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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03672188
Registration number
NCT03672188
Ethics application status
Date submitted
11/09/2018
Date registered
14/09/2018
Date last updated
13/12/2021
Titles & IDs
Public title
Study of VIR-2218 in Healthy Subjects and Patients With Chronic Hepatitis B
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Scientific title
A Phase 1/2, Randomized, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of VIR-2218
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Secondary ID [1]
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VIR-2218-1001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Hepatitis B
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Condition category
Condition code
Infection
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Other infectious diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - VIR-2218
Treatment: Drugs - Placebo
Experimental: Part A: SAD VIR-2218 50 mg - Healthy subjects received a single dose of VIR-2218 of 50 mg administered SC
Experimental: Part A: SAD VIR-2218 100 mg - Healthy subjects received a single dose of VIR-2218 of 100 mg administered SC
Experimental: Part A: SAD VIR-2218 200 mg - Healthy subjects received a single dose of VIR-2218 of 200 mg administered SC
Experimental: Part A: SAD VIR-2218 400 mg - Healthy subjects received a single dose of VIR-2218 of 400 mg administered SC
Experimental: Part A: SAD VIR-2218 600 mg - Healthy subjects received a single dose of VIR-2218 of 600 mg administered SC
Experimental: Part A: SAD VIR-2218 900 mg - Healthy subjects received a single dose of VIR-2218 of 900 mg administered SC
Placebo comparator: Part A: SAD Placebo - Healthy subjects received a single dose of placebo administered SC
Experimental: Part B: MAD VIR-2218 20 mg - Chronic HBV, HBeAg negative, subjects received 2 SC doses of 20 mg VIR-2218 administered 4 weeks apart.
Experimental: Part B: MAD VIR-2218 50 mg - Chronic HBV, HBeAg negative, subjects received 2 SC doses of 50 mg VIR-2218 administered 4 weeks apart.
Experimental: Part B: MAD VIR-2218 100 mg - Chronic HBV, HBeAg negative, subjects received 2 SC doses of 100 mg VIR-2218 administered 4 weeks apart.
Experimental: Part B: MAD VIR-2218 200 mg - Chronic HBV, HBeAg negative, subjects received 2 SC doses of 200 mg VIR-2218 administered 4 weeks apart.
Experimental: Part C: MAD VIR-2218 50 mg - Chronic HBV, HBeAg positive, subjects received 2 SC doses of 50 mg VIR-2218 administered 4 weeks apart.
Experimental: Part C: MAD VIR-2218 200 mg - Chronic HBV, HBeAg positive, subjects received 2 SC doses of 200 mg VIR-2218 administered 4 weeks apart.
Placebo comparator: Part B: MAD Placebo - Chronic HBV, HBeAg negative, subjects received 2 SC doses of placebo administered 4 weeks apart.
Placebo comparator: Part C: MAD Placebo - Chronic HBV, HBeAg positive, subjects received 2 SC doses of placebo administered 4 weeks apart.
Treatment: Drugs: VIR-2218
VIR-2218 given by subcutaneous injection
Treatment: Drugs: Placebo
Sterile normal saline (0.9% NaCl) given by subcutaneous injection
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence of Adverse Events (AEs)
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Assessment method [1]
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Number of Subjects with Adverse Events as assessed by CTCAE v5.0. In our planned analysis for this outcome measure, incidence is defined as the number of participants with treatment emergent AEs (TEAEs) in relation to the total number of participants in the cohort.
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Timepoint [1]
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Up to 364 days
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Primary outcome [2]
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Clinical Assessments Including But Not Limited to Laboratory Test Results
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Assessment method [2]
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Number of participants with clinically significant abnormalities in vital signs, electrocardiogram (ECG), and laboratory parameters graded by CTCAE v5.0.
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Timepoint [2]
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Up to 336 days
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Secondary outcome [1]
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Maximum Plasma Concentration (ng/mL)
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Assessment method [1]
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VIR-2218 and metabolite Maximum Concentration in Plasma
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Timepoint [1]
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Part A: predose on Day 1 and at 30 min, 1h, 2h, 4h, 6h, 8h, 10h, 12h, 24h, 48h postdose and Week 1; Part B/C: predose on Day 1 and at 1h, 2h, 4h, 8h, 24h postdose, Week 1, predose on Week 4 and at 1h, 2h, 4h, 8h, 24h postdose, and Week 5
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Secondary outcome [2]
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Time to Reach Maximum Plasma Concentration (h)
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Assessment method [2]
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VIR-2218 and metabolite time of Cmax in Plasma: Median (Inter-Quartile Range Q1-Q3)
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Timepoint [2]
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Part A: predose on Day 1 and at 30 min, 1h, 2h, 4h, 6h, 8h, 10h, 12h, 24h, 48h postdose and Week 1; Part B/C: predose on Day 1 and at 1h, 2h, 4h, 8h, 24h postdose, Week 1, predose on Week 4 and at 1h, 2h, 4h, 8h, 24h postdose, and Week 5
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Secondary outcome [3]
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Area Under the Plasma Concentration Versus Time Curve (ng*h/mL)
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Assessment method [3]
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VIR-2218 and metabolite Area under the curve from time 0 to last measurable Time
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Timepoint [3]
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Part A: predose on Day 1 and at 30 min, 1h, 2h, 4h, 6h, 8h, 10h, 12h, 24h, 48h postdose and Week 1; Part B/C: predose on Day 1 and at 1h, 2h, 4h, 8h, 24h postdose, Week 1, predose on Week 4 and at 1h, 2h, 4h, 8h, 24h postdose, and Week 5
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Secondary outcome [4]
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Apparent Terminal Elimination Half-life (h)
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Assessment method [4]
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VIR-2218 Apparent Elimination Half-life t1/2 in Plasma: Median (Inter-Quartile Range Q1-Q3)
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Timepoint [4]
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Part A: predose on Day 1 and at 30 min, 1h, 2h, 4h, 6h, 8h, 10h, 12h, 24h, 48h postdose and Week 1
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Secondary outcome [5]
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Apparent Plasma Clearance (L/h)
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Assessment method [5]
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VIR-2218 CL/F Apparent plasma clearance
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Timepoint [5]
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Part A: predose on Day 1 and at 30 min, 1h, 2h, 4h, 6h, 8h, 10h, 12h, 24h, 48h postdose, and Week 1
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Secondary outcome [6]
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Apparent Volume of Distribution (L)
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Assessment method [6]
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VIR-2218 VZ/F apparent volume of distribution
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Timepoint [6]
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Part A: predose on Day 1 and at 30 min, 1h, 2h, 4h, 6h, 8h, 10h, 12h, 24h, 48h postdose, and Week 1
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Secondary outcome [7]
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Urine %fe 0-24h
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Assessment method [7]
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VIR-2218 and metabolite: Fraction excreted in the urine from time 0 to 24 h. Pooled Urine PK samples was collected at pre-specified intervals in the single ascending dose study of VIR-2218. Therefore, the following PK parameter, fraction excreted in the urine ( %fe 0-24h ) was only calculated in healthy subjects who participated in Part A of the study. This parameter was not listed as a secondary endpoint for parts B/C in the submitted protocol, and as such was not reported in this secondary outcome measures.
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Timepoint [7]
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Pooled urine was collected at time interval D1 (0-4 hrs) (4-8 hrs) (8-12 hrs) and (12-24 hrs)
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Secondary outcome [8]
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Apparent Renal Clearance (CLR/F)
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Assessment method [8]
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VIR-2218 Apparent renal clearance from 0 to 24 h. Pooled Urine PK samples was collected at pre-specified intervals in the single ascending dose study of VIR-2218. Therefore, the following PK parameter, apparent renal clearance (CLR/F) was only calculated in healthy subjects who participated in Part A of the study. This parameter was not listed as a secondary endpoint for parts B/C in the submitted protocol, and as such was not reported in this secondary outcome measures.
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Timepoint [8]
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Pooled Urine was collected at time interval D1 (0-4 hrs) (4-8 hrs) (8-12 hrs) and (12-24 hrs)
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Secondary outcome [9]
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Maximum Reduction of Serum HBsAg From Baseline
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Assessment method [9]
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Maximum reduction of serum HBsAg from Day 1 until Week 16.
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Timepoint [9]
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Up to 112 days
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Secondary outcome [10]
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Number of Subjects With Serum HBsAg Loss at Any Time Point
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Assessment method [10]
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Serum HBsAg loss is defined as quantitative HBsAg \< 0.05 IU/mL at two or more consecutive measurements
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Timepoint [10]
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Up to 336 days
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Secondary outcome [11]
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Number of Subjects With Sustained Serum HBsAg Loss for >/= 6 Months
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Assessment method [11]
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Serum HBsAg loss is defined as quantitative HBsAg \< 0.05 IU/mL at two or more consecutive measurements
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Timepoint [11]
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Up to 336 days
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Secondary outcome [12]
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Number of Subjects With Anti-HBs Seroconversion at Any Timepoint
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Assessment method [12]
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Anti-HBs seroconversion is defined as anti-HBs positivity at two or more consecutive measurements
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Timepoint [12]
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Up to 336 days
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Secondary outcome [13]
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Number of Subjects With HBeAg Loss and/or Anti-HBe Seroconversion at Any Timepoint
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Assessment method [13]
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HBeAg loss is defined as quantitative HBeAg \< 0.11 IU/mL at two or more consecutive measurements. anti-HBe seroconversion is defined as anti-HBe positivity at two or more consecutive measurements
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Timepoint [13]
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Up to 336 days
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Eligibility
Key inclusion criteria
Part A SAD:
* Male or female age 18 - 55
* BMI 18 - 32 kg/m^2
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Any clinically significant chronic or acute medical condition that makes the volunteer unsuitable for participation
* History or evidence of drug or alcohol abuse
* History of intolerance to SC injection
Parts B/C MAD:
Inclusion Criteria:
* Male or female age 18 - 65
* BMI 18 - 32 kg/m^2
* Chronic HBV infection for >/= 6 months
* Any clinically significant chronic or acute medical condition that makes the volunteer unsuitable for participation
* Significant fibrosis or cirrhosis
* History or evidence of drug or alcohol abuse
* History of intolerance to SC injection
* History of chronic liver disease from any cause other than chronic HBV infection
* History of hepatic decompensation
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
14/11/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
3/09/2020
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Sample size
Target
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Accrual to date
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Final
82
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Recruitment in Australia
Recruitment state(s)
QLD,VIC
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Recruitment hospital [1]
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Investigative Site - Birtinya
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Recruitment hospital [2]
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Investigative Site - Clayton
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Recruitment hospital [3]
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Investigative Site - Fitzroy
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Recruitment postcode(s) [1]
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4575 - Birtinya
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Recruitment postcode(s) [2]
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3168 - Clayton
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Recruitment postcode(s) [3]
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3065 - Fitzroy
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Recruitment outside Australia
Country [1]
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Hong Kong
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State/province [1]
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Hong Kong
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Country [2]
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Korea, Republic of
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State/province [2]
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Busan
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Country [3]
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Korea, Republic of
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State/province [3]
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Seoul
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Country [4]
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New Zealand
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State/province [4]
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Auckland
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Country [5]
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Thailand
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State/province [5]
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Bangkok
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Country [6]
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Thailand
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State/province [6]
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Hat Yai
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Country [7]
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Thailand
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State/province [7]
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Khon Kaen
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Vir Biotechnology, Inc.
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Alnylam Pharmaceuticals
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a phase 1/2 study in which healthy adult subjects and subjects with chronic hepatitis B virus (HBV) infection will receive VIR-2218 or placebo and will be assessed for safety, tolerability, pharmacokinetics, and antiviral activity (only in subjects with chronic HBV). In the single ascending dose (SAD) part, Part A, healthy adult subjects will receive one dose of VIR-2218 or placebo, administered subcutaneously (SC). In the multiple ascending dose (MAD) parts, Part B \& Part C, subjects with chronic HBV infection will receive two doses of VIR-2218 or placebo every 4 weeks administered SC.
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Trial website
https://clinicaltrials.gov/study/NCT03672188
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Trial related presentations / publications
Gupta SV, Fanget MC, MacLauchlin C, Clausen VA, Li J, Cloutier D, Shen L, Robbie GJ, Mogalian E. Clinical and Preclinical Single-Dose Pharmacokinetics of VIR-2218, an RNAi Therapeutic Targeting HBV Infection. Drugs R D. 2021 Dec;21(4):455-465. doi: 10.1007/s40268-021-00369-w. Epub 2021 Nov 6.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/88/NCT03672188/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/88/NCT03672188/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03672188
Download to PDF