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A Study of Pegylated Interferon Alfa-2a and Lamivudine in Patients With HBeAg-Negative Chronic Hepatitis B Virus (HBV)

A Multicenter, Randomized, Controlled Study Comparing the Efficacy and Safety of 48 Weeks of 40kD Branched Pegylated Interferon Alfa-2a (PEG-IFN, RO 25-8310) Versus 96 Weeks of PEG-IFN, Alone or in Combination With 100 mg Lamivudine for 48 Weeks in Patients With HBeAg-Negative Chronic Hepatitis B

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01095835
Enrollment
131
Registered
2010-03-30
Start date
2005-02-28
Completion date
2010-01-31
Last updated
2016-11-03

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 study will compare the efficacy and safety of 2 different durations of treatment with pegylated interferon (PEG-IFN) alfa-2a in participants with Hepatitis B e Antigen (HBeAg)-negative chronic hepatitis B virus (HBV). It will also compare PEG-IFN alfa 2a treatment alone and in combination with lamivudine (LAM). The anticipated time on study treatment is 1-2 years, and the target sample size is 100-500 individuals.

Interventions

DRUGPegylated interferon (PEG-IFN) alfa-2a, 180 mcg

PEG-IFN alfa-2a 180 micrograms (mcg) was administered subcutaneously, once weekly from Week 0 to 48.

DRUGPegylated interferon (PEG-IFN) alfa-2a, 135 mcg

PEG-IFN alfa-2a 135 mcg was administered subcutaneously, once weekly from Week 49 to 96.

DRUGLamivudine (LAM)

Lamivudine 100 milligrams (mg) was administered orally, daily from Week 0 to 48.

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 70 Years
Healthy volunteers
No

Inclusion criteria

* adults 18-70 years of age; * HBeAg-negative chronic hepatitis B for \>/=6 months; * liver disease consistent with chronic hepatitis B.

Exclusion criteria

* interferon-based, systemic anti-HBV, antiviral, anti-neoplastic, or immunomodulatory therapy \</=12 months before first dose of study drug; * non-responders to previous interferon therapy; * co-infection with hepatitis A, C or D, or with human immunodeficiency virus (HIV); * hepatocellular cancer; * compensated (Child A, score 6) or decompensated liver disease (Child B or C).

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving the Combined Response at the End of the Follow-up PeriodAt the end of the 48-week follow-up period at Week 144Combined response was defined as alanine aminotransferase (ALT) normalization plus lowering of hepatitis B virus (HBV) deoxyribo nucleic acid (DNA) levels to \<20,000 copies/mL (\<3,400 IU/mL) and was measured at the end of the 48-week follow-up period. Participants with missing 48 weeks follow-up measurements were considered as non-responders. However, if the scheduled 48-weeks post-treatment tests were performed earlier or later than 48 weeks post-treatment, but not earlier than 36 weeks post-treatment, the corresponding results were considered to determine response.

Secondary

MeasureTime frameDescription
Percentage of Participants Achieving the Combined Response at 24 Weeks of Follow-upAt the end of 24 weeks of follow-up at Week 120Combined response was defined as ALT normalization plus lowering of HBV-DNA levels to \<20,000 copies/mL (\<3,400 IU/mL). In case of missing week-24 post-treatment measurements, the nearest value with respect to the schedule time point in the time window 12 weeks post treatment until study end was used.
Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mLAt end of treatment at Week 48 or 96 depending on the study arm, at the end of 24 weeks of follow-up at Week 120 and at the end of the follow-up period at Week 144Combined response was defined here as ALT normalization plus lowering HBV-DNA levels to a cutt-off \<2,000 IU/mL. In case of missing end of treatment measurements, the next available post-treatment value was used. In case of missing week-24 post-treatment measurements, the nearest value with respect to the schedule time point in the time window 12 weeks post treatment until study end was used. Participants with missing 48 weeks follow-up measurements were considered as non-responders. However, if the scheduled 48-weeks post-treatment tests were performed earlier or later than 48 weeks post-treatment, but not earlier than 36 weeks post-treatment, the corresponding results were considered to determine response.
Percentage of Participants Achieving Histological ResponseAt the end of the 48-week follow-up period at Week 144Histological response was defined as an improvement by \>/= 2 in the Necroinflammatory Grading and/or by an improvement by \>/= 1 score in Fibrosis Staging according to Ishak. Necroinflammatory Grading ranges 0-14 and is the combined score for necrosis, range 0-10 and inflammation, range 0-4. The participant is scored for only one inflammatory condition. A higher score indicates worse condition. Fibrosis Staging according to Ishak ranges 0-6 and a higher score indicates greater fibrosis.
Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of TreatmentAt the end of treatment at Week 48 or 96 depending on the study arm
Percentage of Participants With Lamivudine Genotype Resistance During PEG-IFN+LAM96 Combined TherapyAt the end of the treatment period at Week 96Lamivudine resistance mutations were assessed by detection of the following mutations: rtL80V, rtL80I, rtV173G, rtV173L, rtL180M, rtA181T, rtA181V, rtM204V, rtM204I and rtN236T.
Percentage of Participants Achieving the Combined Response at the End of TreatmentAt end of treatment at Week 48 or 96 depending on the study armCombined response was defined as ALT normalization plus lowering of HBV-DNA levels to \<20,000 copies/mL (\<3,400 IU/mL). In case of missing end of treatment measurements, the next available post-treatment value was used.

Other

MeasureTime frameDescription
Percentage of Participants With HBV-DNA Below Limit of QuantificationAt end of treatment at Week 48 or 96 depending on the study arm, at the end of 24 weeks of follow-up at Week 120 and at the end of the follow-up period at Week 144HBV-DNA limit \< 6 IU/mL was defined as below quantification.
Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) SeroconversionAt end of treatment at Week 48 or 96 depending on the study arm, at the end of 24 weeks of follow-up at Week 120 and at the end of the follow-up period at Week 144This outcome measure presents percentage of participants with a combined response of HBsAg \< 5 IU/mL and anti-HBs positive. Positive anti-HBs represents antibodies produced against Hepatitis B Surface Antigen (HBsAg) and is an indication of recovery and immunity from HBV infection.
Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mLAt end of treatment at Week 48 or 96 depending on the study arm, at the end of 24 weeks of follow-up at Week 120 and at the end of the follow-up period at Week 144
Percentage of Participants With ALT NormalizationAt end of treatment at Week 48 or 96 depending on the study arm, at the end of 24 weeks of follow-up at Week 120 and at the end of the follow-up period at Week 144

Countries

Italy

Participant flow

Pre-assignment details

The Intent-to-Treat (ITT) population (n=128) included all participants randomized who received at least one dose of study medication. Three enrolled participants (total enrolled n=131) did not receive any study medication and were therefore excluded from the ITT population.The ITT population is reported in the Participant Flow.

Participants by arm

ArmCount
PEG-IFN48
Treatment with PEG-IFN alfa-2a in participants with HBeAg-negative chronic hepatitis B virus for 48 weeks. PEG-IFN alfa-2a 180 micrograms (mcg) was administered subcutaneously, once weekly from Week 0 to 48.
51
PEG-IFN96
Treatment with PEG-IFN alfa-2a in participants with HBeAg-negative chronic hepatitis B virus for 48 weeks followed by another 48 weeks of PEG-IFN alfa-2a treatment (total 96 weeks of treatment). PEG-IFN alfa-2a 180 mcg was administered subcutaneously, once weekly from Week 0 to 48 followed by 135 mcg of PEG-IFN alfa-2a subcutaneously, once weekly from Week 49 to 96.
52
PEG-IFN+LAM96
Treatment with PEG-IFN alfa-2a and lamivudine in participants with HBeAg-negative chronic hepatitis B virus for 48 weeks followed by 48 weeks of only PEG-IFN alfa-2a treatment (total 96 weeks of treatment). PEG-IFN alfa-2a 180 mcg subcutaneously, once weekly and 100 mg of oral lamivudine daily were administered from Week 0 to 48 followed by 135 mcg of only PEG-IFN alfa-2a, subcutaneously, once weekly from Week 49 to 96.
25
Total128

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event866
Overall StudyLack of Efficacy010
Overall StudyNon study compliance001
Overall StudyPhysician Decision001
Overall StudyProtocol Violation120
Overall StudyWithdrawal by Subject130

Baseline characteristics

CharacteristicPEG-IFN48PEG-IFN96PEG-IFN+LAM96Total
Age, Continuous45.1 years
STANDARD_DEVIATION 10.2
44.1 years
STANDARD_DEVIATION 10.4
45.6 years
STANDARD_DEVIATION 8.6
44.6 years
STANDARD_DEVIATION 9.9
Sex: Female, Male
Female
18 Participants7 Participants7 Participants32 Participants
Sex: Female, Male
Male
33 Participants45 Participants18 Participants96 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
25 / 5027 / 5213 / 25
serious
Total, serious adverse events
7 / 503 / 526 / 25

Outcome results

Primary

Percentage of Participants Achieving the Combined Response at the End of the Follow-up Period

Combined response was defined as alanine aminotransferase (ALT) normalization plus lowering of hepatitis B virus (HBV) deoxyribo nucleic acid (DNA) levels to \<20,000 copies/mL (\<3,400 IU/mL) and was measured at the end of the 48-week follow-up period. Participants with missing 48 weeks follow-up measurements were considered as non-responders. However, if the scheduled 48-weeks post-treatment tests were performed earlier or later than 48 weeks post-treatment, but not earlier than 36 weeks post-treatment, the corresponding results were considered to determine response.

Time frame: At the end of the 48-week follow-up period at Week 144

Population: The ITT population included all participants randomized who received at least one dose of study medication.

ArmMeasureValue (NUMBER)
PEG-IFN48Percentage of Participants Achieving the Combined Response at the End of the Follow-up Period11.8 percentage of participants
PEG-IFN96Percentage of Participants Achieving the Combined Response at the End of the Follow-up Period25.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants Achieving the Combined Response at the End of the Follow-up Period20.0 percentage of participants
p-value: 0.08Chi-squared
Secondary

Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of Treatment

Time frame: At the end of treatment at Week 48 or 96 depending on the study arm

Population: The ITT population included all participants randomized who received at least one dose of study medication. Baseline values are included for those participants for whom a baseline value was measured. Change from baseline values includes only those participants with both a baseline value and a value for the summarized time period.

ArmMeasureGroupValue (MEAN)Dispersion
PEG-IFN48Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of TreatmentBaseline (n=51, 51, 25)9642.6 IU/mLStandard Deviation 19756.4
PEG-IFN48Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of TreatmentChange from baseline (n=44, 44, 20)-2801.1 IU/mLStandard Deviation 14691.2
PEG-IFN96Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of TreatmentBaseline (n=51, 51, 25)7229.8 IU/mLStandard Deviation 6459
PEG-IFN96Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of TreatmentChange from baseline (n=44, 44, 20)-2282.1 IU/mLStandard Deviation 6007.1
PEG-IFN+LAM96Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of TreatmentBaseline (n=51, 51, 25)8981.0 IU/mLStandard Deviation 7728.5
PEG-IFN+LAM96Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of TreatmentChange from baseline (n=44, 44, 20)-3121.2 IU/mLStandard Deviation 7128.9
Secondary

Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL

Combined response was defined here as ALT normalization plus lowering HBV-DNA levels to a cutt-off \<2,000 IU/mL. In case of missing end of treatment measurements, the next available post-treatment value was used. In case of missing week-24 post-treatment measurements, the nearest value with respect to the schedule time point in the time window 12 weeks post treatment until study end was used. Participants with missing 48 weeks follow-up measurements were considered as non-responders. However, if the scheduled 48-weeks post-treatment tests were performed earlier or later than 48 weeks post-treatment, but not earlier than 36 weeks post-treatment, the corresponding results were considered to determine response.

Time frame: At end of treatment at Week 48 or 96 depending on the study arm, at the end of 24 weeks of follow-up at Week 120 and at the end of the follow-up period at Week 144

Population: The ITT population included all participants randomized who received at least one dose of study medication.

ArmMeasureGroupValue (NUMBER)
PEG-IFN48Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL24 weeks of follow-up21.6 percentage of participants
PEG-IFN48Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mLEnd of treatment29.4 percentage of participants
PEG-IFN48Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL48 weeks of follow-up11.8 percentage of participants
PEG-IFN96Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL24 weeks of follow-up26.9 percentage of participants
PEG-IFN96Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mLEnd of treatment38.5 percentage of participants
PEG-IFN96Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL48 weeks of follow-up23.1 percentage of participants
PEG-IFN+LAM96Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mLEnd of treatment28.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL48 weeks of follow-up20.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL24 weeks of follow-up20.0 percentage of participants
Secondary

Percentage of Participants Achieving Histological Response

Histological response was defined as an improvement by \>/= 2 in the Necroinflammatory Grading and/or by an improvement by \>/= 1 score in Fibrosis Staging according to Ishak. Necroinflammatory Grading ranges 0-14 and is the combined score for necrosis, range 0-10 and inflammation, range 0-4. The participant is scored for only one inflammatory condition. A higher score indicates worse condition. Fibrosis Staging according to Ishak ranges 0-6 and a higher score indicates greater fibrosis.

Time frame: At the end of the 48-week follow-up period at Week 144

Population: The ITT population included all participants randomized who received at least one dose of study medication.

ArmMeasureValue (NUMBER)
PEG-IFN48Percentage of Participants Achieving Histological Response13.7 percentage of participants
PEG-IFN96Percentage of Participants Achieving Histological Response5.8 percentage of participants
PEG-IFN+LAM96Percentage of Participants Achieving Histological Response8.0 percentage of participants
Secondary

Percentage of Participants Achieving the Combined Response at 24 Weeks of Follow-up

Combined response was defined as ALT normalization plus lowering of HBV-DNA levels to \<20,000 copies/mL (\<3,400 IU/mL). In case of missing week-24 post-treatment measurements, the nearest value with respect to the schedule time point in the time window 12 weeks post treatment until study end was used.

Time frame: At the end of 24 weeks of follow-up at Week 120

Population: The ITT population included all participants randomized who received at least one dose of study medication.

ArmMeasureValue (NUMBER)
PEG-IFN48Percentage of Participants Achieving the Combined Response at 24 Weeks of Follow-up23.5 percentage of participants
PEG-IFN96Percentage of Participants Achieving the Combined Response at 24 Weeks of Follow-up28.8 percentage of participants
PEG-IFN+LAM96Percentage of Participants Achieving the Combined Response at 24 Weeks of Follow-up24.0 percentage of participants
Secondary

Percentage of Participants Achieving the Combined Response at the End of Treatment

Combined response was defined as ALT normalization plus lowering of HBV-DNA levels to \<20,000 copies/mL (\<3,400 IU/mL). In case of missing end of treatment measurements, the next available post-treatment value was used.

Time frame: At end of treatment at Week 48 or 96 depending on the study arm

Population: The ITT population included all participants randomized who received at least one dose of study medication.

ArmMeasureValue (NUMBER)
PEG-IFN48Percentage of Participants Achieving the Combined Response at the End of Treatment29.4 percentage of participants
PEG-IFN96Percentage of Participants Achieving the Combined Response at the End of Treatment38.5 percentage of participants
PEG-IFN+LAM96Percentage of Participants Achieving the Combined Response at the End of Treatment32.0 percentage of participants
Secondary

Percentage of Participants With Lamivudine Genotype Resistance During PEG-IFN+LAM96 Combined Therapy

Lamivudine resistance mutations were assessed by detection of the following mutations: rtL80V, rtL80I, rtV173G, rtV173L, rtL180M, rtA181T, rtA181V, rtM204V, rtM204I and rtN236T.

Time frame: At the end of the treatment period at Week 96

Population: The ITT population for arm PEG-IFN+LAM96 included all participants randomized to PEG-IFN+LAM96 who received at least one dose of study medication.

ArmMeasureValue (NUMBER)
PEG-IFN48Percentage of Participants With Lamivudine Genotype Resistance During PEG-IFN+LAM96 Combined Therapy0 percentage of participants
Other Pre-specified

Percentage of Participants With ALT Normalization

Time frame: At end of treatment at Week 48 or 96 depending on the study arm, at the end of 24 weeks of follow-up at Week 120 and at the end of the follow-up period at Week 144

Population: The ITT population included all participants randomized who received at least one dose of study medication.

ArmMeasureGroupValue (NUMBER)
PEG-IFN48Percentage of Participants With ALT Normalization24 weeks of follow-up45.1 percentage of participants
PEG-IFN48Percentage of Participants With ALT NormalizationEnd of treatment35.3 percentage of participants
PEG-IFN48Percentage of Participants With ALT Normalization48 weeks of follow-up35.3 percentage of participants
PEG-IFN96Percentage of Participants With ALT Normalization24 weeks of follow-up46.2 percentage of participants
PEG-IFN96Percentage of Participants With ALT NormalizationEnd of treatment40.4 percentage of participants
PEG-IFN96Percentage of Participants With ALT Normalization48 weeks of follow-up34.6 percentage of participants
PEG-IFN+LAM96Percentage of Participants With ALT NormalizationEnd of treatment40.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With ALT Normalization48 weeks of follow-up36.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With ALT Normalization24 weeks of follow-up40.0 percentage of participants
Other Pre-specified

Percentage of Participants With HBV-DNA Below Limit of Quantification

HBV-DNA limit \< 6 IU/mL was defined as below quantification.

Time frame: At end of treatment at Week 48 or 96 depending on the study arm, at the end of 24 weeks of follow-up at Week 120 and at the end of the follow-up period at Week 144

Population: The ITT population included all participants randomized who received at least one dose of study medication.

ArmMeasureGroupValue (NUMBER)
PEG-IFN48Percentage of Participants With HBV-DNA Below Limit of Quantification24 weeks of follow-up0.0 percentage of participants
PEG-IFN48Percentage of Participants With HBV-DNA Below Limit of QuantificationEnd of treatment17.6 percentage of participants
PEG-IFN48Percentage of Participants With HBV-DNA Below Limit of Quantification48 weeks of follow-up2.0 percentage of participants
PEG-IFN96Percentage of Participants With HBV-DNA Below Limit of Quantification24 weeks of follow-up7.7 percentage of participants
PEG-IFN96Percentage of Participants With HBV-DNA Below Limit of QuantificationEnd of treatment30.8 percentage of participants
PEG-IFN96Percentage of Participants With HBV-DNA Below Limit of Quantification48 weeks of follow-up7.7 percentage of participants
PEG-IFN+LAM96Percentage of Participants With HBV-DNA Below Limit of QuantificationEnd of treatment24.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With HBV-DNA Below Limit of Quantification48 weeks of follow-up8.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With HBV-DNA Below Limit of Quantification24 weeks of follow-up4.0 percentage of participants
Other Pre-specified

Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL

Time frame: At end of treatment at Week 48 or 96 depending on the study arm, at the end of 24 weeks of follow-up at Week 120 and at the end of the follow-up period at Week 144

Population: The ITT population included all participants randomized who received at least one dose of study medication.

ArmMeasureGroupValue (NUMBER)
PEG-IFN48Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mLEnd of treatment: HBV-DNA < 3,400 IU/mL60.8 percentage of participants
PEG-IFN48Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL24 weeks of follow-up: HBV-DNA < 3,400 IU/mL23.5 percentage of participants
PEG-IFN48Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL48 weeks of follow-up: HBV-DNA < 3,400 IU/mL11.8 percentage of participants
PEG-IFN48Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mLEnd of treatment: HBV-DNA < 2,000 IU/mL58.8 percentage of participants
PEG-IFN48Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL24 weeks of follow-up: HBV-DNA < 2,000 IU/mL21.6 percentage of participants
PEG-IFN48Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL48 weeks of follow-up: HBV-DNA < 2,000 IU/mL11.8 percentage of participants
PEG-IFN96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL48 weeks of follow-up: HBV-DNA < 2,000 IU/mL28.8 percentage of participants
PEG-IFN96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mLEnd of treatment: HBV-DNA < 3,400 IU/mL67.3 percentage of participants
PEG-IFN96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mLEnd of treatment: HBV-DNA < 2,000 IU/mL67.3 percentage of participants
PEG-IFN96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL24 weeks of follow-up: HBV-DNA < 2,000 IU/mL28.8 percentage of participants
PEG-IFN96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL24 weeks of follow-up: HBV-DNA < 3,400 IU/mL30.8 percentage of participants
PEG-IFN96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL48 weeks of follow-up: HBV-DNA < 3,400 IU/mL30.8 percentage of participants
PEG-IFN+LAM96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL24 weeks of follow-up: HBV-DNA < 3,400 IU/mL24.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL48 weeks of follow-up: HBV-DNA < 3,400 IU/mL20.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL48 weeks of follow-up: HBV-DNA < 2,000 IU/mL20.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mLEnd of treatment: HBV-DNA < 2,000 IU/mL72.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mLEnd of treatment: HBV-DNA < 3,400 IU/mL76.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL24 weeks of follow-up: HBV-DNA < 2,000 IU/mL20.0 percentage of participants
Other Pre-specified

Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion

This outcome measure presents percentage of participants with a combined response of HBsAg \< 5 IU/mL and anti-HBs positive. Positive anti-HBs represents antibodies produced against Hepatitis B Surface Antigen (HBsAg) and is an indication of recovery and immunity from HBV infection.

Time frame: At end of treatment at Week 48 or 96 depending on the study arm, at the end of 24 weeks of follow-up at Week 120 and at the end of the follow-up period at Week 144

Population: The ITT population included all participants randomized who received at least one dose of study medication.

ArmMeasureGroupValue (NUMBER)
PEG-IFN48Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion24 weeks of follow-up0.0 percentage of participants
PEG-IFN48Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) SeroconversionEnd of treatment2.0 percentage of participants
PEG-IFN48Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion48 weeks of follow-up0.0 percentage of participants
PEG-IFN96Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion24 weeks of follow-up5.8 percentage of participants
PEG-IFN96Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) SeroconversionEnd of treatment3.8 percentage of participants
PEG-IFN96Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion48 weeks of follow-up7.7 percentage of participants
PEG-IFN+LAM96Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) SeroconversionEnd of treatment0.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion48 weeks of follow-up0.0 percentage of participants
PEG-IFN+LAM96Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion24 weeks of follow-up0.0 percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 25, 2026