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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03365947
Registration number
NCT03365947
Ethics application status
Date submitted
4/12/2017
Date registered
8/12/2017
Titles & IDs
Public title
Study of ARO-HBV in Normal Adult Volunteers and Patients With Hepatitis B Virus (HBV)
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Scientific title
A Phase 1/2a Single Dose-Escalating Study to Evaluate the Safety, Tolerability and Pharmacokinetic Effects of ARO-HBV in Normal Adult Volunteers and Multiple Escalating Doses Evaluating Safety, Tolerability and Pharmacodynamic Effects in HBV Patients
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Secondary ID [1]
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AROHBV1001
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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
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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 - ARO-HBV
Other interventions - Sterile Normal Saline (0.9% NaCl)
Treatment: Drugs - JNJ-56136379
Experimental: ARO-HBV 35 mg - Single dose of ARO-HBV 35 mg subcutaneous (sc) injection in normal healthy volunteers
Experimental: ARO-HBV 100 mg - Single dose of ARO-HBV 100 mg sc injection in normal healthy volunteers
Experimental: ARO-HBV 200 mg - Single dose of ARO-HBV 200 mg sc injection in normal healthy volunteers
Experimental: ARO-HBV 300 mg - Single dose of ARO-HBV 300 mg sc injection in normal healthy volunteers
Experimental: ARO-HBV 400 mg - Single dose of ARO-HBV 400 mg sc injection in normal healthy volunteers
Placebo comparator: Placebo - Sterile normal saline (0.9% NaCl) sc injection in normal healthy volunteers
Experimental: ARO-HBV 25 mg, Q28D - ARO-HBV 25 mg sc injection every 28 days (Q28D) in participants with chronic hepatitis B
Experimental: ARO-HBV 50 mg Q28D - ARO-HBV 50 mg sc injection Q28D in participants with chronic hepatitis B
Experimental: ARO-HBV 100 mg Q28D - ARO-HBV 100 mg sc injection Q28D in participants with chronic hepatitis B
Experimental: ARO-HBV 200 mg Q28D - ARO-HBV 200 mg sc injection Q28D in participants with chronic hepatitis B
Experimental: ARO-HBV 300 mg Q28D - ARO-HBV 300 mg sc injection Q28D in participants with chronic hepatitis B
Experimental: ARO-HBV 400 mg Q28D - ARO-HBV 400 mg sc injection Q28D in participants with chronic hepatitis B
Experimental: ARO-HBV 100 mg Q14D - ARO-HBV 100 mg sc injection every 14 days (Q14D) in participants with chronic hepatitis B
Experimental: ARO-HBV 100 mg Q7D - ARO-HBV 100 mg sc injection every 7 days (Q7D) in participants with chronic hepatitis B
Experimental: ARO-HBV 300 mg, Q28D, HBeAg+/ Trt Naïve - ARO-HBV 300 mg sc injection Q28D in hepatitis B e antigen positive/treatment naïve (HBeAg+/Trt Naïve) participants with chronic hepatitis B
Experimental: ARO-HBV 300 mg, Q28D, HBeAg+/ NUC - ARO-HBV 300 mg sc injection Q28D in HBeAg+/nucleotide or nucleoside analog treated (HBeAg+/NUC) participants with chronic hepatitis B
Experimental: ARO-HBV 200 mg, Q7D - ARO-HBV 200 mg sc injection Q7D in participants with chronic hepatitis B
Experimental: ARO-HBV 300 mg, Q7D - ARO-HBV 300 mg sc injection Q7D in participants with chronic hepatitis B
Experimental: ARO-HBV 200 mg Q28D + JNJ-56136379 250 mg - ARO-HBV 200 mg sc injection Q28D plus JNJ-56136379 250 mg in participants with chronic hepatitis B
Treatment: Drugs: ARO-HBV
sc injection
Other interventions: Sterile Normal Saline (0.9% NaCl)
sc injection
Treatment: Drugs: JNJ-56136379
oral tablets
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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 Treatment Emergent Adverse Events (TEAEs) Possibly or Probably Related to Treatment
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Assessment method [1]
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An adverse event (AE) is any untoward medical occurrence which does not necessarily have to have a causal relationship with this treatment. TEAEs were defined as AEs with onset after administration of the study drug, or when a preexisting medical condition increases in severity or frequency after study drug administration. Assessment of causality utilized 3 possible categories: not related, possibly related and probably related.
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Timepoint [1]
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NHV participants: up to Day 29 (± 2 days); CHB participants: Day 113 (± 2 days)
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Secondary outcome [1]
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Part A, Pharmacokinetics (PK) of ARO-HBV Analytes: Maximum Observed Plasma Concentration (Cmax)
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Assessment method [1]
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Timepoint [1]
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Day 1: 0 (pre-dose), 15 minutes, 0.5, 1, 2, 3, 6, 24 & 48 hours post-dose
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Secondary outcome [2]
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Part A, PK of ARO-HBV Analytes : Time to Maximum Plasma Concentration (Tmax)
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Assessment method [2]
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Timepoint [2]
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Day 1: 0 (pre-dose), 15 minutes, 0.5, 1, 2, 3, 6, 24 & 48 hours post-dose
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Secondary outcome [3]
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Part A, PK of ARO-HBV Analytes: Area Under the Plasma Concentration Versus Time Curve From Zero to 24 Hours (AUC0-24)
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Assessment method [3]
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Timepoint [3]
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Day 1: 0 (pre-dose), 15 minutes, 0.5, 1, 2, 3, 6, 24 hours post-dose
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Secondary outcome [4]
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Part A, PK of ARO-HBV Analytes: Area Under the Plasma Concentration Versus Time Curve From Zero to Infinity (AUCinf)
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Assessment method [4]
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Timepoint [4]
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Day 1: 0 (pre-dose), 15 minutes, 0.5, 1, 2, 3, 6, 24 & 48 hours post-dose
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Secondary outcome [5]
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Part A, PK of ARO-HBV Analytes: Area Under the Plasma Concentration Versus Time Curve From Zero to the Time of the Last Quantifiable Concentration (AUC0-t)
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Assessment method [5]
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Timepoint [5]
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Day 1: 0 (pre-dose), 15 minutes, 0.5, 1, 2, 3, 6, 24 & 48 hours post-dose
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Secondary outcome [6]
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Part A, PK of ARO-HBV Analytes: Terminal Elimination Half-Life (t½)
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Assessment method [6]
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Timepoint [6]
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Day 1: 0 (pre-dose), 15 minutes, 0.5, 1, 2, 3, 6, 24 & 48 hours post-dose
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Secondary outcome [7]
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Part A, PK of ARO-HBV Analytes: Dose-Normalized AUC0-24
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Assessment method [7]
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Timepoint [7]
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Day 1: 0 (pre-dose), 15 minutes, 0.5, 1, 2, 3, 6, 24 hours post-dose
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Secondary outcome [8]
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Part A, PK of ARO-HBV Analytes: Dose-Normalized AUC0-t
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Assessment method [8]
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Timepoint [8]
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Day 1: 0 (pre-dose), 15 minutes, 0.5, 1, 2, 3, 6, 24 & 48 hours post-dose
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Secondary outcome [9]
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Part A, PK of ARO-HBV Analytes: Dose-Normalized Cmax
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Assessment method [9]
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Timepoint [9]
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Day 1: 0 (pre-dose), 15 minutes, 0.5, 1, 2, 3, 6, 24 & 48 hours post-dose
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Secondary outcome [10]
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Change From Baseline in HBV Surface Antigen (HBsAg) From Day 1 Pre-Dose Baseline to Post-Dose Nadir in Participants Chronically Infected With HBV
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Assessment method [10]
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Timepoint [10]
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Part B (multiple-ascending dose [MAD] phase) only: up to 113 days
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Eligibility
Key inclusion criteria
Inclusion Criteria for Parts A & B:
* Women of childbearing potential must have a negative pregnancy test, cannot be breast feeding, and must be willing to use contraception.
* Willing to provide written informed consent and comply with study requirements
Additional Inclusion Criteria for Part B:
* Diagnosis of chronic HBV infection
* Hepatitis B surface antigen (HbsAg) at screening > or = 50 IU/mL
* Liver Elastography score < or = 10.5
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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
* Clinically significant health concerns (with the exception of HBV for Patients in Part B)
* Abnormal for any clinical safety laboratory result considered clinically significant
* Regular use of alcohol within 1 month prior to screening
* Recent use of illicit drugs
* Use of an investigational agent or device within 30 days prior to dosing or current participation in an investigational study
NOTE: additional inclusion/exclusion criteria may apply, per protocol
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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 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
27/03/2018
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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
23/04/2020
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Sample size
Target
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Accrual to date
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Final
114
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,WA
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [2]
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Monash Medical Centre - Clayton
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Recruitment hospital [3]
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St. Vincent's Hospital - Melbourne
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Recruitment hospital [4]
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Linear Research - Nedlands
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Recruitment postcode(s) [1]
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2050 - Camperdown
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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 - Melbourne
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Recruitment postcode(s) [4]
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6009 - Nedlands
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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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New Zealand
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State/province [2]
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Arrowhead Pharmaceuticals
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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
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of single- and multiple-ascending doses of ARO-HBV in healthy adult volunteers and participants with hepatitis B virus (HBV).
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Trial website
https://clinicaltrials.gov/study/NCT03365947
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Trial related presentations / publications
Yuen MF, Locarnini S, Lim TH, Strasser SI, Sievert W, Cheng W, Thompson AJ, Given BD, Schluep T, Hamilton J, Biermer M, Kalmeijer R, Beumont M, Lenz O, De Ridder F, Cloherty G, Ka-Ho Wong D, Schwabe C, Jackson K, Lai CL, Gish RG, Gane E. Combination treatments including the small-interfering RNA JNJ-3989 induce rapid and sometimes prolonged viral responses in patients with CHB. J Hepatol. 2022 Nov;77(5):1287-1298. doi: 10.1016/j.jhep.2022.07.010. Epub 2022 Jul 20. Gane E, Yuen MF, Kakuda TN, Ogawa T, Takahashi Y, Goeyvaerts N, Lonjon-Domanec I, Vaughan T, Schluep T, Hamilton J, Njumbe Ediage E, Hillewaert V, Snoeys J, Lenz O, Talloen W, Biermer M. JNJ-73763989 pharmacokinetics and safety: Liver-targeted siRNAs against hepatitis B virus, in Japanese and non-Japanese healthy adults, and combined with JNJ-56136379 and a nucleos(t)ide analogue in patients with chronic hepatitis B. Antivir Ther. 2022 Jun;27(3):13596535221093856. doi: 10.1177/13596535221093856.
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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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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)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/47/NCT03365947/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/47/NCT03365947/SAP_002.pdf
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Yuen MF, Locarnini S, Lim TH, Strasser SI, Sievert...
[
More Details
]
Results not provided in
https://clinicaltrials.gov/study/NCT03365947