NCT01590654

Brief Summary

Dose cohorts may be dosed with one of up to 4 possible total weekly doses (0.3 mg, 1 mg, 2 mg, 4 mg). Dose escalation or repetition will be governed by pre-specified safety and activity rules. Subjects will be confined on days 1-3 and/or days 8-10. Follow-up visits are required periodically through day 43. Subjects with sustained reductions in HbsAg will be requested to return for additional follow-up follow-up visits at 3 and 6 months post last dose. Study procedures involve blood draws for pharmacokinetic, pharmacodynamic, virologic, and safety assessments

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
51

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Apr 2012

Geographic Reach
5 countries

20 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2012

Completed
29 days until next milestone

First Submitted

Initial submission to the registry

April 30, 2012

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 3, 2012

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2013

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2013

Completed
Last Updated

December 20, 2013

Status Verified

December 1, 2013

Enrollment Period

1.6 years

First QC Date

April 30, 2012

Last Update Submit

December 18, 2013

Conditions

Keywords

HepatitisHepatitis BHepatitis B VirusHBVGS-9620Toll-like receptor (TLR)-7 Agonist

Outcome Measures

Primary Outcomes (1)

  • Assessment of adverse events in single and multiple oral doses of GS-9620

    Assessments include adverse events, laboratory abnormalities, 12-lead ECG abnormalities and interval measurements, and vital signs measurements

    Periodically Day 1 to 6 months

Secondary Outcomes (3)

  • Assessment of plasma drug concentrations of GS-9620 using non-compartmental methods

    Day 1 and Day 8

  • Measurement of pharmacodynamic markers (cytokines and interferon-stimulated genes [ISGs])

    Days 1, 2, 3, 5, 8

  • Reduction of hepatitis B (HBV) viral load from baseline

    Screening, Baseline, Day 8 or 15

Study Arms (8)

0.3mg GS-9620

EXPERIMENTAL
Drug: Single Ascending Dose (SAD) Cohorts GS-9620

1mg GS-9620

EXPERIMENTAL
Drug: Single Ascending Dose (SAD) Cohorts GS-9620

2mg GS-9620

EXPERIMENTAL
Drug: Single Ascending Dose (SAD) Cohorts GS-9620

4mg GS-9620

EXPERIMENTAL
Drug: Single Ascending Dose (SAD) Cohorts GS-9620

0.3mg GS-9620 QW x 2 doses

EXPERIMENTAL
Drug: Multiple Ascending Dose (MAD) Cohorts GS-9620

1mg GS-9620 QW x 2 doses

EXPERIMENTAL
Drug: Multiple Ascending Dose (MAD) Cohorts GS-9620

2mg GS-9620 QW x 2 doses

EXPERIMENTAL
Drug: Multiple Ascending Dose (MAD) Cohorts GS-9620

4mg GS-9620 QW x 2 doses

EXPERIMENTAL
Drug: Multiple Ascending Dose (MAD) Cohorts GS-9620

Interventions

This study will enroll cohorts of 6 eligible, unique subjects per cohort, randomized to either active drug or placebo (5:1) within each cohort. Subjects in Single Ascending Dose (SAD) Cohorts will receive a single dose of GS-9620.

0.3mg GS-96201mg GS-96202mg GS-96204mg GS-9620

This study will enroll cohorts of 6 eligible, unique subjects per cohort, randomized to either active drug or placebo (5:1) within each cohort. Subjects in Multiple Ascending Dose (MAD) Cohorts will receive GS-9620 once weekly for two weeks (QW x 2 doses).

0.3mg GS-9620 QW x 2 doses1mg GS-9620 QW x 2 doses2mg GS-9620 QW x 2 doses4mg GS-9620 QW x 2 doses

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Chronic HBV infection for ≥ 6 months
  • Currently on treatment with at least 1 HBV approved oral drug (i.e. lamivudine, telbivudine, entecavir, adefovir, tenofovir) ≥ 3 months prior to screening
  • HBsAg ≥ 250 IU/mL
  • HBV DNA at below the level of quantitation (BLQ; to be confirmed at screening)
  • Absence of extensive bridging fibrosis (Metavir 3 or greater)or cirrhosis
  • Creatinine clearance ≥ 70 mL/min

You may not qualify if:

  • Co-infection with hepatitis C virus (HCV), hepatitis D virus (HDV), or HIV
  • History of Gilberts disease
  • Laboratory parameters not within defined thresholds for leukopenia, neutropenia, anemia, thrombocytopenia, thyroid-stimulating hormone (TSH), or other evidence of hepatic decompensation
  • Diagnosis of autoimmune disease, poorly controlled diabetes mellitus, significant psychiatric illness, severe chronic obstructive pulmonary disease (COPD), malignancy, hemoglobinopathy, retinal disease, or patients who are immunosuppressed
  • Evidence of hepatocellular carcinoma

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (20)

Mayo Clinic Hospital

Phoenix, Arizona, 85054, United States

Location

Indiana University Medical Center

Indianapolis, Indiana, 46202-5121, United States

Location

Tulane University Health Sciences Center

New Orleans, Louisiana, 70112, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 022154, United States

Location

Henry Ford Health System

Detroit, Michigan, 48202, United States

Location

Kansas City Gastroenterology and Hepatology

Kansas City, Missouri, 64131, United States

Location

Weill Cornell Medical College

New York, New York, 10021, United States

Location

Baylor College of Medicine

Houston, Texas, 77030, United States

Location

University of Utah

Salt Lake City, Utah, 84132, United States

Location

Nepean Hospital, Department of ID

Kingswood, New South Wales, 2747, Australia

Location

Royal Brisbane and Women's Hospital

Herston, Queensland, 4029, Australia

Location

Monash University, Dept. of Medicine

Clayton, Victoria, 3168, Australia

Location

Alfred Hospital, Department of Gastroenterology

Melbourne, Victoria, 3004, Australia

Location

Royal Perth Hospital

Nedlands, Western Australia, 6009, Australia

Location

University of Calgary, Heritage Medical Research Center

Calgary, Alberta, T2N 4Z6, Canada

Location

University of Alberta Hospital

Edmonton, Alberta, T6G 2B7, Canada

Location

Algorithme Pharma, Inc.

Laval, Quebec, H7V 4B3, Canada

Location

Aukland Clinical Studies

Grafton, Aukland, 1142, New Zealand

Location

Asan Medical Center

Seoul, South Korea

Location

Seoul National University Hospital

Seoul, South Korea

Location

MeSH Terms

Conditions

Hepatitis BHepatitis

Interventions

Sagittal Abdominal Diametermycophenolic adenine dinucleotide

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsHepadnaviridae InfectionsDNA Virus InfectionsVirus DiseasesHepatitis, Viral, HumanLiver DiseasesDigestive System Diseases

Intervention Hierarchy (Ancestors)

Body SizeBody Weights and MeasuresBody ConstitutionPhysical ExaminationDiagnostic Techniques and ProceduresDiagnosisAnthropometryInvestigative TechniquesPhysiological Phenomena

Study Officials

  • Benedetta Massetto, M.D.

    Gilead Sciences

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 30, 2012

First Posted

May 3, 2012

Study Start

April 1, 2012

Primary Completion

November 1, 2013

Study Completion

December 1, 2013

Last Updated

December 20, 2013

Record last verified: 2013-12

Locations