Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Sponsor decision.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This is a Phase 2a, multi-center, randomized, double-blind, placebo-controlled study evaluating the safety, efficacy, and pharmacokinetics (PK) of AL-3778 in combination with Peg-IFN in subjects with Hepatitis B e antigen (HBeAg) positive CHB virus infection who are treatment-naïve.
The study will consist of a screening phase , a double-blind treatment phase followed by treatment with Peg-IFN alone, and a post-treatment follow-up phase.
Approximately 30 subjects to complete the study. Eligible subjects will be randomized into 2 treatment arms in a 2:1 ratio (active:placebo) to receive one of the following treatments:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Peg-IFN plus AL-3778 | Active Comparator |
| |
| Peg-IFN plus matching placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AL-3778 | Drug | AL-3778 tablets |
| |
| Peginterferon Alfa-2A |
| Measure | Description | Time Frame |
|---|---|---|
| Mean change (measured in log10 IU/mL) in serum HBsAg from baseline at Week 24. | Day 1 to Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and severity of AEs | Screening to Week 72 | |
| Incidence and severity of laboratory abnormalities | Screening to Week 72 | |
| Incidence of serious adverse events (SAEs). |
Not provided
Inclusion Criteria:
A female subject must be of non-childbearing potential
Subjects must have CHB infection, documented by serologic profile consistent for CHB infection at screening:
Subjects are treatment-naïve and are serum HBeAg positive with:
Exclusion Criteria:
Positive test for hepatitis A virus immunoglobulin, hepatitis delta antibody (Ab), hepatitis C Ab, human immunodeficiency virus (HIV) Ab and/or evidence of clinically relevant active infection that would interfere with study conduct or its interpretation would also lead to exclusion.
Positive test for anti-HBs antibodies and anti-HBe antibodies.
Subjects must have low levels of liver fibrosis that is classified as Metavir F0-F2
Any history or current evidence of hepatic decompensation
Subjects must have absence of hepatocellular carcinoma
Subject with evidence of retinopathy on retinal fundus photographs
Exclusions related to interferon use for the purposes of this study
Subjects with one or more of the following laboratory abnormalities at screening
Subjects having received an investigational agent or investigational vaccine, or having received a biological product within 12 weeks or 5 half-lives (whichever is longer) prior to baseline (first intake of study drugs).
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| William Kennedy | Alios Biopharma Inc. | Study Director |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D019694 | Hepatitis B, Chronic |
| ID | Term |
|---|---|
| D006509 | Hepatitis B |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
Not provided
Not provided
| ID | Term |
|---|---|
| C100416 | peginterferon alfa-2a |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Drug |
Peginterferon Alfa-2A for subcutaneous injection |
|
| Placebo Oral Tablet | Drug | Placebo to Match AL-3778 tablet |
|
| Screening to Week 72 |
| Incidence and severity of AEs leading to study drug discontinuation. | Screening to Week 72 |
| Changes in serum HBV DNA over time | Day 1 to Week 72 |
| Proportion of subjects with ALT normalization | Day 1 to Week 72 |
| Incidence and severity of hepatic flares on treatment | Day 1 to Week 48 |
| Incidence and severity of hepatic flares off-treatment. | Week 48 to week 72 |
| Proportions of subjects with HBeAg loss and/or seroconversion. | Day 1 to Week 72 |
| Proportions of subjects with HBsAg loss and/or seroconversion. | Day 1 to Week 72 |
| Changes in serum HBsAg and serum HBeAg levels over time. | Day 1 to Week 72 |
| Proportion of subjects experiencing a viral breakthrough on treatment. | Day 1 to Week 48 |
| Assess emergence of treatment-associated mutations during study treatment and follow-up with a focus on subjects with treatment failure | Day 1 to Week 72 |
| Individually derived Bayesian estimates of AL-3778 Steady state plasma concentration (C0h) | Week 2 |
| Individually derived Bayesian estimates of AL-3778 area under the plasma concentration curve vs time (AUC0-12h) | Week 2 |
| AL-3778 maximum observed plasma concentration (Cmax) | Week 2 |
| AL-3778 Steady state plasma concentration (C0h) | Week 2 |
| AL-3778 area under the plasma concentration curve vs time (AUC0-12h) | Week 2 |
| D018347 |
| Hepadnaviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D006525 | Hepatitis, Viral, Human |
| D006521 | Hepatitis, Chronic |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |