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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 days 1-3 and/or days 8-10. Follow-up visits are required periodically through day 43. Subjects with sustained reductions in HbsAg will be requested to return for additional follow-up follow-up visits at 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 | Assessments include adverse events, laboratory abnormalities, 12-lead ECG abnormalities and interval measurements, and vital signs measurements | Periodically Day 1 to 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of plasma drug concentrations of GS-9620 using non-compartmental methods | SAD and 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 | ||
| Indiana University Medical Center |
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| 4mg GS-9620 QW x 2 doses | Experimental |
|
|
| Multiple Ascending Dose (MAD) 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 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]) | Single ascending dose (SAD) Cohorts: Whole blood and serum for pharmacodynamic (PD) assessments (RNA and cytokine analysis) will be drawn on Day 1 at pre-dose, 8, 24 and 48 hours post-dose, and on Days 5 and Day 8 Multiple ascending dose (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, and Day 5 Day 8: Pre-dose and 8 hours Post-dose, Day 9, 10, 12, and Day 15 | Days 1, 2, 3, 5, 8 |
| Reduction of hepatitis B (HBV) viral load from baseline | SAD cohort: HBsAg+ levels will be drawn at Day 1: Pre-dose, Day 2, 3, 5, 8 and both Follow-up Visits. MAD cohorts: HBsAg+ levels will be drawn at Day 1: Pre-dose, Day 2, 3, 5, Day 8: Pre-Dose, 9, 10, 15, and both Follow-Up Visits. | Screening, Baseline, Day 8 or 15 |
| Indianapolis |
| Indiana |
| 46202-5121 |
| United States |
| Tulane University Health Sciences Center | New Orleans | Louisiana | 70112 | United States |
| Beth Israel Deaconess Medical Center | Boston | Massachusetts | 022154 | 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 |
| Baylor College of Medicine | Houston | Texas | 77030 | United States |
| University of Utah | Salt Lake City | Utah | 84132 | United States |
| Nepean Hospital, Department of ID | Kingswood | New South Wales | 2747 | Australia |
| Royal Brisbane and Women's Hospital | Herston | Queensland | 4029 | Australia |
| Monash University, Dept. of Medicine | Clayton | Victoria | 3168 | Australia |
| Alfred Hospital, Department of Gastroenterology | Melbourne | Victoria | 3004 | 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. | Laval | Quebec | H7V 4B3 | Canada |
| Aukland Clinical Studies | Grafton | Aukland | 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 |
| 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 |
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