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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03361956
Other study ID # CR108410
Secondary ID 2017-001110-2956
Status Completed
Phase Phase 2
First received
Last updated
Start date February 13, 2018
Est. completion date August 13, 2020

Study information

Verified date October 2022
Source Janssen Sciences Ireland UC
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The main purpose of this study is to evaluate efficacy of 24 weeks of study treatment, in terms of changes in hepatitis B surface antigen (HBsAg) levels.


Description:

The main study consists of 2-parts and each part will consist of 2 types of Chronic Hepatitis B-infected participant populations. Each part of the study will consist of screening phase (up to 8 weeks), treatment phase (24 weeks or 48 weeks, depending on treatment response), and post-treatment follow-up phase (24 weeks or 48 weeks, depending on treatment response). The duration of individual participation will be up to approximately 56 weeks (participants not eligible to continue treatment in extension phase), up to 80 weeks (participants continuing treatment in extension phase but not meeting treatment completion criteria), or up to 104 weeks (participants meeting treatment completion criteria). The safety and efficacy will be monitored throughout the study. In a separate substudy, at selected clinical sites, percutaneous core liver biopsy will be performed to evaluate changes of intrahepatic viral parameters.


Recruitment information / eligibility

Status Completed
Enrollment 232
Est. completion date August 13, 2020
Est. primary completion date September 5, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years to 70 Years
Eligibility Inclusion Criteria: - Participants must have a body mass index (weight in kilogram (kg) divided by the square of height in meters) of 18.0 to 35.0 kilogram / square meter (kg/m^2), extremes included - Participants must have chronic hepatitis B virus infection (CHB) infection documented by: Serum hepatitis B surface antigen (HBsAg)-positive at screening and serum HBsAg- or hepatitis B virus (HBV) deoxyribonucleic acid (DNA)-positive at least 6 months prior to screening; Serum immunoglobulin M (IgM) anti- hepatitis B core-related (HBc) antibody negative at screening - In participants currently not being treated (Treatment Arms 1-2-3 and 6-7-8): Participants must not be receiving any CHB treatment at screening, that is, Have never received treatment with HBV antiviral medicines, including NAs or interferon (IFN) products, OR Have not been on treatment with HBV antiviral medicines, including nucleos(t)ide analog (NA)s or IFN products within 6 months prior to baseline (first intake of study drugs), and participants must be HBeAg-positive and have HBV DNA greater than or equal to (>=) 20,000 International Units Per Milliliter (IU/mL), OR be hepatitis B e antigen (HBeAg)-negative and have HBV DNA >=2,000 IU /mL at screening, and participants must have HBsAg greater than (>) 250 IU/mL at screening, and participants must have alanine aminotransferase (ALT) > upper limit of normal (ULN) and less than or equal to (<=) 5 * ULN at screening, determined in the central laboratory - In virologically suppressed participants (Treatment Arms 4-5 and 9-10): Participants must be virologically suppressed by current NA treatment (entecavir (ETV) or tenofovir disoproxil fumarate (TDF)) as defined by HBV DNA less than (<) 60 IU/mL at screening and at least 6 months prior to screening, and participants must be on the same NA treatment (ETV or TDF) and the same dose for >=12 months prior to screening, and participants must have HBsAg > 250 IU/mL at screening, and participants must have ALT <=2*ULN at screening - Participants must have: A liver biopsy result classified as Metavir F0-F2 within 1 year prior to screening or at the time of screening, OR FibroScan liver stiffness measurement <8.0 kilopascal (kPa) within 6 months prior to screening or at the time of screening Exclusion Criteria: Main Study: - Participants who test positive for anti-hepatitis B surface (HBs) antibodies - Participants with current hepatitis A virus infection (confirmed by hepatitis A antibody immunoglobulin M [IgM]), hepatitis D virus (HDV) infection (confirmed by HDV antibody), hepatitis E virus infection (confirmed by hepatitis E antibody IgM), or human immunodeficiency virus (HIV)-1 or HIV-2 infection (confirmed by antibodies) at screening; participants with a history of or current HCV infection (confirmed by HCV antibody). Evidence of other active infection (bacterial, viral, fungal, including acute tuberculosis) deemed clinically relevant by the investigator that would interfere with study conduct or its interpretation will also lead to exclusion - Participants with any evidence of hepatic decompensation at any time point prior to or at the time of screening: Direct bilirubin >1.2* ULN, or International normalized ratio (INR) >1.5* ULN, or Serum albumin < lower limit of normal (LLN), or documented history or current evidence of variceal bleeding, ascites, or hepatic encephalopathy - Participants with a history of cardiac arrhythmia (example, extrasystoli, tachycardia at rest), history of risk factors for Torsades de Pointes syndrome (example, hypokalemia, family history of long QT syndrome) or history or other clinical evidence of significant or unstable cardiac disease (example, angina, congestive heart failure, myocardial infarction, diastolic dysfunction, significant arrhythmia, coronary heart disease, and/or clinically significant 12 lead electrocardiograms (ECGs) abnormalities), moderate to severe valvular disease, or uncontrolled hypertension at screening - Participants with contraindications to the use of ETV or TDF per local prescribing information Substudy: - Presence of coagulopathy or hemoglobinopathy (including sickle cell disease, thalassemia) - Use of any anti-coagulant, anti-platelet, or non-steroidal anti-inflammatory drug medications from 10 days before until 5 days after each liver biopsy - Presence of ascites, focal liver lesions, and other findings that would be contraindications for liver biopsies

Study Design


Intervention

Drug:
JNJ-56136379
Participants will receive JNJ-56136379 tablet orally.
Placebo
Participants will receive matching placebo tablet orally.
NA (ETV or TDF)
Participants will receive NA (ETV or TDF) tablet orally as per approved label.

Locations

Country Name City State
Belgium SGS Clinical Pharmacology Unit (located in ZNA Stuivenberg) Antwerpen
Belgium Cliniques Universitaires Saint-Luc Bruxelles
Belgium UZ Antwerpen Edegem
Canada University of Calgary Calgary Alberta
Canada McGill University Health Centre Montreal Quebec
Canada Toronto General Hospital Toronto
Canada GI Research Institute (G.I.R.I.) Vancouver British Columbia
Canada Vancouver ID Research and Care Centre Society Vancouver British Columbia
China Beiijing Friendship Hospital, Capital Medical University Beijing
China Peking University People's Hospital Beijing
China The First Hospital of Jilin University Changchun
China Nanfang Hospital Guangzhou
France Hôpital Beaujon Clichy
France Hopital de La Croix Rousse Lyon
France Hopital Saint-Antoine Paris
France Hopital Paul Brousse Villejuif
Germany Zentrum für Infektiologie Berlin Prenzlauer Berg GmbH Berlin
Germany Universitatsklinikum Essen Essen
Germany Universitätsklinikum Johann Wolfgang Goethe- Universität Frankfurt Medizinische Klinik 1 Frankfurt
Germany Asklepios Klinik St. Georg, Haus Lifi - Studien und Projekte GmbH Hamburg
Hong Kong Queen Mary Hospital, University of Hong Kong Hong Kong
Hong Kong The Chinese University of Hong Kong Shatin
Italy ASST Grande Ospedale Metropolitano Niguarda Milano
Italy Irccs Ospedale Maggiore Di Milano Milano
Italy Azienda Ospedaliero Universitaria Pisana Pisa
Japan Hiroshima University Hospital Hiroshima-shi
Japan Musashino Red Cross Hospital Musashino
Japan National Hospital Organization Nagasaki Medical Center Nagasaki
Japan Nagoya City University Hospital Nagoya
Japan Osaka University Hospital Suita-shi
Korea, Republic of Pusan National University Hospital Busan
Korea, Republic of Asan Medical Center Seoul
Korea, Republic of Seoul National University Hospital Seoul
Korea, Republic of Severance Hospital, Yonsei University Health System Seoul
Malaysia Hospital Sultanah Bahiyah Alor Setar
Malaysia University Malaya Medical Centre Kuala Lumpur
Poland Szpital Specjalistyczny w Chorzowie Chorzow
Poland Wojewodzki Szpital Zespolony Kielce
Poland ID Clinic Myslowice
Poland SP ZOZ Wroclawskie Centrum Zdrowia Wroclaw
Russian Federation Sverdlovsk Regional Clinical Hospital #1 Ekaterinburg
Russian Federation Medical Center SibNovoMed LLC Novosibirsk
Russian Federation Medical Company Hepatolog Ltd Samara
Russian Federation Stavropol State Medical University Stavropol
Spain Hosp. Clinic I Provincial de Barcelona Barcelona
Spain Hosp. Univ. Vall D Hebron Barcelona
Spain Hosp. Univ. Ramon Y Cajal Madrid
Spain Hosp. Univ. Marques de Valdecilla Santander
Spain Hosp. Virgen Del Rocio Sevilla
Taiwan Kaohsiung Medical University Chung-Ho Memorial Hospital Kaohsiung
Taiwan Taichung Veterans General Hospital Taichung
Taiwan National Cheng Kung University Hospital Tainan
Taiwan Chang Gung Memorial Hospital Linkou Branch Tao-Yuan
Thailand King Chulalongkorn Memorial Hospital Bangkok
Thailand Siriraj Hospital Bangkok
Thailand Chiang Mai University Hospital Chiang Mai
Thailand Prince Of Songkla University Songkla
Turkey Istanbul University Cerrahpasa Medical Faculty Istanbul
Turkey Saglik Bilimleri University Sisli Trainig and Research Hospital,Department of Gastroenterology Istanbul
Turkey Ege University Medical of Faculty, Department of Gastroenterology Izmir
Turkey Karadeniz Teknik University Medical Faculty Trabzon
Ukraine Kharkiv National Medical University, Regional Clinical Infectious Hospital Kharkiv
Ukraine SE 'National institute therapy named L.T. Maloi NAMS of Ukraine' Kharkiv
Ukraine Odessa Regional Clinical Hospital Odessa
Ukraine Vinnytsia City Clinical Hospital #1, Department of Infectious Diseases #1 Vinnytsya
United Kingdom North Manchester General Hospital Crumpsall
United Kingdom Grahame Hayton Unit London
United Kingdom Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne
United Kingdom Nottingham University Hospitals NHS Trust Nottingham
United States The Office of Franco Felizarta, MD Bakersfield California
United States Rush University Medical Center Chicago Illinois
United States I.D. Care, Inc. Hillsborough New Jersey
United States Tulane Medical Center (TMC) New Orleans Louisiana
United States NYU Hepatology Associates New York New York
United States Orlando Immunology Center Orlando Florida
United States UPMC Center For Liver Diseases Pittsburgh Pennsylvania

Sponsors (1)

Lead Sponsor Collaborator
Janssen Sciences Ireland UC

Countries where clinical trial is conducted

United States,  Belgium,  Canada,  China,  France,  Germany,  Hong Kong,  Italy,  Japan,  Korea, Republic of,  Malaysia,  Poland,  Russian Federation,  Spain,  Taiwan,  Thailand,  Turkey,  Ukraine,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change From Baseline in Hepatitis B Surface Antigen (HBsAg) Levels in Currently Not Treated Population at Week 24 Change from baseline in HBsAg levels in currently not treated population at Week 24 based on Hepatitis B e Antigen (HBeAg) status was reported. Currently not treated population defined as participants who didn't receive any hepatitis B virus (HBV) treatment 6 months prior to baseline. Baseline and Week 24
Primary Change From Baseline in HBsAg Levels in Virologically Suppressed Population at Week 24 Change from baseline in HBsAg levels in virologically suppressed population at Week 24 based on HBeAg status was reported. Virologically suppressed population defined as participants who were on entecavir (ETV) or tenofovir disoproxil fumarate (TDF) for at least 12 months prior to screening and had HBV deoxyribonucleic acid (DNA) <60 IU/mL. This outcome measure was planned to be analyzed for specified arms only. Baseline and Week 24
Secondary Number of Participants With Treatment- Emergent Adverse Events (AEs) An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Treatment-emergent AEs were AEs with onset during the treatment phase or that worsened since baseline. Up to Week 48
Secondary Number of Participants With Serious Adverse Events (SAEs) A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Up to Week 80
Secondary Number of Participants With Clinically Significant Changes in Vital Signs, Physical Examinations, Electrocardiogram (ECG), and Clinical Laboratory Tests Number of participants with clinically significant changes in vital signs, physical examinations, ECG, and clinical laboratory tests (including hematology, blood biochemistry, blood coagulation, and urinalysis) were reported. Up to Week 80
Secondary Change From Baseline in HBsAg Levels in Currently Not Treated Population Over Time Change from baseline in HBsAg levels in currently not treated population based on HBeAg status was reported. Weeks 24, 48 and Follow-up Week 24
Secondary Change From Baseline in HBsAg Levels in Virologically Suppressed Population Over Time Change from baseline in HBsAg levels in virologically suppressed population based on HBeAg status was reported. This outcome measure was planned to be analyzed for specified arms only. Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With HBsAg Levels Less Than (<) 1,000 or <100 International Units Per Milliliter (IU/mL) in Currently Not Treated Population Percentage of participants with HBsAg levels <1,000 or <100 IU/mL in currently not treated population based on their HBeAg status were reported. Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With HBsAg Levels <1,000 or <100 IU/mL in Virologically Suppressed Population Percentage of participants with HBsAg levels <1,000 or <100 IU/mL in virologically suppressed population based on their HBeAg status were reported. This outcome measure was planned to be analyzed for specified arms only. Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With Greater Than (>) 0.5 log10 IU/mL or >1 log10 IU/mL Reduction in HBsAg From Baseline in Currently Not Treated Population Percentage of participants with >0.5 log10 IU/mL or >1 log10 IU/mL reduction in HBsAg from baseline in currently not treated population based on their HBeAg status were reported. Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With >0.5 log10 IU/mL or >1 log10 IU/mL Reduction in HBsAg From Baseline in Virologically Suppressed Population Percentage of participants with >0.5 log10 IU/mL or >1 log10 IU/mL reduction in HBsAg from baseline in virologically suppressed population based on their HBeAg status were reported. This outcome measure was planned to be analyzed for specified arms only. Weeks 24, 48 and Follow-up Week 24
Secondary Change From Baseline in Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) Levels in Currently Not Treated Population Change from baseline in HBV DNA levels in currently not treated population based on their HBeAg status was reported. Baseline up to Weeks 24, 48 and Follow-up Week 24
Secondary Change From Baseline in HBV DNA Levels in Virologically Suppressed Population Change from baseline in HBV DNA levels in virologically supressed population based on their HBeAg status was reported. This outcome measure was planned to be analyzed for specified arms only. Baseline up to Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With Undetectable HBV DNA Levels in Currently Not Treated Population Percentage of participants with undetectable HBV DNA levels in currently not treated population based on their HBeAg status was evaluated. Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With Undetectable HBV DNA Levels in Virologically Suppressed Population Percentage of participants with undetectable HBV DNA levels in virologically suppressed population based on their HBeAg status were reported. This outcome measure was planned to be analyzed for specified arms only. Weeks 24, 48 and Follow-up Week 24
Secondary Change From Baseline in HBeAg Levels in Currently Not Treated Population Change from baseline in HBeAg levels in HBeAg positive currently not treated population was reported. Baseline up to Weeks 24, 48 and Follow-up Week 24
Secondary Change From Baseline in HBeAg Levels in Virologically Suppressed Population Change from baseline in HBeAg levels in HBeAg positive virologically suppressed population was reported. This outcome measure was planned to be analyzed for specified arms only. Baseline up to Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With >0.5 log10 IU/mL and >1 log10 IU/mL Reduction in HBeAg From Baseline in Currently Not Treated Population Percentage of participants with >0.5 log10 IU/mL and >1 log10 IU/mL reduction in HBeAg from baseline in HBeAg positive currently not treated population was reported. Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With >0.5 log10 IU/mL and >1 log10 IU/mL Reduction in HBeAg From Baseline in Virologically Suppressed Population Percentage of participants with >0.5 log10 IU/mL and >1 log10 IU/mL reduction in HBeAg from baseline in HBeAg positive virologically suppressed population was reported. This outcome measure was planned to be analyzed for specified arms only. Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With HBsAg Seroclearance in Currently Not Treated Population Percentage of participants with HBsAg seroclearance in currently not treated population based on their HBeAg status were reported. Seroclearance at Week 24/48 of the treatment defined as a confirmed loss of HBsAg at Week 24/48. Loss is defined as a baseline HBsAg with a repeat reactive, confirmed or positive result and a post-baseline assessment with a negative result. This outcome measure was planned to be analyzed at specified timepoints only. Weeks 24 and 48
Secondary Percentage of Participants With HBsAg Seroclearance in Virologically Suppressed Population Percentage of participants with HBsAg seroclearance in virologically suppressed population based on their HBeAg status were reported. Seroclearance at Week 24/48 of the treatment defined as a confirmed loss of HBsAg at Week 24/48. Loss is defined as a baseline HBsAg with a repeat reactive, confirmed or positive result and a post-baseline assessment with a negative result. This outcome measure was planned to be analyzed for specified arms and specific timepoints only . Weeks 24 and 48
Secondary Percentage of Participants With HBsAg Seroconversion in Currently Not Treated Population Percentage of participants with HBsAg seroconversion in currently not treated population based on their HBeAg status were reported. Seroconversion at Week 24/48 of the treatment defined as a confirmed loss of HBsAg at week 24/48 of the treatment and an appearance of Anti-HBs. This outcome measure was planned to be analyzed for specified timepoints only. Weeks 24 and 48
Secondary Percentage of Participants With HBsAg Seroconversion in Virologically Suppressed Population Percentage of participants with HBsAg seroconversion in virologically suppressed population based on their HBeAg status were reported. Seroconversion at Week 24/48 of the treatment defined as a confirmed loss of HBsAg at week 24/48 of the treatment and an appearance of Anti-HBs. This outcome measure was planned to be analyzed for specified arms and specified timepoints only. Weeks 24 and 48
Secondary Percentage of Participants With Normalized Alanine Aminotransferase (ALT) Levels in Currently Not Treated Population Percentage of participants with normalized ALT levels in currently not treated population, whose ALT levels were above upper limit of normal at baseline based on their HBeAg status were reported. Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With Normalized ALT Levels in Virologically Suppressed Population Percentage of participants with normalized ALT levels in virologically suppressed population, whose ALT levels were above upper limit of normal at baseline based on their HBeAg status were reported. This outcome measure was planned to be analyzed for specified arms only. Weeks 24, 48 and Follow-up Week 24
Secondary Percentage of Participants With Virological Breakthrough in Currently Not Treated Population Percentage of participants with virological breakthrough in currently not treated population based on their HBeAg status was reported. Virological breakthrough defined as confirmed on treatment HBV DNA increase by >1 log10 from nadir level or confirmed on treatment level >200 IU/mL in participants who had HBV DNA level below the lower limit of quantification (LLOQ) of the HBV DNA assay. Weeks 24 and 48
Secondary Percentage of Participants With Virological Breakthrough in Virologically Suppressed Population Percentage of participants with virological breakthrough in virologically suppressed population based on their HBeAg status was reported. Virological breakthrough defined as confirmed on treatment HBV DNA increase by >1 log10 from nadir level or confirmed on treatment level >200 IU/mL in participants who had HBV DNA level below the lower limit of quantification (LLOQ) of the HBV DNA assay. This outcome measure was planned to be analyzed for specified arms only. Weeks 24 and 48
Secondary Plasma Concentrations of Entecavir [ETV] in Currently Not Treated Population Plasma concentrations of ETV administered as monotherapy or co-administered with JNJ-56136379 in currently not treated population was determined. As planned, plasma concentration of ETV co-administered with placebo was analyzed separately for Part A and Part B. Samples were analyzed using POP PK modeling. Day 1: 0 hours, 2 hours; Weeks 1, 2, 4, 8, 12, 20, 24, 28, 32, 36, 44, 48: 0 hours; Follow-up: Weeks 2 and 4
Secondary Plasma Concentrations of ETV in Virologically Suppressed Population Plasma concentrations of ETV administered as monotherapy or co-administered with JNJ-56136379 in virologically suppressed population was determined. As planned, plasma concentration of ETV co-administered with placebo was analyzed separately for Part A and Part B. Samples were analyzed using POP PK modeling. Day 1: 0 hours, 2 hours; Weeks 1, 2, 4, 8, 12, 20, 24, 28, 32, 36, 44, 48: 0 hours; Follow-up: Weeks 2 and 4
Secondary Plasma Concentrations of Tenofovir Disoproxil Fumarate (TDF) in Currently Not Treated Population Plasma concentrations of TDF administered as monotherapy or co-administered with JNJ-56136379 was determined. As planned, plasma concentration of TDF co-administered with placebo was analyzed separately for Part A and Part B. Samples were analyzed using POP PK modeling. Day 1: 0 hours, 2 hours; Weeks 1, 2, 4, 8, 12, 20, 24, 28, 32, 36, 44, 48: 0 hours; Follow-up: Weeks 2 and 4
Secondary Plasma Concentrations of TDF in Virologically Suppressed Population Plasma concentrations of TDF administered as monotherapy or co-administered with JNJ-56136379 was determined. As planned, plasma concentration of TDF co-administered with placebo was analyzed separately for Part A and Part B. Samples were analyzed using POP PK modeling. Day 1: 0 hours, 2 hours; Weeks 1, 2, 4, 8, 12, 20, 24, 28, 32, 36, 44, 48: 0 hours; Follow-up: Weeks 2 and 4
Secondary Plasma Concentrations of JNJ-56136379 in Currently Not Treated Population Plasma concentrations of JNJ-56136379 in currently not treated population administered as monotherapy or when co-administered with NA (ETV or TDF) was determined. As planned, the plasma concentration of JNJ-56136379 when co-administered with NA was determined separately for each NA treatment (ETV and TDF). Samples were analyzed using POP PK modeling. Day 1: 0 hours, 2 hours; Weeks 1, 2, 4, 8, 12, 20, 24, 28, 32, 36, 44, 48: 0 hours; Follow-up: Weeks 2 and 4
Secondary Plasma Concentrations of JNJ-56136379 in Virologically Suppressed Population Plasma concentrations of JNJ-56136379 in virologically suppressed population administered as monotherapy or when co-administered with NA (ETV or TDF) was determined. As planned, the plasma concentration of JNJ-56136379 when co-administered with NA was determined separately for each NA treatment (ETV and TDF). Samples were analyzed using POP PK modeling. Day 1: 0 hours, 2 hours; Weeks 1, 2, 4, 8, 12, 20, 24, 28, 32, 36, 44, 48: 0 hours; Follow-up: Weeks 2 and 4
Secondary Number of Participants With Treatment-Associated Mutations Number of participants with treatment-associated mutations were reported. Viral genome sequence analysis was performed to evaluate emergence of mutations associated with JNJ-56136379 considering 15 HBV core protein positions of interest. This outcome measure was planned to be analyzed for specified arms only. From Week 0 to Week 24, From Week 25 to Week 48, Up to Follow-up Week 24
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