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Dose-Escalation Prime/Boost Therapeutic Vaccination Study Of 2 Chimp Adenoviral Vectors in Adults With Chronic HBV On Nucleos(t)Ide Therapy

Primary Purpose

Chronic Hepatitis B

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
VRON-0200-AdC6
VRON-0200-AdC7
Sponsored by
Virion Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis B focused on measuring Hep B, Chronic Hep B, HBV, Hepatitis B Virus, Chronic Hepatitis B Virus, CHB, VRON-0200, Virion, therapeutic vaccine

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Documented chronic HBV infection (eg, HBsAg+ ≥ 6 months with detectable HBsAg at screening) Receipt of either entecavir, tenofovir (tenofovir alafenamide fumarate or tenofovir disoproxil fumarate), or lamivudine for at least 12 months before screening with no reported antiviral resistance during this time; still on treatment at screening and expected to stay on therapy during the study period Virally suppressed for > 12 months (HBV DNA < 40 IU/mL) No clinical diagnosis of advanced liver fibrosis and/or cirrhosis Exclusion Criteria: History of hepatic decompensation, advanced fibrosis, or liver transplantation History of hepatocellular carcinoma History of risk factors for thrombosis and thrombocytopenia Documented hepatitis A, hepatitis C, hepatitis D, hepatitis E, or HIV (or history of prior active disease) Pregnant, nursing, or planning a pregnancy during the trial

Sites / Locations

  • Chinese University of Hong KongRecruiting
  • Auckland City HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1a: Low Dose VRON-0200-AdC7 Prime, VRON-0200-AdC6 Boost

Cohort 1b: Low Dose VRON-0200-AdC6 Prime, No Boost

Cohort 2a: High Dose VRON-0200-AdC7 Prime, VRON-0200-AdC6 Boost

Cohort 2b: High Dose VRON-0200-AdC6 Prime, No Boost

Arm Description

Participants assigned to Cohort 1a will receive a low dose prime vaccination of AdC7 vector on Day 1. They will receive a low dose boost vaccination of vector AdC6 on Day 91.

Participants assigned to Cohort 1b will receive a low dose prime vaccination of AdC6 vector on Day 1. They will not receive a booster vaccination.

Participants assigned to Cohort 2a will receive a high dose prime vaccination of AdC7 vector on Day 1. They will receive a high dose boost vaccination of AdC6 vector on Day 91.

Participants assigned to Cohort 2b will receive a high dose prime vaccination of AdC6 vector on Day 1. They will not receive a booster vaccination.

Outcomes

Primary Outcome Measures

Treatment Emergent Adverse Events
Number and percent of participants with 1 or more treatment-emergent adverse events within 28 days after each therapeutic vaccine dose by cohort.
Grade 3 Adverse Events
Number and percent of participants with Grade 3 or higher local and/or systemic reactions within 28 days after each therapeutic vaccine dose by cohort.
Clinically Significant Changes in Lab Values
Number and percent of participants with clinically significant changes from pre-vaccination laboratory values within 28 days after each therapeutic vaccine dose by cohort.
Serious Adverse Events
Number and percent of participants with serious adverse events within 6 months after each therapeutic vaccine dose by cohort.
Medically Attended Adverse Events
Number and percent of participants with medically attended adverse events within 6 months after each therapeutic vaccine dose by cohort.

Secondary Outcome Measures

Adverse Events
Number and percentage of adverse events for all participants through Day 360.
T Cell Frequencies
Change from baseline in vaccine-induced CD8+ T cell frequencies in the blood.

Full Information

First Posted
September 20, 2023
Last Updated
October 6, 2023
Sponsor
Virion Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT06070051
Brief Title
Dose-Escalation Prime/Boost Therapeutic Vaccination Study Of 2 Chimp Adenoviral Vectors in Adults With Chronic HBV On Nucleos(t)Ide Therapy
Official Title
A Phase 1b Multi-Center, Open-Label, Dose-Escalation, Prime And Boost Vaccination Evaluation of VRON-0200 Using Two Chimpanzee Adenoviral Vectors in Adult Participants With Chronic HBV Infection Who Are Currently Receiving HBV Nucleos(t)Ide Reverse Transcriptase Inhibitors
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 26, 2023 (Actual)
Primary Completion Date
July 23, 2024 (Anticipated)
Study Completion Date
January 23, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Virion Therapeutics

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This Phase 1b clinical study is a multi-center, open-label, dose escalation, prime only, and prime plus boost therapeutic vaccination study of 2 distinct chimpanzee adenoviral vectors (AdC6 and AdC7), containing parts of hepatitis B virus (HBV) core and polymerase antigens fused within glycoprotein D in a cohort of chronic hepatitis B (CHB)-infected adult participants who are currently receiving entecavir, tenofovir (tenofovir alafenamide fumarate or tenofovir disoproxil fumarate), or lamivudine, with documented HBV viral load suppression for at least 12 months. Approximately 24 participants will be enrolled in Group 1 and randomized to Cohort 1a or Cohort 1b. Those assigned to Cohort 1a will receive a low dose prime therapeutic vaccination of vector AdC7 on Day 1, followed by a booster vaccination on Day 91 using vector AdC6. Those assigned to Cohort 1b will receive a low dose prime therapeutic vaccination of vector AdC6 on Day 1, and will not receive a booster vaccination. Group 2 will then enroll approximately 24 participants randomized to Cohort 2a or Cohort 2b. Those assigned to Cohort 2a will receive a high dose prime therapeutic vaccination of vector AdC7 on Day 1, followed by a booster vaccination on Day 91 using vector AdC6. Those assigned to Cohort 2b will receive a high dose prime therapeutic vaccination of vector AdC6 on Day 1, and will not receive a booster vaccination. All vaccine doses will be administered by intramuscular (IM) injection. All study participants will be followed for a total of 1 year post-prime vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis B
Keywords
Hep B, Chronic Hep B, HBV, Hepatitis B Virus, Chronic Hepatitis B Virus, CHB, VRON-0200, Virion, therapeutic vaccine

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
48 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1a: Low Dose VRON-0200-AdC7 Prime, VRON-0200-AdC6 Boost
Arm Type
Experimental
Arm Description
Participants assigned to Cohort 1a will receive a low dose prime vaccination of AdC7 vector on Day 1. They will receive a low dose boost vaccination of vector AdC6 on Day 91.
Arm Title
Cohort 1b: Low Dose VRON-0200-AdC6 Prime, No Boost
Arm Type
Experimental
Arm Description
Participants assigned to Cohort 1b will receive a low dose prime vaccination of AdC6 vector on Day 1. They will not receive a booster vaccination.
Arm Title
Cohort 2a: High Dose VRON-0200-AdC7 Prime, VRON-0200-AdC6 Boost
Arm Type
Experimental
Arm Description
Participants assigned to Cohort 2a will receive a high dose prime vaccination of AdC7 vector on Day 1. They will receive a high dose boost vaccination of AdC6 vector on Day 91.
Arm Title
Cohort 2b: High Dose VRON-0200-AdC6 Prime, No Boost
Arm Type
Experimental
Arm Description
Participants assigned to Cohort 2b will receive a high dose prime vaccination of AdC6 vector on Day 1. They will not receive a booster vaccination.
Intervention Type
Biological
Intervention Name(s)
VRON-0200-AdC6
Intervention Description
VRON-0200 chimpanzee adenovirus serotype 6 vaccine vector
Intervention Type
Biological
Intervention Name(s)
VRON-0200-AdC7
Intervention Description
VRON-0200 chimpanzee adenovirus serotype 7 vaccine vector
Primary Outcome Measure Information:
Title
Treatment Emergent Adverse Events
Description
Number and percent of participants with 1 or more treatment-emergent adverse events within 28 days after each therapeutic vaccine dose by cohort.
Time Frame
28 days
Title
Grade 3 Adverse Events
Description
Number and percent of participants with Grade 3 or higher local and/or systemic reactions within 28 days after each therapeutic vaccine dose by cohort.
Time Frame
28 days
Title
Clinically Significant Changes in Lab Values
Description
Number and percent of participants with clinically significant changes from pre-vaccination laboratory values within 28 days after each therapeutic vaccine dose by cohort.
Time Frame
28 days
Title
Serious Adverse Events
Description
Number and percent of participants with serious adverse events within 6 months after each therapeutic vaccine dose by cohort.
Time Frame
6 months
Title
Medically Attended Adverse Events
Description
Number and percent of participants with medically attended adverse events within 6 months after each therapeutic vaccine dose by cohort.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Adverse Events
Description
Number and percentage of adverse events for all participants through Day 360.
Time Frame
360 days
Title
T Cell Frequencies
Description
Change from baseline in vaccine-induced CD8+ T cell frequencies in the blood.
Time Frame
360 days
Other Pre-specified Outcome Measures:
Title
Hepatitis B Virus DNA
Description
Quantitative changes from baseline over time in HBV DNA
Time Frame
360 days
Title
Hepatitis B Virus Pregenomic RNA
Description
Quantitative changes from baseline over time in HBV pgRNA
Time Frame
360 days
Title
Hepatitis B Surface Antigen
Description
Quantitative changes from baseline over time in HBsAg
Time Frame
360 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Documented chronic HBV infection (eg, HBsAg+ ≥ 6 months with detectable HBsAg at screening) Receipt of either entecavir, tenofovir (tenofovir alafenamide fumarate or tenofovir disoproxil fumarate), or lamivudine for at least 12 months before screening with no reported antiviral resistance during this time; still on treatment at screening and expected to stay on therapy during the study period Virally suppressed for > 12 months (HBV DNA < 40 IU/mL) No clinical diagnosis of advanced liver fibrosis and/or cirrhosis Exclusion Criteria: History of hepatic decompensation, advanced fibrosis, or liver transplantation History of hepatocellular carcinoma History of risk factors for thrombosis and thrombocytopenia Documented hepatitis A, hepatitis C, hepatitis D, hepatitis E, or HIV (or history of prior active disease) Pregnant, nursing, or planning a pregnancy during the trial
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Tony Baca, MBA
Phone
1-800-841-9303
Email
tbaca@viriontx.com
First Name & Middle Initial & Last Name or Official Title & Degree
Sue Currie, PhD
Phone
1-800-841-9303
Email
scurrie@viriontx.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sue Currie, PhD
Organizational Affiliation
Virion Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Chinese University of Hong Kong
City
Hong Kong
Country
Hong Kong
Individual Site Status
Recruiting
Facility Name
Auckland City Hospital
City
Auckland
Country
New Zealand
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

Dose-Escalation Prime/Boost Therapeutic Vaccination Study Of 2 Chimp Adenoviral Vectors in Adults With Chronic HBV On Nucleos(t)Ide Therapy

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