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A Study of RO7239958 to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Healthy Volunteers and Participants With Chronic Hepatitis B Virus Infection

Primary Purpose

Hepatitis B Virus Infection

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
RO7239958
Placebo
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis B Virus Infection

Eligibility Criteria

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

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

Arm Type

Experimental

Experimental

Experimental

Arm Label

Part 1: Single Ascending Dose, HV

Part 2a: Multi-dose, CHB

Part 2b: Multi-dose, CHB (Optional)

Arm Description

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.

Outcomes

Primary Outcome Measures

Number of Participants With Adverse Events (AEs)
An adverse event (AE) was defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product (including investigational drug) during the course of a clinical investigation. An AE could therefore be any unfavorable and unintended sign (including abnormal laboratory findings), symptom, or disease that was temporally associated with the use of the investigational product, regardless of whether it was considered to be related to the investigational product or not.
Number of Participants With Clinically Significant Changes in Vital Signs
Number of participants with clinically significant abnormalities in vital signs such as systolic and diastolic blood pressure, heart rate, body temperature were evaluated.
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Findings
Number of Participants With Clinically Significant Changes in Clinical Laboratory Results
Number of participants with clinically significant abnormalities in clinical laboratory parameters such as serum chemistry, hematology, coagulation, viral serology, urinalysis were evaluated.
Number of Participants With Injection Site Reactions (ISRs)
Injection site reactions (ISRs) referred to any localized sign or symptom, including pain, erythema, swelling and pruritus and were graded as follows: Grade 1: mild, Grade 2: moderate; Grade 3: severe. Adverse events related to ISRs were reported.

Secondary Outcome Measures

Maximum Plasma Concentration (Cmax) of RO7239958
Time to Cmax (Tmax) of RO7239958
Area Under the Curve From Time 0 to the Last Measurable Concentration (AUClast) of RO7239958
Area Under the Curve From Time 0 to 24 Hours (AUC0-24) of RO7239958
Half-life (t1/2) of RO7239958
Cumulative Amount of Drug Excreted in Urine (Ae)
The cumulative amount of drug excreted in urine (Ae) over a 24 hour period or over defined time periods linked to the pools of urine collected was analyzed.
Part 2a: Change From Baseline in Hepatitis B Surface Antigen (HBsAg) Levels
Part 2a: Change From Baseline in Hepatitis B Surface Antibody (Anti-HBs) Levels
Part 2a: Number of Participants With HBsAg Loss
HBsAg loss was defined as a measurement below the lower limit of sensitivity.
Part 2a: Number of Participants With Hepatitis B Envelope Antigen (HBeAg) Loss in HBeAg-positive Participants
HBeAg loss was defined as a measurement below lower limit of sensitivity. Positive HBeAg is a marker of an actively replicating HBV virus infection.
Part 2a: Number of Participants With Hepatitis B e Antibody (Anti-HBe) Seroconversion in HBeAg-positive Participants
Anti-HbBe was defined as an antibody to HBeAg. Positive HBeAg is a marker of an actively replicating HBV virus infection.
Part 2a: Number of Participants With Hepatitis B Virus Deoxyribonucleic Acid (HBV DNA) Below the Assay Lower Limit of Quantification
Participants with HBV DNA below the assay lower limit of quantification i.e. LLOQ <20 IU/ml at each time-point were analyzed.

Full Information

First Posted
November 30, 2018
Last Updated
April 20, 2021
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT03762681
Brief Title
A Study of RO7239958 to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Healthy Volunteers and Participants With Chronic Hepatitis B Virus Infection
Official Title
A Randomized, Placebo-controlled,Observer-blinded Study, to Evaluate Safety,Tolerability, Pharmacokinetics and Pharmacodynamics of RO7239958 in Healthy Volunteers and Patients With Chronic Hepatitis B Virus Infection
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Terminated
Why Stopped
The study was terminated due to program discontinuation.
Study Start Date
December 14, 2018 (Actual)
Primary Completion Date
April 6, 2020 (Actual)
Study Completion Date
April 6, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

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
This study is designed to assess the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of single and multiple ascending doses in healthy volunteers (HV) and participants diagnosed with chronic hepatitis B (CHB).

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Part 1: Single Ascending Dose, HV
Arm Type
Experimental
Arm Description
Healthy volunteers will be administered a single dose of RO7239958 or placebo subcutaneously (SC).
Arm Title
Part 2a: Multi-dose, CHB
Arm Type
Experimental
Arm Description
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.
Arm Title
Part 2b: Multi-dose, CHB (Optional)
Arm Type
Experimental
Arm Description
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.
Intervention Type
Drug
Intervention Name(s)
RO7239958
Intervention Description
Solution for injection, subcutaneous use (SC).
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Sodium chloride solution for injection, SC
Primary Outcome Measure Information:
Title
Number of Participants With Adverse Events (AEs)
Description
An adverse event (AE) was defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product (including investigational drug) during the course of a clinical investigation. An AE could therefore be any unfavorable and unintended sign (including abnormal laboratory findings), symptom, or disease that was temporally associated with the use of the investigational product, regardless of whether it was considered to be related to the investigational product or not.
Time Frame
Up to approximately 16 months
Title
Number of Participants With Clinically Significant Changes in Vital Signs
Description
Number of participants with clinically significant abnormalities in vital signs such as systolic and diastolic blood pressure, heart rate, body temperature were evaluated.
Time Frame
Up to approximately 16 months
Title
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Findings
Time Frame
Up to approximately 16 months
Title
Number of Participants With Clinically Significant Changes in Clinical Laboratory Results
Description
Number of participants with clinically significant abnormalities in clinical laboratory parameters such as serum chemistry, hematology, coagulation, viral serology, urinalysis were evaluated.
Time Frame
Up to approximately 16 months
Title
Number of Participants With Injection Site Reactions (ISRs)
Description
Injection site reactions (ISRs) referred to any localized sign or symptom, including pain, erythema, swelling and pruritus and were graded as follows: Grade 1: mild, Grade 2: moderate; Grade 3: severe. Adverse events related to ISRs were reported.
Time Frame
Up to approximately 16 months
Secondary Outcome Measure Information:
Title
Maximum Plasma Concentration (Cmax) of RO7239958
Time Frame
Part 1: pre-dose on Day 1 and post-dose at 15 minutes (min), 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 30, 36, 48, 72, 96, 120, 168 hours. Part 2a: pre-dose on Days 1 and 29 and post-dose at 30 min, 1, 2, 4, 6, 8, 24 hours.
Title
Time to Cmax (Tmax) of RO7239958
Time Frame
Part 1: pre-dose on Day 1 and post-dose at 15 minutes (min), 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 30, 36, 48, 72, 96, 120, 168 hours. Part 2a: pre-dose on Days 1 and 29 and post-dose at 30 min, 1, 2, 4, 6, 8, 24 hours.
Title
Area Under the Curve From Time 0 to the Last Measurable Concentration (AUClast) of RO7239958
Time Frame
Part 1: pre-dose on Day 1 and post-dose at 15 minutes (min), 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 30, 36, 48, 72, 96, 120, 168 hours. Part 2a: pre-dose on Days 1 and 29 and post-dose at 30 min, 1, 2, 4, 6, 8, 24 hours.
Title
Area Under the Curve From Time 0 to 24 Hours (AUC0-24) of RO7239958
Time Frame
Part 1: pre-dose on Day 1 and post-dose at 15 minutes (min), 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 30, 36, 48, 72, 96, 120, 168 hours. Part 2a: pre-dose on Days 1 and 29 and post-dose at 30 min, 1, 2, 4, 6, 8, 24 hours.
Title
Half-life (t1/2) of RO7239958
Time Frame
Part 1: pre-dose on Day 1 and post-dose at 15 minutes (min), 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 30, 36, 48, 72, 96, 120, 168 hours. Part 2a: pre-dose on Days 1 and 29 and post-dose at 30 min, 1, 2, 4, 6, 8, 24 hours.
Title
Cumulative Amount of Drug Excreted in Urine (Ae)
Description
The cumulative amount of drug excreted in urine (Ae) over a 24 hour period or over defined time periods linked to the pools of urine collected was analyzed.
Time Frame
Part 1: 0-4 h, 0-8 h, 0-12 h and 0-24 h on Day 1; Part 2a: 0-4 h and 0-8 h on Days 1 and 29
Title
Part 2a: Change From Baseline in Hepatitis B Surface Antigen (HBsAg) Levels
Time Frame
Part 2a: Days 1 (pre-dose), 8, 15, 22, 29 (pre-dose); at discontinuation (DC) and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
Title
Part 2a: Change From Baseline in Hepatitis B Surface Antibody (Anti-HBs) Levels
Time Frame
Part 2a: Days 1 (pre-dose), 8, 15, 22, 29 (pre-dose); at discontinuation (DC) and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
Title
Part 2a: Number of Participants With HBsAg Loss
Description
HBsAg loss was defined as a measurement below the lower limit of sensitivity.
Time Frame
Part 2a: Days 1 (pre-dose), 8, 15, 22, 29 (pre-dose); at discontinuation (DC) and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
Title
Part 2a: Number of Participants With Hepatitis B Envelope Antigen (HBeAg) Loss in HBeAg-positive Participants
Description
HBeAg loss was defined as a measurement below lower limit of sensitivity. Positive HBeAg is a marker of an actively replicating HBV virus infection.
Time Frame
Part 2a: Days 1 (pre-dose), 8, 15, 22, 29 (pre-dose); at discontinuation (DC) and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
Title
Part 2a: Number of Participants With Hepatitis B e Antibody (Anti-HBe) Seroconversion in HBeAg-positive Participants
Description
Anti-HbBe was defined as an antibody to HBeAg. Positive HBeAg is a marker of an actively replicating HBV virus infection.
Time Frame
Part 2a: Days 1 (pre-dose), 8, 15, 22, 29 (pre-dose); at discontinuation (DC) and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
Title
Part 2a: Number of Participants With Hepatitis B Virus Deoxyribonucleic Acid (HBV DNA) Below the Assay Lower Limit of Quantification
Description
Participants with HBV DNA below the assay lower limit of quantification i.e. LLOQ <20 IU/ml at each time-point were analyzed.
Time Frame
Part 2a: Day 1 (pre-dose), 15, 29 (pre-dose); at discontinuation (DC), rebound and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)

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
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
Acibadem City Clinic Tokuda Hospital Ead
City
Sofia
ZIP/Postal Code
1407
Country
Bulgaria
Facility Name
COMAC Medical; Clinical Research Unit for Phase I
City
Sofia
ZIP/Postal Code
1612
Country
Bulgaria
Facility Name
Queen Mary Hospital
City
Hong Kong
Country
Hong Kong
Facility Name
Pusan National University Hospital
City
Busan
ZIP/Postal Code
49241
Country
Korea, Republic of
Facility Name
Asan Medical Center.
City
Seoul
ZIP/Postal Code
138-736
Country
Korea, Republic of
Facility Name
Auckland Clinical Studies Limited
City
Auckland
ZIP/Postal Code
1010
Country
New Zealand
Facility Name
ID Clinic
City
Myslowice
ZIP/Postal Code
41-400
Country
Poland
Facility Name
Kaohsiung Medical University
City
Kaohsiung
ZIP/Postal Code
807
Country
Taiwan
Facility Name
National Cheng Kung University Hospital
City
Tainan
ZIP/Postal Code
70457
Country
Taiwan
Facility Name
Western General Hospital
City
Edinburgh
ZIP/Postal Code
EH4 2XU
Country
United Kingdom
Facility Name
Royal Liverpool University Hospital
City
Liverpool
ZIP/Postal Code
L7 8XP
Country
United Kingdom
Facility Name
King College Hospital NHS Foundation Trust
City
London
ZIP/Postal Code
SE5 9RS
Country
United Kingdom
Facility Name
Chelsea & Westminster Hospital
City
London
ZIP/Postal Code
SW10 9NH
Country
United Kingdom
Facility Name
St George's Hospital
City
London
ZIP/Postal Code
SW17 0QT
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).

Learn more about this trial

A Study of RO7239958 to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Healthy Volunteers and Participants With Chronic Hepatitis B Virus Infection

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