A Multi-dose Study of ARC-520 in Patients With Hepatitis B 'e' Antigen (HBeAg) Negative, Chronic Hepatitis B Virus (HBV) Infection
Hepatitis B
About this trial
This is an interventional treatment trial for Hepatitis B
Eligibility Criteria
Inclusion Criteria:
- Male or female, 18 to 75 years of age
- Written informed consent
- No clinically significant abnormalities at screening/pre-dose 12-lead ECG assessment
- No new abnormal finding of clinical relevance at the screening evaluation.
- Diagnosis of HBeAg negative, immune active, chronic HBV infection
- > 2 months of continuous treatment with daily, oral entecavir or tenofovir
- Willingness to continue taking entecavir or tenofovir throughout the study.
- Must use 2 effective methods of contraception (double barrier contraception or hormonal contraceptive along with a barrier contraceptive) (both male and female partners)
Exclusion Criteria:
- Pregnant or lactating
- Acute signs of hepatitis/other infection within 4 weeks of screening
- Antiviral therapy other than entecavir or tenofovir within 3 months of screening
- Prior treatment with interferon in the last 3 years.
- Use within the last 6 months or anticipated requirement for anticoagulants, corticosteroids, immunomodulators, or immunosuppressants.
- Use of prescription medication within 14 days prior to treatment administration except: topical products without systemic absorption, statins (except rosuvastatin), hypertension medications, or hormonal contraceptives.
- Depot injection or implant of any drug within 3 months prior to treatment administration, except injectable/implantable birth control.
- Diagnosis of diabetes mellitus.
- History of autoimmune disease especially autoimmune hepatitis.
- Human immunodeficiency virus (HIV) infection.
- Sero-positive for Hepatitis C Virus (HCV), and/or a history of delta virus hepatitis.
- Hypertension defined as blood pressure > 150/100 mmHg
- History of cardiac rhythm disturbances
- Family history or congenital long QT syndrome, Brugada syndrome or unexplained sudden cardiac death
- Symptomatic heart failure, unstable angina, myocardial infarction, severe cardiovascular disease within 6 months prior to study entry.
- History of malignancy except for adequately treated basal cell carcinoma, squamous cell skin cancer, superficial bladder tumors, or in situ cervical cancer.
- Has had a major surgery within 3 months of screening.
- History of alcohol and/or drug abuse < 12 months from screening.
- Regular uses of alcohol within 6 months prior to screening (ie, more than 14 units of alcohol per week).
- Evidence of severe systemic acute inflammation, sepsis, or hemolysis.
- Diagnosed with a significant psychiatric disorder.
- Use of recreational drugs, such as marijuana, within 3 months prior to screening
- Use of drugs such as cocaine, phencyclidine (PCP), and methamphetamines, within 1 year prior to screening.
- History of allergy to bee sting.
- Use of investigational agents or devices within 30 days prior to planned study dosing or current participation in an investigational study.
- Clinically significant history or presence of any gastrointestinal pathology, unresolved gastrointestinal symptoms, liver or kidney disease.
- Presence of cholangitis, cholecystitis, cholestasis, or duct obstruction.
- Clinically significant history or presence of poorly controlled/uncontrolled systemic disease.
- History of fever within 2 weeks of screening.
- Immunized with a live attenuated vaccine within 7 days prior to dosing or planned vaccination (excluding flu vaccine by injection).
- Presence of any medical or psychiatric condition or social situation that impacts compliance or results in additional safety risk.
- Participated in excessive exercise/physical activity within 7 days of screening or planned during the trial.
- History of coagulopathy/stroke within past 6 months, and/or concurrent anticoagulant medication(s).
Sites / Locations
- Queen Mary Hospital
- Prince of Wales Hospital
- Klinikum der Johann Wolfgang Goethe Universitaet
- Asklepios Klinik St. Georg - Chirurgisch-Traumatologisches Zentrum
- Medizinische Hochschule Hannover
- Eugastro Gmbh
- Universitaetsklinikum Leipzig
- Klinikum Der Ludwig-Maximilian-Universitaet Muenchen
- University Hospital of Tuebingen
- Universitaetsklinikum Ulm, Klinik fur Innere Medizin I
- Universitaetsklinikum Wuerzburg, Medizinische Klinik Und Poliklinik II
- Pusan National University Hospital
- Gachon University Gil Medical Center
- Seoul National University Hospital
- Severance Hospital, Yonsei University College of Medicine
- Pusan National University Yangsan Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Placebo Comparator
Placebo Comparator
Experimental
Experimental
PBO Low Dose
PBO High Dose
ARC-520 Injection 1 mg/kg
ARC-520 Injection 2 mg/kg
0.9% normal saline, once every 4 weeks for 4 doses plus daily oral entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg) throughout the study period
0.9% normal saline, once every 4 weeks for 4 doses plus daily oral entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg) throughout the study period
Intravenous ARC-520 at 1.0 mg/kg, once every 4 weeks for 4 doses plus daily oral entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg) throughout the study period
Intravenous ARC-520 at 2.0 mg/kg, once every 4 weeks for 4 doses plus daily oral entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg) throughout the study period