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Study to Evaluate the Safety and Antiviral Activity of Inarigivir Soproxil (Formerly: GS-9992) Plus Tenofovir Alafenamide (TAF) for 12 Weeks in Adults With Chronic Hepatitis B (CHB)

A Phase 2, Randomized, Open-Label, Active-Controlled Study to Evaluate the Safety and Antiviral Activity of GS-9992 Plus Tenofovir Alafenamide (TAF) for 12 Weeks in Chronic Hepatitis B (CHB) Subjects

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03434353
Enrollment
123
Registered
2018-02-15
Start date
2018-02-28
Completion date
2021-01-26
Last updated
2022-04-04

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

Conditions

Chronic Hepatitis B

Brief summary

The primary objectives of this study are to evaluate the safety and tolerability of the 12 week treatment regimens of inarigivir soproxil plus tenofovir alafenamide (TAF) or commercially available nucleoside/nucleotide (NUC) in adults with chronic hepatitis B (CHB), to evaluate the antiviral activity of 12 weeks of inarigivir soproxil plus TAF versus TAF alone in viremic CHB participants (Groups 1-3, 5), and to evaluate the antiviral activity of 12 weeks of inarigivir soproxil with commercially available NUC(s) in virally suppressed CHB participants (Group 4).

Interventions

Administered orally once daily one hour before or one hour after a meal

DRUGTAF

Administered orally once daily with food

Sponsors

F-star Therapeutics, Inc.
CollaboratorINDUSTRY
Gilead Sciences
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

Key Inclusion Criteria: * Groups 1-3 and 5: * Individuals not taking any prescribed hepatitis B virus (HBV) NUC treatment * Group 4: * HBV deoxyribonucleic acid (DNA) ≤ 20 IU/mL at Screening by Central Lab. * Have been on a commercially available HBV NUC treatment(s) Key

Exclusion criteria

* Co-infection with hepatitis C virus (HCV), human immunodeficiency virus (HIV), or hepatitis D virus (HDV). * Extensive bridging fibrosis or cirrhosis * Evidence of hepatocellular carcinoma on imaging * Any history of, or current evidence of, clinical hepatic decompensation (e.g., ascites, encephalopathy or variceal hemorrhage). * Chronic liver disease of a non-HBV etiology * Current alcohol or substance abuse Note: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frame
Percentage of Participants With ≥ 0.5 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1-3 and 5)Baseline, Week 12
Percentage of Participants With ≥ 0.5 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Group 4)Baseline, Week 12

Secondary

MeasureTime frameDescription
Percentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline, Weeks 12, 24, 36, and 48HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at post-baseline visit. HBeAg seroconversion was defined as HBeAb changing from negative or missing at baseline to positive at any postbaseline visit. Participants who had missing information were assumed to have no HBeAg loss and no HBeAg seroconversion.
Percentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Group 4)Baseline, Weeks 12, 24, 36, and 48HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at post-baseline visit. HBeAg seroconversion was defined as HBeAb changing from negative or missing at baseline to positive at any postbaseline visit. Participants who had missing information were assumed to have no HBeAg loss and no HBeAg seroconversion.
Percentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline, Weeks 12, 24, 36, and 48HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at post-baseline visit. Participants who had missing information were assumed to have no HBeAg loss.
Percentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Group 4)Baseline, Weeks 12, 24, 36, and 48HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at post-baseline visit.
Percentage of Participants With ≥ 1 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1 Through 3 and 5)Baseline, Week 12
Percentage of Participants Experiencing Hepatitis B Virus (HBV) Virologic Breakthrough During 12 Weeks of Inarigivir Soproxil Treatment (Group 4)Baseline up to Week 12Virologic breakthrough was defined as HBV deoxyribonucleic acid (DNA) ≥69 IU/mL for 2 consecutive visits
Change From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline, Weeks 12, 16, 24, 36, and 48
Change From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline, Weeks 12, 16, 24, 36, and 48
Change From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Group 4)Baseline, Weeks 12, 16, 24, 36, and 48
Number of Participants With Sequence Changes From Baseline Within the HBV Polymerase for Participants Who Had HBV DNA ≥ 69 IU/mL (Groups 1 Through 3 and 5)Baseline, Week 48
Percentage of Participants With ≥ 1 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Group 4)Baseline, Week 12

Countries

Hong Kong, South Korea

Participant flow

Recruitment details

Participants were enrolled at study sites in Hong Kong and South Korea. The first participant was screened on 28 February 2018. The last study visit occurred on 26 January 2021.

Pre-assignment details

161 participants were screened.

Participants by arm

ArmCount
Group 1: Inarigivir Soproxil 50 mg + TAF
Viremic participants were administered inarigivir soproxil 50 mg (2 x 25 mg capsules) once daily orally 1 hour before or 1 hour after a meal plus TAF 25 mg tablet once daily orally with food for 12 weeks followed by TAF 25 mg tablet once daily orally with food for 36 weeks.
30
Group 2: TAF
Viremic participants were administered TAF 25 mg tablet once daily orally with food for 48 weeks.
12
Group 3: Inarigivir Soproxil 200 mg + TAF
Viremic participants were administered inarigivir soproxil 200 mg (2 x 100 mg tablets) once daily orally 1 hour before or 1 hour after a meal plus TAF 25 mg tablet once daily orally with food for 12 weeks followed by TAF 25 mg tablet once daily orally with food for 36 weeks.
30
Group 4: Inarigivir Soproxil 100 mg + Commercially Available NUC(s)
Virally suppressed participants who were receiving NUC(s) were administered inarigivir soproxil 100 mg tablet once daily orally 1 hour before or 1 hour after a meal for 12 weeks. Participants continued commercially available NUC(s) for 48 weeks.
21
Group 5: Inarigivir Soproxil 400 mg + TAF
Viremic participants were administered inarigivir soproxil 400 mg (2 x 200 mg tablets) once daily orally 1 hour before or 1 hour after a meal plus TAF 25 mg tablet once daily orally with food for 12 weeks followed TAF 25 mg tablet once daily orally with food for 36 weeks.
30
Total123

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event10001
Overall StudyLost to Follow-up20000
Overall StudyStarted commercial Hepatitis B virus therapy10311317
Overall StudyWithdrew consent10300

Baseline characteristics

CharacteristicTotalGroup 1: Inarigivir Soproxil 50 mg + TAFGroup 2: TAFGroup 3: Inarigivir Soproxil 200 mg + TAFGroup 4: Inarigivir Soproxil 100 mg + Commercially Available NUC(s)Group 5: Inarigivir Soproxil 400 mg + TAF
Age, Customized
<50 years
71 Participants23 Participants5 Participants19 Participants11 Participants13 Participants
Age, Customized
≥50 years
52 Participants7 Participants7 Participants11 Participants10 Participants17 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
123 Participants30 Participants12 Participants30 Participants21 Participants30 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Hepatitis B Surface Antigen (HBsAg) Category
≤ 4 log10 IU/mL
83 Participants16 Participants4 Participants23 Participants19 Participants21 Participants
Hepatitis B Surface Antigen (HBsAg) Category
> 4 log10 IU/mL
40 Participants14 Participants8 Participants7 Participants2 Participants9 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
123 Participants30 Participants12 Participants30 Participants21 Participants30 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Region of Enrollment
Hong Kong
76 participants8 participants5 participants22 participants11 participants30 participants
Region of Enrollment
South Korea
47 participants22 participants7 participants8 participants10 participants0 participants
Sex: Female, Male
Female
46 Participants12 Participants3 Participants11 Participants9 Participants11 Participants
Sex: Female, Male
Male
77 Participants18 Participants9 Participants19 Participants12 Participants19 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 300 / 120 / 300 / 210 / 30
other
Total, other adverse events
8 / 307 / 1215 / 309 / 219 / 30
serious
Total, serious adverse events
1 / 301 / 121 / 300 / 211 / 30

Outcome results

Primary

Percentage of Participants With ≥ 0.5 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Group 4)

Time frame: Baseline, Week 12

Population: The Full Analysis Set (Group 4) included all participants who were enrolled in Group 4, and who took at least 1 dose of any study drug.

ArmMeasureValue (NUMBER)
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants With ≥ 0.5 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Group 4)0 percentage of participants
Primary

Percentage of Participants With ≥ 0.5 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1-3 and 5)

Time frame: Baseline, Week 12

Population: The Full Analysis Set included all participants who were randomized to Groups 1 or 2, or enrolled in Group 3 and 5, and who took at least 1 dose of any study drug.

ArmMeasureValue (NUMBER)
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants With ≥ 0.5 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1-3 and 5)23.3 percentage of participants
Group 2: TAFPercentage of Participants With ≥ 0.5 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1-3 and 5)25.0 percentage of participants
Group 3: Inarigivir Soproxil 200 mg + TAFPercentage of Participants With ≥ 0.5 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1-3 and 5)0 percentage of participants
Group 5: Inarigivir Soproxil 400 mg + TAFPercentage of Participants With ≥ 0.5 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1-3 and 5)6.7 percentage of participants
95% CI: [-30.4, 26.4]
95% CI: [-49.2, -0.2]
95% CI: [-43.7, 8.2]
Secondary

Change From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Group 4)

Time frame: Baseline, Weeks 12, 16, 24, 36, and 48

Population: Participants in the Full Analysis Set (Group 4) were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Group 4)Baseline3.211 log10 IU/mLStandard Deviation 0.5536
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Group 4)Change at Week 12-0.017 log10 IU/mLStandard Deviation 0.0417
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Group 4)Change at Week 16-0.010 log10 IU/mLStandard Deviation 0.0645
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Group 4)Change at Week 24-0.039 log10 IU/mLStandard Deviation 0.0925
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Group 4)Change at Week 36-0.037 log10 IU/mLStandard Deviation 0.0939
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Group 4)Change at Week 48-0.073 log10 IU/mLStandard Deviation 0.112
Secondary

Change From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)

Time frame: Baseline, Weeks 12, 16, 24, 36, and 48

Population: Participants in the Full Analysis Set (Groups 1-3 and 5) with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 24-0.310 log10 IU/mLStandard Deviation 0.4303
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 36-0.330 log10 IU/mLStandard Deviation 0.4363
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 48-0.322 log10 IU/mLStandard Deviation 0.4311
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline3.933 log10 IU/mLStandard Deviation 0.8058
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 12-0.244 log10 IU/mLStandard Deviation 0.3443
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 16-0.282 log10 IU/mLStandard Deviation 0.3954
Group 2: TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 16-0.479 log10 IU/mLStandard Deviation 0.5429
Group 2: TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline4.118 log10 IU/mLStandard Deviation 0.6543
Group 2: TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 24-0.482 log10 IU/mLStandard Deviation 0.5119
Group 2: TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 48-0.517 log10 IU/mLStandard Deviation 0.5617
Group 2: TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 36-0.524 log10 IU/mLStandard Deviation 0.543
Group 2: TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 12-0.435 log10 IU/mLStandard Deviation 0.532
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 36-0.055 log10 IU/mLStandard Deviation 0.4213
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 48-0.045 log10 IU/mLStandard Deviation 0.4778
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline3.529 log10 IU/mLStandard Deviation 0.8835
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 160.014 log10 IU/mLStandard Deviation 0.2916
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 120.016 log10 IU/mLStandard Deviation 0.285
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 24-0.021 log10 IU/mLStandard Deviation 0.3171
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 12-0.026 log10 IU/mLStandard Deviation 0.3805
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 16-0.082 log10 IU/mLStandard Deviation 0.4262
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 36-0.209 log10 IU/mLStandard Deviation 0.5319
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline3.418 log10 IU/mLStandard Deviation 0.8075
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 24-0.104 log10 IU/mLStandard Deviation 0.5
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBsAg at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 48-0.235 log10 IU/mLStandard Deviation 0.5429
Secondary

Change From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)

Time frame: Baseline, Weeks 12, 16, 24, 36, and 48

Population: Participants in the Full Analysis Set (Groups 1-3 and 5) with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 24-5.02 log10 IU/mLStandard Deviation 1.101
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 36-5.27 log10 IU/mLStandard Deviation 1.194
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 48-5.36 log10 IU/mLStandard Deviation 1.225
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 16-4.58 log10 IU/mLStandard Deviation 1.023
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline7.06 log10 IU/mLStandard Deviation 1.53
Group 1: Inarigivir Soproxil 50 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 12-4.18 log10 IU/mLStandard Deviation 0.959
Group 2: TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 16-4.65 log10 IU/mLStandard Deviation 1.326
Group 2: TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 24-5.25 log10 IU/mLStandard Deviation 1.51
Group 2: TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 12-4.24 log10 IU/mLStandard Deviation 1.34
Group 2: TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 36-5.53 log10 IU/mLStandard Deviation 1.61
Group 2: TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 48-5.25 log10 IU/mLStandard Deviation 1.839
Group 2: TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline7.06 log10 IU/mLStandard Deviation 1.757
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline6.30 log10 IU/mLStandard Deviation 1.365
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 12-4.02 log10 IU/mLStandard Deviation 0.854
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 16-4.29 log10 IU/mLStandard Deviation 0.946
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 24-4.67 log10 IU/mLStandard Deviation 1.049
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 36-4.78 log10 IU/mLStandard Deviation 1.207
Group 3: Inarigivir Soproxil 200 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 48-4.83 log10 IU/mLStandard Deviation 1.162
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 48-4.93 log10 IU/mLStandard Deviation 1.37
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 36-4.92 log10 IU/mLStandard Deviation 1.129
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 12-3.93 log10 IU/mLStandard Deviation 0.817
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Baseline6.61 log10 IU/mLStandard Deviation 1.479
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 24-4.76 log10 IU/mLStandard Deviation 1.013
Group 5: Inarigivir Soproxil 400 mg + TAFChange From Baseline in HBV DNA at Weeks 12, 16, 24, 36, and 48 (Groups 1 Through 3 and 5)Change at Week 16-4.23 log10 IU/mLStandard Deviation 0.869
Secondary

Number of Participants With Sequence Changes From Baseline Within the HBV Polymerase for Participants Who Had HBV DNA ≥ 69 IU/mL (Groups 1 Through 3 and 5)

Time frame: Baseline, Week 48

Population: Participants with at least 12 weeks and 48 weeks of exposure to inarigivir soproxil and TAF, respectively, and with HBV DNA ≥ 69 IU/mL at Week 48 or Early Discontinuation were analyzed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Inarigivir Soproxil 50 mg + TAFNumber of Participants With Sequence Changes From Baseline Within the HBV Polymerase for Participants Who Had HBV DNA ≥ 69 IU/mL (Groups 1 Through 3 and 5)4 Participants
Group 2: TAFNumber of Participants With Sequence Changes From Baseline Within the HBV Polymerase for Participants Who Had HBV DNA ≥ 69 IU/mL (Groups 1 Through 3 and 5)0 Participants
Group 3: Inarigivir Soproxil 200 mg + TAFNumber of Participants With Sequence Changes From Baseline Within the HBV Polymerase for Participants Who Had HBV DNA ≥ 69 IU/mL (Groups 1 Through 3 and 5)0 Participants
Group 5: Inarigivir Soproxil 400 mg + TAFNumber of Participants With Sequence Changes From Baseline Within the HBV Polymerase for Participants Who Had HBV DNA ≥ 69 IU/mL (Groups 1 Through 3 and 5)4 Participants
Secondary

Percentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Group 4)

HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at post-baseline visit. HBeAg seroconversion was defined as HBeAb changing from negative or missing at baseline to positive at any postbaseline visit. Participants who had missing information were assumed to have no HBeAg loss and no HBeAg seroconversion.

Time frame: Baseline, Weeks 12, 24, 36, and 48

Population: Participants in the Full Analysis Set (Group 4) with HBeAg-positive status at baseline were analyzed.

ArmMeasureGroupValue (NUMBER)
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Group 4)Week 1214.3 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Group 4)Week 2414.3 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Group 4)Week 3614.3 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Group 4)Week 4814.3 percentage of participants
Secondary

Percentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)

HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at post-baseline visit. HBeAg seroconversion was defined as HBeAb changing from negative or missing at baseline to positive at any postbaseline visit. Participants who had missing information were assumed to have no HBeAg loss and no HBeAg seroconversion.

Time frame: Baseline, Weeks 12, 24, 36, and 48

Population: Participants in the Full Analysis Set (Group 1-3 and 5) with HBeAg-positive status at baseline were analyzed.

ArmMeasureGroupValue (NUMBER)
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 125.6 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 245.6 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 365.6 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 480 percentage of participants
Group 2: TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 240 percentage of participants
Group 2: TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 360 percentage of participants
Group 2: TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 480 percentage of participants
Group 2: TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 120 percentage of participants
Group 3: Inarigivir Soproxil 200 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 360 percentage of participants
Group 3: Inarigivir Soproxil 200 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 240 percentage of participants
Group 3: Inarigivir Soproxil 200 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 480 percentage of participants
Group 3: Inarigivir Soproxil 200 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 120 percentage of participants
Group 5: Inarigivir Soproxil 400 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 480 percentage of participants
Group 5: Inarigivir Soproxil 400 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 240 percentage of participants
Group 5: Inarigivir Soproxil 400 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 120 percentage of participants
Group 5: Inarigivir Soproxil 400 mg + TAFPercentage of HBeAg-positive Participants Who Achieved HBeAg Loss and Seroconversion at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 360 percentage of participants
Secondary

Percentage of Participants Experiencing Hepatitis B Virus (HBV) Virologic Breakthrough During 12 Weeks of Inarigivir Soproxil Treatment (Group 4)

Virologic breakthrough was defined as HBV deoxyribonucleic acid (DNA) ≥69 IU/mL for 2 consecutive visits

Time frame: Baseline up to Week 12

Population: Participants in the Full Analysis Set (Group 4) were analyzed.

ArmMeasureValue (NUMBER)
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants Experiencing Hepatitis B Virus (HBV) Virologic Breakthrough During 12 Weeks of Inarigivir Soproxil Treatment (Group 4)0 percentage of participants
Secondary

Percentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Group 4)

HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at post-baseline visit.

Time frame: Baseline, Weeks 12, 24, 36, and 48

Population: Participants in the Full Analysis Set (Group 4) were analyzed.

ArmMeasureGroupValue (NUMBER)
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Group 4)Week 120 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Group 4)Week 240 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Group 4)Week 360 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Group 4)Week 480 percentage of participants
Secondary

Percentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)

HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at post-baseline visit. Participants who had missing information were assumed to have no HBeAg loss.

Time frame: Baseline, Weeks 12, 24, 36, and 48

Population: Participants in the Full Analysis Set (Groups 1 through 3 and 5) were analyzed.

ArmMeasureGroupValue (NUMBER)
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 480 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 120 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 240 percentage of participants
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 360 percentage of participants
Group 2: TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 240 percentage of participants
Group 2: TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 480 percentage of participants
Group 2: TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 360 percentage of participants
Group 2: TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 120 percentage of participants
Group 3: Inarigivir Soproxil 200 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 240 percentage of participants
Group 3: Inarigivir Soproxil 200 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 120 percentage of participants
Group 3: Inarigivir Soproxil 200 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 360 percentage of participants
Group 3: Inarigivir Soproxil 200 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 480 percentage of participants
Group 5: Inarigivir Soproxil 400 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 360 percentage of participants
Group 5: Inarigivir Soproxil 400 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 120 percentage of participants
Group 5: Inarigivir Soproxil 400 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 240 percentage of participants
Group 5: Inarigivir Soproxil 400 mg + TAFPercentage of Participants Who Achieved HBsAg Loss at Weeks 12, 24, 36, and 48 (Groups 1 Through 3 and 5)Week 480 percentage of participants
Secondary

Percentage of Participants With ≥ 1 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Group 4)

Time frame: Baseline, Week 12

Population: Participants in the Full Analysis Set (Group 4) were analyzed.

ArmMeasureValue (NUMBER)
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants With ≥ 1 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Group 4)0 percentage of participants
Secondary

Percentage of Participants With ≥ 1 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1 Through 3 and 5)

Time frame: Baseline, Week 12

Population: Participants in the Full Analysis Set (Group 1-3 and 5) were analyzed.

ArmMeasureValue (NUMBER)
Group 1: Inarigivir Soproxil 50 mg + TAFPercentage of Participants With ≥ 1 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1 Through 3 and 5)0 percentage of participants
Group 2: TAFPercentage of Participants With ≥ 1 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1 Through 3 and 5)16.7 percentage of participants
Group 3: Inarigivir Soproxil 200 mg + TAFPercentage of Participants With ≥ 1 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1 Through 3 and 5)0 percentage of participants
Group 5: Inarigivir Soproxil 400 mg + TAFPercentage of Participants With ≥ 1 log10 IU/mL Decline in HBsAg From Baseline at Week 12 (Groups 1 Through 3 and 5)0 percentage of participants
95% CI: [-37.7, 4.4]
95% CI: [-38.1, 4.3]
95% CI: [-37.9, 4.4]

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