Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43865   clinical trials with a EudraCT protocol, of which   7286   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    A Multicenter, Randomized, Double-blind, Placebo-controlled, Multi-dose Study to Determine the Depth of Hepatitis B Surface Antigen (HBsAg) Reduction Following Intravenous ARC-520 in Combination with Entecavir or Tenofovir in Patients with HBeAg Positive, Chronic Hepatitis B Virus (HBV) Infection

    Summary
    EudraCT number
    2014-004751-31
    Trial protocol
    DE  
    Global end of trial date
    15 Dec 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    03 Dec 2017
    First version publication date
    03 Dec 2017
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    Heparc-2003
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02604212
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Arrowhead Pharmaceuticals, Inc
    Sponsor organisation address
    225 S. Lake Avenue, Suite 1050, Pasadena, CA, United States, 91101
    Public contact
    Susan Boynton, Arrowhead Pharmaceuticals, Inc, 001 626-696-4707, sboynton@arrowheadpharma.com
    Scientific contact
    Susan Boynton, Arrowhead Pharmaceuticals, Inc, 001 626-696-4707, sboynton@arrowheadpharma.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    15 Dec 2016
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    15 Dec 2016
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    Primary Objective: To evaluate the depth of HBsAg decline in response to multiple doses of ARC-520 compared to placebo in subjects with chronic HBV infection as a measure of drug activity.
    Protection of trial subjects
    Subjects were advised that they were free to withdraw from the study at any time for any reason or, if necessary, the Principal Investigator, or medically trained designee, may have withdrawn a subject from the study, according to the following protocol specified criteria, to protect the subject's health: • the need to take medication which may have interfered with study measurements; • intolerable/unacceptable adverse experiences; • major violation or deviation of study protocol procedures; • non-compliance of participant with protocol; • subject unwilling to proceed and/or consent was withdrawn; or • withdrawal from the study if, in the Principal Investigator’s judgment, it was in the subject’s best interest.
    Background therapy
    All subjects took entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) throughout the study. Subjects were pretreated with an oral antihistamine. The antihistamine was in general be an H1>H2 receptor blocker and would include diphenhydramine 50 mg, cetirizine 10 mg, chlorpheniramine 8 mg or hydroxyzine 50 mg. The Investigator was free to choose any of these antihistamines available locally and consistent with their country’s Marketing Authorisation.
    Evidence for comparator
    -
    Actual start date of recruitment
    04 Nov 2015
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 1
    Country: Number of subjects enrolled
    Hong Kong: 9
    Country: Number of subjects enrolled
    Korea, Republic of: 22
    Worldwide total number of subjects
    32
    EEA total number of subjects
    1
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    31
    From 65 to 84 years
    1
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Potential subjects underwent screening within 60 days of first dose administration to confirm eligibility to be enrolled and randomized.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Carer, Assessor
    Blinding implementation details
    Blinding to treatment assignment was maintained throughout the study period. However, treatment unblinding may have occurred as required by the investigator or Sponsor to ensure the safety of a study subject.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo Low Dose Comparator
    Arm description
    Placebo (low dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
    Arm type
    Placebo

    Investigational medicinal product name
    sterile normal saline 0.9%
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Two hours (±0.5 hours) prior to placebo IV administration, subjects were pretreated with antihistamine. Placebo was administered concomitantly, intravenously with 0.9% normal saline using an infusion rate of 0.4 mL/min for study treatment and 3.6 mL/min for saline.

    Arm title
    Placebo High Dose Comparator
    Arm description
    Placebo (high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
    Arm type
    Placebo

    Investigational medicinal product name
    sterile normal saline 0.9%
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Two hours (±0.5 hours) prior to placebo IV administration, subjects were pretreated with antihistamine. Placebo was administered concomitantly, intravenously with 0.9% normal saline using an infusion rate of 0.4 mL/min for study treatment and 3.6 mL/min for saline.

    Arm title
    ARC-520 1.0 mg/kg
    Arm description
    Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
    Arm type
    Experimental

    Investigational medicinal product name
    ARC-520 Injection
    Investigational medicinal product code
    ARC-520
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Two hours (±0.5 hours) prior to ARC-520 IV administration, subjects were pretreated with antihistamine. ARC-520 was administered concomitantly, intravenously with 0.9% normal saline using an infusion rate of 0.4 mL/min for study treatment and 3.6 mL/min for saline.

    Arm title
    ARC-520 2.0 mg/kg
    Arm description
    High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
    Arm type
    Experimental

    Investigational medicinal product name
    ARC-520 Injection
    Investigational medicinal product code
    ARC-520
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Two hours (±0.5 hours) prior to ARC-520 IV administration, subjects were pretreated with antihistamine. ARC-520 was administered concomitantly, intravenously with 0.9% normal saline using an infusion rate of 0.4 mL/min for study treatment and 3.6 mL/min for saline.

    Number of subjects in period 1
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Started
    6
    5
    10
    11
    Completed
    4
    4
    6
    8
    Not completed
    2
    1
    4
    3
         Consent withdrawn by subject
    -
    -
    1
    -
         Study Terminated by Sponsor
    2
    1
    3
    3

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Placebo Low Dose Comparator
    Reporting group description
    Placebo (low dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Reporting group title
    Placebo High Dose Comparator
    Reporting group description
    Placebo (high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Reporting group title
    ARC-520 1.0 mg/kg
    Reporting group description
    Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Reporting group title
    ARC-520 2.0 mg/kg
    Reporting group description
    High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Reporting group values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg Total
    Number of subjects
    6 5 10 11 32
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    39.8 ± 9.54 45.0 ± 10.68 42.1 ± 12.57 41.6 ± 12.05 -
    Gender categorical
    Units: Subjects
        Female
    3 1 0 6 10
        Male
    3 4 10 5 22

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    Placebo Low Dose Comparator
    Reporting group description
    Placebo (low dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Reporting group title
    Placebo High Dose Comparator
    Reporting group description
    Placebo (high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Reporting group title
    ARC-520 1.0 mg/kg
    Reporting group description
    Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Reporting group title
    ARC-520 2.0 mg/kg
    Reporting group description
    High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Primary: Change From Baseline at Day 113 in Quantitative Hepatitis B Surface Antigen (Log qHBsAg)

    Close Top of page
    End point title
    Change From Baseline at Day 113 in Quantitative Hepatitis B Surface Antigen (Log qHBsAg) [1]
    End point description
    Change From Baseline in log qHBsAg up to Day 113 in response to multiple doses of ARC-520 versus placebo as a measure of efficacy.
    End point type
    Primary
    End point timeframe
    Baseline, Day 113
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analyses were not performed due to early study termination.
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [2]
    0 [3]
    0 [4]
    0 [5]
    Units: log IU/mL
        number (not applicable)
    Notes
    [2] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    [3] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    [4] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    [5] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    No statistical analyses for this end point

    Secondary: Change From Baseline Over Time in Log qHBsAg

    Close Top of page
    End point title
    Change From Baseline Over Time in Log qHBsAg
    End point description
    Change From Baseline in quantitative log qHBsAg up to Day 99 in response to multiple doses of ARC-520 versus placebo as a measure of efficacy.
    End point type
    Secondary
    End point timeframe
    Baseline, Days 1, 2, 15, 29, 30, 43, 57, 58, 71, 85, 86, 99
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [6]
    0 [7]
    0 [8]
    0 [9]
    Units: log IU/mL
        number (not applicable)
    Notes
    [6] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    [7] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    [8] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    [9] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    No statistical analyses for this end point

    Secondary: Change From Baseline Over Time in Log qHBsAg, by Category

    Close Top of page
    End point title
    Change From Baseline Over Time in Log qHBsAg, by Category
    End point description
    Change in log qHBsAg from baseline up to Day 113, categorized into the following groups: 0 to < 0.5 log IU/mL; 0.5 to 1.0 log IU/mL; > 1.0 log IU/mL, tabulated by dose and treatment for each visit.
    End point type
    Secondary
    End point timeframe
    Baseline, Days 1, 2, 15, 29, 30, 43, 57, 58, 71, 85, 86, 99, 113
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [10]
    0 [11]
    0 [12]
    0 [13]
    Units: subjects
        number (not applicable)
    Notes
    [10] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    [11] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    [12] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    [13] - Due to the early suspension and termination of the study, efficacy analyses were not analyzed.
    No statistical analyses for this end point

    Secondary: Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Deaths, and Discontinuations Due to AEs

    Close Top of page
    End point title
    Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Deaths, and Discontinuations Due to AEs
    End point description
    An AE is any untoward medical occurrence which does not necessarily have to have a causal relationship with this treatment. A treatment emergent AE (TEAE) was defined as an AE that was not present prior to the first study drug administration and started at/after the time of initiation of administration of study drug, or an AE which was present prior to initiation of study drug administration, which increased in severity after study drug administration. An SAE is any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of an existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; is a medically important event or reaction.
    End point type
    Secondary
    End point timeframe
    Through Day 169 (± 3 days)
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    6
    5
    10
    11
    Units: subjects
    number (not applicable)
        ≥ 1 AE
    4
    0
    6
    3
        ≥ 1 TEAE
    4
    0
    5
    3
        ≥ 1 Serious TEAE
    0
    0
    0
    0
        Deaths
    0
    0
    0
    0
        ≥ 1 TEAE Leading to Study Discontinuation
    0
    0
    0
    0
        ≥ 1 TEAE Leading to Treatment Discontinuation
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours (AUC0-24)

    Close Top of page
    End point title
    Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours (AUC0-24)
    End point description
    End point type
    Secondary
    End point timeframe
    Through 48 hours post-dosing on Day 1 and Day 85
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [14]
    0 [15]
    0 [16]
    0 [17]
    Units: hr*ng/mL
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [14] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [15] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [16] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [17] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    No statistical analyses for this end point

    Secondary: Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 to the Last Quantifiable Plasma Concentration (AUClast)

    Close Top of page
    End point title
    Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 to the Last Quantifiable Plasma Concentration (AUClast)
    End point description
    End point type
    Secondary
    End point timeframe
    Through 48 hours post-dosing on Day 1 and Day 85
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [18]
    0 [19]
    0 [20]
    0 [21]
    Units: hr*ng/mL
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [18] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [19] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [20] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [21] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    No statistical analyses for this end point

    Secondary: Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUCinf)

    Close Top of page
    End point title
    Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUCinf)
    End point description
    End point type
    Secondary
    End point timeframe
    Through 48 hours post-dosing on Day 1 and Day 85
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [22]
    0 [23]
    0 [24]
    0 [25]
    Units: hr*ng/mL
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [22] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [23] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [24] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [25] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    No statistical analyses for this end point

    Secondary: Pharmacokinetics of ARC-520: Maximum Observed Plasma Concentration (Cmax)

    Close Top of page
    End point title
    Pharmacokinetics of ARC-520: Maximum Observed Plasma Concentration (Cmax)
    End point description
    End point type
    Secondary
    End point timeframe
    Through 48 hours post-dosing on Day 1 and Day 85
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [26]
    0 [27]
    0 [28]
    0 [29]
    Units: ng/mL
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [26] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [27] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [28] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [29] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    No statistical analyses for this end point

    Secondary: Pharmacokinetics of ARC-520: Clearance (CL)

    Close Top of page
    End point title
    Pharmacokinetics of ARC-520: Clearance (CL)
    End point description
    End point type
    Secondary
    End point timeframe
    Through 48 hours post-dosing on Day 1 and Day 85
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [30]
    0 [31]
    0 [32]
    0 [33]
    Units: L/h/kg
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [30] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [31] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [32] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [33] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    No statistical analyses for this end point

    Secondary: Pharmacokinetics of ARC-520: Apparent Volume of Distribution (V)

    Close Top of page
    End point title
    Pharmacokinetics of ARC-520: Apparent Volume of Distribution (V)
    End point description
    End point type
    Secondary
    End point timeframe
    Through 48 hours post-dosing on Day 1 and Day 85
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [34]
    0 [35]
    0 [36]
    0 [37]
    Units: liters
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [34] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [35] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [36] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [37] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    No statistical analyses for this end point

    Secondary: Pharmacokinetics of ARC-520: Terminal Elimination Rate Constant (Kel)

    Close Top of page
    End point title
    Pharmacokinetics of ARC-520: Terminal Elimination Rate Constant (Kel)
    End point description
    End point type
    Secondary
    End point timeframe
    Through 48 hours post-dosing on Day 1 and Day 85
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [38]
    0 [39]
    0 [40]
    0 [41]
    Units: 1/hour
        median (full range (min-max))
    ( to )
    ( to )
    ( to )
    ( to )
    Notes
    [38] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [39] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [40] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [41] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    No statistical analyses for this end point

    Secondary: Pharmacokinetics of ARC-520: Terminal Elimination Half-Life (t1/2)

    Close Top of page
    End point title
    Pharmacokinetics of ARC-520: Terminal Elimination Half-Life (t1/2)
    End point description
    End point type
    Secondary
    End point timeframe
    Through 48 hours post-dosing on Day 1 and Day 85
    End point values
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Number of subjects analysed
    0 [42]
    0 [43]
    0 [44]
    0 [45]
    Units: hours
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [42] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [43] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [44] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    [45] - Due to the early suspension and termination of the study, pharmacokinetic analyses were not analyzed
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    Through Day 169 (± 3 days)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    1
    Reporting groups
    Reporting group title
    Placebo Low Dose Comparator
    Reporting group description
    Placebo (low dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Reporting group title
    Placebo High Dose Comparator
    Reporting group description
    Placebo (high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Reporting group title
    ARC-520 1.0 mg/kg
    Reporting group description
    Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Reporting group title
    ARC-520 2.0 mg/kg
    Reporting group description
    High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

    Serious adverse events
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    0 / 11 (0.00%)
         number of deaths (all causes)
    0
    0
    0
    0
         number of deaths resulting from adverse events
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    4 / 6 (66.67%)
    0 / 5 (0.00%)
    5 / 10 (50.00%)
    3 / 11 (27.27%)
    Investigations
    Blood creatine phosphokinase increased
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    0
    0
    1
    Eosinophil count increased
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    0
    0
    1
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Headache
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    0
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    0
    0
    1
    Chills
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Discomfort
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Fatigue
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Pyrexia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Gastrointestinal disorders
    Dyspepsia
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Nausea
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Skin and subcutaneous tissue disorders
    Eczema
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Urticaria
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Musculoskeletal and connective tissue disorders
    Arthritis
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Intervertebral disc protrusion
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    1 / 10 (10.00%)
    0 / 11 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Pharyngitis
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    0
    0
    1
    Rhinitis
         subjects affected / exposed
    1 / 6 (16.67%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    0
    0
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 6 (0.00%)
    0 / 5 (0.00%)
    0 / 10 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    0
    0
    1

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    15 May 2015
    The addition of venous lactate level was added to the Schedule of Assessments at Days 1, 2, 29, 30, 57, 58, 85 and 86. The post-dose observation period was changed from 2 hours to 4 hours; patients were to remain at the clinical facility for 4 hours following administration of ARC-520 Injection or placebo. Additionally, on dosing days patients were dosed sequentially, with at least 30 minutes in between dose initiations. Dose administration was not to be initiated simultaneously in multiple patients. The oral antihistamine pre-treatment was updated to specify that the antihistamine used was in general to be an H1>H2 receptor blocker and would include diphenhydramine 50 mg, cetirizine 10 mg, chlorpheniramine 8 mg or hydroxyzine 50 mg. The Investigator was free to choose any of these antihistamines available locally and consistent with their country’s Marketing Authorization. The maximum blood volume collected from each patient was changed to not exceed approximately 830 mL (previously 820 mL) The protocol (Section 16.1.1) was amended to include information regarding the management of AEs (Section 10.11 of the protocol [Section 16.1.1]). The risk of infusion related reactions was updated to include both anaphylactic and nonanaphylactic or cytokine release syndrome. Cytokine Release Syndrome clinical management guidelines were added to the Appendices. Appendix 2 provided clinical guidelines for management of anaphylactic reactions. Appendix 3 provided clinical guidelines for management of cytokine release syndrome. The protocol was updated to include corrections of administrative, grammatical, formatting errors, and inconsistencies.
    17 Mar 2016
    The total number of patients for the Heparc-2003 study was reduced from 90 to 48. Treatment Groups 1 and 2 were reduced from 15 to 8 patients and Treatment Groups 3 & 4 were reduced from 30 to 16 patients. The planning interim analysis was to be performed after 54 patients had completed their day 71 visit. This total was reduced from 54 to 25 patients. The number of pharmacokinetic patients was reduced from 24 to 12 patients to align with the reduction in patients enrolled. The following changes to the inclusion/exclusion criteria were also incorporated: The exclusion criteria were modified to include the following changes: • Exclusion Criterion #2 was modified to clarify that “severe” infection should not be evident within the 4 week screening window. This was done to avoid uncertainty around appropriate enrollment of patients that may have experienced mild infections such as upper respiratory infections or viral syndromes within the screening window. • Exclusion Criterion #4 was modified to increase the Liver Elastography score from 8 to 9. In the chronic hepatitis B population, Liver Elastography scores of 8 and 9 were both indicative of mild to moderate (F2-F3) liver fibrosis. It was not anticipated that this would have changed the risk to patients receiving ARC-520 Injection. • Exclusion Criterion #6 was modified to clarify that only drugs listed that were “systemically administered”, specifically systemically administered (oral, intravenous or depot) steroids or immunomodulators/immunosuppressants were excluded. This was done so as to not exclude patients using topical or inhaled products which were unlikely to suppress systemic innate or adaptive immune responses against HBV. • Exclusion Criterion #7 was modified from a detailed list of drugs to prescription medications based on principal investigator (PI) discretion within 14 days of administration of study treatment.
    17 Mar 2016
    (continued) • Exclusion Criterion #9 was modified from diabetes mellitus to Non-alcoholic steatohepatitis (NASH) or homozygous or heterozygous familial hypercholesterolemia. There had been no indication that well controlled diabetics would have had a less favorable risk profile. However, the presence of NASH concomitantly with chronic hepatitis B adds a variable potentially making interpretation of transaminase changes difficult. Additionally, small interfering ribonucleic acid (siRNA) molecules used in ARC-520 Injection are targeted to hepatocytes using a cholesterol targeting ligand. Patients with familial hypercholesterolemia lack a normal low density lipoprotein (LDL) receptor and thus are not good candidates for ARC-520 Injection. • Exclusion Criterion #10 was updated with the blood cholesterol removed. Patients with elevated cholesterol were unlikely to have an increased risk profile. Additionally, the Sponsor had evaluated serum total cholesterol levels with HBsAg responses and no correlation had been identified. • Exclusion Criterion #11 was modified to clarify that “poorly controlled” autoimmune disease was excluded. • Exclusion Criterion #24 was modified to remove marijuana use as well as the timeframe for use of 3 months prior to screening, and to remove positive urine drug screen. Use of marijuana was not likely to alter the risk of study participation. • Exclusion Criterion #27 was modified to include only inherited or acquired hepatic disease, (eg, alcoholic liver disease, cirrhosis, Wilson’s disease, hemochromatosis or alpha-1 antitrypsin deficiency). This was done to exclude patients who have HBV and concomitant hepatic disease which could alter or obscure safety data interpretation. • Exclusion Criterion #29 was modified to clarify that presence of “poorly controlled” diseases was excluded.
    17 Mar 2016
    (continued) The following criteria were removed as Exclusion for the study: • Concurrent use of dietary and/or herbal supplements. It was unlikely this would alter patient risk profile with regard to this study. • Medications known to prolong QTc intervals. No signs of QTc prolongation had been seen in clinical investigations of ARC-520 Injection to date. • Evidence of severe systemic acute inflammation, sepsis or hemolysis. The Sponsor believed patients with severe systemic inflammation, sepsis or hemolysis would be excluded by other criteria making this criterion redundant. • Positive reaction to bee venom allergy test (immunoglobulin E [IgE]). The Sponsor believed Exclusion Criterion #number 25 was sufficient to exclude patients at risk for hypersensitivity reactions to ARC-520. • History of fever within 2 weeks of screening. Presence of fever within 2 weeks of screening was unlikely to change patient risk profile. • Immunization with a live attenuated vaccine within 7 days of dosing. This was removed as immunization with a live attenuated vaccine within 7 days of dosing was unlikely to change patient risk profile. • Participation in excessive/physical activity within 7 days of screening or enrolment. This was removed as it was unlikely to change patient risk profile. The restrictions and concomitant medications section was updated to align with the modifications made to the exclusion criteria. The sample size considerations were updated to support the reduction in the number of patients in the study as well as the number of patients required for the interim analysis. Additionally typographical and administrative errors were corrected for clarification.
    19 Oct 2016
    A further amendment was made to the global and Hong Kong specific protocols (Version 4.0; 19 Oct 2016); however these protocols were not fully approved in any country prior to study termination.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Sat Apr 27 04:41:04 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA