Hepatitis B, Chronic
Conditions
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
PEG-IFN alfa-2a 180 micrograms (mcg) was administered subcutaneously, once weekly from Week 0 to 48.
PEG-IFN alfa-2a 135 mcg was administered subcutaneously, once weekly from Week 49 to 96.
Lamivudine 100 milligrams (mg) was administered orally, daily from Week 0 to 48.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Achieving the Combined Response at the End of the Follow-up Period | At the end of the 48-week follow-up period at Week 144 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Achieving the Combined Response at 24 Weeks of Follow-up | At the end of 24 weeks of follow-up at Week 120 | 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. |
| Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL | 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 | 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. |
| Percentage of Participants Achieving Histological Response | At the end of the 48-week follow-up period at Week 144 | 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. |
| Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of Treatment | At 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 Therapy | At the end of the treatment period at Week 96 | Lamivudine 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 Treatment | At end of treatment at Week 48 or 96 depending on the study arm | 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. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With HBV-DNA Below Limit of Quantification | 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 | HBV-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) Seroconversion | 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 | 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. |
| Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 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 | — |
| Percentage of Participants With ALT Normalization | 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 | — |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 128 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Adverse Event | 8 | 6 | 6 |
| Overall Study | Lack of Efficacy | 0 | 1 | 0 |
| Overall Study | Non study compliance | 0 | 0 | 1 |
| Overall Study | Physician Decision | 0 | 0 | 1 |
| Overall Study | Protocol Violation | 1 | 2 | 0 |
| Overall Study | Withdrawal by Subject | 1 | 3 | 0 |
Baseline characteristics
| Characteristic | PEG-IFN48 | PEG-IFN96 | PEG-IFN+LAM96 | Total |
|---|---|---|---|---|
| Age, Continuous | 45.1 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 Participants | 7 Participants | 7 Participants | 32 Participants |
| Sex: Female, Male Male | 33 Participants | 45 Participants | 18 Participants | 96 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 25 / 50 | 27 / 52 | 13 / 25 |
| serious Total, serious adverse events | 7 / 50 | 3 / 52 | 6 / 25 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PEG-IFN48 | Percentage of Participants Achieving the Combined Response at the End of the Follow-up Period | 11.8 percentage of participants |
| PEG-IFN96 | Percentage of Participants Achieving the Combined Response at the End of the Follow-up Period | 25.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants Achieving the Combined Response at the End of the Follow-up Period | 20.0 percentage of participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PEG-IFN48 | Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of Treatment | Baseline (n=51, 51, 25) | 9642.6 IU/mL | Standard Deviation 19756.4 |
| PEG-IFN48 | Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of Treatment | Change from baseline (n=44, 44, 20) | -2801.1 IU/mL | Standard Deviation 14691.2 |
| PEG-IFN96 | Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of Treatment | Baseline (n=51, 51, 25) | 7229.8 IU/mL | Standard Deviation 6459 |
| PEG-IFN96 | Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of Treatment | Change from baseline (n=44, 44, 20) | -2282.1 IU/mL | Standard Deviation 6007.1 |
| PEG-IFN+LAM96 | Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of Treatment | Baseline (n=51, 51, 25) | 8981.0 IU/mL | Standard Deviation 7728.5 |
| PEG-IFN+LAM96 | Change From Baseline of Quantitative Hepatitis B Surface Antigen (HbsAg) Level at the End of Treatment | Change from baseline (n=44, 44, 20) | -3121.2 IU/mL | Standard Deviation 7128.9 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PEG-IFN48 | Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL | 24 weeks of follow-up | 21.6 percentage of participants |
| PEG-IFN48 | Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL | End of treatment | 29.4 percentage of participants |
| PEG-IFN48 | Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL | 48 weeks of follow-up | 11.8 percentage of participants |
| PEG-IFN96 | Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL | 24 weeks of follow-up | 26.9 percentage of participants |
| PEG-IFN96 | Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL | End of treatment | 38.5 percentage of participants |
| PEG-IFN96 | Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL | 48 weeks of follow-up | 23.1 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL | End of treatment | 28.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL | 48 weeks of follow-up | 20.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants Achieving Combined Response Using a Cut-Off for HBV-DNA Levels to 2,000 IU/mL | 24 weeks of follow-up | 20.0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PEG-IFN48 | Percentage of Participants Achieving Histological Response | 13.7 percentage of participants |
| PEG-IFN96 | Percentage of Participants Achieving Histological Response | 5.8 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants Achieving Histological Response | 8.0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PEG-IFN48 | Percentage of Participants Achieving the Combined Response at 24 Weeks of Follow-up | 23.5 percentage of participants |
| PEG-IFN96 | Percentage of Participants Achieving the Combined Response at 24 Weeks of Follow-up | 28.8 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants Achieving the Combined Response at 24 Weeks of Follow-up | 24.0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PEG-IFN48 | Percentage of Participants Achieving the Combined Response at the End of Treatment | 29.4 percentage of participants |
| PEG-IFN96 | Percentage of Participants Achieving the Combined Response at the End of Treatment | 38.5 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants Achieving the Combined Response at the End of Treatment | 32.0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| PEG-IFN48 | Percentage of Participants With Lamivudine Genotype Resistance During PEG-IFN+LAM96 Combined Therapy | 0 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PEG-IFN48 | Percentage of Participants With ALT Normalization | 24 weeks of follow-up | 45.1 percentage of participants |
| PEG-IFN48 | Percentage of Participants With ALT Normalization | End of treatment | 35.3 percentage of participants |
| PEG-IFN48 | Percentage of Participants With ALT Normalization | 48 weeks of follow-up | 35.3 percentage of participants |
| PEG-IFN96 | Percentage of Participants With ALT Normalization | 24 weeks of follow-up | 46.2 percentage of participants |
| PEG-IFN96 | Percentage of Participants With ALT Normalization | End of treatment | 40.4 percentage of participants |
| PEG-IFN96 | Percentage of Participants With ALT Normalization | 48 weeks of follow-up | 34.6 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With ALT Normalization | End of treatment | 40.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With ALT Normalization | 48 weeks of follow-up | 36.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With ALT Normalization | 24 weeks of follow-up | 40.0 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PEG-IFN48 | Percentage of Participants With HBV-DNA Below Limit of Quantification | 24 weeks of follow-up | 0.0 percentage of participants |
| PEG-IFN48 | Percentage of Participants With HBV-DNA Below Limit of Quantification | End of treatment | 17.6 percentage of participants |
| PEG-IFN48 | Percentage of Participants With HBV-DNA Below Limit of Quantification | 48 weeks of follow-up | 2.0 percentage of participants |
| PEG-IFN96 | Percentage of Participants With HBV-DNA Below Limit of Quantification | 24 weeks of follow-up | 7.7 percentage of participants |
| PEG-IFN96 | Percentage of Participants With HBV-DNA Below Limit of Quantification | End of treatment | 30.8 percentage of participants |
| PEG-IFN96 | Percentage of Participants With HBV-DNA Below Limit of Quantification | 48 weeks of follow-up | 7.7 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With HBV-DNA Below Limit of Quantification | End of treatment | 24.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With HBV-DNA Below Limit of Quantification | 48 weeks of follow-up | 8.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With HBV-DNA Below Limit of Quantification | 24 weeks of follow-up | 4.0 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PEG-IFN48 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | End of treatment: HBV-DNA < 3,400 IU/mL | 60.8 percentage of participants |
| PEG-IFN48 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 24 weeks of follow-up: HBV-DNA < 3,400 IU/mL | 23.5 percentage of participants |
| PEG-IFN48 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 48 weeks of follow-up: HBV-DNA < 3,400 IU/mL | 11.8 percentage of participants |
| PEG-IFN48 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | End of treatment: HBV-DNA < 2,000 IU/mL | 58.8 percentage of participants |
| PEG-IFN48 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 24 weeks of follow-up: HBV-DNA < 2,000 IU/mL | 21.6 percentage of participants |
| PEG-IFN48 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 48 weeks of follow-up: HBV-DNA < 2,000 IU/mL | 11.8 percentage of participants |
| PEG-IFN96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 48 weeks of follow-up: HBV-DNA < 2,000 IU/mL | 28.8 percentage of participants |
| PEG-IFN96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | End of treatment: HBV-DNA < 3,400 IU/mL | 67.3 percentage of participants |
| PEG-IFN96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | End of treatment: HBV-DNA < 2,000 IU/mL | 67.3 percentage of participants |
| PEG-IFN96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 24 weeks of follow-up: HBV-DNA < 2,000 IU/mL | 28.8 percentage of participants |
| PEG-IFN96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 24 weeks of follow-up: HBV-DNA < 3,400 IU/mL | 30.8 percentage of participants |
| PEG-IFN96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 48 weeks of follow-up: HBV-DNA < 3,400 IU/mL | 30.8 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 24 weeks of follow-up: HBV-DNA < 3,400 IU/mL | 24.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 48 weeks of follow-up: HBV-DNA < 3,400 IU/mL | 20.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 48 weeks of follow-up: HBV-DNA < 2,000 IU/mL | 20.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | End of treatment: HBV-DNA < 2,000 IU/mL | 72.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | End of treatment: HBV-DNA < 3,400 IU/mL | 76.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With HBV-DNA Lowering to <3,400 IU/mL and to < 2,000 IU/mL | 24 weeks of follow-up: HBV-DNA < 2,000 IU/mL | 20.0 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PEG-IFN48 | Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion | 24 weeks of follow-up | 0.0 percentage of participants |
| PEG-IFN48 | Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion | End of treatment | 2.0 percentage of participants |
| PEG-IFN48 | Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion | 48 weeks of follow-up | 0.0 percentage of participants |
| PEG-IFN96 | Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion | 24 weeks of follow-up | 5.8 percentage of participants |
| PEG-IFN96 | Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion | End of treatment | 3.8 percentage of participants |
| PEG-IFN96 | Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion | 48 weeks of follow-up | 7.7 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion | End of treatment | 0.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion | 48 weeks of follow-up | 0.0 percentage of participants |
| PEG-IFN+LAM96 | Percentage of Participants With Loss of Hepatitis B Surface Antigen (HbsAg) and Hepatitis B Surface Antibodies (Anti-HBs) Seroconversion | 24 weeks of follow-up | 0.0 percentage of participants |