E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
|
E.1.1.1 | Medical condition in easily understood language |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10008910 |
E.1.2 | Term | Chronic hepatitis B |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objectives of this study are as follows:
- To evaluate the safety and tolerability of GS-4774 in subjects with chronic hepatitis B infection (CHB)
- To evaluate the efficacy of GS-4774 at Week 24 as measured by mean change in serum HBsAg from Baseline (measured in log10 IU/mL) |
|
E.2.2 | Secondary objectives of the trial |
The secondary objectives of this study are as follows:
- To evaluate the mean change in serum HBsAg from Baseline (BL) to Weeks 12 and 48 (measured in log10 IU/mL)
- To evaluate the proportion of subjects with HBsAg loss and seroconversion at Weeks 24 and 48
- To evaluate the proportion of subjects with a ≥ 0.5 log10 or a ≥ 1.0 log10 decline in HBsAg at Weeks 12, 24, and 48
- To evaluate the proportion of subjects with Hepatitis B envelope Antigen (HBeAg) loss and seroconversion at Weeks 24 and 48
- To evaluate proportion of subjects with HBV DNA <20 IU/mL at Week 24 and 48
- To evaluate the proportion of subjects experiencing virologic breakthrough
- To evaluate the incidence of drug resistance mutations at Week 48 |
|
E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Pharmacogenomics (PG) Substudy
All subjects who are willing to consent will be eligible to participate in the PG substudy. A blood sample should be drawn at the Baseline/Day 1 visit. If not obtained at Baseline/Day 1 visit, the sample may be drawn at any time during the study. |
|
E.3 | Principal inclusion criteria |
Subjects must meet all of the following inclusion criteria to be eligible to participate in the study.
1. Must have the ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
2. Adult male or non-pregnant, non-lactating female subjects, ≥18 years of age, based on the date of the screening visit
3. Documented evidence of chronic HBV infection
4. Screening HBV DNA ≥ 2000 IU/mL
5. The Body mass index (BMI) must be ≥ 18 kg/m2
6. Male subjects and female subjects of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception
7. Lactating females must agree to discontinue nursing before the Investigational Medicinal Product (IMP) is administered
8. A negative serum pregnancy test is required for female subjects (unless surgically sterile or greater than two years post-menopausal)
9. Must be willing and able to comply with all study requirements |
|
E.4 | Principal exclusion criteria |
Subjects who meet any of the following exclusion criteria are not eligible to participate in the study.
1. Cirrhosis and advanced bridging fibrosis
3. Co-infection with HCV, HIV or HDV
4. Received antiviral treatment for HBV within 3 months of screening
5. Evidence of hepatocellular carcinoma
6. Significant cardiovascular, pulmonary, or neurological disease
7. Women who may wish to become pregnant during the course of the study
8. Male subjects unwilling to refrain from sperm donation for at least 90 days after the last dose of GS-4774
9. Received solid organ or bone marrow transplant
10. Received prolonged therapy with immunomodulators within 3 months of screening
11. Use of investigational agents within 3 months of screening
12. Current alcohol or substance abuse judged by the investigator to potentially interfere with subject compliance
13. Receipt of immunoglobulin or other blood products within 3 months prior to enrollment
14. History of demyelinating disease (Guillain-Barre), Bell’s Palsy, Crohn’s disease, Ulcerative colitis, or automimmune disease
15. Documented history of yeast allergy
16. Known hypersensitivity to study drugs, metabolites or formulation excipients
17. Malignancy within 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection
18. Believed by the study Investigator to be inappropriate for study participation for any reason |
|
E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint of this study is:
- The mean change in serum Hepatitis B surface antigen (HBsAg) from Baseline to Week 24 (measured in log10 IU/mL) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
24 weeks after start of treatment |
|
E.5.2 | Secondary end point(s) |
The secondary endpoints of this study are:
- The mean change in serum HBsAg from Baseline to Weeks 12 and 48 (measured in log10 IU/mL)
- The proportions of subjects with HBsAg loss and HBsAg seroconversion at Weeks 24 and 48
- The proportions of subjects with a ≥ 0.5 log10 or a ≥ 1.0 log10 decline in HBsAg at Weeks 12, 24, and 48
- The proportions of subjects with HBeAg loss and HBeAg seroconversion at Weeks 24 and 48
- The proportions of subjects with HBV DNA <20 IU/mL at Weeks 24 and 48
- The proportion of subjects experiencing virologic breakthrough at Weeks 24 and 48
- The incidence of drug resistance mutations at Week 48 |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
12, 24, and/or 48 weeks after the start of treatment
|
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 4 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 8 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Canada |
Italy |
Korea, Republic of |
New Zealand |
Romania |
Taiwan |
United States |
|
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |