This is a multi centre, two parallel arm, randomized, open-label, Phase 2a experimental study of oral Farnesoid X Receptor (FXR) modulator EYP001a to assess its safety and anti-viral effect when administered to non-treated (treatment naive or off treatment) chronic Hepatitis B (CHB) patients in combination with entecavir (ETV) and pegylated interferon alpha2a (peg-IFN). An experimental treatment period of 16 weeks will be followed by a 24 week maintenance period with ETV standard of care (SoC).
In total 30 eligible patients will be enrolled and randomized at approximately 7 study sites. Patients will be randomized prior to study drug (EYP001a, ETV and peg-IFN) administration on Day 1 in the ratio of 1:1 into 2 treatment arms: * Arm 1: EYP001a QD + ETV 0.5 mg QD + peg-IFN dosed per body surface area (180 µg, 135 µg or 90 µg) QW (± 3 days) (15 patients) * Arm 2: EYP001a QD + peg-IFN dosed per body surface area (180 µg, 135 µg or 90 µg) QW (± 3 days) (15 patients) Patients enrolled in the study will be assessed as outpatients. Patient screening will occur no more than 37 days prior to the Day 1 visit. Eligible patients will undergo further assessments on Day 1 to qualify for study drug administration on Day 1. The visits during the study are planned as below: * Screening visit: 5 weeks (37 days) * 16 weeks treatment period * 24 weeks maintenance period. During maintenance period patients are kept on ETV until the end of the trial at Week 40.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
ENYO PHARMA Investigative site HK01
Hong Kong, Hong Kong
ENYO PHARMA Investigative site KR01
Busan, South Korea
ENYO PHARMA Investigative site TW03
Kaohsiung City, Taiwan
ENYO PHARMA Investigative site TW04
Kaohsiung City, Taiwan
ENYO PHARMA Investigative site TW01
Taipei, Taiwan
ENYO PHARMA Investigative site TW02
Taoyuan District, Taiwan
Number of Treatment-emergent adverse events
Number of Treatment-emergent adverse events including serious adverse events
Time frame: 16 weeks
Measurement of HBsAg decline
Measurement of HBsAg decline (Δ log10) from Day 1 to Week 16 of treatment period
Time frame: 16 weeks
Measurement of HBsAg decline
Measurement of HBsAg decline (Δ log10)
Time frame: 40 weeks
Measurement of HBV-DNA decline
Measurement of HBV-DNA decline (Δ log10)
Time frame: 40 weeks
Measurement of HBV-pgRNA decline
Measurement of HBV-pgRNA decline (Δ log10)
Time frame: 40 weeks
Measurement of HBcrAg decline
Measurement of HBcrAg decline (Δ log10)
Time frame: 40 weeks
Concentration of EYP001a - Pharmacokinetic
Assessment of fasted plasma concentrations of EYP001a or any active metabolites using a validated liquid chromatography-mass spectrometry
Time frame: 20 weeks
Concentration of C4 - Pharmacodynamic biomarker
Assessment of concentrations of plasma C4 (7α hydroxy 4 cholesten 3 one)
Time frame: 40 weeks
Concentration of FGF19 - Pharmacodynamic biomarker
Assessment of concentrations of plasma FGF19 over time (Fibroblast Growth Factor 19)
Time frame: 40 weeks
Concentration of Bile Acids - Pharmacodynamic biomarker
Assessment of concentrations over time of plasma Bile Acids (chenodeoxycholic acid, deoxycholic acid, lithocholic acid)
Time frame: 40 weeks
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