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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04536337
Registration number
NCT04536337
Ethics application status
Date submitted
28/08/2020
Date registered
2/09/2020
Date last updated
28/04/2023
Titles & IDs
Public title
A Study of ALG-000184 Drug to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics After Single and Multiple Doses in Healthy Volunteers and CHB Subjects
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Scientific title
A Phase 1, Double-Blind, Randomized, Placebo-Controlled, First-in-Human Study of Orally Administered ALG-000184 to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics After Single-Ascending Doses (Part 1) and Multiple-Ascending Doses in Healthy Volunteers (Part 2), and Multiple Doses in Subjects With Chronic Hepatitis B (Part 3)
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Secondary ID [1]
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ALG-000184-201
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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 - ALG-000184
Treatment: Drugs - Placebo
Treatment: Drugs - Entecavir
Experimental: ALG-000184 - Oral tablet(s) of ALG-000184 in HV or CHB subjects once daily for up to 4 weeks
Placebo comparator: Placebo - Oral tablet(s) of placebo in HV or CHB subjects once daily for up to 4 weeks
Active comparator: Entecavir in combination with ALG-000184 -
Treatment: Drugs: ALG-000184
Single or multiple doses of ALG-000184
Treatment: Drugs: Placebo
Single or multiple doses of Placebo
Treatment: Drugs: Entecavir
multiple doses of Entecavir
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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 Treatment-Emergent Adverse Events [Safety and Tolerability]
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Assessment method [1]
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The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1
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Timepoint [1]
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up to 8 days for Part 1
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Primary outcome [2]
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Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
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Assessment method [2]
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The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1
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Timepoint [2]
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up to 21 days for Part 2
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Primary outcome [3]
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Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
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Assessment method [3]
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The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1
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Timepoint [3]
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up to 112 days for Part 3
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Primary outcome [4]
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Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
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Assessment method [4]
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The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1 of ALG-184 in combination with Entecavir (Parts 4 and 5)
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Timepoint [4]
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Up to 336 days for parts 4 & 5
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Secondary outcome [1]
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Maximum Plasma Concentration [Cmax]
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Assessment method [1]
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Pharmacokinetic parameters of ALG-000184 in plasma
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Timepoint [1]
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Predose up to 343 Days
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Secondary outcome [2]
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Area under the concentration time curve [AUC]
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Assessment method [2]
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Pharmacokinetic parameters of ALG-000184 in plasma
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Timepoint [2]
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Predose up to 343 Days
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Secondary outcome [3]
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Time to maximum plasma concentration [Tmax]
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Assessment method [3]
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pharmacokinetic parameters of ALG-000184 in plasma
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Timepoint [3]
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Predose up to 343 Days
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Secondary outcome [4]
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Half-time [t1/2]
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Assessment method [4]
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Pharmacokinetic parameters of ALG-000184 in plasma
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Timepoint [4]
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Predose up to 343 Days
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Secondary outcome [5]
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Minimum Plasma Concentration [Cmin]
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Assessment method [5]
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Pharmacokinetic parameters of ALG-000184 in plasma
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Timepoint [5]
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Predose up to 343 Days
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Secondary outcome [6]
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Change in HBV DNA from baseline through Day 392 in Multiple Dose HBV Infected Patients
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Assessment method [6]
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Timepoint [6]
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Screening up to Day 392
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Eligibility
Key inclusion criteria
Inclusion Criteria for All Subjects:
1. Female subjects must have a negative serum pregnancy test at screening
2. Subjects must have a 12-lead electrocardiogram (ECG) that meets the protocol criteria
Inclusion Criteria for Healthy Volunteers:
In addition to inclusion criteria 1-2, the following inclusion criteria also apply to HV's (Parts 1 and 2)
3. Male or female between 18 and 55 years of age, extremes included.
4. Subjects must have a body mass index (BMI; weight in kg divided by the square of height in meters) of 18.0 to 32.0 kg/m2, extremes included.
CHB Subjects:
In addition to inclusion criteria 1-4, the following inclusion criteria also apply to CHB subjects:
All of the Following criteria apply to Part 3 at screening:
5 .Subjects must be 18 to 65 years of age, extremes included.
6.CHB subjects must have a BMI of 18.0 to 35.0 kg/m2, extremes included.
7.CHB subjects who at screening, have not received treatment with an approved or investigational medicine, or have never received treatment with HBV antiviral medicines
All of the following criteria apply to Part 4 Cohorts A & B, unless otherwise specified, at Screening:
8.Subjects must be 18 to 65 years of age, extremes included.
9.Subjects must have a BMI of 18.0 to 35.0 kg/m2, extremes included
10.Subjects must be HBeAg positive (HBeAg =LLOQ and HBeAb negative)
11.Subjects enrolled in Part 4 Cohort A and B must have a history of Chronic Hepatitis B
12. Subjects must have ALT and AST must have =1.2×ULN or =5×ULN
All of the following criteria apply to Part 5 at Screening
13.Subjects must be 18 to 65 years of age, extremes included.
14. Subjects have a BMI of 17.0 to 35.0 kg/m2, extremes included
15.Subjects could belong to any of the following treatment categories: treatment naïve (TN), currently not treated (CNT) , virologically suppressed.
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Minimum age
18
Years
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Maximum age
65
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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
Exclusion Criteria
Exclusion Criteria for All Subjects:
1. Subjects with any previous or current illness that, in the opinion of the investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject, or pose an additional risk in administering study drug to the subject, or that could prevent, limit, or confound the protocol specified assessments or study results' interpretation
2. Subjects with a past history of cardiac arrhythmias, risk factors for Torsade de Pointes syndrome (e.g., hypokalemia, family history of long QT syndrome, or history of clinical evidence at screening of significant or unstable cardiac disease etc.
3. Subjects with a history of clinically significant drug allergy
4. Subject with a current history of clinically significant (as determined by investigator) skin disease requiring intermittent or chronic treatment
5. Excessive use of alcohol, defined as regular consumption of =14 standard drinks/week for women and =21 standard drinks/week for men
6. Subjects with Hepatitis A, B, C, D, E or HIV-1/HIV-2 infection or acute infections such as SARS- CoV-2 infection
Exclusion Criteria for Healthy Volunteers (Parts 1 and 2):
In addition to exclusion criteria 1-6, the following exclusion criteria also apply to HV's (Parts 1 and 2)
7. Unwilling to abstain from alcohol use for 48 hours prior to start of dosing through end of study follow up.
8. Positive alcohol or cotinine test at screening and Day -1.
9. Subjects with renal dysfunction (e.g., estimated creatinine clearance <90 mL/min/1.73 m2at screening, calculated by the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula).
Exclusion Criteria for CHB Subjects (Parts 3, 4, and 5):
All exclusion criteria listed above for healthy volunteers apply also to CHB subjects, except for exclusion Criteria 9 (requirement relative to cotinine).All the following exclusion criteria apply to Parts 3, 4, and 5, unless otherwise specified.
10. Subjects who are positive for anti-HBs antibodies.
11. For HBeAg-positive subjects, they should be negative for anti-HBe antibodies (Parts 4 and 5)
12. Subject with any history or current evidence of hepatic decompensation such as: variceal bleeding, spontaneous bacterial peritonitis, ascites, hepatic encephalopathy, or active jaundice (within the last year).
13. History or current evidence of cirrhosis.
14. Subjects with liver fibrosis that is classified as Metavir Score =F3 liver disease
15. Subjects with signs of hepatocellular carcinoma
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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
Recruiting
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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
22/10/2020
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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
1/06/2024
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Actual
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Sample size
Target
336
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Saint Vincent's Hospital Melbourne - Fitzroy
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Recruitment hospital [2]
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Western Health - Footscray
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Recruitment postcode(s) [1]
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3065 - Fitzroy
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Recruitment postcode(s) [2]
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3011 - Footscray
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Chongqing
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Country [2]
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China
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State/province [2]
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Guangdong
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Country [3]
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China
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State/province [3]
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Jilin
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Country [4]
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Hong Kong
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State/province [4]
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Hong Kong
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Country [5]
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Hong Kong
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State/province [5]
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Shatin
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Country [6]
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Mauritius
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State/province [6]
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Quatre Bornes
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Country [7]
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Moldova, Republic of
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State/province [7]
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Chisinau
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Country [8]
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New Zealand
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State/province [8]
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Auckland
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Country [9]
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United Kingdom
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State/province [9]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Aligos Therapeutics
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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
A Randomized Study of ALG-000184 Drug to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics After Single and Multiple Doses in Healthy Volunteers and CHB Subjects
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Trial website
https://clinicaltrials.gov/study/NCT04536337
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Trial related presentations / publications
Li C, Wu M, Zhang H, Mai J, Yang L, Ding Y, Niu J, Mao J, Wu W, Zhang D, Tang Y, Yan W. Safety, Tolerability, and Pharmacokinetics of the Novel Hepatitis B Virus Capsid Assembly Modulator GST-HG141 in Healthy Chinese Subjects: a First-in-Human Single- and Multiple-Dose Escalation Trial. Antimicrob Agents Chemother. 2021 Sep 17;65(10):e0122021. doi: 10.1128/AAC.01220-21. Epub 2021 Jul 19.
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Public notes
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Contacts
Principal investigator
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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
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04536337
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