This is a Phase 2a, multi-center, randomized, double-blind, placebo-controlled study evaluating the safety, efficacy, and pharmacokinetics (PK) of AL-3778 in combination with Peg-IFN in subjects with Hepatitis B e antigen (HBeAg) positive CHB virus infection who are treatment-naïve. The study will consist of a screening phase , a double-blind treatment phase followed by treatment with Peg-IFN alone, and a post-treatment follow-up phase. Approximately 30 subjects to complete the study. Eligible subjects will be randomized into 2 treatment arms in a 2:1 ratio (active:placebo) to receive one of the following treatments: * Arm A: Peg-IFN plus AL-3778 (N=20) * Arm B: Peg-IFN plus matching placebo (N=10)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
AL-3778 tablets
Peginterferon Alfa-2A for subcutaneous injection
Placebo to Match AL-3778 tablet
Mean change (measured in log10 IU/mL) in serum HBsAg from baseline at Week 24.
Time frame: Day 1 to Week 24
Incidence and severity of AEs
Time frame: Screening to Week 72
Incidence and severity of laboratory abnormalities
Time frame: Screening to Week 72
Incidence of serious adverse events (SAEs).
Time frame: Screening to Week 72
Incidence and severity of AEs leading to study drug discontinuation.
Time frame: Screening to Week 72
Changes in serum HBV DNA over time
Time frame: Day 1 to Week 72
Proportion of subjects with ALT normalization
Time frame: Day 1 to Week 72
Incidence and severity of hepatic flares on treatment
Time frame: Day 1 to Week 48
Incidence and severity of hepatic flares off-treatment.
Time frame: Week 48 to week 72
Proportions of subjects with HBeAg loss and/or seroconversion.
Time frame: Day 1 to Week 72
Proportions of subjects with HBsAg loss and/or seroconversion.
Time frame: Day 1 to Week 72
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Changes in serum HBsAg and serum HBeAg levels over time.
Time frame: Day 1 to Week 72
Proportion of subjects experiencing a viral breakthrough on treatment.
Time frame: Day 1 to Week 48
Assess emergence of treatment-associated mutations during study treatment and follow-up with a focus on subjects with treatment failure
Time frame: Day 1 to Week 72
Individually derived Bayesian estimates of AL-3778 Steady state plasma concentration (C0h)
Time frame: Week 2
Individually derived Bayesian estimates of AL-3778 area under the plasma concentration curve vs time (AUC0-12h)
Time frame: Week 2
AL-3778 maximum observed plasma concentration (Cmax)
Time frame: Week 2
AL-3778 Steady state plasma concentration (C0h)
Time frame: Week 2
AL-3778 area under the plasma concentration curve vs time (AUC0-12h)
Time frame: Week 2