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Safety and Efficacy of GS-4774 in Combination With Tenofovir Disoproxil Fumarate (TDF) for the Treatment of Participants With Chronic Hepatitis B (CHB) and Who Are Currently Not on Treatment

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Gilead Sciences

Status and phase

Completed
Phase 2

Conditions

Chronic Hepatitis B

Treatments

Drug: Tenofovir disoproxil fumarate
Biological: GS-4774

Study type

Interventional

Funder types

Industry

Identifiers

NCT02174276
GS-US-330-1401
2014-001011-39 (EudraCT Number)

Details and patient eligibility

About

The primary objectives of this study are to evaluate the safety, tolerability, and efficacy of GS-4774 in adults with CHB and who are currently not on treatment. Participants will be randomized to receive TDF alone or GS-4774 plus TDF for 20 weeks. After Week 20, GS-4774 will be discontinued. All participants will continue on TDF and will be followed for an additional 28 weeks. Following completion of the 48 week study period, all participants will be eligible for a treatment extension for 96 weeks.

Enrollment

195 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Key Inclusion Criteria:

  • Must have the ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study
  • Documented evidence of chronic hepatitis B virus (HBV) infection, for example, hepatitis B surface antigen (HBsAg) positive for more than 6 months
  • Screening HBV DNA ≥ 2000 IU/mL
  • A negative serum pregnancy test is required for females (unless surgically sterile or > 2 years post-menopausal)

Key Exclusion Criteria:

  • Cirrhosis
  • Inadequate liver function
  • Co-infection with hepatitis C virus (HCV), HIV or hepatitis D virus (HDV)
  • Received antiviral treatment for HBV within 3 months of screening
  • Evidence of hepatocellular carcinoma (eg, as evidenced by recent imaging)
  • Significant cardiovascular, pulmonary, or neurological disease
  • Women who are pregnant or may wish to become pregnant during the course of the study
  • Received solid organ or bone marrow transplant
  • Received prolonged therapy with immunomodulators (eg, corticosteroids) or biologics (eg, monoclonal antibody, interferon) within 3 months of screening
  • Use of investigational agents within 3 months of screening
  • Current alcohol or substance abuse judged by the investigator to potentially interfere with individual's compliance
  • Receipt of immunoglobulin or other blood products within 3 months prior to enrollment
  • History of demyelinating disease (Guillain-Barre), Bell's Palsy, Crohn's disease, Ulcerative colitis, or autoimmune disease
  • Documented history of yeast allergy
  • Known hypersensitivity to study drugs, metabolites or formulation excipients
  • Malignancy within 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection (basal cell skin cancer, etc). Individuals under evaluation for possible malignancy are not eligible

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

195 participants in 4 patient groups

TDF 48 weeks
Active Comparator group
Description:
Participants will receive TDF for 48 weeks. After Week 48, participants will have the option to continue receiving TDF for up to 144 weeks.
Treatment:
Drug: Tenofovir disoproxil fumarate
TDF plus GS-4774 2 YU
Experimental group
Description:
Participants will receive TDF plus GS-4774 2 yeast units (YU) for 20 weeks. After Week 20, GS-4774 will be discontinued and participants will continue on TDF for an additional 28 weeks. After Week 48, participants will have the option to continue receiving TDF for up to 144 weeks.
Treatment:
Drug: Tenofovir disoproxil fumarate
Biological: GS-4774
TDF plus GS-4774 10 YU
Experimental group
Description:
Participants will receive TDF plus GS-4774 10 YU for 20 weeks. After Week 20, GS-4774 will be discontinued and participants will continue on TDF for an additional 28 weeks. After Week 48, participants will have the option to continue receiving TDF for up to 144 weeks.
Treatment:
Drug: Tenofovir disoproxil fumarate
Biological: GS-4774
TDF plus GS-4774 40 YU
Experimental group
Description:
Participants will receive TDF plus GS-4774 40 YU for 20 weeks. After Week 20, GS-4774 will be discontinued and participants will continue on TDF for an additional 28 weeks. After Week 48, participants will have the option to continue receiving TDF for up to 144 weeks.
Treatment:
Drug: Tenofovir disoproxil fumarate
Biological: GS-4774

Trial contacts and locations

33

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Data sourced from clinicaltrials.gov

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