior to first administration of study drug. 13. Co-infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis D virus (HDV). • Subjects who are HCV Ab positive, but have a documented negative HCV RNA, are eligible. 14. Abnormal clinical laboratory values at screening that, in the opinion of the investigator, pose an unacceptable risk to the subject or of interfering with the interpretation of study results if participating in the study. 15. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin laboratory test at screening or at Days -7 to -4. 16. Have any other condition that precludes the subject from following and completing the protocol in the opinion of the investigator. 17. Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, retinal, or psychiatric disorder, as determined by the investigator (or designee). 18. History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and hernia repair will be allowed). 19. Use or intend to use any nonprescription medications or products including vitamins, minerals, and herbal supplements (ie, traditional Chinese medicine), protein powders or fish oils preparations within 7 days prior to screening, considered to potentially impact subject safety or the objectives of the study, as determined by the investigator (or designee). 20. Alcohol consumption of >21 units per week for males and >14 units for females. One unit of alcohol equals 12 oz (360 mL) beer, 1½ oz (45 mL) liquor, or 5 oz (150 mL) wine. 21. Ingestion of Seville orange-, or grapefruit-containing foods or beverages within 7 days prior to screening.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CB06-036 in Subjects With Chronic Hepatitis B

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