This study will examine the safety and tolerability of single and multiple doses of IB-001 in two parts: Part A: SAD study in approximately 50 Healthy Volunteers (HV). Part B: MAD study in approximately 30 adult participants living with Chronic Hepatitis B (CHB). A separate exploratory, open-label, single-dose cohort (Part C) will evaluate pegylated interferon alfa-2a in HVs for translational benchmarking against IB-001.
This is a first-in-human, double-blind, randomized, placebo-controlled Phase 1 study of IB-001 administered subcutaneously to evaluate safety, tolerability, PK/PD, and preliminary antiviral activity. The study is comprised of three parts: Part A: Single-dose, multicohort, dose-finding study in approximately 50 adult Healthy Volunteers (HV) in up to five cohorts (n=10 per cohort; 8 active:2 placebo). Participants will receive a single sub-cutaneous dose of investigational product followed by a 28-day post treatment follow-up. Part B: Multidose, multicohort study in Treatment-Naïve or Currently-Not-Treated Adults with Chronic Hepatitis B (CHB). Approximately 30 adult participants (up to 3 cohorts; n=10 per cohort; 8 active:2 placebo). Once-weekly sub-cutaneous dosing over 4 weeks with 6-week post-treatment follow-up. Dose recommendations in both Part A and Part B will be made by the Safety Review Committee (SRC) based on review of emerging safety data. Part C: Single-dose, open label, single cohort study in approximately 8 adult Healthy Volunteers (HV). Participants will receive a single sub-cutaneous dose of peginterferon alfa-2a followed by a 14 day post treatment follow-up.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
88
IB-001 is an investigational product targeting the type I IFN (IFN-I) signaling pathway. Subcutaneous (SC) injectable formulation; single doses in HVs (Part A) and weekly doses for 4 weeks in CHB participants (Part B). Exact dose levels recommended by SRC.
Sodium Chloride (NaCl) 0.9 % administered subcutaneously as a single dose (Part A) and weekly dose for 4 weeks (Part B).
Peginterferon alfa-2a administered subcutaneously as a single dose (Part C) at a dose of 180 mcg/0.5 mL solution.
Prince of Wales Hospital
Hong Kong, Hong Kong
RECRUITINGQueen Mary Hospital
Hong Kong, Hong Kong
RECRUITINGArensia Exploratory Medicine Chisinau
Chisinau, Moldova
RECRUITINGPart A and Part B: Incidence and Severity of Treatment-Emergent Adverse Events (TEAEs).
Treatment-Emergent Adverse Events (TEAEs) are adverse events that first appear or worsen in severity during the course of the clinical study, regardless of whether they are related to the investigational product (IP) or not. TEAEs will be coded using MedDRA and summarized by SOC, PT, severity, and relationship to IP. Treatment-related AEs (possibly/probably/definitely related) will also be summarized separately. A by-participant AE listing will be provided
Time frame: Through Day 29 (Part A), through Day 64 (Part B).
Part A and Part B: Number of Participants with Adverse Events (AEs) by Severity
An AE is any unfavorable medical occurrence in a study participant administered an investigational product. The AE does not necessarily have a causal relationship with the treatment. All AEs will be graded for severity according to NCI-CTCAE classification. If an appropriate AE term is not found in NCI-CTCAE, the AE will be graded as follows: Grade 1 (mild); Grade 2 (Moderate); Grade 3 (Severe); Grade 4 (Severe) and Grade 5 (Death).
Time frame: Through Day 29 (Part A), through Day 64 (Part B)
Part A and Part B: Number of Participants with Adverse Events (AEs) of Special Interest (AESIs)
AEs of special interest include Cytokine Release Syndrome (CRS), Injection Site Reactions (ISRs) and Unexplained Liver Biochemistry Elevations. Reported AESIs will be graded according to NCI-CTCAE classification. If an appropriate AE term is not found in NCI-CTCAE, the AESI will be graded as follows: Grade 1 (mild); Grade 2 (Moderate); Grade 3 (Severe); Grade 4 (Severe) and Grade 5 (Death).
Time frame: Through Day 29 (Part A), through Day 64 (Part B)
Part A and Part B: Number of Participants with Clinically Significant Changes in Laboratory Parameters
Assessment Method - Number of participants with clinical laboratory abnormalities (serum chemistry, hematology, and coagulation) will be reported.
Time frame: Through Day 15 (Part A), through Day 64 (Part B)
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New Zealand Clinical Research
Auckland, Auckland, New Zealand
RECRUITINGArensia Exploratory Medicine
Kyiv, Ukraine
RECRUITINGPart A and Part B: Number of Participants with Clinically Significant Changes in Vital Signs.
Number of participants with vital signs abnormalities will be reported. Vital signs include body temperature, pulse rate, respiratory rate, and blood pressure.
Time frame: Through Day 15 (Part A), through Day 64 (Part B)
Part A and Part B: Number of Patients with Clinically Significant Changes in Cardiac Parameters.
Number of participants with electrocardiogram (ECG) abnormalities will be reported.
Time frame: Through Day 15 (Part A), through Day 64 (Part B)
Part A and Part B: Number of Patients with Clinically Significant Anti-Drug Antibodies (ADAs).
All immunogenicity data (ADA) are to be analyzed using the Immunogenicity Analysis Population. ADA incidence and titer levels over time will be summarized by dose.
Time frame: Through Day 29 (Part A), through Day 64 (Part B)
Part B: Changes from Baseline in HBsAg levels over time.
Blood samples will be analyzed for HBsAg levels to establish baseline and determine eligibility; subsequent blood samples will be collected at protocol-specified timepoints to measure HBsAg changes over time.
Time frame: Through Day 64 (Part B)
Part B: Change from Baseline in Anti-HBs Antibody Titers over time.
Blood samples will be collected at baseline and at protocol-specified timepoints to measure anti-HBs antibody titer changes over time.
Time frame: Through Day 64
Part B: Reduction from Baseline in HBV DNA levels over time.
Blood samples will be collected at baseline and at protocol-specified timepoints to measure HBV DNA changes over time.
Time frame: Through Day 64
Part A and Part B: PK Parameter - Maximum Observed Serum Concentration (Cmax) of IB-001
The Cmax is the maximum observed concentration of IB-001 in serum following single or multiple ascending dose administration. Blood samples will be collected at baseline and at protocol-specified timepoints.
Time frame: Through Day 29 (Part A), through Day 64 (Part B)
Part A and Part B: PK Parameter - Area under the Serum Concentration Time Curve (AUC) of IB-001.
AUC is the area under the concentration time curve of IB-001 in serum following single or multiple ascending dose administration. Blood samples will be collected at baseline and at protocol-specified timepoints.
Time frame: Through Day 29 (Part A), through Day 64 (Part B)
Part A and Part B: PK Parameter - Time to Observed Maximum Serum Concentration (Tmax) of IB-001.
Tmax is the time it takes to reach maximum concentration of IB-001 in serum following single or multiple ascending dose administration. Blood samples will be collected at baseline and at protocol-specified timepoints.
Time frame: Through Day 29 (Part A), through Day 64 (Part B)
Part A and Part B: PK Parameter - Terminal Half Life (T1/2) of IB-001.
T1/2 will be measured following single and multiple doses of IB-001. Blood samples will be collected at baseline and at protocol-specified timepoints.
Time frame: Through Day 29 (Part A), through Day 64 (Part B)