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| ID | Type | Description | Link |
|---|---|---|---|
| 2024-514507-33-00 | EU Trial (CTIS) Number |
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The study is intended to evaluate the efficacy and safety of 2 different doses of DAP/TOM followed by bepirovirsen in participants living with CHB on standard of care nucleos(t)ide analogue (NA) therapy. The study also aims to identify an optimal dose of DAP/TOM for sequenced therapy with bepirovirsen for further clinical development and to assess the contribution of DAP/TOM to the sequential regimen. The study will also include an optional long-term follow-up (LTFU) extension stage for eligible participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Arm 1A: DAP/TOM + Bepirovirsen | Experimental | Participants with high Hepatitis B surface antigen (HBsAg) level will receive dose level 1 of DAP/TOM in Treatment Stage 1. After DAP/TOM Treatment, eligible participants will receive bepirovirsen in Treatment Stage 2. All participants will continue background NA treatment throughout these treatment stages. After bepirovirsen Treatment Stage, participants will be observed during the NA Only Stage, while maintaining background NA treatment. Eligible participants will then discontinue background NA treatment. |
|
| Treatment Arm 1B: DAP/TOM + Bepirovirsen | Experimental | Participants with high HBsAg level will receive dose level 2 of DAP/TOM in Treatment Stage 1. After DAP/TOM treatment, eligible participants will receive bepirovirsen in Treatment Stage 2. All participants will continue background NA treatment throughout these treatment stages. After bepirovirsen Treatment Stage, participants will be observed during the NA Only Stage, while maintaining background NA treatment. Eligible participants will then discontinue background NA treatment. |
|
| Treatment Arm 2A: DAP/TOM + Bepirovirsen | Experimental | Participants with low HBsAg level will receive dose level 1 of DAP/TOM in Treatment Stage 1. After DAP/TOM treatment, eligible participants will receive bepirovirsen in Treatment Stage 2. All participants will continue background NA treatment throughout these treatment stages. After bepirovirsen Treatment Stage, participants will be observed during the NA Only Stage, while maintaining background NA treatment. Eligible participants will then discontinue background NA treatment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Daplusiran/Tomligisiran Dose Level 1 | Drug | Daplusiran/Tomligisiran dose level 1 will be administered |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants achieving functional cure | The functional cure for HBV is defined as sustained suppression (24 weeks or longer) of HBV deoxyribonucleic acid (DNA) \ | Up to 100 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants achieving functional cure with high Baseline HBsAg level | The functional cure for HBV is defined as sustained suppression (24 weeks or longer) of HBV DNA \ |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | San Francisco | California | 94115 | United States | ||
| GSK Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40562220 | Derived | Hong J, Rajwanshi VK. Antisense oligonucleotides as drugs with both direct and indirect antiviral actions. Antiviral Res. 2025 Aug;240:106219. doi: 10.1016/j.antiviral.2025.106219. Epub 2025 Jun 23. |
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Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk-studyregister.com/gsk-patient-level-data-sharing-july2025.pdf
Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or terminated asset(s) across all indications.
Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension may be granted, when justified, for up to 6 months.
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| Treatment Arm 2B: DAP/TOM + Bepirovirsen | Experimental | Participants with low HBsAg level will receive dose level 2 of DAP/TOM in Treatment Stage 1. After DAP/TOM treatment, eligible participants will receive bepirovirsen in Treatment Stage 2. All participants will continue background NA treatment throughout these treatment stages. After bepirovirsen Treatment Stage, participants will be observed during the NA Only Stage, while maintaining background NA treatment. Eligible participants will then discontinue background NA treatment. |
|
| Treatment Arm 2C: Placebo + Bepirovirsen | Experimental | Participants with low HBsAg level will receive Placebo in Treatment Stage 1. After Placebo treatment, eligible participants will receive bepirovirsen in Treatment Stage 2. All participants will continue background NA treatment throughout these treatment stages. After bepirovirsen Treatment Stage, participants will be observed during the NA Only Stage, while maintaining background NA treatment. Eligible participants will then discontinue background NA treatment. |
|
| Daplusiran/Tomligisiran Dose Level 2 | Drug | Daplusiran/Tomligisiran dose level 2 will be administered |
|
| Bepirovirsen | Drug | Bepirovirsen will be administered |
|
| Placebo | Drug | Placebo will be administered |
|
| Up to 100 Weeks |
| Number of participants achieving functional cure with low Baseline HBsAg level | The functional cure for HBV is defined as sustained suppression (24 weeks or longer) of HBV DNA \ | Up to 100 Weeks |
| Number of participants achieving functional cure with low Baseline HBsAg level compared against placebo + bepirovirsen arm | The functional cure for HBV is defined as sustained suppression (24 weeks or longer) of HBV DNA \ | Up to 100 Weeks |
| Number of participants with undetected HBsAg and HBV DNA <LLOQ | The number of participants with undetected HBsAg and HBV DNA \ | Up to 48 Weeks |
| San Jose |
| California |
| 95116 |
| United States |
| GSK Investigational Site | Minneapolis | Minnesota | 55415 | United States |
| GSK Investigational Site | New York | New York | 10029 | United States |
| GSK Investigational Site | Philadelphia | Pennsylvania | 19104 | United States |
| GSK Investigational Site | Westmead | New South Wales | 2145 | Australia |
| GSK Investigational Site | Fitzroy | Victoria | 3065 | Australia |
| GSK Investigational Site | Brussels | 1000 | Belgium |
| GSK Investigational Site | Edegem | 2650 | Belgium |
| GSK Investigational Site | Ghent | 9000 | Belgium |
| GSK Investigational Site | Aracaju | 49060-010 | Brazil |
| GSK Investigational Site | Curitiba | 80810-050 | Brazil |
| GSK Investigational Site | Manaus | 69040-000 | Brazil |
| GSK Investigational Site | São Paulo | 05403-000 | Brazil |
| GSK Investigational Site | Calgary | Alberta | T2N 4Z6 | Canada |
| GSK Investigational Site | Ottawa | Ontario | K1H8L6 | Canada |
| GSK Investigational Site | Toronto | Ontario | M5G 2C4 | Canada |
| GSK Investigational Site | Montreal | Quebec | H4A 3J1 | Canada |
| GSK Investigational Site | Beijing | 100050 | China |
| GSK Investigational Site | Chengdu | 610072 | China |
| GSK Investigational Site | Guangzhou | 510630 | China |
| GSK Investigational Site | Shanghai | 200040 | China |
| GSK Investigational Site | Clichy | 92118 | France |
| GSK Investigational Site | Créteil | 94010 | France |
| GSK Investigational Site | Limoges | 87042 | France |
| GSK Investigational Site | Lyon | 69004 | France |
| GSK Investigational Site | Marseille | 13008 | France |
| GSK Investigational Site | Berlin | 10439 | Germany |
| GSK Investigational Site | Berlin | 10787 | Germany |
| GSK Investigational Site | Hanover | 30625 | Germany |
| GSK Investigational Site | Münster | 48149 | Germany |
| GSK Investigational Site | Athens | 10676 | Greece |
| GSK Investigational Site | Athens | 11527 | Greece |
| GSK Investigational Site | Pokfulam | Hong Kong |
| GSK Investigational Site | Shatin | Hong Kong |
| GSK Investigational Site | Bergamo | 24127 | Italy |
| GSK Investigational Site | Florence | 50134 | Italy |
| GSK Investigational Site | Milan | Italy |
| GSK Investigational Site | Naples | 80131 | Italy |
| GSK Investigational Site | Padova | 35131 | Italy |
| GSK Investigational Site | Pisa | 56124 | Italy |
| GSK Investigational Site | Roma | 00161 | Italy |
| GSK Investigational Site | Chiba | 270-1694 | Japan |
| GSK Investigational Site | Hokkaido | 006-8555 | Japan |
| GSK Investigational Site | Hokkaido | 053-8506 | Japan |
| GSK Investigational Site | Hyōgo | 660-8550 | Japan |
| GSK Investigational Site | Kagawa | 760-8557 | Japan |
| GSK Investigational Site | Kagawa | 761-0793 | Japan |
| GSK Investigational Site | Kumamoto | 860-8556 | Japan |
| GSK Investigational Site | Kumamoto | 862-8655 | Japan |
| GSK Investigational Site | Osaka | 540-0006 | Japan |
| GSK Investigational Site | Osaka | 565-0871 | Japan |
| GSK Investigational Site | Tokyo | 180-8610 | Japan |
| GSK Investigational Site | Yamanashi | 409-3898 | Japan |
| GSK Investigational Site | Auckland | 1023 | New Zealand |
| GSK Investigational Site | Papatoetoe Auckland | 2025 | New Zealand |
| GSK Investigational Site | Singapore | 119074 | Singapore |
| GSK Investigational Site | Singapore | 169608 | Singapore |
| GSK Investigational Site | Johannesburg | 2193 | South Africa |
| GSK Investigational Site | Reiger Park | 1459 | South Africa |
| GSK Investigational Site | Ansan | 15355 | South Korea |
| GSK Investigational Site | Busan | 47392 | South Korea |
| GSK Investigational Site | Pusan | 49241 | South Korea |
| GSK Investigational Site | Seoul | 07061 | South Korea |
| GSK Investigational Site | Seoul | 138-736 | South Korea |
| GSK Investigational Site | Barcelona | 08035 | Spain |
| GSK Investigational Site | Barcelona | 08036 | Spain |
| GSK Investigational Site | León | 24080 | Spain |
| GSK Investigational Site | Madrid | 28041 | Spain |
| GSK Investigational Site | Salamanca | 37007 | Spain |
| GSK Investigational Site | Santander | 39008 | Spain |
| GSK Investigational Site | Valencia | 46026 | Spain |
| GSK Investigational Site | Kaohsiung City | 807 | Taiwan |
| GSK Investigational Site | Kaohsiung City | 824 | Taiwan |
| GSK Investigational Site | Taichung | 404 | Taiwan |
| GSK Investigational Site | Tau-Yuan | 333 | Taiwan |
| GSK Investigational Site | London | E1 8PR | United Kingdom |
| GSK Investigational Site | London | SE5 9RS | United Kingdom |
| GSK Investigational Site | London | SW17 0QT | United Kingdom |
| GSK Investigational Site | Middlesbrough | TS4 3BW | United Kingdom |
| ID | Term |
|---|---|
| D019694 | Hepatitis B, Chronic |
| D006509 | Hepatitis B |
| 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 |
| 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 |
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