Study of AHB-171 in Chronic Hepatitis B Participants

Phase
Recruitment status
Not yet recruiting
Participants
Lead sponsor
AusperBio Therapeutics Inc.
Start date
Number of sites

Summary
The goal of this clinical trial is to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics of AHB-171 in participants with chronic hepatitis B (CHB). Study advancement to subsequent parts/cohorts will require satisfactory interim reviews of available cumulative safety data by the Safety Review Committees (SRC), using the safety criteria and review procedures described in the protocol.
Acronym
Short title
Study of AHB-171 in Chronic Hepatitis B Participants
Official title
A Phase 1 Study in Chronic Hepatitis B Participants to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of AHB-171

Registry reports results
Listing at source
Recruitment status
Not yet recruiting
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
AusperBio Therapeutics Inc.
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
Single masking
Masked roles
Participants
Sources for study design

  1. Incidence of Adverse Events (AEs) [Safety and Tolerability]

    Timeframe: Up to 72 weeks

  2. The plasma pharmacokinetic (PK) profile of AHB-171 and metabolites: the maximum observed plasma concentration (Cmax) of AHB-171.

    Timeframe: Up to 72 weeks

  3. The plasma pharmacokinetic (PK) profile of AHB-171 and metabolites: the area under the concentration-time curve extrapolated to infinity (AUCinf ) of AHB-171

    Timeframe: Up to 72 weeks

  4. Incidence of clinically significant changes in Vital Signs [Safety and Tolerability]

    Timeframe: Up to 72 weeks

    Vital signs include body temperature, pulse rate, respiratory rate, and blood pressure

  5. Incidence of clinically significant changes in cardiac parameters [Safety and Tolerability]

    Timeframe: Up to 72 weeks

    12-lead electrocardiogram (ECG) abnormalities will be reported, with parameters evaluated including PR interval, QRS duration, QT/QTc interval.

  6. Incidence of laboratory abnormalities [Safety and Tolerability]

    Timeframe: Up to 72 weeks

  7. The plasma pharmacokinetic (PK) profile of AHB-171 and metabolites: area under the curve from the time of dosing to the last measurable concentration (AUClast) of AHB-171

    Timeframe: Up to 72 weeks

  1. Absolute serum HBsAg (Hepatitis B surface antigen) and change from baseline across all evaluated timepoints in the study

    Timeframe: Up to 72 weeks

  2. Absolute serum HBV (Hepatitis B virus) DNA and change from baseline across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

  3. Absolute serum HBeAb (Hepatitis B e Antibody) and change from baseline across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

  4. Proportion of participants achieving pre-specified HBsAg reduction levels or absolute thresholds across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

  5. Proportion of participants achieving HBsAg < or ≥ LOD (limit of detection) and/or HBV DNA < or ≥ LLOQ (lower limit of quantitation) across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

  6. Proportion of participants achieving pre-specified HBV DNA levels or absolute thresholds across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

  7. Time to achieving pre-specified HBsAg levels or absolute thresholds across all evaluated timepoints in the study

    Timeframe: Up to 72 weeks

  8. Change from baseline in alanine aminotransferase (ALT) levels

    Timeframe: Up to 72 weeks

  9. Proportion of participants with ALT normalization among those with elevated ALT at baseline across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

  10. Proportion of participants achieving anti-HBs seroconversion across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

  11. Proportion of participants experiencing virologic relapse.

    Timeframe: Up to 72 weeks

    Virologic relapse is defined as HBV DNA meeting a protocol-specified threshold value at 2 consecutive visits

  12. Time to participants experiencing virologic relapse.

    Timeframe: Up to 72 weeks

    Virologic relapse is defined as HBV DNA meeting a protocol-specified threshold value at 2 consecutive visits

  13. Proportion of participants with treatment emergent AEs (TEAEs), serious AEs (SAEs), or discontinuation due to AEs.

    Timeframe: Up to 72 weeks

  14. Proportion of participants with anti-drug antibodies (ADA) to AHB-171.

    Timeframe: Up to 72 weeks

  15. ADA titers in participants with ADA to AHB-171 across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

  16. Plasma PK parameters AUC of AHB-171 and metabolites.

    Timeframe: Up to 72 weeks

  17. Plasma PK parameter Cmax of AHB-171 and metabolites.

    Timeframe: Up to 72 weeks

  18. Plasma PK parameter Time to Peak Concentration (tmax) of AHB-171 and metabolites.

    Timeframe: Up to 72 weeks

  19. Plasma PK parameter apparent clearance (CL [clearance]/F [Bioavailability]) of AHB-171 and metabolites.

    Timeframe: Up to 72 weeks

  20. Urine PK parameter cumulative amount excreted (Ae) of AHB-171 and metabolites.

    Timeframe: Up to 72 weeks

  21. Urine PK parameter renal clearance (CLr) of AHB-171 and metabolites.

    Timeframe: Up to 72 weeks

  22. Absolute serum HBV ribonucleic acid (RNA) and change from baseline across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

  23. Absolute serum HBcrAg (Hepatitis B core-related antigen) and change from baseline across all evaluated timepoints in the study

    Timeframe: Up to 72 weeks

  24. Absolute serum HBeAg (Hepatitis B e antigen) and change from baseline across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

  25. Proportion of participants with hs-HBsAg (high-sensitivity HBsAg) <LLOQ across all evaluated timepoints in the study.

    Timeframe: Up to 72 weeks

And 2 more, listed on the interactive page.

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Maximum age
65 Years
Healthy volunteers
No

  • Male or female participants, aged 18-65 years old (inclusive)
  • Body Mass Index between 19 to 35 kg/m2 (inclusive)
  • Body weight > or = 45 kg.
  • Documented HBV infection for ≥6 months prior to randomization.
  • For Parts A and B, on stable approved NA monotherapy for at least 6 months prior to randomization.
  • For Part C and D only, not on any NA monotherapy for at least 6 months prior to randomization.
  • Screening electrocardiogram (ECG) without clinically significant abnormalities
  • Females of childbearing potential must not be breastfeeding, must have a negative serum pregnancy test at Screening, and a negative urine/serum pregnancy test before dosing (unless permanently sterile or >2 years postmenopausal).
  • Males and females of childbearing potential must agree to use protocol specified reliable contraception throughout the study.
  • Screening HBV DNA, HBsAg and ALT must meet prespecified requirements.

  • Significant medical conditions other than chronic HBV (e.g. recent heart issues, unstable cardiac disease, uncontrolled diabetes, bleeding disorders, prior organ transplant).
  • Other clinically significant liver diseases (e.g. hepatitis from other causes, autoimmune or alcoholic liver disease, prior liver failure).
  • History of suspected or confirmed cirrhosis (based on FibroScan® or biopsy).
  • Current, past, or suspected liver cancer, or elevated alpha-fetoprotein (AFP) ≥ 20 ng/mL.
  • HBV-related extrahepatic diseases (e.g. kidney or vascular conditions).
  • Severe infection (other than chronic HBV infection) within 1 month before randomization requiring intravenous treatment.
  • Active infections: human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis D virus (HDV) or syphilis (exceptions if RNA negative).
  • Abnormal lab results (e.g. low albumin, reduced kidney function, abnormal INR, low platelets, high bilirubin, abnormal blood counts, significant proteinuria).
  • History or signs of vasculitis or related autoimmune diseases.
  • Malignancy within 5 years (except non-melanoma skin cancer).
  • Allergy to study drug components.
  • Recent major surgery/trauma (within 3 months) or planned surgery during study.
  • Alcohol or substance abuse affecting compliance.
  • Pregnancy, breastfeeding, or unwillingness to follow reproductive restrictions.
  • Participation in another clinical trial or recent investigational product use.
  • Prior treatment with any antisense oligonucleotide or small interfering RNA therapies.
  • Recent or ongoing use of immunosuppressive/biologic therapies, certain vaccines, bulevirtide, or unapproved herbal remedies.
  • Need for long-term anticoagulants/antiplatelet drugs (unless safely stopped).
  • Any other condition making the participant unsuitable (per investigator).
Sources for eligibility

  • Queen Mary HospitalHong Kong, Hong Kong
  • New Zealand Clinical ResearchGrafton, New Zealand
Sources for sites

Related records

Drugs (1)

Lead sponsors (1)

Conditions (1)

Targets (16)