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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.

Primary Purpose

Chronic Hepatitis B Virus Infection

Status
Terminated
Phase
Phase 1
Locations
New Zealand
Study Type
Interventional
Intervention
EDP-721
Placebo (Part 1)
EDP-721 (Part 2)
Placebo (Part 2)
EDP-514
Placebo (Part 2)
Sponsored by
Enanta Pharmaceuticals, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis B Virus Infection focused on measuring First-in-Human, Single Ascending Dose, Multiple Ascending Dose, Hepatitis B virus, HBV

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Part 1 (HV Population):

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

Sites / Locations

  • New Zealand Clinical Research Ltd

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

EDP-721 HV SAD Cohorts

EDP-721 HV MAD Cohorts

EDP-721 HV SAD Placebo Cohort

EDP-721 HV MAD Placebo Cohort

EDP-721+ EDP-514 HBV MAD Cohorts

EDP-721+ EDP-514 HBV MAD Placebo Cohorts

Arm Description

EDP-721 Dose 1, Dose 2, Dose 3 and Dose 4, in one single administration

EDP-721 Dose 1, Dose 2 and Dose 3, once daily for 14 days

Matching placebo, in one single administration

Matching placebo, once daily for 14 days

EDP-721 once daily for 14 days followed by EDP-721+EDP-514 once daily for 28 days

Matching placebo once daily for 42 days

Outcomes

Primary Outcome Measures

Safety measured by adverse events
Safety measured by adverse events
Safety measured by adverse events
Safety measured by adverse events

Secondary Outcome Measures

Cmax of EDP-721
AUC of EDP-721
Cmax of EDP-721
AUC of EDP-721
Cmax of EDP-721 alone and in combination with EDP-514
AUC of EDP-721 alone and in combination with EDP-514
Cmax of EDP-514 in combination with EDP-721
AUC of EDP-514 in combination with EDP-721
Change from baseline in HBV DNA Viral Load Assay
Change from baseline in quantitative HBsAg

Full Information

First Posted
July 12, 2021
Last Updated
February 2, 2022
Sponsor
Enanta Pharmaceuticals, Inc
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1. Study Identification

Unique Protocol Identification Number
NCT04971512
Brief Title
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.
Official Title
A Phase 1a/1b 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 1) and the Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of EDP-721 in Combination With EDP-514 in Patients With Chronic Hepatitis B Virus Infection (Part 2)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Terminated
Why Stopped
Due to adverse safety signals in Part 1 (HV)
Study Start Date
August 2, 2021 (Actual)
Primary Completion Date
December 20, 2021 (Actual)
Study Completion Date
December 20, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Enanta Pharmaceuticals, Inc

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis B Virus Infection
Keywords
First-in-Human, Single Ascending Dose, Multiple Ascending Dose, Hepatitis B virus, HBV

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
EDP-721 HV SAD Cohorts
Arm Type
Experimental
Arm Description
EDP-721 Dose 1, Dose 2, Dose 3 and Dose 4, in one single administration
Arm Title
EDP-721 HV MAD Cohorts
Arm Type
Experimental
Arm Description
EDP-721 Dose 1, Dose 2 and Dose 3, once daily for 14 days
Arm Title
EDP-721 HV SAD Placebo Cohort
Arm Type
Placebo Comparator
Arm Description
Matching placebo, in one single administration
Arm Title
EDP-721 HV MAD Placebo Cohort
Arm Type
Placebo Comparator
Arm Description
Matching placebo, once daily for 14 days
Arm Title
EDP-721+ EDP-514 HBV MAD Cohorts
Arm Type
Experimental
Arm Description
EDP-721 once daily for 14 days followed by EDP-721+EDP-514 once daily for 28 days
Arm Title
EDP-721+ EDP-514 HBV MAD Placebo Cohorts
Arm Type
Placebo Comparator
Arm Description
Matching placebo once daily for 42 days
Intervention Type
Drug
Intervention Name(s)
EDP-721
Intervention Description
Oral administration (Part 1)
Intervention Type
Drug
Intervention Name(s)
Placebo (Part 1)
Intervention Description
Placebo to match EDP-721, oral administration (Part 1)
Intervention Type
Drug
Intervention Name(s)
EDP-721 (Part 2)
Intervention Description
Oral administration (Part 2)
Intervention Type
Drug
Intervention Name(s)
Placebo (Part 2)
Intervention Description
Placebo to match EDP-721 (Part 2)
Intervention Type
Drug
Intervention Name(s)
EDP-514
Intervention Description
Oral administration
Intervention Type
Drug
Intervention Name(s)
Placebo (Part 2)
Intervention Description
Placebo to match EDP-514
Primary Outcome Measure Information:
Title
Safety measured by adverse events
Time Frame
Up to 8 Days in HV SAD Cohorts
Title
Safety measured by adverse events
Time Frame
Up to 21 Days in HV MAD Cohorts
Title
Safety measured by adverse events
Time Frame
Up to 70 Days in NUC-suppressed CHB MAD Cohorts
Title
Safety measured by adverse events
Time Frame
Up to 98 Days in Viremic CHB MAD Cohorts
Secondary Outcome Measure Information:
Title
Cmax of EDP-721
Time Frame
Up to 6 Days in HV SAD Cohorts
Title
AUC of EDP-721
Time Frame
Up to 6 Days in HV SAD Cohorts
Title
Cmax of EDP-721
Time Frame
Up to 18 Days in HV MAD Cohorts
Title
AUC of EDP-721
Time Frame
Up to 18 Days in HV MAD Cohorts
Title
Cmax of EDP-721 alone and in combination with EDP-514
Time Frame
Up to 28 Days in All CHB MAD Cohorts
Title
AUC of EDP-721 alone and in combination with EDP-514
Time Frame
Up to 28 Days in All CHB MAD Cohorts
Title
Cmax of EDP-514 in combination with EDP-721
Time Frame
Up to 28 Days in All CHB MAD Cohorts
Title
AUC of EDP-514 in combination with EDP-721
Time Frame
Up to 28 Days in All CHB MAD Cohorts
Title
Change from baseline in HBV DNA Viral Load Assay
Time Frame
Through Day 28 in All CHB MAD Cohorts
Title
Change from baseline in quantitative HBsAg
Time Frame
Through Day 28 in All CHB MAD Cohorts

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Part 1 (HV Population): 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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Enanta Pharmaceuticals, Inc
Organizational Affiliation
Enanta Pharmaceuticals, Inc
Official's Role
Study Director
Facility Information:
Facility Name
New Zealand Clinical Research Ltd
City
Auckland
ZIP/Postal Code
1010
Country
New Zealand

12. IPD Sharing Statement

Learn more about this trial

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.

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