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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02166047
Registration number
NCT02166047
Ethics application status
Date submitted
16/06/2014
Date registered
18/06/2014
Date last updated
14/10/2020
Titles & IDs
Public title
Study To Evaluate Safety and Efficacy of Vesatolimod for the Treatment of Chronic Hepatitis B Virus in Virally-Suppressed Participants
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Scientific title
A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multi-center Study to Evaluate the Safety and Efficacy of GS-9620 for the Treatment of Virally-Suppressed Subjects With Chronic Hepatitis B
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Secondary ID [1]
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2014-001400-22
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Secondary ID [2]
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GS-US-283-1059
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Hepatitis B
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Condition category
Condition code
Infection
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Other infectious diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Vesatolimod
Treatment: Drugs - Placebo
Placebo comparator: Placebo 4 Weeks (Cohort A) - Placebo tablet once a week for 4 weeks
Experimental: Vesatolimod 1 mg 4 Weeks (Cohort A) - Vesatolimod 1 mg tablet once a week for 4 weeks
Experimental: Vesatolimod 2 mg 4 Weeks (Cohort A) - Vesatolimod 2 mg tablet once a week for 4 weeks
Experimental: Vesatolimod 4 mg 4 Weeks (Cohort A) - Vesatolimod 4 mg tablet once a week for 4 weeks
Placebo comparator: Placebo 8 Weeks (Cohort B) - Placebo tablet once a week for 8 weeks
Experimental: Vesatolimod 1 mg 8 Weeks (Cohort B) - Vesatolimod 1 mg tablet once a week for 8 weeks
Experimental: Vesatolimod 2 mg 8 Weeks (Cohort B) - Vesatolimod 2 mg tablet once a week for 8 weeks
Experimental: Vesatolimod 4 mg 8 Weeks (Cohort B) - Vesatolimod 4 mg tablet once a week for 8 weeks
Placebo comparator: Placebo 12 Weeks (Cohort C) - Placebo tablet once a week for 12 weeks
Experimental: Vesatolimod 1 mg 12 Weeks (Cohort C) - Vesatolimod 1 mg tablet once a week for 12 weeks
Experimental: Vesatolimod 2 mg 12 Weeks (Cohort C) - Vesatolimod 2 mg tablet once a week for 12 weeks
Experimental: Vesatolimod 4 mg 12 Weeks (Cohort C) - Vesatolimod 4 mg tablet once a week for 12 weeks
Treatment: Drugs: Vesatolimod
Vesatolimod tablet administered orally
Treatment: Drugs: Placebo
Placebo to match vesatolimod tablet administered orally
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline in Serum Hepatitis B Surface Antigen (HBsAg) Level at Week 24
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Assessment method [1]
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A mixed effect model for repeated measures (MMRM) was used to analyze HBsAg change from baseline, which included treatment, baseline HBsAg level (\> 5000 IU/mL or = 5000 IU/mL), HBeAg baseline status (positive or negative), visit and treatment-by-visit interaction as fixed effect and visit as repeated measurement.
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Timepoint [1]
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Baseline to Week 24
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Secondary outcome [1]
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Composite Endpoint Measuring the Percentage of Participants With Hepatitis B Envelope Antigen (HBeAg) Loss and Seroconversion at Week 24
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Assessment method [1]
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HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window.
HBeAg seroconversion was defined as qualitative hepatitis B envelope antibody (HBeAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window.
Participants who had missing information were assumed to have no HBeAg loss and no HBeAg seroconversion.
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Timepoint [1]
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Week 24
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Secondary outcome [2]
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Composite Endpoint Measuring the Percentage of Participants With Hepatitis B Envelope Antigen (HBeAg) Loss and Seroconversion at Week 48
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Assessment method [2]
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HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window.
HBeAg seroconversion was defined as qualitative hepatitis B envelope antibody (HBeAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window.
Participants who had missing information were assumed to have no HBeAg loss and no HBeAg seroconversion.
Only participants who were HBeAg+ at baseline were included.
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Timepoint [2]
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Week 48
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Secondary outcome [3]
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Composite Endpoint Measuring the Percentage of Participants With HBsAg Loss and Seroconversion at Week 24
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Assessment method [3]
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HBsAg loss was defined as qualitative HBsAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window.
HBsAg seroconversion was defined as qualitative hepatitis B surface antibody (HBsAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window.
Participants who had missing information were assumed to have no HBsAg loss and no HBsAg seroconversion.
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Timepoint [3]
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Week 24
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Secondary outcome [4]
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Composite Endpoint Measuring the Percentage of Participants With HBsAg Loss and Seroconversion at Week 48
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Assessment method [4]
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HBsAg loss was defined as qualitative HBsAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window.
HBsAg seroconversion was defined as qualitative hepatitis B surface antibody (HBsAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window.
Participants who had missing information were assumed to have no HBsAg loss and no HBsAg seroconversion.
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Timepoint [4]
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Week 48
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Secondary outcome [5]
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Change From Baseline in Serum HBsAg Level at Week 4
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Assessment method [5]
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Timepoint [5]
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Baseline; Week 4
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Secondary outcome [6]
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Change From Baseline in Serum HBsAg Level at Week 8
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Assessment method [6]
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Timepoint [6]
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Baseline; Week 8
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Secondary outcome [7]
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Change From Baseline in Serum HBsAg Level at Week 12
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Assessment method [7]
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Timepoint [7]
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Baseline; Week 12
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Secondary outcome [8]
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Change From Baseline in Serum HBsAg Level at Week 48
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Assessment method [8]
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Timepoint [8]
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Baseline; Week 48
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Eligibility
Key inclusion criteria
Key
* Must have the ability to understand and sign a written informed consent form; consent must be obtained prior to initiation of study procedures
* Documented evidence of CHB infection (eg, hepatitis B surface antigen [HBsAg] positive for more than 6 months) with detectable HBsAg levels at screening
* Have been on approved HBV OAV treatment for = 1 year prior to screening, with HBV DNA below lower limit of quantitation (LLOQ), measured at least once, 6 or more months prior to screening, and HBV DNA < 20 IU/mL at screening
* Currently taking an approved HBV OAV (tenofovir, entecavir, adefovir, lamivudine, or telbivudine, either as single agents or in combination) with no change in regimen for 3 months prior to screening
* Willing to provide blood sample for toll-like receptor 7 (TLR-7) and interleukin 28 B (IL28B) single-nucleotide polymorphism (SNP) assessment
* Must be willing and able to comply with all study requirements
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Extensive bridging fibrosis or cirrhosis
* Laboratory parameters not within defined thresholds for neutropenia, anemia, thrombocytopenia, leukopenia, or other evidence of inadequate liver function
* Coinfection with hepatitis C virus (HCV), HIV, or hepatitis D virus (HDV)
* Evidence of hepatocellular carcinoma
* Malignancy within 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection (basal cell skin cancer, etc.). Participants under evaluation for possible malignancy are not eligible.
* Significant cardiovascular, pulmonary, or neurological disease
* Any of the following conditions that may worsen in response to interferon (IFN):
* Autoimmune disease (eg, lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, sarcoidosis, moderate or severe psoriasis)
* Poorly controlled diabetes mellitus
* Significant psychiatric disorders
* Thyroid disorder (unless controlled under treatment)
* Significant pulmonary diseases (eg, chronic obstructive pulmonary disease)
* Retinal disease
* Immunodeficiency disorders
* Received solid organ or bone marrow transplant
* Received prolonged therapy with immunomodulators (eg, corticosteroids) or biologics (eg, monoclonal Ab, interferon) within 3 months of screening
* Use of another investigational agents within 3 months of screening
* Current alcohol or substance abuse judged by the investigator to potentially interfere with compliance
* Females who are pregnant or may wish to become pregnant during the study
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
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Intervention assignment
Other
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
30/06/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
20/10/2016
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Sample size
Target
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Accrual to date
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Final
162
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
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United States of America
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California
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United States of America
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State/province [2]
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Hawaii
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United States of America
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Massachusetts
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United States of America
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State/province [4]
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Michigan
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Country [5]
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United States of America
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State/province [5]
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New York
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Country [6]
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Canada
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State/province [6]
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British Columbia
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Country [7]
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Canada
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Manitoba
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Canada
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Ontario
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Italy
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FG
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Italy
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Milan
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Italy
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State/province [11]
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Parma
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Italy
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State/province [12]
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Pisa
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Country [13]
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Korea, Republic of
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State/province [13]
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Seoul
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Country [14]
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Netherlands
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State/province [14]
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Rotterdam
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New Zealand
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State/province [15]
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Gilead Sciences
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary objectives of this study are to evaluate the safety, tolerability, and efficacy of vesatolimod in participants with chronic hepatitis B (CHB) infection currently being treated with oral antivirals (OAV). Participants will be randomized in 3 sequential cohorts (Cohorts A, B, and C). Within each cohort, participants will be randomized in a 1:3:3:3 ratio to placebo or one of the doses of vesatolimod (1, 2, or 4 mg).
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Trial website
https://clinicaltrials.gov/study/NCT02166047
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Trial related presentations / publications
Boni C, Vecchi A, Rossi M, Laccabue D, Giuberti T, Alfieri A, Lampertico P, Grossi G, Facchetti F, Brunetto MR, Coco B, Cavallone D, Mangia A, Santoro R, Piazzolla V, Lau A, Gaggar A, Subramanian GM, Ferrari C. TLR7 Agonist Increases Responses of Hepatitis B Virus-Specific T Cells and Natural Killer Cells in Patients With Chronic Hepatitis B Treated With Nucleos(T)Ide Analogues. Gastroenterology. 2018 May;154(6):1764-1777.e7. doi: 10.1053/j.gastro.2018.01.030. Epub 2018 Jan 31. Janssen HLA, Brunetto MR, Kim YJ, Ferrari C, Massetto B, Nguyen AH, Joshi A, Woo J, Lau AH, Gaggar A, Subramanian GM, Yoshida EM, Ahn SH, Tsai NCS, Fung S, Gane EJ. Safety, efficacy and pharmacodynamics of vesatolimod (GS-9620) in virally suppressed patients with chronic hepatitis B. J Hepatol. 2018 Mar;68(3):431-440. doi: 10.1016/j.jhep.2017.10.027. Epub 2017 Dec 11.
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Public notes
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Contacts
Principal investigator
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Gilead Study Director
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Address
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Gilead Sciences
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Boni C, Vecchi A, Rossi M, Laccabue D, Giuberti T,...
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Journal
Janssen HLA, Brunetto MR, Kim YJ, Ferrari C, Masse...
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Results are available at
https://clinicaltrials.gov/study/NCT02166047
Download to PDF