A Study of RO7239958 to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Healthy Volunteers and Participants With Chronic Hepatitis B Virus Infection
Hepatitis B Virus Infection
About this trial
This is an interventional treatment trial for Hepatitis B Virus Infection
Eligibility Criteria
Inclusion Criteria:
All Parts
-Female participants should be of non-childbearing potential and male participants who are with pregnant partners or partners of childbearing potential must agree to remain abstinent or use contraceptive measures
Part 1 (SAD HV only)
- Healthy, as judged by the Investigator
- Non-smoker (nor tobacco containing products) for at least 90 days prior to dosing on Day 1, and agrees to remain non-smoker during the study
Part 2 (CHB only)
- Positive serum HBsAg status for > 6 months prior to screening
- Serum HBsAg level ≥ 250 IU/mL at screening
- On stable entecavir or tenofovir (alone or in combination) treatment and having received the same drug in the 3 months prior to randomisation
- HBV DNA below the lower limit of quantification (LLQ) for ≥ 6 months prior to screening by local testing, and confirmed at screening
- Screening laboratory values (including hematology, chemistry, urinalysis) within normal ranges
- No past or current diagnosis of cirrhosis
Exclusion Criteria:
All Parts
- History or presence of significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological disorders, or diagnosed central or peripheral neurological disease, capable of altering the absorption, metabolism, or elimination of drugs, or constituting a risk when taking the study treatment, or of interfering with the interpretation of the data
- History of lymphoma, leukemia, or malignancy within the past five years
- Positive for human immunodeficiency virus (HIV) infection
- Participant under judicial supervision, guardianship or curatorship
Part 1 (SAD HV only)
- Screening ECG showing clinically relevant abnormalities
- Abnormal blood pressure
- History or presence of liver disease, or known hepatic or biliary abnormalities
- Alanine aminotransferase (ALT) ≥1.5 × upper limit of normal (ULN)
- Any clinically significant out of range findings in other laboratory test results or any other clinically significant (as judged by the Investigator) abnormalities in the physical examination at screening and on Day -1
- Positive for hepatitis B surface antigen (HBsAg), or hepatitis B core total antibody [anti-HBc]), or hepatitis C virus (HCV) antibody test result
Part 2 (CHB only)
- History or presence of bridging fibrosis or cirrhosis or decompensated liver disease
- History or presence of a medical condition associated with liver disease other than HBV infection. Other known hepatic or biliary abnormalities
- History of or suspicion of hepatocellular carcinoma or alpha fetoprotein (AFP) ≥13 ng/mL
- History of having received (in the last six months) or currently receiving any systemic antineoplastic (including radiation) or immune-modulatory treatment (including systemic corticosteroids)
- History of organ transplantation
- Estimated glomerular filtration rate (eGFR) <70 mL/min/1.73m^2
- Confirmed QT interval corrected using Fridericia's formula (QTcF) >450 ms
- Expected to need any other systemic antiviral therapy at any time during participation in the study
- Positive hepatitis C antibody test
Sites / Locations
- Acibadem City Clinic Tokuda Hospital Ead
- COMAC Medical; Clinical Research Unit for Phase I
- Queen Mary Hospital
- Pusan National University Hospital
- Asan Medical Center.
- Auckland Clinical Studies Limited
- ID Clinic
- Kaohsiung Medical University
- National Cheng Kung University Hospital
- Western General Hospital
- Royal Liverpool University Hospital
- King College Hospital NHS Foundation Trust
- Chelsea & Westminster Hospital
- St George's Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Part 1: Single Ascending Dose, HV
Part 2a: Multi-dose, CHB
Part 2b: Multi-dose, CHB (Optional)
Healthy volunteers will be administered a single dose of RO7239958 or placebo subcutaneously (SC).
Participants with chronic hepatitis B will be administered different dose levels of RO7239958 or placebo SC. Dosages will be determined from data collected from Part 1.
Additional study arm to open based on data collected from Part 2a. Participants with chronic hepatitis B will be administered different doses and frequencies of RO7239958 or placebo SC.