A First-In-Human Study to Evaluate Safety, Tolerability, Reactogenicity, and Immunogenicity of JNJ-64300535, a DNA Vaccine, Administered by Electroporation-Mediated Intramuscular Injection, in Participants With Chronic Hepatitis B Who Are on Stable Nucleos(t)Ide Therapy and Virologically Suppressed
Primary Purpose
Hepatitis B, Chronic
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
JNJ-64300535
Placebo
Nucleos(t)ide Analogs (NA)
Sponsored by
About this trial
This is an interventional other trial for Hepatitis B, Chronic
Eligibility Criteria
Inclusion Criteria:
- Has chronic hepatitis B virus envelope antigen (HBeAg) negative hepatitis B virus (HBV) infection documented by a positive hepatitis B virus surface antigen (HBsAg) test and/or detectable HBV deoxyribonucleic acid (DNA) at least 6 months prior to the screening visit
- Is on a stable treatment with one of the approved oral nucleos(t)ide analogs (NA) polymerase inhibitors tenofovir alafenamide, tenofovir disoproxil fumarate, or entecavir for greater than or equal to (>=)12 months prior to screening. A history of switching between the above treatments is acceptable as long as it was not triggered by virologic failure
- Must demonstrate HBV DNA levels less than (<)60 international unit/milliliter (IU/mL) on 2 occasions separated by greater than (>)6 months (of which one can be the screening assessment).
- Has HBsAg levels at screening between 100 IU/mL and 10,000 IU/mL
- Has normal alanine aminotransferase (ALT) levels for at least 6 months prior to baseline with no documented measurement exceeding 1.25 times upper limit of normal [ULN]). Minimal requirement is documentation of two ALT results within the year prior to baseline of which one can be the screening assessment.
Exclusion Criteria:
- Presence of advanced hepatic fibrosis or cirrhosis in 1 of the assessments below done less than or equal to (<=)6 month prior to baseline: a. Metavir score 3 or 4 in a liver biopsy OR b. Fibroscan result of >9 kilopascal (kPa) OR c. Acoustic Radiation Force Impulse (ARFI) result of >=1.55 meter/second (m/s)
Clinical signs or history of liver cirrhosis or hepatic decompensation:
- Metavir score 4 in a historical biopsy OR
- ascites, esophageal varices, or hepatic encephalopathy OR
- documentation of one of the following laboratory abnormality within 12 months of screening:
i. direct (conjugated) bilirubin >1.2 times upper limit of normal (ULN) OR ii. prothrombin time (PT) >1.2 times ULN OR iii. serum albumin <3.5 gram per deciliter (g/dL)
Positive serology test at screening for any of the following:
- anti-hepatitis B surface (ant-HBs) antibodies
- HBeAg
- anti-human immunodeficiency virus (HIV)-1 or anti-HIV-2 antibodies
- anti-hepatitis A virus (HAV) immunoglobulin M (IgM) antibodies
- anti-hepatitis C virus (ant-HCV) antibodies
- anti-hepatitis D virus (anti-HDV) antibodies
- Participants with any evidence of liver disease of non-HBV etiology. This includes but is not limited to hepatitis A, C, or D virus infections (as above), drug- or alcohol-related liver disease, autoimmune hepatitis, hemochromatosis, Wilson's disease, α-1 antitrypsin deficiency, primary biliary cirrhosis, primary sclerosing cholangitis, non-alcoholic steatohepatitis or any other non-HBV liver disease considered clinically significant by the investigator
- Has a history of persistent or recurrent hyperbilirubinemia unless explained by known Gilbert's Disease
- History of blood disorders (bleeding problems or a blood clot, thalassemia major or sickle cell anemia).
- History of severe local or systemic reactions to any vaccination or a history of severe allergic reactions.
Sites / Locations
- ZiekenhuisNetwerk Antwerpen (ZNA) - Stuivenberg
- Universite Catholique de Louvain (UCL) - Cliniques Universitaires Saint-Luc
- Universite Libre de Bruxelles (ULB) - Hopital Erasme
- Ruprecht-Karls-U Mannheim
- MH Hannover
- Universitätsklinikum Essen
- IFI Hamburg
- UK Leipzig
- Universität Regensburg
- Queen Elizabeth - Birmingham
- Royal Free - London
- King's College - London
- Bart's Health - Blizard Inst. London
- Pennine Acute Hospitals - Manchester
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Placebo + Nucleos(t)ide Analogs (NA)
JNJ-64300535 + NA
Arm Description
Participants will receive placebo intramuscular (IM) injection on Day 1, Week 4, and Week 12, along with standard of care NA treatment.
Participants will receive JNJ-64300535 IM injection on Day 1, Week 4, and Week 12, along with standard of care NA treatment.
Outcomes
Primary Outcome Measures
Number of Participants with Adverse Events (AEs) by Severity and Relationship to Study Treatment and Dose Level
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severity of AEs will be graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events as follows: Mild = Grade 1, Moderate = Grade 2, Severe = Grade 3, Potentially life-threatening = Grade 4.
Number of Participants With Laboratory Abnormalities
Number of participants with laboratory abnormalities related to hematology, serum chemistry, coagulation, liver function tests and urinalysis will be reported. Laboratory abnormalities will be graded according to the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events as follows: Mild = Grade 1, Moderate = Grade 2, Severe = Grade 3, Potentially life-threatening = Grade 4.
Number of Participants With Clinically Significant Changes in Vital Signs
Number of participants with clinically significant changes in the vital signs including blood pressure, pulse/heart rate, and body temperature will be reported.
Number of Participants With Clinically Significant Changes in Physical Examination (Palpation of Lymph Nodes, Height, Body Weight, and Skin Examination) Findings
Number of participants with clinically significant changes in physical examination parameters will be reported. Full physical examination (including palpation of lymph nodes, height, body weight, and skin examination) and symptom-directed physical examination will be performed.
Number of Participants With Acute Injection Site Reactions on Day 1
Participants will be assessed for the acute injection site reactions. Acute reactions means the reactions which occur within 0 to 2 hours post-vaccination. Acute reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Number of Participants With Acute Injection Site Reactions at Week 4
Participants will be assessed for the acute injection site reactions. Acute reactions means the reactions which occur within 0 to 2 hours post-vaccination. Acute reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Number of Participants With Acute Injection Site Reactions at Week 12
Participants will be assessed for the acute injection site reactions. Acute reactions means the reactions which occur within 0 to 2 hours post-vaccination. Acute reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Number of Participants With Injection Site Reactions After Vaccination on Day 1
Participants will be assessed for the Reactogenicity. Reactogenicity means injection site reactions which occur after 7 days post- vaccination. Severity of reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Number of Participants With Injection Site Reactions After Vaccination on Week 4
Participants will be assessed for the Reactogenicity. Reactogenicity means injection site reactions which occur after 7 days post-vaccination. Severity of reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Number of Participants With Injection Site Reactions After Vaccination on Week 12
Participants will be assessed for the Reactogenicity. Reactogenicity means injection site reactions which occur after 7 days post- vaccination. Severity of reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Secondary Outcome Measures
Percentage of Participants With a Positive Hepatitis B Virus (HBV) Specific T Cells Response
Percentage of participants with a positive HBV-specific T cells response, assessed by interferon (IFN)-gamma ELISpot assay will be reported.
Time to Detection of HBV Specific T-Cell Responses
Time to HBV Specific T-Cell response is defined as the time interval between Day 1 (vaccination) to the date of first evidence of positive HBV Specific T-Cell response.
Percentage of CD4+ and CD8+ T-Cell Responses
The activation of CD4+ and CD8+ T-cell subsets and their cytokine expression patterns (expressing at least 1 interleukin [IL]-2, tumor necrosis factor-alpha [TNF-α] or IFN-γ specific to any antigen) will be determined by Intracellular Cytokine Staining (ICS).
Hepatitis B Antigen-Specific Cellular Immune Response
Magnitude of Hepatitis B antigen-specific cellular immune responses will be assessed by ICS.
Number of TriGrid Delivery System (TDS)-Intramuscular (IM) v2.0 Device Fault Conditions by Type
Number of TDS-IM v2.0 device fault conditions by type will be observed. User reported fault conditions will be documented to enable assessment of the device reliability. Device functions to be assessed include electrode/needle deployment, study treatment administration, and electroporation application.
Full Information
NCT ID
NCT03463369
First Posted
February 28, 2018
Last Updated
April 13, 2021
Sponsor
Janssen Sciences Ireland UC
1. Study Identification
Unique Protocol Identification Number
NCT03463369
Brief Title
A First-In-Human Study to Evaluate Safety, Tolerability, Reactogenicity, and Immunogenicity of JNJ-64300535, a DNA Vaccine, Administered by Electroporation-Mediated Intramuscular Injection, in Participants With Chronic Hepatitis B Who Are on Stable Nucleos(t)Ide Therapy and Virologically Suppressed
Official Title
A First-In-Human, Double-Blind, Randomized, Placebo-Controlled, Phase 1 Study to Evaluate the Safety, Tolerability, Reactogenicity, and Immunogenicity of JNJ-64300535, a DNA Vaccine, Administered by Electroporation-Mediated Intramuscular Injection, in Participants With Chronic Hepatitis B Who Are on Stable Nucleos(T)Ide Therapy and Virologically Suppressed
Study Type
Interventional
2. Study Status
Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
April 18, 2018 (Actual)
Primary Completion Date
March 23, 2021 (Actual)
Study Completion Date
March 23, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen Sciences Ireland UC
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
The purpose of this study is to evaluate the safety, tolerability, and reactogenicity of escalating doses of JNJ-64300535 delivered via electroporation-mediated intramuscular injection in nucleos(t)ide analogs (NA)-treated chronic hepatitis B (CHB) participants.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis B, Chronic
7. Study Design
Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo + Nucleos(t)ide Analogs (NA)
Arm Type
Experimental
Arm Description
Participants will receive placebo intramuscular (IM) injection on Day 1, Week 4, and Week 12, along with standard of care NA treatment.
Arm Title
JNJ-64300535 + NA
Arm Type
Experimental
Arm Description
Participants will receive JNJ-64300535 IM injection on Day 1, Week 4, and Week 12, along with standard of care NA treatment.
Intervention Type
Biological
Intervention Name(s)
JNJ-64300535
Intervention Description
Participants will receive JNJ-64300535 vaccine by electroporation-mediated IM injection on Day 1, Week 4, and Week 12.
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Participants will receive 1 mL (0.9 percent [%] sodium chloride [NaCl]) of placebo solution matching to JNJ-64300535 electroporation-mediated IM injection on Day 1, Week 4, and Week 12.
Intervention Type
Drug
Intervention Name(s)
Nucleos(t)ide Analogs (NA)
Intervention Description
Participants will receive NA as a standard of care treatment.
Primary Outcome Measure Information:
Title
Number of Participants with Adverse Events (AEs) by Severity and Relationship to Study Treatment and Dose Level
Description
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severity of AEs will be graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events as follows: Mild = Grade 1, Moderate = Grade 2, Severe = Grade 3, Potentially life-threatening = Grade 4.
Time Frame
Up to Week 16
Title
Number of Participants With Laboratory Abnormalities
Description
Number of participants with laboratory abnormalities related to hematology, serum chemistry, coagulation, liver function tests and urinalysis will be reported. Laboratory abnormalities will be graded according to the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events as follows: Mild = Grade 1, Moderate = Grade 2, Severe = Grade 3, Potentially life-threatening = Grade 4.
Time Frame
Up to Week 16
Title
Number of Participants With Clinically Significant Changes in Vital Signs
Description
Number of participants with clinically significant changes in the vital signs including blood pressure, pulse/heart rate, and body temperature will be reported.
Time Frame
Up to Week 16
Title
Number of Participants With Clinically Significant Changes in Physical Examination (Palpation of Lymph Nodes, Height, Body Weight, and Skin Examination) Findings
Description
Number of participants with clinically significant changes in physical examination parameters will be reported. Full physical examination (including palpation of lymph nodes, height, body weight, and skin examination) and symptom-directed physical examination will be performed.
Time Frame
Up to Week 16
Title
Number of Participants With Acute Injection Site Reactions on Day 1
Description
Participants will be assessed for the acute injection site reactions. Acute reactions means the reactions which occur within 0 to 2 hours post-vaccination. Acute reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Time Frame
From 0 to 2 hours post-vaccination on Day 1
Title
Number of Participants With Acute Injection Site Reactions at Week 4
Description
Participants will be assessed for the acute injection site reactions. Acute reactions means the reactions which occur within 0 to 2 hours post-vaccination. Acute reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Time Frame
From 0 to 2 hours post-vaccination at Week 4
Title
Number of Participants With Acute Injection Site Reactions at Week 12
Description
Participants will be assessed for the acute injection site reactions. Acute reactions means the reactions which occur within 0 to 2 hours post-vaccination. Acute reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Time Frame
From 0 to 2 hours post-vaccination at Week 12
Title
Number of Participants With Injection Site Reactions After Vaccination on Day 1
Description
Participants will be assessed for the Reactogenicity. Reactogenicity means injection site reactions which occur after 7 days post- vaccination. Severity of reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Time Frame
Up to 7 days post-vaccination on Day 1
Title
Number of Participants With Injection Site Reactions After Vaccination on Week 4
Description
Participants will be assessed for the Reactogenicity. Reactogenicity means injection site reactions which occur after 7 days post-vaccination. Severity of reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Time Frame
Up to 7 days post-vaccination on Week 4
Title
Number of Participants With Injection Site Reactions After Vaccination on Week 12
Description
Participants will be assessed for the Reactogenicity. Reactogenicity means injection site reactions which occur after 7 days post- vaccination. Severity of reactions will be graded as follows: Grade 0 = Normal, Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Potentially Life Threatening.
Time Frame
Up to 7 days post-vaccination on Week 12
Secondary Outcome Measure Information:
Title
Percentage of Participants With a Positive Hepatitis B Virus (HBV) Specific T Cells Response
Description
Percentage of participants with a positive HBV-specific T cells response, assessed by interferon (IFN)-gamma ELISpot assay will be reported.
Time Frame
Day 1, Week 2, 6, 14, 24, 48, and 60
Title
Time to Detection of HBV Specific T-Cell Responses
Description
Time to HBV Specific T-Cell response is defined as the time interval between Day 1 (vaccination) to the date of first evidence of positive HBV Specific T-Cell response.
Time Frame
Day 1 up to Week 60
Title
Percentage of CD4+ and CD8+ T-Cell Responses
Description
The activation of CD4+ and CD8+ T-cell subsets and their cytokine expression patterns (expressing at least 1 interleukin [IL]-2, tumor necrosis factor-alpha [TNF-α] or IFN-γ specific to any antigen) will be determined by Intracellular Cytokine Staining (ICS).
Time Frame
Day 1, Week 2, 6, 14, 24, 48, and 60
Title
Hepatitis B Antigen-Specific Cellular Immune Response
Description
Magnitude of Hepatitis B antigen-specific cellular immune responses will be assessed by ICS.
Time Frame
Day 1, Week 2, 6, 14, 24, 48, and 60
Title
Number of TriGrid Delivery System (TDS)-Intramuscular (IM) v2.0 Device Fault Conditions by Type
Description
Number of TDS-IM v2.0 device fault conditions by type will be observed. User reported fault conditions will be documented to enable assessment of the device reliability. Device functions to be assessed include electrode/needle deployment, study treatment administration, and electroporation application.
Time Frame
Day 1, Week 4 and 12
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:
Has chronic hepatitis B virus envelope antigen (HBeAg) negative hepatitis B virus (HBV) infection documented by a positive hepatitis B virus surface antigen (HBsAg) test and/or detectable HBV deoxyribonucleic acid (DNA) at least 6 months prior to the screening visit
Is on a stable treatment with one of the approved oral nucleos(t)ide analogs (NA) polymerase inhibitors tenofovir alafenamide, tenofovir disoproxil fumarate, or entecavir for greater than or equal to (>=)12 months prior to screening. A history of switching between the above treatments is acceptable as long as it was not triggered by virologic failure
Must demonstrate HBV DNA levels less than (<)60 international unit/milliliter (IU/mL) on 2 occasions separated by greater than (>)6 months (of which one can be the screening assessment).
Has HBsAg levels at screening between 100 IU/mL and 10,000 IU/mL
Has normal alanine aminotransferase (ALT) levels for at least 6 months prior to baseline with no documented measurement exceeding 1.25 times upper limit of normal [ULN]). Minimal requirement is documentation of two ALT results within the year prior to baseline of which one can be the screening assessment.
Exclusion Criteria:
Presence of advanced hepatic fibrosis or cirrhosis in 1 of the assessments below done less than or equal to (<=)6 month prior to baseline: a. Metavir score 3 or 4 in a liver biopsy OR b. Fibroscan result of >9 kilopascal (kPa) OR c. Acoustic Radiation Force Impulse (ARFI) result of >=1.55 meter/second (m/s)
Clinical signs or history of liver cirrhosis or hepatic decompensation:
Metavir score 4 in a historical biopsy OR
ascites, esophageal varices, or hepatic encephalopathy OR
documentation of one of the following laboratory abnormality within 12 months of screening:
i. direct (conjugated) bilirubin >1.2 times upper limit of normal (ULN) OR ii. prothrombin time (PT) >1.2 times ULN OR iii. serum albumin <3.5 gram per deciliter (g/dL)
Positive serology test at screening for any of the following:
anti-hepatitis B surface (ant-HBs) antibodies
HBeAg
anti-human immunodeficiency virus (HIV)-1 or anti-HIV-2 antibodies
anti-hepatitis A virus (HAV) immunoglobulin M (IgM) antibodies
anti-hepatitis C virus (ant-HCV) antibodies
anti-hepatitis D virus (anti-HDV) antibodies
Participants with any evidence of liver disease of non-HBV etiology. This includes but is not limited to hepatitis A, C, or D virus infections (as above), drug- or alcohol-related liver disease, autoimmune hepatitis, hemochromatosis, Wilson's disease, α-1 antitrypsin deficiency, primary biliary cirrhosis, primary sclerosing cholangitis, non-alcoholic steatohepatitis or any other non-HBV liver disease considered clinically significant by the investigator
Has a history of persistent or recurrent hyperbilirubinemia unless explained by known Gilbert's Disease
History of blood disorders (bleeding problems or a blood clot, thalassemia major or sickle cell anemia).
History of severe local or systemic reactions to any vaccination or a history of severe allergic reactions.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janssen Sciences Ireland UC Clinical Trial
Organizational Affiliation
Janssen Sciences Ireland UC
Official's Role
Study Director
Facility Information:
Facility Name
ZiekenhuisNetwerk Antwerpen (ZNA) - Stuivenberg
City
Antwerp
Country
Belgium
Facility Name
Universite Catholique de Louvain (UCL) - Cliniques Universitaires Saint-Luc
City
Brussels
Country
Belgium
Facility Name
Universite Libre de Bruxelles (ULB) - Hopital Erasme
City
Brussels
Country
Belgium
Facility Name
Ruprecht-Karls-U Mannheim
City
Mannheim
State/Province
Baden-Wuerttemberg
ZIP/Postal Code
68167
Country
Germany
Facility Name
MH Hannover
City
Hannover
State/Province
Lower Saxony
ZIP/Postal Code
30625
Country
Germany
Facility Name
Universitätsklinikum Essen
City
UK Essen
State/Province
North Rhine-Westphalia
ZIP/Postal Code
45122
Country
Germany
Facility Name
IFI Hamburg
City
Hamburg
Country
Germany
Facility Name
UK Leipzig
City
Leipzig
Country
Germany
Facility Name
Universität Regensburg
City
Regensburg
Country
Germany
Facility Name
Queen Elizabeth - Birmingham
City
Birmingham
ZIP/Postal Code
B15 2GW
Country
United Kingdom
Facility Name
Royal Free - London
City
London
ZIP/Postal Code
NW3 2PF
Country
United Kingdom
Facility Name
King's College - London
City
London
ZIP/Postal Code
SE5 9RS
Country
United Kingdom
Facility Name
Bart's Health - Blizard Inst. London
City
London
Country
United Kingdom
Facility Name
Pennine Acute Hospitals - Manchester
City
Manchester
ZIP/Postal Code
E1 1BB
Country
United Kingdom
12. IPD Sharing Statement
Learn more about this trial
A First-In-Human Study to Evaluate Safety, Tolerability, Reactogenicity, and Immunogenicity of JNJ-64300535, a DNA Vaccine, Administered by Electroporation-Mediated Intramuscular Injection, in Participants With Chronic Hepatitis B Who Are on Stable Nucleos(t)Ide Therapy and Virologically Suppressed
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