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A Study of ALG-010133 Drug to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics After Single and Multiple Doses in Healthy Volunteers and CHB Subjects

Primary Purpose

Chronic Hepatitis B

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ALG-010133
Placebo
Sponsored by
Aligos Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis B

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria for Healthy Subjects:

  1. Male and Female between 18 and 55 years old
  2. Female subjects must have a negative serum pregnancy test at screening
  3. Subjects must be nonsmokers for at least 3 months prior to randomization
  4. BMI 18.0 to 32.0 kg/m^2
  5. Subjects must have a 12-lead ECG that meets protocol criteria

Inclusion Criteria for CHB Subjects:

  1. Male and Female between 18 and 70 years old
  2. Female subjects must have a negative serum pregnancy test at screening
  3. BMI 18.0 to 35.0 kg/m^2
  4. HBeAg-negative chronic hepatitis B or HBeAg-positive chronic hepatitis B and are currently receiving HBV NA treatment for ≥6 months prior to screening
  5. Subjects must have a 12-lead ECG that meets protocol criteria

Exclusion Criteria for Healthy Subjects:

  1. Subjects with any current or previous illness that, in the opinion of the Investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject or that could prevent, limit, or confound the protocol specified assessments or study results' interpretation
  2. Subjects with a past history of cardiac arrhythmias, risk factors for Torsade de Pointes syndrome (e.g., hypokalemia, family history of long QT Syndrome) or history or clinical evidence at screening of significant or unstable cardiac disease etc.
  3. Subjects with a history of clinically significant drug allergy
  4. Subject with current or history of clinically significant (as determined by the Investigator) skin disease requiring intermittent or chronic treatment
  5. Excessive use of alcohol defined as regular consumption of ≥14 units/week for women and ≥21 units/week for men
  6. Unwilling to abstain from alcohol use for 48 hours prior to start of dosing through end of study follow up
  7. Subjects with Hepatitis A, B, C, D, E or HIV-1/HIV-2 infection or acute infections such as SARS- CoV-2 infection
  8. Subjects with renal dysfunction (e.g., estimated creatinine clearance <90 mL/min/1.73 m^2 at screening, calculated by the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula)

Exclusion Criteria for CHB Subjects:

  1. Subjects with any current or previous illness that, in the opinion of the Investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject or that could prevent, limit, or confound the protocol specified assessments or study results' interpretation
  2. Subjects with a past history of cardiac arrhythmias, risk factors for Torsade de Pointes syndrome (e.g., hypokalemia, family history of long QT Syndrome) or history or clinical evidence at screening of significant or unstable cardiac disease etc.
  3. Subjects with a history of clinically significant drug allergy
  4. Subject with current or history of clinically significant (as determined by the Investigator) skin disease requiring intermittent or chronic treatment
  5. Excessive use of alcohol defined as regular consumption of ≥14 units/week for women and ≥21 units/week for men
  6. Subjects with Hepatitis A, C, D, E or HIV-1/HIV-2 infection or acute infections such as SARS- CoV-2 infection
  7. Subjects with renal dysfunction (e.g., estimated creatinine clearance <90 mL/min/1.73 m^2 at screening, calculated by the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula)
  8. Subject with any history or current evidence of hepatic decompensation such as: variceal bleeding, spontaneous bacterial peritonitis, ascites, hepatic encephalopathy, or active jaundice (within the last year)
  9. Subjects must have absence of signs of hepatocellular carcinoma
  10. Subjects with history or current liver cirrhosis
  11. Subjects positive for anti-HBs anitbodies
  12. Subjects with liver fibrosis that is classified as Metavir Score ≥F3

Sites / Locations

  • Nanfang Hospital of Southern Medical University
  • The First Hospital of Jilin University
  • Queen Mary Hospital
  • Pusan National University Hospital
  • Asan Medical Center
  • Seoul National University Hospital
  • Severance Hospital, Yonsei University Health System
  • PMSI Republican Clinical Hospital "T. Mosneaga", ARENSIA Exploratory Medicine Phase I Unit
  • ACS
  • King's College Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ALG-010133

Placebo

Arm Description

Subcutaneous injections of ALG-010133 in HV or CHB subjects up to every 7 days for up to 12 weeks

Subcutaneous injections of placebo in HV or CHB subjects up to every 7 days for up to 12 weeks

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1

Secondary Outcome Measures

Maximum Plasma Concentration [Cmax]
Pharmacokinetic parameters of ALG-010133 in plasma
Area under the concentration time curve [AUC]
Pharmacokinetic parameters of ALG-010133 in plasma
Time to maximum plasma concentration [Tmax]
Pharmacokinetic parameters of ALG-010133 in plasma
Half-time [t1/2]
Pharmacokinetic parameters of ALG-010133 in plasma
Minimum Plasma Concentration [Cmin]
Pharmacokinetic parameters of ALG-010133 in plasma
Change in HBsAg (reduction) from baseline through Day 78 in Multiple Dose HBV Infected Patients

Full Information

First Posted
July 9, 2020
Last Updated
March 14, 2022
Sponsor
Aligos Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT04485663
Brief Title
A Study of ALG-010133 Drug to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics After Single and Multiple Doses in Healthy Volunteers and CHB Subjects
Official Title
A Phase 1, Double-blind, Randomized, Placebo-controlled, First-in-human Study of Subcutaneously Administered ALG-010133 to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics After Single Ascending Doses (Part 1) and Multiple Ascending Doses in Healthy Volunteers (Part 2), and Multiple Doses in Subjects With Chronic Hepatitis B (Part 3)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Terminated
Why Stopped
Lack of antiviral activity at the projected efficacious dose.
Study Start Date
August 17, 2020 (Actual)
Primary Completion Date
March 8, 2022 (Actual)
Study Completion Date
March 8, 2022 (Actual)

3. Sponsor/Collaborators

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

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
A Randomized Study of ALG-010133 Drug to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics After Single and Multiple Doses in Healthy Volunteers and CHB Subjects

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
103 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ALG-010133
Arm Type
Experimental
Arm Description
Subcutaneous injections of ALG-010133 in HV or CHB subjects up to every 7 days for up to 12 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subcutaneous injections of placebo in HV or CHB subjects up to every 7 days for up to 12 weeks
Intervention Type
Drug
Intervention Name(s)
ALG-010133
Intervention Description
Single or multiple doses of ALG-010133
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Single or multiple doses of Placebo
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Description
The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1
Time Frame
up to 15 days for Part 1
Title
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Description
The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1
Time Frame
up to 29 days for Part 2
Title
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Description
The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1
Time Frame
up to 162 days for Part 3
Secondary Outcome Measure Information:
Title
Maximum Plasma Concentration [Cmax]
Description
Pharmacokinetic parameters of ALG-010133 in plasma
Time Frame
Predose (0 hours) up to 162 Days (3864 hours)
Title
Area under the concentration time curve [AUC]
Description
Pharmacokinetic parameters of ALG-010133 in plasma
Time Frame
Predose (0 hours) up to 162 Days (3864 hours)
Title
Time to maximum plasma concentration [Tmax]
Description
Pharmacokinetic parameters of ALG-010133 in plasma
Time Frame
Predose (0 hours) up to 162 Days (3864 hours)
Title
Half-time [t1/2]
Description
Pharmacokinetic parameters of ALG-010133 in plasma
Time Frame
Predose (0 hours) up to 162 Days (3864 hours)
Title
Minimum Plasma Concentration [Cmin]
Description
Pharmacokinetic parameters of ALG-010133 in plasma
Time Frame
Predose (0 hours) up to 162 Days (3864 hours)
Title
Change in HBsAg (reduction) from baseline through Day 78 in Multiple Dose HBV Infected Patients
Time Frame
Screening, Day -1, 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, 78

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for Healthy Subjects: Male and Female between 18 and 55 years old Female subjects must have a negative serum pregnancy test at screening Subjects must be nonsmokers for at least 3 months prior to randomization BMI 18.0 to 32.0 kg/m^2 Subjects must have a 12-lead ECG that meets protocol criteria Inclusion Criteria for CHB Subjects: Male and Female between 18 and 70 years old Female subjects must have a negative serum pregnancy test at screening BMI 18.0 to 35.0 kg/m^2 HBeAg-negative chronic hepatitis B or HBeAg-positive chronic hepatitis B and are currently receiving HBV NA treatment for ≥6 months prior to screening Subjects must have a 12-lead ECG that meets protocol criteria Exclusion Criteria for Healthy Subjects: Subjects with any current or previous illness that, in the opinion of the Investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject or that could prevent, limit, or confound the protocol specified assessments or study results' interpretation Subjects with a past history of cardiac arrhythmias, risk factors for Torsade de Pointes syndrome (e.g., hypokalemia, family history of long QT Syndrome) or history or clinical evidence at screening of significant or unstable cardiac disease etc. Subjects with a history of clinically significant drug allergy Subject with current or history of clinically significant (as determined by the Investigator) skin disease requiring intermittent or chronic treatment Excessive use of alcohol defined as regular consumption of ≥14 units/week for women and ≥21 units/week for men Unwilling to abstain from alcohol use for 48 hours prior to start of dosing through end of study follow up Subjects with Hepatitis A, B, C, D, E or HIV-1/HIV-2 infection or acute infections such as SARS- CoV-2 infection Subjects with renal dysfunction (e.g., estimated creatinine clearance <90 mL/min/1.73 m^2 at screening, calculated by the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula) Exclusion Criteria for CHB Subjects: Subjects with any current or previous illness that, in the opinion of the Investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject or that could prevent, limit, or confound the protocol specified assessments or study results' interpretation Subjects with a past history of cardiac arrhythmias, risk factors for Torsade de Pointes syndrome (e.g., hypokalemia, family history of long QT Syndrome) or history or clinical evidence at screening of significant or unstable cardiac disease etc. Subjects with a history of clinically significant drug allergy Subject with current or history of clinically significant (as determined by the Investigator) skin disease requiring intermittent or chronic treatment Excessive use of alcohol defined as regular consumption of ≥14 units/week for women and ≥21 units/week for men Subjects with Hepatitis A, C, D, E or HIV-1/HIV-2 infection or acute infections such as SARS- CoV-2 infection Subjects with renal dysfunction (e.g., estimated creatinine clearance <90 mL/min/1.73 m^2 at screening, calculated by the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula) Subject with any history or current evidence of hepatic decompensation such as: variceal bleeding, spontaneous bacterial peritonitis, ascites, hepatic encephalopathy, or active jaundice (within the last year) Subjects must have absence of signs of hepatocellular carcinoma Subjects with history or current liver cirrhosis Subjects positive for anti-HBs anitbodies Subjects with liver fibrosis that is classified as Metavir Score ≥F3
Facility Information:
Facility Name
Nanfang Hospital of Southern Medical University
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
The First Hospital of Jilin University
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130021
Country
China
Facility Name
Queen Mary Hospital
City
Hong Kong
Country
Hong Kong
Facility Name
Pusan National University Hospital
City
Busan
Country
Korea, Republic of
Facility Name
Asan Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Seoul National University Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Severance Hospital, Yonsei University Health System
City
Seoul
Country
Korea, Republic of
Facility Name
PMSI Republican Clinical Hospital "T. Mosneaga", ARENSIA Exploratory Medicine Phase I Unit
City
Chisinau
Country
Moldova, Republic of
Facility Name
ACS
City
Auckland
Country
New Zealand
Facility Name
King's College Hospital
City
London
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Study of ALG-010133 Drug to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics After Single and Multiple Doses in Healthy Volunteers and CHB Subjects

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