This study will assess the safety, efficacy and immune response following the sequential treatment of GlaxoSmithKline's (GSK) ASO compound (GSK3228836) and CHB-TI (GSK3528869A) in participants 18 to 65 years stable on NA treatment for CHB. The aim is to quantify the efficacy of sequential therapy as well as to determine an added value of sequential therapy over GSK3228836 therapy in CHB patients treated with NAs. In addition, the study will assess the effect of different treatment durations of GSK3228836 (12 or 24 weeks) prior to initiating GSK3528869A treatment.
The study follow-up period was reduced from 2 years post last dose to at least 1 year post last dose, with Visit Treatment 2-Day 505 defined as the last visit of the study. For participants who completed visits Treatment 2-Day 673 or Treatment 2-Day 841, those visits were considered the last study visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
174
2 doses of GSK3228836 study intervention administered subcutaneously once per week for 12 weeks (Day 1 up to Day 78) to participants in ASO12-TI and ASO12 groups, or for 24 weeks (Day 1 up to Day 162) to participants in ASO24-TI and ASO24 groups, plus loading doses administered at Day 4 and Day 11 (2 doses each day) to participants in all groups during Treatment 1 period.
The GSK3528869A chronic Hepatitis B targeted immunotherapy (CHB-TI) consisting of 4 doses administered intramuscularly as follows: * 1 dose of the Chimpanzee adenovectored HBV vaccine (ChAd155-hIi-HBV) at Day 1 of Treatment 2 period. * 1 dose of the Modified Vaccinia Virus Ankara HBV vaccine (MVA-HBV) at Day 57 of Treatment 2 period. * 2 subsequent doses of the AS01B-4-adjuvanted HBc-HBs proteins (HBc-HBs/AS01B-4) administered at Day 113 and Day 169 of Treatment 2 period.
4 doses of non-active control administered intramuscularly in the deltoid region of the non-dominant arm at Days 1, 57, 113 and 169 to participants in ASO24 and ASO12 control groups during Treatment 2 period.
GSK Investigational Site
Edegem, Belgium
GSK Investigational Site
Sliven, Bulgaria
GSK Investigational Site
Sofia, Bulgaria
GSK Investigational Site
Sofia, Bulgaria
GSK Investigational Site
Sofia, Bulgaria
GSK Investigational Site
Percentage of participants reporting any grade 3 adverse event (AE) from first dose of GSK3228836 up to study end
An AE is any untoward medical occurrence (an unfavourable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention. A grade 3 AE is an AE which prevents normal, everyday activities (in adults, such an AE would, for example, prevent attendance at work/school and would necessitate the administration of corrective therapy).
Time frame: From first dose of GSK3228836 (Treatment 1 -Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants reporting any serious adverse event (SAE) from first dose of GSK3228836 up to study end
An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant or is an abnormal pregnancy outcome.
Time frame: From first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants reporting any adverse events of special interest (AESIs) grade 3 or higher from first dose of GSK3228836 up to study end
AESI related to GSK3228836 treatment include thrombocytopenia, alanine transaminase (ALT) increases, vascular inflammation and complement activation, renal injury or injection site reactions. AESI related to GSK3528869A include liver disease-related (LDR) AEs, hematological AESI or potential immune-mediated diseases (pIMDs). A grade 3 AE is an AE which prevents normal, everyday activities (in adults, such an AE would, for example, prevent attendance at work/school and would necessitate the administration of corrective therapy).
Time frame: From first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants who achieve sustained virologic response (SVR) for 24 weeks after the planned end of active treatment in the absence of rescue medication, and difference between treatment arms (corresponding to GSK3228836 regimens)
SVR is defined as Hepatitis B surface antigen (HBsAg) below (\<) lower limit of quantification (LLOQ) and HBV deoxyribose nucleic acid (DNA) \< LLOQ. Rescue medication is defined as any medication initiated for the purpose of antiviral suppression other than the background stable NA therapy irrespective of the reason.
Time frame: For up to 24 weeks after the planned end of active treatment (planned end of active treatment = Treatment 1-Day 78 for ASO12 group, Treatment 1-Day 162 for ASO24 group and Treatment 2-Day 169 for ASO12-TI and ASO24-TI groups)
Percentage of participants reporting each solicited administration site event post-GSK3528869A study intervention administration
The solicited administration site events include pain, redness and swelling.
Time frame: Within 7 days post-administration (day of administration + 6 subsequent days) of each dose of GSK3528869A study intervention
Percentage of participants reporting each solicited systemic event post-GSK3528869A study intervention administration
The solicited systemic events include fatigue, fever, headache, myalgia, arthralgia and chills. Fever is defined as temperature equal to or above (\>=) 38.0°C/100.4°F. The preferred location for measuring temperature is the oral cavity.
Time frame: Within 7 days post-administration (day of administration + 6 subsequent days) of each dose of GSK3528869A study intervention
Percentage of participants reporting any unsolicited AE post-GSK3528869A study intervention administration
An unsolicited AE is an AE that was not included in a list of solicited events. Unsolicited events must have been spontaneously communicated by a participant who has signed the informed consent. Unsolicited AEs include both serious and non-serious AEs.
Time frame: Within 30 days post-administration (day of administration + 29 subsequent days) of each dose of GSK3528869A study intervention
Percentage of participants reporting any AE from first dose of GSK3228836 up to study end
An AE is any untoward medical occurrence (an unfavourable/unintended sign - including an abnormal laboratory finding), symptom, or disease (new or exacerbated) in a clinical study participant that is temporally associated with the study intervention.
Time frame: From first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants reporting any AESIs from first dose of GSK3228836 up to study end
AESI related to GSK3228836 treatment include thrombocytopenia, ALT increases, vascular inflammation and complement activation, renal injury or injection site reactions. AESI related to GSK3528869A include liver disease-related AEs, hematological AESIs or pIMDs.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Sofia, Bulgaria
GSK Investigational Site
Veliko Tarnovo, Bulgaria
GSK Investigational Site
Vratsa, Bulgaria
GSK Investigational Site
Clichy, France
GSK Investigational Site
Créteil, France
...and 41 more locations
Time frame: From first dose of GSK3228836 (Treatment 1-Day 1) up to the study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants reporting any pIMDs from first dose of GSK3528869A up to study end
pIMDs are a subset of AESIs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology.
Time frame: From first dose of GSK3528869A (Treatment 2-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants reporting hematological, biochemical or urinalysis laboratory abnormalities at pre-defined time points during Treatment 1 period
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.
Time frame: At pre-defined time points during Treatment 1 period (from Treatment 1-Day 1 until Treatment 1-Day 78 for ASO12-TI and ASO12 groups, and from Treatment 1-Day 1 until Treatment 1-Day 162 for ASO24-TI and ASO24 groups)
Percentage of participants reporting hematological, biochemical or urinalysis laboratory abnormalities at pre-defined time points during Treatment 2 period
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.
Time frame: At pre-defined time points during Treatment 2 period (from Treatment 2-Day 1 until Treatment 2-Day 199)
Percentage of participants reporting hematological, biochemical or urinalysis laboratory abnormalities at pre-defined time points during follow-up period
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.
Time frame: At pre-defined time points during follow-up period (from Treatment 2-Day 225 until Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants who achieve quantitative Hepatitis B surface antigen assessment (qHBsAg) decrease and HBsAg loss at pre-defined time points from GSK3228836 baseline (Treatment 1-Day 1) up to study end
qHBsAg decrease is defined as ≥ 0.5 log decrease and ≥ 1-log decrease. The analysis is performed by considering the HBsAg status prior to GSK3228836 as baseline.
Time frame: At pre-defined time points from GSK3228836 baseline (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Changes in qHBsAg at pre-defined time points from GSK3228836 baseline (Treatment 1-Day 1) up to study end
Changes in serum qHBsAg from GSK3228836 baseline are expressed as geometric mean ratios (GMRs). The analysis is performed by considering the HBsAg status prior to GSK3228836 as baseline.
Time frame: At pre-defined time points from GSK3228836 baseline (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants with HBsAg loss and anti-HBs seroconversion
A participant is counted only when both HBsAg loss and anti-HBs seroconversion are reported for the participant. Seroconversion is defined as the appearance of antibodies (i.e., concentrations/titer greater than or equal to the LLOQ) in the serum of participants seronegative before GSK3528869A administration.
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Geometric mean concentrations (GMCs) of qHBsAg
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Duration of SVR in terms of time to the first occurrence of HBsAg reversion and/or HBV DNA reversion
HBsAg reversion is defined as HBsAg \>LLOQ or HBV DNA \>LLOQ, confirmed by 2 consecutive visits at least 1 month apart.
Time frame: From Treatment 1-Day 1 up to first occurrence of HBsAg reversion and/or HBV DNA reversion, assessed from Treatment 1-Day 1 up to Treatment 2-505/Day 673/Day 841
Percentage of participants who experienced HBV DNA virologic breakthrough
HBV DNA virologic breakthrough is defined at 1-log increase from nadir in HBV DNA or HBV DNA becoming quantifiable after being below the LLOQ.
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants with anti-HBc antibody response
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Anti-HBc antibody concentrations
Anti-HBc antibody concentrations are expressed as geometric mean concentrations (GMCs).
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants who achieved HBsAg seroconversion
Seroconversion is defined as the appearance of antibodies (i.e., concentrations/titer greater than or equal to the LLOQ) in the serum of participants seronegative before GSK3528869A administration.
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants with anti-HBs antibody response
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Anti-HBs antibody concentrations
Anti-HBs antibody concentrations are expressed as GMCs.
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants with anti-HBs antibody concentrations equal to or above (≥) 10 mIU/mL
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Percentage of participants with anti-HBs antibody concentrations equal to or above (≥) 100 mIU/mL
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Frequency of HBc-specific CD4+ T-cells
Frequency of HBc-specific CD4+ T-cells is expressed as HBc-specific CD4+ T-cells per million peripheral blood mononuclear cells (HBc-specific CD4+ T-cells/million PBMCs).
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Frequency of HBs-specific CD4+ T-cells
Frequency of HBs-specific CD4+ T-cells is expressed as HBs-specific CD4+ T-cells/million PBMCs.
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Frequency of HBc-specific CD8+ T-cells
Frequency of HBc-specific CD8+ T-cells is expressed as HBc-specific CD8+ T-cells/million PBMCs.
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Frequency of HBs-specific CD8+ T-cells
Frequency of HBs-specific CD8+ T-cells is expressed as HBs-specific CD8+ T-cells/million PBMCs.
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Number of HBc- and HBs-specific CD4+ T cells responders
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)
Number of HBc- and HBs-specific CD8+ T cells responders
Time frame: At pre-defined time points from first dose of GSK3228836 (Treatment 1-Day 1) up to study end (Treatment 2-Day 505/Day 673/Day 841)