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SOFIA-LTT Study: A Study of Intermittent Long Term Treatment With PEGASYS (Peginterferon Alfa-2a (40KD)) in Patients With HBeAg Negative Chronic Hepatitis B (CHB).

Stop Progression of Fibrosis by Administration of Intermittent Continuous Treatment With Peginterferon Alfa-2a. Open-label, Randomized Efficacy and Safety Clinical Trial of Intermittent Continuous Treatment With Peginterferon Alfa-2a (PEGASYS) in Patients With HBeAg Negative Hepatitis B Responding to Prior Treatment With Interferon Alfa (SOFIA -LTT)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00442572
Enrollment
21
Registered
2007-03-02
Start date
2006-07-03
Completion date
2012-04-23
Last updated
2025-04-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatitis B, Chronic

Brief summary

This 2 arm study will evaluate the efficacy and safety of intermittent treatment with PEGASYS in HBeAg negative patients with chronic hepatitis B who have demonstrated virological and biochemical response after treatment with interferon alfa. After 48 weeks therapy with interferon alfa, and 24 weeks treatment-free follow-up, eligible patients will be randomized into the PEGASYS or the observational group. Those in the PEGASYS group will receive 4 therapeutic cycles of long term intermittent treatment with PEGASYS (135 micrograms sc weekly for 12 weeks, followed by a treatment-free period of 12 weeks) and those in the observational arm will receive no specific antiviral treatment. The anticipated time on study treatment is 1-2 years, and the target sample size is 100 individuals.

Interventions

DRUGPEGASYS [peginterferon alfa-2a]

There were 4 treatment cycles of continuous intermittent treatment with Peginterferon alfa-2a. Each cycle consisted of 12 weeks injection treatment with Peginterferon alfa-2a 135 micrograms in 0.5 ml solution in prefilled syringes, applied once weekly subcutaneously and followed by 12 weeks period without treatment.

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* adult patients, \>=18 years of age; * liver disease consistent with CHB; * evidence of chronic HBeAg-negative CHB prior to initial course of interferon alfa; * patients who have responded to previous 48 weeks treatment with interferon alfa.

Exclusion criteria

* coinfection with HCV, HDV or HIV; * decompensated liver disease, hepatocellular cancer, or evidence of a medical condition associated with chronic liver disease other than viral hepatitis; * any other systemic antiviral, antineoplastic or immunomodulatory treatment \<=6 months prior to first dose of randomized treatment.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Stable Virological ResponseUp to Week 108Stable virological response is serum Hepatitis B virus deoxyribonucleic acid (HBV DNA) \<20 000 copies/ml during the treatment (after each 12 weeks) and after the follow-up period (24 weeks after the last treatment period).

Secondary

MeasureTime frameDescription
Percentage of Participants With Loss of Hepatitis B Surface AntigenUp to Week 108Loss of Hepatitis B Surface Antigen (HBsAg) was defined as change of detectable HBsAg from positive to negative.
Percentage of Participants With HBsAg SeroconversionUp to Week 108The development of antibodies against HBsAg is known as HBsAg seroconversion. It signifies clearance of HBsAg and resolution of the chronic infection. НBsAg seroconversion is the final goal of anti-hepatitis B virus treatment and it is closest to the definition of cure but in practice it is very rare in HBeAg-negative chronic hepatitis B (CHB).
Percentage of Participants With HBV DNA Levels Under the Lower Limit (Serum HBV DNA Level < 300 Copies/ml) For a Significant QuantityUp to Week 108HBV DNA level, or viral load, is an indicator of viral replication. Higher HBV DNA levels are usually associated with an increased risk of liver disease and hepatocellular carcinoma. HBV DNA level typically falls in response to effective antiviral treatment.
Fibrosis-4 and Aspartate Aminotransferase to Platelet Ratio Index Scores For Change in Liver FibrosisUp to Week 108Fibrosis-4 (FIB-4) and Aspartate Aminotransferase to Platelet Ratio Index (APRI) are non-invasive scoring systems, which are calculated on the basis of laboratory tests that indicates the level of liver fibrosis. The APRI scores are calculated based on Aspartate Aminotransferase (AST) levels and platelet counts whereas FIB-4 scores are calculated based on platelets, ALT, AST and age. For APRI, the scores are interpreted as ≤ 0.5 is 81% sensitive and 50% specific for a diagnosis of significant fibrosis in chronic hepatitis C (CHC), where as a cut-off \> 1.5 is 35% sensitive and 91% specific for the diagnosis of significant fibrosis. The majority of biomarker panels will produce inconclusive results for a proportion of participants falling within the indeterminate range (between 0.5 and 1.5) for a specific fibrosis end-point. For FIB-4, the scores are interpreted as FIB-4 score of \< 1.45: absence of cirrhosis, FIB-4 score of 1.45 to 3.25: inconclusive, FIB-4 score \> 3.25: cirrhosis.
Mean Change From Baseline in HBsAg LevelsUp to Week 108An early decrease in HBsAg from baseline to Weeks 12 or 24 has been identified as further on-treatment predictor for sustained HBsAg clearance and virological response in HBeAg negative participants.
Mean Change From Baseline in HemoglobinUp to Week 108The hemoglobin values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Mean Change From Baseline in HematologyUp to Week 108The hematology parameters included erythrocytes, leucocytes, basophils, eosinophils, lymphocytes, monocytes, thrombocytes. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Percentage of Participants With Stable Virological and Biochemical ResponseUp to Week 108All participants who achieved virological response (serum HBV DNA \< 20 000 copies/ml) and biochemical response (stable normalization of their alanine transaminase \[ALT\]) during the treatment cycle (after each 12 weeks) and after the follow-up period (24 weeks after the last treatment period).
Mean Change From Baseline in Protein and Indirect AlbuminUp to Week 108The clinical chemistry parameters included indirect protein and albumin. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and no intervention).
Mean Change From Baseline in Bilirubin Indirect and Bilirubin DirectUp to Week 108The laboratory parameters included bilirubin indirect and bilirubin direct. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Mean Change From Baseline in Blood UreaUp to Week 108The blood urea was planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Mean Change From Baseline in Creatinine and Uric AcidUp to Week 108The creatinine and uric acid values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Mean Change From Baseline in Blood GlucoseUp to Week 108The blood glucose was measured for change from baseline. All blood glucose values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Mean Change From Baseline in Thyroid Stimulating Hormone (TSH)Up to Week 108The TSH was planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Mean Change From Baseline in Triiodothyronine and ThyroxineUp to Week 108The Triiodothyronine (T3) and thyroxine (T4) values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).
Mean Change From Baseline in Clinical ChemistryUp to Week 108The clinical chemistry parameters included alanine aminotransferase (ALAT), aspartate aminotransferase (ASAT), gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP). All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).

Countries

Bulgaria

Participant flow

Recruitment details

All participants in this study were enrolled at one centre in Bulgaria from 03 July 2006 to 23 April 2012. Of the 21 participants enrolled, 17 participants were randomized to PEGASYS arm and 4 participants were randomized to no intervention arm.

Participants by arm

ArmCount
PEGASYS
Participants received 4 treatment cycles of continuous intermittent treatment with Peginterferon alfa-2a. Each cycle consisted of 12 weeks injection treatment with Peginterferon alfa-2a 135 µg in 0.5 ml solution in prefilled syringes, applied once weekly SC and followed by 12 weeks period without treatment.
17
No Intervention
Participants were on non- specific anti-viral treatment.
4
Total21

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up01
Overall StudyRelapse81
Overall StudyWithdrawal by Subject01

Baseline characteristics

CharacteristicPEGASYSNo InterventionTotal
Age, Continuous44 years38.5 years42 years
Sex: Female, Male
Female
7 Participants0 Participants7 Participants
Sex: Female, Male
Male
10 Participants4 Participants14 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 170 / 4
other
Total, other adverse events
11 / 171 / 4
serious
Total, serious adverse events
0 / 170 / 4

Outcome results

Primary

Percentage of Participants With Stable Virological Response

Stable virological response is serum Hepatitis B virus deoxyribonucleic acid (HBV DNA) \<20 000 copies/ml during the treatment (after each 12 weeks) and after the follow-up period (24 weeks after the last treatment period).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureGroupValue (NUMBER)
PEGASYSPercentage of Participants With Stable Virological ResponseWeek 3652.9 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological ResponseWeek 7241.2 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological ResponseWeek 2452.9 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological ResponseWeek 8441.2 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological ResponseWeek 4847.1 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological ResponseWeek 9629.4 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological ResponseWeek 12100 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological ResponseWeek 10829.4 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological ResponseWeek 6047.1 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological ResponseWeek 10833.3 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological ResponseWeek 36100.0 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological ResponseWeek 12100.0 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological ResponseWeek 4866.7 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological ResponseWeek 6033.3 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological ResponseWeek 7233.3 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological ResponseWeek 8433.3 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological ResponseWeek 9633.3 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological ResponseWeek 2466.7 Percentage of Participants
Secondary

Fibrosis-4 and Aspartate Aminotransferase to Platelet Ratio Index Scores For Change in Liver Fibrosis

Fibrosis-4 (FIB-4) and Aspartate Aminotransferase to Platelet Ratio Index (APRI) are non-invasive scoring systems, which are calculated on the basis of laboratory tests that indicates the level of liver fibrosis. The APRI scores are calculated based on Aspartate Aminotransferase (AST) levels and platelet counts whereas FIB-4 scores are calculated based on platelets, ALT, AST and age. For APRI, the scores are interpreted as ≤ 0.5 is 81% sensitive and 50% specific for a diagnosis of significant fibrosis in chronic hepatitis C (CHC), where as a cut-off \> 1.5 is 35% sensitive and 91% specific for the diagnosis of significant fibrosis. The majority of biomarker panels will produce inconclusive results for a proportion of participants falling within the indeterminate range (between 0.5 and 1.5) for a specific fibrosis end-point. For FIB-4, the scores are interpreted as FIB-4 score of \< 1.45: absence of cirrhosis, FIB-4 score of 1.45 to 3.25: inconclusive, FIB-4 score \> 3.25: cirrhosis.

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureGroupValue (MEDIAN)
PEGASYSFibrosis-4 and Aspartate Aminotransferase to Platelet Ratio Index Scores For Change in Liver FibrosisFIB-41.06 Units on a scale
PEGASYSFibrosis-4 and Aspartate Aminotransferase to Platelet Ratio Index Scores For Change in Liver FibrosisAPRI0.25 Units on a scale
Secondary

Mean Change From Baseline in Bilirubin Indirect and Bilirubin Direct

The laboratory parameters included bilirubin indirect and bilirubin direct. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureGroupValue (MEAN)Dispersion
PEGASYSMean Change From Baseline in Bilirubin Indirect and Bilirubin DirectIndirect bilirubin-0.95 milligrams/deciliterStandard Deviation 3.38
PEGASYSMean Change From Baseline in Bilirubin Indirect and Bilirubin DirectDirect bilirubin-0.16 milligrams/deciliterStandard Deviation 0.77
Secondary

Mean Change From Baseline in Blood Glucose

The blood glucose was measured for change from baseline. All blood glucose values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureValue (MEAN)Dispersion
PEGASYSMean Change From Baseline in Blood Glucose-0.06 millimoles/ literStandard Deviation 0.4
Secondary

Mean Change From Baseline in Blood Urea

The blood urea was planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureValue (MEAN)Dispersion
PEGASYSMean Change From Baseline in Blood Urea-0.34 millimoles/literStandard Deviation 1.23
Secondary

Mean Change From Baseline in Clinical Chemistry

The clinical chemistry parameters included alanine aminotransferase (ALAT), aspartate aminotransferase (ASAT), gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP). All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureGroupValue (MEAN)Dispersion
PEGASYSMean Change From Baseline in Clinical ChemistryALAT5.56 Units/LitreStandard Deviation 25.44
PEGASYSMean Change From Baseline in Clinical ChemistryASAT9.00 Units/LitreStandard Deviation 27.76
PEGASYSMean Change From Baseline in Clinical ChemistryGGT1.00 Units/LitreStandard Deviation 3.7
PEGASYSMean Change From Baseline in Clinical ChemistryALP50.92 Units/LitreStandard Deviation 38
Secondary

Mean Change From Baseline in Creatinine and Uric Acid

The creatinine and uric acid values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureGroupValue (MEAN)Dispersion
PEGASYSMean Change From Baseline in Creatinine and Uric AcidCreatinine-3.65 micromole/literStandard Deviation 13.23
PEGASYSMean Change From Baseline in Creatinine and Uric AcidUric acid-21.51 micromole/literStandard Deviation 130.42
Secondary

Mean Change From Baseline in HBsAg Levels

An early decrease in HBsAg from baseline to Weeks 12 or 24 has been identified as further on-treatment predictor for sustained HBsAg clearance and virological response in HBeAg negative participants.

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation. Data of participants available at the time of the assessment were included in the analysis.

ArmMeasureGroupValue (MEAN)
PEGASYSMean Change From Baseline in HBsAg LevelsWeek 84, n=9, 1201.40 copies/mL
PEGASYSMean Change From Baseline in HBsAg LevelsWeek 24, n=17,3-1293.72 copies/mL
PEGASYSMean Change From Baseline in HBsAg LevelsWeek 36, n=14,3-3049.64 copies/mL
PEGASYSMean Change From Baseline in HBsAg LevelsWeek 48, n=13, 3-1591.78 copies/mL
PEGASYSMean Change From Baseline in HBsAg LevelsWeek 60, n=11,1-3096.56 copies/mL
PEGASYSMean Change From Baseline in HBsAg LevelsWeek 96, n=14,1-3011.75 copies/mL
PEGASYSMean Change From Baseline in HBsAg LevelsWeek 108, n=12,0-3368.13 copies/mL
PEGASYSMean Change From Baseline in HBsAg LevelsWeek 72, n=10, 1-3485.90 copies/mL
PEGASYSMean Change From Baseline in HBsAg LevelsWeek 12, n=17,3-1156.00 copies/mL
No InterventionMean Change From Baseline in HBsAg LevelsWeek 12, n=17,3-240.50 copies/mL
No InterventionMean Change From Baseline in HBsAg LevelsWeek 60, n=11,1-379.00 copies/mL
No InterventionMean Change From Baseline in HBsAg LevelsWeek 24, n=17,3-146.00 copies/mL
No InterventionMean Change From Baseline in HBsAg LevelsWeek 84, n=9, 1-54.72 copies/mL
No InterventionMean Change From Baseline in HBsAg LevelsWeek 36, n=14,3-564.00 copies/mL
No InterventionMean Change From Baseline in HBsAg LevelsWeek 72, n=10, 1-34.00 copies/mL
No InterventionMean Change From Baseline in HBsAg LevelsWeek 48, n=13, 3-528.50 copies/mL
No InterventionMean Change From Baseline in HBsAg LevelsWeek 96, n=14,1-49.51 copies/mL
Secondary

Mean Change From Baseline in Hematology

The hematology parameters included erythrocytes, leucocytes, basophils, eosinophils, lymphocytes, monocytes, thrombocytes. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureGroupValue (MEAN)Dispersion
PEGASYSMean Change From Baseline in HematologyLymphocytes5.56 10^9/LStandard Deviation 6.31
PEGASYSMean Change From Baseline in HematologyErythrocytes0.08 10^9/LStandard Deviation 0.26
PEGASYSMean Change From Baseline in HematologyLeukocytes-1.72 10^9/LStandard Deviation 2
PEGASYSMean Change From Baseline in HematologyBasophils-0.18 10^9/LStandard Deviation 0.38
PEGASYSMean Change From Baseline in HematologyMonocytes1.87 10^9/LStandard Deviation 3.1
PEGASYSMean Change From Baseline in HematologyThrombocytes-31.20 10^9/LStandard Deviation 36.4
PEGASYSMean Change From Baseline in HematologyEosinophils0.92 10^9/LStandard Deviation 1.24
Secondary

Mean Change From Baseline in Hemoglobin

The hemoglobin values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureValue (MEAN)Dispersion
PEGASYSMean Change From Baseline in Hemoglobin-1.73 Gram/deciliterStandard Deviation 10.44
Secondary

Mean Change From Baseline in Protein and Indirect Albumin

The clinical chemistry parameters included indirect protein and albumin. All laboratory parameters were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and no intervention).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureGroupValue (MEAN)Dispersion
PEGASYSMean Change From Baseline in Protein and Indirect AlbuminProtein indirect-31.62 Gram/deciliterStandard Deviation 38.7
PEGASYSMean Change From Baseline in Protein and Indirect AlbuminAlbumin-1.35 Gram/deciliterStandard Deviation 1.71
Secondary

Mean Change From Baseline in Thyroid Stimulating Hormone (TSH)

The TSH was planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureValue (MEAN)Dispersion
PEGASYSMean Change From Baseline in Thyroid Stimulating Hormone (TSH)0.67 milli-international units/literStandard Deviation 1.5
Secondary

Mean Change From Baseline in Triiodothyronine and Thyroxine

The Triiodothyronine (T3) and thyroxine (T4) values were planned to be calculated as arithmetic mean by treatment groups (PEGASYS and No Intervention).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureGroupValue (MEAN)Dispersion
PEGASYSMean Change From Baseline in Triiodothyronine and ThyroxineT3, Week 1080.19 picomole/literStandard Deviation 5.44
PEGASYSMean Change From Baseline in Triiodothyronine and ThyroxineT4, Week 108-0.85 picomole/literStandard Deviation 4.99
Secondary

Percentage of Participants With HBsAg Seroconversion

The development of antibodies against HBsAg is known as HBsAg seroconversion. It signifies clearance of HBsAg and resolution of the chronic infection. НBsAg seroconversion is the final goal of anti-hepatitis B virus treatment and it is closest to the definition of cure but in practice it is very rare in HBeAg-negative chronic hepatitis B (CHB).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation. Data of participants available at the time of the assessment were included in the analysis. Only participants with HBsAg clearance were analyzed.

ArmMeasureValue (NUMBER)
PEGASYSPercentage of Participants With HBsAg Seroconversion0 Percentage of Participants
Secondary

Percentage of Participants With HBV DNA Levels Under the Lower Limit (Serum HBV DNA Level < 300 Copies/ml) For a Significant Quantity

HBV DNA level, or viral load, is an indicator of viral replication. Higher HBV DNA levels are usually associated with an increased risk of liver disease and hepatocellular carcinoma. HBV DNA level typically falls in response to effective antiviral treatment.

Time frame: Up to Week 108

Population: Safety population included all randomized participants who passed during at least one treatment period and had at least one efficacy and safety evaluation. HBV DNA levels below lower limit for significant quantity were not studied for no intervention arm participants.

ArmMeasureValue (NUMBER)
PEGASYSPercentage of Participants With HBV DNA Levels Under the Lower Limit (Serum HBV DNA Level < 300 Copies/ml) For a Significant Quantity29.4 Percentage of Participants
Secondary

Percentage of Participants With Loss of Hepatitis B Surface Antigen

Loss of Hepatitis B Surface Antigen (HBsAg) was defined as change of detectable HBsAg from positive to negative.

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureValue (NUMBER)
PEGASYSPercentage of Participants With Loss of Hepatitis B Surface Antigen5.9 Percentage of Participants
No InterventionPercentage of Participants With Loss of Hepatitis B Surface Antigen0 Percentage of Participants
Secondary

Percentage of Participants With Stable Virological and Biochemical Response

All participants who achieved virological response (serum HBV DNA \< 20 000 copies/ml) and biochemical response (stable normalization of their alanine transaminase \[ALT\]) during the treatment cycle (after each 12 weeks) and after the follow-up period (24 weeks after the last treatment period).

Time frame: Up to Week 108

Population: Safety population included all the randomized participants who passed during at least one treatment period, and had at least one efficacy and safety evaluation.

ArmMeasureGroupValue (NUMBER)
PEGASYSPercentage of Participants With Stable Virological and Biochemical ResponseWeek 3652.9 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological and Biochemical ResponseWeek 7241.2 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological and Biochemical ResponseWeek 4847.1 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological and Biochemical ResponseWeek 8441.2 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological and Biochemical ResponseWeek 12100.0 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological and Biochemical ResponseWeek 9629.4 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological and Biochemical ResponseWeek 6047.1 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological and Biochemical ResponseWeek 10829.4 Percentage of Participants
PEGASYSPercentage of Participants With Stable Virological and Biochemical ResponseWeek 2452.9 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological and Biochemical ResponseWeek 10833.3 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological and Biochemical ResponseWeek 2466.7 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological and Biochemical ResponseWeek 36100.0 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological and Biochemical ResponseWeek 12100.0 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological and Biochemical ResponseWeek 4866.7 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological and Biochemical ResponseWeek 6033.3 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological and Biochemical ResponseWeek 7233.3 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological and Biochemical ResponseWeek 8433.3 Percentage of Participants
No InterventionPercentage of Participants With Stable Virological and Biochemical ResponseWeek 9633.3 Percentage of Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026