Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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 2 study to evaluate efficacy and safety of 48 weeks of oral once daily monotherapy with ALG-000184 versus tenofovir disproxil fumarate (TDF) for chronic HBV infection.
This is a randomized, double-blind, active-controlled, multicenter Phase 2 study to evaluate the efficacy and safety of 48 weeks of oral (PO) once daily (QD) monotherapy with ALG-000184 versus TDF in treatment naive (TN) or currently not treated (CNT) HBeAg-positive and HBeAg-negative subjects with chronic HBV infection (inclusive of chronic infection and/or chronic hepatitis).
A total of approximately 200 eligible subjects will be enrolled across 2 study parts. Part 1 will be an evaluation of HBeAg-positive subjects with chronic HBV infection and Part 2 will be an evaluation of HBeAg-negative subjects with chronic HBV infection. Each study part will consist of a main study and an exploratory liver biopsy sub-study.
Following the 48-week double-blind dosing period (Week 48), all participating subjects (in Parts 1 and 2) will be allowed to roll over into a 48 week (i.e., Week 48-96) open-label treatment extension period where they will all receive ALG-000184 monotherapy.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ALG-000184 | Experimental | Orally for 48 weeks followed by open-label treatment with ALG-000184 for 48 weeks. |
|
| TDF | Active Comparator | Orally for 48 weeks followed by open-label treatment with ALG-000184 for 48 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ALG-000184 | Drug | 300 mg tablet |
| |
| TDF |
| Measure | Description | Time Frame |
|---|---|---|
| HBeAg positive: HBV DNA <Lower Limit of Quantification [LLOQ] (10 IU/mL, target detected or target not detected) | HBV DNA \ | 48 weeks |
| HBeAg negative: HBV DNA <Lower Limit of Quantification [LLOQ] (10 IU/mL, target not detected) | HBV DNA \ | 48 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability | Number of participants with Treatment Emergent Adverse Events (TEAEs), with abnormal 12-lead electrocardiogram readings and abnormal clinical laboratory results. | 96 Weeks |
| HBV DNA levels |
| Measure | Description | Time Frame |
|---|---|---|
| Change in levels of various HBV antigens at various time points from Baseline | Change from baseline in levels of various HBV antigens | 96 Weeks |
| Histologic, virologic, immunologic and/or PK-related endpoints |
Key Inclusion Criteria:
Male or female between 18 and 65 years of age, with body mass index (BMI) of 18.0 to 35.0 kg/m2 (or minimun age by local regulatory requirements).
HBeAg-positive and anti-HBeAg (HBeAb) negative (Part 1); or HBeAg-negative (Part 2).
HBsAg ≥LLOQ.
HBV DNA ≥20,000 IU/mL.
A history of a clinical diagnosis of chronic HBV infection AND an ALT values of ≤8×ULN during screening.
Must have the following chronic hepatitis B virus infection treatment status at screening:
Key Exclusion Criteria:
Co-infection with hepatitis A, C, D, E or HIV or any evidence of clinically significant liver disease of non-HBV etiology.
Positive for anti-HBs antibodies.
History or current evidence of cirrhosis.
Liver fibrosis that is classified as Metavir Score ≥F3 liver disease.
History of, or current evidence of, hepatic decompensation.
Evidence of hepatocellular carcinoma (HCC) on a liver ultrasound.
Having received an investigational medicinal product or device within 4 weeks (or 5 half-lives, whichever is longer) before the planned first dose of study drug
Exclusionary screening laboratory values include:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Aligos Therapeutics | Contact | (800) 466-6059 | info@aligos.com |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aligos Investigational Site | Recruiting | Chandler | Arizona | 85224 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
| Drug |
300 mg tablet |
|
Categorized by HBV DNA ≥ Lower Limit of Quantification [LLOQ], HBV DNA \
| 48 weeks |
| HBV DNA < lower limit of quantification [LLOQ] (target detected or target not detected) [HBeAg positive] | HBV DNA < Lower Limit of Quantification [LLOQ] (target detected or target not detected) at various time points during the first 48 weeks | 48 weeks |
| HBV DNA < Lower Limit of Quantification [LLOQ] (target not detected) [HBeAg negative] | HBV DNA < Lower Limit of Quantification [LLOQ] (target not detected) at various time points during the first 48 weeks | 48 weeks |
| Change in HBV DNA levels from baseline | Change from baseline in HBV DNA at various time points during the first 48 weeks. | 48 weeks |
| Time to HBV DNA level <Lower Limit of Quantification [LLOQ] | Time to HBV DNA < Lower Limit of Quantification [LLOQ] (target detected or target not detected) (HBeAg positive) and HBV DNA < Lower Limit of Quantification [LLOQ] (target not detected) (HBeAg negative) | 96 Weeks |
| Change in HBV RNA levels from baseline | Change from baseline in HBV RNA levels at various time points during the first 48 weeks | 48 weeks |
| Time to HBV RNA level <Lower Limit of Quantification [LLOQ] | Time to HBV RNA < Lower Limit of Quantification [LLOQ] | 96 Weeks |
| Subjects with abnormal ALT at baseline who have normal ALT at Week 48 | Subjects with abnormal ALT at baseline who have normal ALT at Week 48 | 48 weeks |
| Emergence of treatment associated mutations in the HBV genome | Emergence of treatment associated mutations in the HBV genome | 96 Weeks |
| PK parameters of ALG-001075 | PK parameters of ALG-001075 including the trough plasma concentration (Ctrough) | 96 Weeks |
| PK parameters of ALG-001075 | PK parameters of ALG-001075 including the time to reach the maximum plasma concentration (Tmax) | 96 Weeks |
| PK parameters of ALG-001075 | PK parameters of ALG-001075 including the maximum drug concentration (Cmax) | 96 Weeks |
| PK parameters of ALG-001075 | PK parameters of ALG-001075 including the minimum drug concentration (Cmin) | 96 Weeks |
| PK parameters of ALG-001075 | PK parameters of ALG-001075 including the area under the plasma concentration-time curve steady state (AUCss) | 96 Weeks |
| PK parameters of ALG-001075 | PK parameters of ALG-001075 including the half-life | 96 Weeks |
Change in intrahepatic viral markers (e.g., HBV nucleic acid and antigen levels), immune cell populations, and inflammation/fibrosis biomarkers
| 96 Weeks |
| Aligos Investigational Site | Recruiting | Coronado | California | 92118 | United States |
|
| Aligos Investigational Site | Recruiting | Garden Grove | California | 92840 | United States |
|
| Aligos Investigational Site | Recruiting | Los Angeles | California | 90033 | United States |
|
| Aligos Investigational Site | Recruiting | Palo Alto | California | 94304 | United States |
|
| Aligos Investigational Site | Recruiting | Pasadena | California | 91105 | United States |
|
| Aligos Investigational Site | Recruiting | Rialto | California | 92377 | United States |
|
| Aligos Investigational Site | Recruiting | San Francisco | California | 94117 | United States |
|
| Aligos Investigational Site | Recruiting | San Jose | California | 95116 | United States |
|
| Aligos Investigational Site | Recruiting | Miami | Florida | 33136 | United States |
|
| Aligos Investigational Site | Recruiting | Miami | Florida | 33173 | United States |
|
| Aligos Investigational Site | Recruiting | Marrero | Louisiana | 70072 | United States |
|
| Aligos Investigational Site | Recruiting | Baltimore | Maryland | 21287 | United States |
|
| Aligos Investigational Site | Recruiting | Chevy Chase | Maryland | 20815 | United States |
|
| Aligos Investigational Site | Recruiting | Boston | Massachusetts | 02114 | United States |
|
| Aligos Investigational Site | Recruiting | Manhasset | New York | 10075 | United States |
|
| Aligos Investigational Site | Recruiting | New York | New York | 10016 | United States |
|
| Aligos Investigational Site | Recruiting | Durham | North Carolina | 27710 | United States |
|
| Aligos Investigational Site | Recruiting | Sliven | Bulgaria |
|
| Aligos Investigational Sites | Recruiting | Sofia | Bulgaria |
|
| Aligos Investigational Site | Recruiting | Stara Zagora | Bulgaria |
|
| Aligos Investigational Site | Recruiting | Edmonton | Canada |
|
| Aligos Investigational Site | Recruiting | Ottawa | Canada |
|
| Aligos Investigational Site | Recruiting | Toronto | Canada |
|
| Aligos Investigational Sites | Recruiting | Vancouver | Canada |
|
| Aligos Investigational Sites | Recruiting | Beijing | China |
|
| Aligos Investigational Site | Recruiting | Changchun | China |
|
| Aligos Investigational Site | Recruiting | Chengdu | China |
|
| Aligos Investigational Site | Recruiting | Chongqing | China |
|
| Aligos Investigational Sites | Recruiting | Guangzhou | China |
|
| Aligos Investigational Site | Recruiting | Nanjing | China |
|
| Aligos Investigational Sites | Recruiting | Shanghai | China |
|
| Aligos Investigational Site | Recruiting | Clichy | France |
|
| Aligos Investigational Site | Recruiting | Limoges | France |
|
| Aligos Investigational Site | Recruiting | Nice | France |
|
| Aligos Investigational Site | Recruiting | Rennes | France |
|
| Aligos Investigational Site | Recruiting | Rouen | France |
|
| Aligos Investigational Site | Recruiting | Toulouse | France |
|
| Aligos Investigational Sites | Recruiting | Hong Kong | Hong Kong |
|
| Aligos Investigational Site | Recruiting | Milan | Italy |
|
| Aligos Investigational Site | Recruiting | Chisinau | Moldova |
|
| Aligos Investigational Site | Recruiting | Auckland | New Zealand |
|
| Aligos Investigational Sites | Recruiting | Bucharest | Romania |
|
| Aligos Investigational Site | Recruiting | Ansan | South Korea |
|
| Aligos Investigational Site | Recruiting | Busan | South Korea |
|
| Aligos Investigational Sites | Recruiting | Seoul | South Korea |
|
| Aligos Investigational Site | Recruiting | Ulsan | South Korea |
|
| Aligos Investigational Site | Recruiting | Yangsan | South Korea |
|
| Aligos Investigational Site | Recruiting | Barcelona | Spain |
|
| Aligos Investigational Site | Not yet recruiting | Pontevedra | Spain |
|
| Aligos Investigational Site | Recruiting | Chiayi City | Taiwan |
|
| Aligos Investigational Site | Recruiting | Kaohsiung City | Taiwan |
|
| Aligos Investigational Site | Recruiting | Taichung | Taiwan |
|
| Aligos Investigational Site | Recruiting | Tainan | Taiwan |
|
| Aligos Investigational Site | Recruiting | Taipei | Taiwan |
|
| Aligos Investigational Site | Recruiting | Glasgow | United Kingdom |
|
| Aligos Investigational Site | Recruiting | Leicester | United Kingdom |
|
| Aligos Investigational Sites | Recruiting | London | 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 |
Not provided
Not provided