Study of VIR-2218 in Healthy Subjects and Patients With Chronic Hepatitis B
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ClinicalTrials.gov Identifier: NCT03672188 |
Recruitment Status :
Completed
First Posted : September 14, 2018
Results First Posted : December 13, 2021
Last Update Posted : December 13, 2021
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Condition |
Chronic Hepatitis B |
Interventions |
Drug: VIR-2218 Drug: Placebo |
Enrollment | 82 |
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | Part A: SAD VIR-2218 50 mg | Part A: SAD VIR-2218 100 mg | Part A: SAD VIR-2218 200 mg | Part A: SAD VIR-2218 400 mg | Part A: SAD VIR-2218 600 mg | Part A SAD VIR-2218 900 mg | Part A: SAD Placebo | Part B: MAD VIR-2218 20 mg | Part B: MAD VIR-2218 50 mg | Part B: MAD VIR-2218 100 mg | Part B: MAD VIR-2218 200 mg | Part C: MAD VIR-2218 50 mg | Part C: MAD 200 mg | Part B: MAD Placebo | Part C: MAD Placebo |
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Arm/Group Description |
Healthy subjects received a single dose of VIR-2218 of 50 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of VIR-2218 of 100 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of VIR-2218 of 200 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of VIR-2218 of 400 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of VIR-2218 of 600 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of VIR-2218 of 900 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of placebo administered SC Placebo: Sterile normal saline (0.9% NaCl) given by subcutaneous injection |
Chronic HBV, HBeAg negative, subjects received 2 SC doses of 20 mg VIR-2218 administered 4 weeks apart VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg negative, subjects received 2 SC doses of 50 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg negative, subjects received 2 SC doses of 100 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg negative, subjects received 2 SC doses of 200 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg positive, subjects received 2 SC doses of 50 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg positive, subjects received 2 SC doses of 200 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg negative, subjects received 2 SC doses of placebo administered 4 weeks apart. Placebo: Sterile normal saline (0.9% NaCl) given by subcutaneous injection |
Chronic HBV, HBeAg positive, subjects received 2 SC doses of placebo administered 4 weeks apart. Placebo: Sterile normal saline (0.9% NaCl) given by subcutaneous injection |
Period Title: Overall Study | |||||||||||||||
Started | 6 | 6 | 6 | 8 | 6 | 6 | 12 | 3 | 6 | 6 | 3 | 3 | 3 | 6 | 2 |
Dosed | 6 | 6 | 6 | 7 [1] | 6 | 6 | 12 | 3 | 6 | 6 | 3 | 3 | 3 | 6 | 2 |
Completed | 6 | 6 | 5 [2] | 5 | 6 | 6 | 12 | 3 | 6 | 6 | 3 | 3 | 2 [3] | 6 | 2 |
Not Completed | 0 | 0 | 1 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
Reason Not Completed | |||||||||||||||
Withdrawal by Subject | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Death | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
Lost to Follow-up | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[1]
1 subject was not dosed and therefore not included in any analyses.
[2]
1 Subject could not attend last follow up (Week 12 visit)
[3]
1 non-treatment related SAE of suicide during follow up period
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Arm/Group Title | Part A: SAD VIR-2218 50 mg | Part A: SAD VIR-2218 100 mg | Part A: SAD VIR-2218 200 mg | Part A: SAD VIR-2218 400 mg | Part A: SAD VIR-2218 600 mg | Part A: SAD VIR-2218 900 mg | Part A: SAD Placebo | Part B: MAD VIR-2218 20 mg | Part B: MAD VIR-2218 50 mg | Part B: MAD VIR-2218 100 mg | Part B: MAD VIR-2218 200 mg | Part C: MAD VIR-2218 50 mg | Part C: MAD VIR-2218 200 mg | Part B: MAD Placebo | Part C: MAD Placebo | Total | |
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Arm/Group Description |
Healthy subjects received a single dose of VIR-2218 of 50 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of VIR-2218 of 100 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of VIR-2218 of 200 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of VIR-2218 of 400 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of VIR-2218 of 600 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of VIR-2218 of 900 mg administered SC VIR-2218: VIR-2218 given by subcutaneous injection |
Healthy subjects received a single dose of placebo administered SC Placebo: Sterile normal saline (0.9% NaCl) given by subcutaneous injection |
Chronic HBV, HBeAg negative, subjects received 2 SC doses of 20 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg negative, subjects received 2 SC doses of 50 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg negative, subjects received 2 SC doses of 100 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg negative, subjects received 2 SC doses of 200 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg positive, subjects received 2 SC doses of 50 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg positive, subjects received 2 SC doses of 200 mg VIR-2218 administered 4 weeks apart. VIR-2218: VIR-2218 given by subcutaneous injection |
Chronic HBV, HBeAg negative, subjects received 2 SC doses of placebo administered 4 weeks apart. Placebo: Sterile normal saline (0.9% NaCl) given by subcutaneous injection |
Chronic HBV, HBeAg positive, subjects received 2 SC doses of placebo administered 4 weeks apart. Placebo: Sterile normal saline (0.9% NaCl) given by subcutaneous injection |
Total of all reporting groups | |
Overall Number of Baseline Participants | 6 | 6 | 6 | 7 | 6 | 6 | 12 | 3 | 6 | 6 | 3 | 3 | 3 | 6 | 2 | 81 | |
Baseline Analysis Population Description |
The Overall Number of Baseline Participants is not consistent with numbers provided in the rows of the Participant Flow module because we enrolled and randomized 8 participants for the Part A 400 mg cohort, but only 7 of these participants were dosed and included for full analysis dataset. We have added a row for dosed participants in the Participant Flow module, to clarify this inconsistency and reflect the number of participants in the analysis dataset.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
|||||||||||||||||
Number Analyzed | 6 participants | 6 participants | 6 participants | 7 participants | 6 participants | 6 participants | 12 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 81 participants | |
25 (3) | 23.3 (4) | 26.7 (3.8) | 24.3 (3.7) | 28.8 (6.3) | 32.5 (9.5) | 26.5 (6.7) | 40.3 (9.1) | 42.5 (10.8) | 45.2 (5.5) | 55 (4) | 35 (9.8) | 33.7 (13.1) | 44 (7.2) | 58.5 (7.8) | 33.4 (11.5) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 6 participants | 6 participants | 6 participants | 7 participants | 6 participants | 6 participants | 12 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 81 participants | |
Female |
6 100.0%
|
4 66.7%
|
3 50.0%
|
7 100.0%
|
3 50.0%
|
3 50.0%
|
5 41.7%
|
1 33.3%
|
1 16.7%
|
1 16.7%
|
3 100.0%
|
2 66.7%
|
1 33.3%
|
3 50.0%
|
1 50.0%
|
44 54.3%
|
|
Male |
0 0.0%
|
2 33.3%
|
3 50.0%
|
0 0.0%
|
3 50.0%
|
3 50.0%
|
7 58.3%
|
2 66.7%
|
5 83.3%
|
5 83.3%
|
0 0.0%
|
1 33.3%
|
2 66.7%
|
3 50.0%
|
1 50.0%
|
37 45.7%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||||||||||
Number Analyzed | 6 participants | 6 participants | 6 participants | 7 participants | 6 participants | 6 participants | 12 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 81 participants | |
Hispanic or Latino |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 16.7%
|
1 8.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
2 2.5%
|
|
Not Hispanic or Latino |
6 100.0%
|
6 100.0%
|
6 100.0%
|
7 100.0%
|
6 100.0%
|
5 83.3%
|
11 91.7%
|
3 100.0%
|
6 100.0%
|
6 100.0%
|
3 100.0%
|
3 100.0%
|
3 100.0%
|
6 100.0%
|
2 100.0%
|
79 97.5%
|
|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||||||||||
Number Analyzed | 6 participants | 6 participants | 6 participants | 7 participants | 6 participants | 6 participants | 12 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 81 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Asian |
2 33.3%
|
3 50.0%
|
0 0.0%
|
0 0.0%
|
2 33.3%
|
1 16.7%
|
1 8.3%
|
3 100.0%
|
5 83.3%
|
5 83.3%
|
3 100.0%
|
3 100.0%
|
3 100.0%
|
6 100.0%
|
2 100.0%
|
39 48.1%
|
|
Native Hawaiian or Other Pacific Islander |
1 16.7%
|
1 16.7%
|
0 0.0%
|
1 14.3%
|
0 0.0%
|
0 0.0%
|
2 16.7%
|
0 0.0%
|
1 16.7%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
6 7.4%
|
|
Black or African American |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
White |
2 33.3%
|
2 33.3%
|
5 83.3%
|
5 71.4%
|
3 50.0%
|
3 50.0%
|
8 66.7%
|
0 0.0%
|
0 0.0%
|
1 16.7%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
29 35.8%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Unknown or Not Reported |
1 16.7%
|
0 0.0%
|
1 16.7%
|
1 14.3%
|
1 16.7%
|
2 33.3%
|
1 8.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
7 8.6%
|
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Region of Enrollment
Measure Type: Number Unit of measure: Participants |
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New Zealand | Number Analyzed | 6 participants | 6 participants | 6 participants | 7 participants | 6 participants | 6 participants | 12 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 81 participants |
6 | 6 | 6 | 7 | 6 | 6 | 12 | 0 | 2 | 1 | 0 | 1 | 0 | 0 | 1 | 54 | ||
South Korea | Number Analyzed | 6 participants | 6 participants | 6 participants | 7 participants | 6 participants | 6 participants | 12 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 81 participants |
0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 2 | 2 | 1 | 0 | 1 | 0 | 8 | ||
Hong Kong | Number Analyzed | 6 participants | 6 participants | 6 participants | 7 participants | 6 participants | 6 participants | 12 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 81 participants |
0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 3 | 0 | 0 | 1 | 1 | 2 | 0 | 8 | ||
Australia | Number Analyzed | 6 participants | 6 participants | 6 participants | 7 participants | 6 participants | 6 participants | 12 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 81 participants |
0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 2 | 0 | 0 | 4 | ||
Thailand | Number Analyzed | 6 participants | 6 participants | 6 participants | 7 participants | 6 participants | 6 participants | 12 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 81 participants |
0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 3 | 1 | 7 | ||
Hepatitis B Surface Antigen Levels (IU/mL)
[1] [2] Mean (Standard Deviation) Unit of measure: IU/mL |
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Number Analyzed | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 32 participants | |
2372.227 (1168.940) | 3872.625 (5678.292) | 4009.863 (5239.703) | 2374.423 (2078.034) | 3488.037 (2454.215) | 12640.983 (10495.983) | 4819.127 (6348.594) | 1886.045 (1223.655) | 4456.52 (5657.74) | |||||||||
[1]
Measure Description: HBsAg Levels seen across dose levels for Chronic Hepatitis B Subjects.
[2]
Measure Analysis Population Description: HBsAg levels would not be seen in Healthy subjects population, therefore 0 subjects were analyzed in corresponding dose levels.
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Alanine Aminotransferase Levels
[1] [2] Mean (Standard Deviation) Unit of measure: U/L |
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Number Analyzed | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 3 participants | 6 participants | 6 participants | 3 participants | 3 participants | 3 participants | 6 participants | 2 participants | 32 participants | |
15.3 (4.6) | 23.5 (14.9) | 14.3 (5.0) | 10.0 (4.0) | 27.7 (18.6) | 26.0 (17.7) | 21.8 (17.6) | 26.5 (10.6) | 20.25 (13.08) | |||||||||
[1]
Measure Description: Alanine Aminotransferase Levels in Chronic Hepatitis B Subjects
[2]
Measure Analysis Population Description: Alanine Aminotransferase Levels were not analyzed in Healthy subjects population.
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Investigators may discuss or publish results after:
- the study results in their entirety have been publicly disclosed by or with the consent of the Sponsor OR study has been completed at all investigative sites for at least 2 years
- provision of publication up to 60 days before planned submission to allow Sponsor to remove confidential information or identify Sponsor intellectual property
Publication may be delayed as applicable, up to 120 days for Sponsor to file patent application(s)
Name/Title: | Study Inquiry |
Organization: | Vir Biotechnology, Inc. |
Phone: | 415-654-5281 |
EMail: | clinicaltrials@vir.bio |
Responsible Party: | Vir Biotechnology, Inc. |
ClinicalTrials.gov Identifier: | NCT03672188 |
Other Study ID Numbers: |
VIR-2218-1001 |
First Submitted: | September 11, 2018 |
First Posted: | September 14, 2018 |
Results First Submitted: | October 20, 2021 |
Results First Posted: | December 13, 2021 |
Last Update Posted: | December 13, 2021 |