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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03762681
Registration number
NCT03762681
Ethics application status
Date submitted
30/11/2018
Date registered
4/12/2018
Titles & IDs
Public title
A Study of RO7239958 to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Healthy Volunteers and Participants With Chronic Hepatitis B Virus Infection
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Scientific title
A Randomized, Placebo-controlled,Observer-blinded Study, to Evaluate Safety,Tolerability, Pharmacokinetics and Pharmacodynamics of RO7239958 in Healthy Volunteers and Patients With Chronic Hepatitis B Virus Infection
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Secondary ID [1]
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2018-003530-32
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Secondary ID [2]
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NP40520
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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:
Hepatitis B Virus Infection
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Condition category
Condition code
Infection
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Studies of infection and infectious agents
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Infection
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Other infectious diseases
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Infection
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Sexually transmitted infections
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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 - RO7239958
Other interventions - Placebo
Experimental: Part 1: Single Ascending Dose, HV - Healthy volunteers will be administered a single dose of RO7239958 or placebo subcutaneously (SC).
Experimental: Part 2a: Multi-dose, CHB - Participants with chronic hepatitis B will be administered different dose levels of RO7239958 or placebo SC. Dosages will be determined from data collected from Part 1.
Experimental: Part 2b: Multi-dose, CHB (Optional) - Additional study arm to open based on data collected from Part 2a. Participants with chronic hepatitis B will be administered different doses and frequencies of RO7239958 or placebo SC.
Treatment: Drugs: RO7239958
Solution for injection, subcutaneous use (SC).
Other interventions: Placebo
Sodium chloride solution for injection, SC
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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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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Number of Participants With Adverse Events (AEs)
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Assessment method [1]
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An adverse event (AE) was defined as any untoward medical occurrence in a participant who was administered a pharmaceutical product (including investigational drug) during the course of a clinical investigation. An AE could therefore be any unfavorable and unintended sign (including abnormal laboratory findings), symptom, or disease that was temporally associated with the use of the investigational product, regardless of whether it was considered to be related to the investigational product or not.
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Timepoint [1]
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Up to approximately 16 months
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Primary outcome [2]
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Number of Participants With Clinically Significant Changes in Vital Signs
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Assessment method [2]
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Number of participants with clinically significant abnormalities in vital signs such as systolic and diastolic blood pressure, heart rate, body temperature were evaluated.
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Timepoint [2]
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Up to approximately 16 months
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Primary outcome [3]
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Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Findings
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Assessment method [3]
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Timepoint [3]
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Up to approximately 16 months
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Primary outcome [4]
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Number of Participants With Clinically Significant Changes in Clinical Laboratory Results
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Assessment method [4]
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Number of participants with clinically significant abnormalities in clinical laboratory parameters such as serum chemistry, hematology, coagulation, viral serology, urinalysis were evaluated.
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Timepoint [4]
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Up to approximately 16 months
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Primary outcome [5]
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Number of Participants With Injection Site Reactions (ISRs)
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Assessment method [5]
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Injection site reactions (ISRs) referred to any localized sign or symptom, including pain, erythema, swelling and pruritus and were graded as follows: Grade 1: mild, Grade 2: moderate; Grade 3: severe. Adverse events related to ISRs were reported.
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Timepoint [5]
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Up to approximately 16 months
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Secondary outcome [1]
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Maximum Plasma Concentration (Cmax) of RO7239958
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Assessment method [1]
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Timepoint [1]
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Part 1: pre-dose on Day 1 and post-dose at 15 minutes (min), 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 30, 36, 48, 72, 96, 120, 168 hours. Part 2a: pre-dose on Days 1 and 29 and post-dose at 30 min, 1, 2, 4, 6, 8, 24 hours.
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Secondary outcome [2]
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Time to Cmax (Tmax) of RO7239958
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Assessment method [2]
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Timepoint [2]
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Part 1: pre-dose on Day 1 and post-dose at 15 minutes (min), 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 30, 36, 48, 72, 96, 120, 168 hours. Part 2a: pre-dose on Days 1 and 29 and post-dose at 30 min, 1, 2, 4, 6, 8, 24 hours.
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Secondary outcome [3]
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Area Under the Curve From Time 0 to the Last Measurable Concentration (AUClast) of RO7239958
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Assessment method [3]
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Timepoint [3]
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Part 1: pre-dose on Day 1 and post-dose at 15 minutes (min), 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 30, 36, 48, 72, 96, 120, 168 hours. Part 2a: pre-dose on Days 1 and 29 and post-dose at 30 min, 1, 2, 4, 6, 8, 24 hours.
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Secondary outcome [4]
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Area Under the Curve From Time 0 to 24 Hours (AUC0-24) of RO7239958
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Assessment method [4]
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Timepoint [4]
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Part 1: pre-dose on Day 1 and post-dose at 15 minutes (min), 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 30, 36, 48, 72, 96, 120, 168 hours. Part 2a: pre-dose on Days 1 and 29 and post-dose at 30 min, 1, 2, 4, 6, 8, 24 hours.
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Secondary outcome [5]
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Half-life (t1/2) of RO7239958
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Assessment method [5]
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Timepoint [5]
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Part 1: pre-dose on Day 1 and post-dose at 15 minutes (min), 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 30, 36, 48, 72, 96, 120, 168 hours. Part 2a: pre-dose on Days 1 and 29 and post-dose at 30 min, 1, 2, 4, 6, 8, 24 hours.
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Secondary outcome [6]
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Cumulative Amount of Drug Excreted in Urine (Ae)
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Assessment method [6]
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The cumulative amount of drug excreted in urine (Ae) over a 24 hour period or over defined time periods linked to the pools of urine collected was analyzed.
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Timepoint [6]
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Part 1: 0-4 h, 0-8 h, 0-12 h and 0-24 h on Day 1; Part 2a: 0-4 h and 0-8 h on Days 1 and 29
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Secondary outcome [7]
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Part 2a: Change From Baseline in Hepatitis B Surface Antigen (HBsAg) Levels
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Assessment method [7]
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Timepoint [7]
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Part 2a: Days 1 (pre-dose), 8, 15, 22, 29 (pre-dose); at discontinuation (DC) and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
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Secondary outcome [8]
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Part 2a: Change From Baseline in Hepatitis B Surface Antibody (Anti-HBs) Levels
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Assessment method [8]
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Timepoint [8]
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Part 2a: Days 1 (pre-dose), 8, 15, 22, 29 (pre-dose); at discontinuation (DC) and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
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Secondary outcome [9]
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Part 2a: Number of Participants With HBsAg Loss
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Assessment method [9]
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HBsAg loss was defined as a measurement below the lower limit of sensitivity.
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Timepoint [9]
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Part 2a: Days 1 (pre-dose), 8, 15, 22, 29 (pre-dose); at discontinuation (DC) and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
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Secondary outcome [10]
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Part 2a: Number of Participants With Hepatitis B Envelope Antigen (HBeAg) Loss in HBeAg-positive Participants
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Assessment method [10]
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HBeAg loss was defined as a measurement below lower limit of sensitivity. Positive HBeAg is a marker of an actively replicating HBV virus infection.
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Timepoint [10]
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Part 2a: Days 1 (pre-dose), 8, 15, 22, 29 (pre-dose); at discontinuation (DC) and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
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Secondary outcome [11]
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Part 2a: Number of Participants With Hepatitis B e Antibody (Anti-HBe) Seroconversion in HBeAg-positive Participants
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Assessment method [11]
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Anti-HbBe was defined as an antibody to HBeAg. Positive HBeAg is a marker of an actively replicating HBV virus infection.
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Timepoint [11]
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Part 2a: Days 1 (pre-dose), 8, 15, 22, 29 (pre-dose); at discontinuation (DC) and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
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Secondary outcome [12]
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Part 2a: Number of Participants With Hepatitis B Virus Deoxyribonucleic Acid (HBV DNA) Below the Assay Lower Limit of Quantification
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Assessment method [12]
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Participants with HBV DNA below the assay lower limit of quantification i.e. LLOQ \<20 IU/ml at each time-point were analyzed.
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Timepoint [12]
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Part 2a: Day 1 (pre-dose), 15, 29 (pre-dose); at discontinuation (DC), rebound and at follow-up visits 14, 28, 56, and 84 days after the last dose of study drug (up to 16 weeks)
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Eligibility
Key inclusion criteria
All Parts
-Female participants should be of non-childbearing potential and male participants who are with pregnant partners or partners of childbearing potential must agree to remain abstinent or use contraceptive measures
Part 1 (SAD HV only)
* Healthy, as judged by the Investigator
* Non-smoker (nor tobacco containing products) for at least 90 days prior to dosing on Day 1, and agrees to remain non-smoker during the study
Part 2 (CHB only)
* Positive serum HBsAg status for > 6 months prior to screening
* Serum HBsAg level = 250 IU/mL at screening
* On stable entecavir or tenofovir (alone or in combination) treatment and having received the same drug in the 3 months prior to randomisation
* HBV DNA below the lower limit of quantification (LLQ) for = 6 months prior to screening by local testing, and confirmed at screening
* Screening laboratory values (including hematology, chemistry, urinalysis) within normal ranges
* No past or current diagnosis of cirrhosis
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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
All Parts
* History or presence of significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological disorders, or diagnosed central or peripheral neurological disease, capable of altering the absorption, metabolism, or elimination of drugs, or constituting a risk when taking the study treatment, or of interfering with the interpretation of the data
* History of lymphoma, leukemia, or malignancy within the past five years
* Positive for human immunodeficiency virus (HIV) infection
* Participant under judicial supervision, guardianship or curatorship
Part 1 (SAD HV only)
* Screening ECG showing clinically relevant abnormalities
* Abnormal blood pressure
* History or presence of liver disease, or known hepatic or biliary abnormalities
* Alanine aminotransferase (ALT) =1.5 × upper limit of normal (ULN)
* Any clinically significant out of range findings in other laboratory test results or any other clinically significant (as judged by the Investigator) abnormalities in the physical examination at screening and on Day -1
* Positive for hepatitis B surface antigen (HBsAg), or hepatitis B core total antibody [anti-HBc]), or hepatitis C virus (HCV) antibody test result
Part 2 (CHB only)
* History or presence of bridging fibrosis or cirrhosis or decompensated liver disease
* History or presence of a medical condition associated with liver disease other than HBV infection. Other known hepatic or biliary abnormalities
* History of or suspicion of hepatocellular carcinoma or alpha fetoprotein (AFP) =13 ng/mL
* History of having received (in the last six months) or currently receiving any systemic antineoplastic (including radiation) or immune-modulatory treatment (including systemic corticosteroids)
* History of organ transplantation
* Estimated glomerular filtration rate (eGFR) <70 mL/min/1.73m^2
* Confirmed QT interval corrected using Fridericia's formula (QTcF) >450 ms
* Expected to need any other systemic antiviral therapy at any time during participation in the study
* Positive hepatitis C antibody test
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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
Other
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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
Stopped early
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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
14/12/2018
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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
6/04/2020
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Sample size
Target
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Accrual to date
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Final
55
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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Bulgaria
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State/province [1]
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Sofia
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Country [2]
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Hong Kong
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State/province [2]
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Hong Kong
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Country [3]
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Korea, Republic of
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State/province [3]
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Busan
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Country [4]
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Korea, Republic of
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State/province [4]
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Seoul
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Country [5]
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New Zealand
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State/province [5]
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Auckland
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Country [6]
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Poland
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State/province [6]
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Myslowice
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Country [7]
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Taiwan
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State/province [7]
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Kaohsiung
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Country [8]
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Taiwan
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State/province [8]
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Tainan
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Country [9]
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United Kingdom
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State/province [9]
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Edinburgh
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Country [10]
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United Kingdom
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State/province [10]
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Liverpool
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Country [11]
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United Kingdom
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State/province [11]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Hoffmann-La Roche
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is designed to assess the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of single and multiple ascending doses in healthy volunteers (HV) and participants diagnosed with chronic hepatitis B (CHB).
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Trial website
https://clinicaltrials.gov/study/NCT03762681
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Clinical Trials
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Address
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Hoffmann-La Roche
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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
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/81/NCT03762681/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/81/NCT03762681/Prot_SAP_000.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03762681