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Dose cohorts may be dosed with one of up to 4 possible total weekly doses (0.3 mg, 1 mg, 2 mg, 4 mg). Dose escalation or repetition will be governed by pre-specified safety and activity rules. Subjects will be confined on either days 1-3 or days 1-3 and 8-10. Follow-up visits are also required periodically through day 43, and potential viral load follow-up visits at weeks 3 and 6 months post last dose. Study procedures involve blood draws for pharmacokinetic, pharmacodynamic, virologic, and safety assessments
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 0.3mg GS-9620 | Experimental |
| |
| 1mg GS-9620 | Experimental |
| |
| 2mg GS-9620 | Experimental |
| |
| 4mg GS-9620 | Experimental |
| |
| 0.3mg GS-9620 QW x 2 doses | Experimental |
| |
| 1mg GS-9620 QW x 2 doses | Experimental |
| |
| 2mg GS-9620 QW x 2 doses | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Single Ascending Dose (SAD) Cohorts GS-9620 | Drug | This study will enroll cohorts of 6 eligible, unique subjects per cohort, randomized to either active drug or placebo (5:1) within each cohort. Subjects in Single Ascending Dose (SAD) Cohorts will receive a single dose of GS-9620. |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of adverse events in single and multiple oral doses of GS-9620 | Safety will be assessed during the study through the reporting of adverse events, by clinical laboratory tests, physical examinations including vital signs and ECGs at various time points during the study, and by documentation of concomitant medications throughout the study. | Periodically Through Week 25 |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of plasma drug concentrations of GS-9620 using non-compartmental methods | Single ascending dose (SAD) and multiple ascending dose (MAD) Cohorts:serial blood samples will be collected on Day 1 at 0 (pre-dose), 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 8, 10, 12, 16, 24, 48, and 96 hours post-dose. MAD Cohorts: serial blood samples will also be collected on Day 8 at 0 (pre-dose), , 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 8, 10, 12, 16, and 24 hours post-dose. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Benedetta Massetto, M.D. | Gilead Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic Hospital | Phoenix | Arizona | 85054 | United States | ||
| West Coast Clinical Trials, LLC |
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| 4mg GS-9620 QW x 2 doses | Experimental |
|
|
| Multiple Ascending Dose (MAD) Cohorts | Drug | This study will enroll cohorts of 6 eligible, unique subjects per cohort, randomized to either active drug or placebo (5:1) within each cohort. Subjects in Multiple Ascending Dose (MAD) Cohorts will receive GS-9620 once weekly for two weeks (QW x 2 doses) |
|
| Day 1 and Day 8 |
| Measurement of pharmacodynamic markers (cytokines and interferon-stimulated genes [ISGs]) | SAD Cohorts: whole blood and serum for pharmacodynamic (PD) assessments (RNA and cytokine analysis) will be drawn on Day 1: pre-dose and 8-hr post dose, Day 2, Day 3, Days 5 and Day 8 MAD Cohorts: whole blood and serum for PD assessments (RNA and cytokine analysis) will be drawn on Day 1: pre-dose and 8 hours postdose, Day 2, Day 3, Day 5, and Day 8: pre-dose and 8 hours post-dose, Day 9, Day 10, Day 12, and Day 15 | Up to Day 15 |
| Reduction of hepatitis B (HBV) viral load from baseline | Antiviral activity will be evaluated by determination of HBV HBsAg and HBV viral load kinetics | Up to Day 15 and Follow-Up |
| Costa Mesa |
| California |
| 92626 |
| United States |
| University of California Antiviral Research Center (AVRC) | San Diego | California | 92103 | United States |
| Indiana University Medical Center | Indianapolis | Indiana | 46202-5121 | United States |
| Tulane University Health Sciences Center | New Orleans | Louisiana | 70122 | United States |
| Beth Israel Deaconess Medical Center | Boston | Massachusetts | 02215 | United States |
| Henry Ford Health System | Detroit | Michigan | 48202 | United States |
| Kansas City Gastroenterology and Hepatology | Kansas City | Missouri | 64131 | United States |
| Weill Cornell Medical College | New York | New York | 10021 | United States |
| University Hospitals Case Medical Center | Cleveland | Ohio | 44106 | United States |
| CRI Worldwide, LLC | Philadelphia | Pennsylvania | 19139 | United States |
| Baylor College of Medicine | Houston | Texas | 77030 | United States |
| University of Utah | Salt Lake City | Utah | 84123 | United States |
| Nepean Hospital | Kingswood | New South Wales | 2747 | Australia |
| Royal Brisbane and Women's Hospital | Herston | Queensland | 4029 | Australia |
| Monash University, Department of Medicine | Clayton | Victoria | 3168 | Australia |
| Royal Perth Hospital | Nedlands | Western Australia | 6009 | Australia |
| University of Calgary, Heritage Medical Research Center | Calgary | Alberta | T2N 4Z6 | Canada |
| University of Alberta Hospital | Edmonton | Alberta | T6G 2B7 | Canada |
| Algorithme Pharma, Inc. | Montreal | Quebec | H3P 3P1 | Canada |
| Auckland Clinical Studies | Grafton | Auckland | 1142 | New Zealand |
| Asan Medical Center | Seoul | South Korea |
| Seoul National University Hospital | Seoul | South Korea |
| ID | Term |
|---|---|
| D006509 | Hepatitis B |
| D006505 | Hepatitis |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D018347 | Hepadnaviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D006525 | Hepatitis, Viral, Human |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D064346 | Sagittal Abdominal Diameter |
| C110804 | mycophenolic adenine dinucleotide |
| D015331 | Cohort Studies |
| ID | Term |
|---|---|
| D049628 | Body Size |
| D001837 | Body Weights and Measures |
| D001824 | Body Constitution |
| D010808 | Physical Examination |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D000886 | Anthropometry |
| D008919 | Investigative Techniques |
| D010829 | Physiological Phenomena |
| D016021 | Epidemiologic Studies |
| D016020 | Epidemiologic Study Characteristics |
| D004812 | Epidemiologic Methods |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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