E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Chronic Hepatitis B Virus Infection |
Infección crónica por el virus de la hepatitis B |
|
E.1.1.1 | Medical condition in easily understood language |
Chronic Hepatitis B Virus Infection |
Infección crónica por el virus de la hepatitis B |
|
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 | 20.1 |
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 |
To evaluate the efficacy in terms of HBsAg changes from baseline for the treatment regimens. |
Evaluar la eficacia, en términos de cambio de HBsAg desde la visita basal para las pautas de tratamiento. |
|
E.2.2 | Secondary objectives of the trial |
1. To evaluate the safety and tolerability of the study intervention. 2. To evaluate the efficacy of the study intervention during the follow-up period. 3. To evaluate the efficacy of the study intervention as measured by blood markers during the study intervention and follow-up (FU) period. 4. To evaluate the frequency of virologic breakthrough throughout the study. 5. To evaluate the PK of JNJ-3989, and optionally of NA and PegIFN-α2a. |
1. Evaluar la seguridad y tolerabilidad del tratamiento del estudio. 2. Evaluar la eficacia del tratamiento del estudio durante el periodo de seguimiento. 3. Evaluar la eficacia del tratamiento del estudio determinada a partir de marcadores sanguíneos durante el tratamiento del estudio y el periodo de seguimiento. 4. Evaluar la frecuencia de recaída virológica a lo largo del estudio. 5. Evaluar la farmacocinética (FC) de JNJ-3989 y, opcionalmente, de AN y PegIFN-α2a. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
A01. Adult male or female participants ≥18 (or the legal age of consent in the jurisdiction in which the study is taking place) to 65 years of age, inclusive. M02. Participants must be medically stable based on physical examination, medical history, vital signs, and 12-lead ECG performed at screening. A03. Participants must have chronic HBV infection. M04. Participants must have a body mass index between 18.0 and 35.0 kg/m2, extremes included. A05. Participants must sign a Master ICF and must sign the ICF specific for this intervention cohort, indicating that he or she understands the purpose of, and procedures required for, the study and is willing to participate in the study.
Please refer to the study protocol for a full list of inclusion criteria. |
A01. Pacientes adultos varones o mujeres ≥18 (o la mayoría de edad en la jurisdicción en la que tenga lugar el estudio) hasta 65 años inclusive. M02. Estar clínicamente estable de acuerdo con la exploración física, la historia clínica, las constantes vitales y el ECG de 12 derivaciones efectuado en la selección. A03. Tener una infección crónica por el VHB. M04. Tener un índice de masa corporal entre 18,0 y 35,0 kg/m2, ambos incluidos. A05. Firmar un DCI general y un DCI específico para esta cohorte de tratamiento donde se indique que comprenden el objetivo y los procedimientos necesarios del estudio y están dispuestos a participar en este.
Por favor, consulte el protocolo del estudio para ver la lista completa de criterios de inclusión. |
|
E.4 | Principal exclusion criteria |
A01. Participants with evidence of hepatitis A virus infection, HCV infection, hepatitis D virus infection, hepatitis E virus infection, or HIV-1 or HIV-2 infection at screening. A02. Participants with evidence of hepatic decompensation at any time point prior to or at the time of screening. M03. History or evidence of clinical signs or symptoms of hepatic decompensation. M04. Participants with evidence of liver disease of non-HBV etiology. A05. Participants with history or signs of cirrhosis or portal hypertension or signs of hepatocellular carcinoma (HCC) or clinically relevant renal abnormalities.
Please refer to the study protocol for a full list of exclusion criteria. |
A01. Tener indicios de infección por el virus de la hepatitis A, infección por el VHC, infección por el virus de la hepatitis D (VHD), infección por el virus de la hepatitis E o por el VIH-1 o VIH-2 en la selección. A02. Mostrar indicios de descompensación hepática en cualquier momento antes de la selección o en el momento de esta. M03. Tener antecedentes o evidencias de signos o síntomas clínicos de descompensación hepática. M04. Mostrar indicios de enfermedad hepática de etiología no relacionada con el VHB. A05. Tener antecedentes o signos de cirrosis o hipertensión portal o signos de carcinoma hepatocelular (CHC) o anomalías renales de relevancia clínica.
Por favor, consulte el protocolo del estudio para ver la lista completa de criterios de exclusión. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Proportion of participants with an HBsAg level <100 IU/mL at Week 24. |
Proporción de pacientes con un nivel de HBsAg <100 UI/ml en la semana 24 |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
1. Safety and tolerability including but not limited to the proportion of participants with (S)AEs and abnormalities in clinical laboratory tests, 12-lead ECGs, vital signs, and ophthalmic and physical examinations throughout the study.
2a. Proportion of participants with HBsAg seroclearance at FU Week 24 and 48 without re-starting NA treatment. 2b. Proportion of participants with HBV DNA <LLOQ at FU Week 24 and 48 without re-starting NA treatment. 2c. Frequency of virologic and/or biochemical flares. 2d. Proportion of participants requiring NA re treatment.
3a. Proportion of participants with HBsAg, HBeAg, HBV DNA, and ALT levels below/above different cut-offs over time. 3b. Proportion of participants with HBsAg seroconversion. 3c. Change from baseline over time in HBsAg. 3d. Time to achieve HBsAg seroclearance/ seroconversion, and/or HBV DNA <LLOQ.
4. Proportion of participants with virologic breakthrough.
5a. PK parameters of JNJ-3989. 5b. Optionally, PK parameters of NA and/or PegIFN-α2a. |
1. La seguridad y tolerabilidad incluyen, entre otras cosas, la proporción de pacientes con AA(G) y anomalías en las pruebas analíticas clínicas electrocardiogramas (ECG) de 12 derivaciones, constantes vitales y exploraciones físicas y oftalmológicas durante todo el estudio. 2a. Proporción de pacientes con aclaramiento sérico de HBsAg en las semanas 24 y 48 del periodo de seguimiento sin reanudar el tratamiento con AN. 2b. Proporción de pacientes con unos niveles de ADN del VHB <límite inferior de cuantificación (LIC) en las semanas 24 y 48 del periodo de seguimiento sin reanudar el tratamiento con AN. 2c. Frecuencia de exacerbaciones víricas o bioquímicas. 2d. Proporción de pacientes que precisan la reanudación del tratamiento con AN. 3a. Proporción de pacientes con niveles de HBsAg, HBeAg, ADN del VHB y ALT superiores o inferiores a ciertos límites a lo largo del tiempo. 3b. Proporción de pacientes con seroconversión de HBsAg. 3c. Cambio a lo largo del tiempo de HBsAg desde el momento de referencia. 3d. Tiempo hasta lograr el aclaramiento sérico/seroconversión del HBsAg o ADN del VHB <LIC 4. Proporción de pacientes con recaída virológica. 5a. Parámetros FC de JNJ-3989. 5b. Opcionalmente, parámetros FC de AN o PegIFN-α2a. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Throughout the duration of the study. |
Durante toda la duración del estudio. |
|
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 | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
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 | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
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 | No |
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) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
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 | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 13 |
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 |
Hong Kong |
Japan |
Korea, Republic of |
Russian Federation |
Taiwan |
Thailand |
United States |
Poland |
Spain |
United Kingdom |
|
E.8.7 | Trial has a data monitoring committee | No |
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
|
LVLS |
Última visita del último paciente. |
|
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 | 0 |
E.8.9.1 | In the Member State concerned days | 27 |
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 | 1 |