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Safety, Tolerability and Antiviral Activity of Selgantolimod in Virally-Suppressed Participants With Chronic Hepatitis B

A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multi-center Study to Evaluate the Safety, Tolerability and Antiviral Activity of GS-9688 in Virally-Suppressed Adult Subjects With Chronic Hepatitis B

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03491553
Enrollment
48
Registered
2018-04-09
Start date
2018-04-06
Completion date
2020-08-10
Last updated
2021-08-19

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, tolerability and antiviral activity of selgantolimod (formerly GS-9688) in virally suppressed chronic hepatitis B (CHB) adults on oral antiviral (OAV) agents.

Interventions

Tablet(s) administered orally once weekly

DRUGPlacebo

Placebo to match (PTM) selgantolimod tablet(s) administered orally once weekly

DRUGHepatitis B virus (HBV) OAV Therapy

Commercially available HBV OAV therapy could include one of the following: Tenofovir disoproxil fumarate (TDF; Viread®) Entecavir (Baraclude®) Adefovir (Hepsera®) Lamivudine (Epivir® ) Telbivudine (Tyzeka®) Tenofovir alafenamide (TAF; Vemlidy®)

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Must have the ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures * Adult males and non-pregnant, non-lactating females * Documented evidence of chronic HBV infection with detectable hepatitis B surface antigen (HBsAg) levels * On commercially available HBV OAV treatment(s) for at least 6 months with no change in regimen for 3 months prior to screening * HBV Deoxyribonucleic acid (DNA) ≤ 20 IU/mL for 6 or more months prior to screening * Screening Electrocardiogram (ECG) without clinically significant abnormalities Key

Exclusion criteria

* Extensive bridging fibrosis or cirrhosis * Adults meeting any of the protocol defined exclusionary laboratory parameters at screening: * Alanine aminotransferase (ALT) \> 3x Upper Limit of Normal (ULN) * International normalized ratio (INR) \> ULN unless the adult is stable on an anticoagulant regimen * Albumin \< 3.5 g/dL * Direct bilirubin \> 1.5x ULN * Platelet Count \< 100,000/uL * Estimated creatinine clearance \< 60 mL/min (using the Cockcroft-Gault method) * Co-infection with human immunodeficiency virus, hepatitis C virus or hepatitis D virus * Prior history of hepatocellular carcinoma (HCC) or screening alpha-fetoprotein ≥ 50 ng/mL without imaging * Diagnosis of autoimmune disease, poorly controlled diabetes mellitus, significant psychiatric illness, severe chronic obstructive pulmonary disease, hemoglobinopathy, retinal disease, or are immunosuppressed. * Chronic liver disease of a non-HBV etiology, except for non-alcoholic fatty liver disease * Received solid organ or bone marrow transplant * Received prolonged therapy with immunomodulators or biologics within 3 months of screening * Use of another investigational agent within 90 days of screening, unless allowed by the Sponsor NOTE: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frame
Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 24Week 24

Secondary

MeasureTime frameDescription
Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 48Week 48
Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 4Week 4
Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 8Week 8
Change From Baseline in Serum qHBsAg at Week 4Baseline, Week 4
Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 8Baseline, Week 8
Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 12Baseline, Week 12
Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 24Baseline, Week 24
Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 48Baseline, Week 48
Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 12Week 12
Percentage of Participants With HBsAg Loss at Week 24Week 24HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.
Percentage of Participants With HBsAg Loss at Week 48Week 48HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.
Percentage of Participants With HBeAg Loss and Seroconversion at Week 12Week 12HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as HBeAb test changing from negative or missing at baseline to positive at a postbaseline visit.
Percentage of Participants With HBeAg Loss and Seroconversion at Week 24Week 24HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as HBeAb test changing from negative or missing at baseline to positive at a postbaseline visit.
Percentage of Participants With HBeAg Loss and Seroconversion at Week 48Week 48HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as hepatitis B e antibody (HBeAb) test changing from negative or missing at baseline to positive at a postbaseline visit.
Percentage of Participants With Virologic BreakthroughBaseline up to Week 48Virologic breakthrough was defined as having two consecutive visits of hepatitis B virus (HBV) deoxyribonucleic acid (DNA) ≥ 69 IU/mL.
Percentage of Participants With Drug Resistance MutationsBaseline up to Week 48The criteria for a drug resistance mutation was having two consecutive visits of HBV DNA ≥ 69 IU/mL.
Percentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 12Week 12HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.

Countries

New Zealand, United States

Participant flow

Recruitment details

Participants were enrolled at study sites in New Zealand and the United States. The first participant was screened on 6 April 2018. The last study visit occurred on 10 August 2020.

Pre-assignment details

59 participants were screened.

Participants by arm

ArmCount
Selgantolimod 3 mg: HBeAg-positive CHB Participants
Participants with HBeAg-positive CHB remained on their current OAV and received selgantolimod 3 mg (2 x 1.5 mg tablet) orally on the same day once a week (every 7 days) for 24 doses. After the 24th dose, participants continued their current OAV therapy until Week 48/ED. At Week 48, per PI's discretion, participants could continue in the TFFU phase for up to an additional 48 weeks.
9
Selgantolimod 3 mg: HBeAg-negative CHB Participants
Participants with HBeAg-negative CHB remained on their current OAV and received selgantolimod 3 mg (2 x 1.5 mg tablet) orally on the same day once a week (every 7 days) for 24 doses. After the 24th dose, participants continued their current OAV therapy until Week 48/ED. At Week 48, per PI's discretion, participants could continue in the TFFU phase for up to an additional 48 weeks.
10
Selgantolimod 1.5 mg: HBeAg-positive CHB Participants
Participants with HBeAg-positive CHB remained on their current OAV and received selgantolimod 1.5 mg (1 x 1.5 mg tablet) plus 1 tablet of placebo orally on the same day once a week (every 7 days) for 24 doses. After the 24th dose, participants continued their current OAV therapy until Week 48/ED. At Week 48, per PI's discretion, participants could continue in the TFFU phase for up to an additional 48 weeks.
10
Selgantolimod 1.5 mg: HBeAg-negative CHB Participants
Participants with HBeAg-negative CHB remained on their current OAV and received selgantolimod 1.5 mg (1 x 1.5 mg tablet) plus 1 tablet of placebo orally on the same day once a week (every 7 days) for 24 doses. After the 24th dose, participants continued their current OAV therapy until Week 48/ED. At Week 48, per PI's discretion, participants could continue in the TFFU phase for up to an additional 48 weeks.
10
Placebo: HBeAg-positive CHB Participants
Participants with HBeAg-positive CHB remained on their current OAV and received 2 tablets of placebo orally on the same day once a week (every 7 days) for 24 doses. After the 24th dose, participants continued their current OAV therapy until Week 48/ED. At Week 48, per PI's discretion, participants could continue in the TFFU phase for up to an additional 48 weeks.
5
Placebo: HBeAg-negative CHB Participants
Participants with HBeAg-negative CHB remained on their current OAV and received 2 tablets of placebo orally on the same day once a week (every 7 days) for 24 doses. After the 24th dose, participants continued their current OAV therapy until Week 48/ED. At Week 48, per PI's discretion, participants could continue in the TFFU phase for up to an additional 48 weeks.
4
Total48

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Main Study (Up to Week 48)Adverse Event000100
Main Study (Up to Week 48)Withdrew Consent110000

Baseline characteristics

CharacteristicSelgantolimod 3 mg: HBeAg-positive CHB ParticipantsSelgantolimod 3 mg: HBeAg-negative CHB ParticipantsSelgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsSelgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsPlacebo: HBeAg-positive CHB ParticipantsPlacebo: HBeAg-negative CHB ParticipantsTotal
Age, Continuous43 years
STANDARD_DEVIATION 7.8
46 years
STANDARD_DEVIATION 10.1
43 years
STANDARD_DEVIATION 5.6
53 years
STANDARD_DEVIATION 6.8
43 years
STANDARD_DEVIATION 7.9
57 years
STANDARD_DEVIATION 10.5
47 years
STANDARD_DEVIATION 8.9
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants10 Participants10 Participants10 Participants5 Participants4 Participants48 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Hepatitis B Surface Antigen (HBsAg)3.4 log10 IU/mL
STANDARD_DEVIATION 0.57
2.6 log10 IU/mL
STANDARD_DEVIATION 1.58
3.4 log10 IU/mL
STANDARD_DEVIATION 0.62
1.7 log10 IU/mL
STANDARD_DEVIATION 1.1
3.3 log10 IU/mL
STANDARD_DEVIATION 0.46
3.2 log10 IU/mL
STANDARD_DEVIATION 0.42
2.9 log10 IU/mL
STANDARD_DEVIATION 1.14
Race/Ethnicity, Customized
Asian
5 Participants6 Participants5 Participants7 Participants3 Participants2 Participants28 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants3 Participants0 Participants1 Participants0 Participants1 Participants5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Pacific Islander
4 Participants1 Participants4 Participants1 Participants1 Participants1 Participants12 Participants
Race/Ethnicity, Customized
Other
0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants2 Participants
Race/Ethnicity, Customized
White
0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Region of Enrollment
New Zealand
8 Participants3 Participants9 Participants4 Participants5 Participants2 Participants31 Participants
Region of Enrollment
United States
1 Participants7 Participants1 Participants6 Participants0 Participants2 Participants17 Participants
Sex: Female, Male
Female
2 Participants3 Participants3 Participants1 Participants1 Participants2 Participants12 Participants
Sex: Female, Male
Male
7 Participants7 Participants7 Participants9 Participants4 Participants2 Participants36 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 90 / 100 / 100 / 100 / 50 / 4
other
Total, other adverse events
9 / 910 / 108 / 1010 / 105 / 54 / 4
serious
Total, serious adverse events
1 / 90 / 101 / 102 / 100 / 50 / 4

Outcome results

Primary

Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 24

Time frame: Week 24

Population: The Full Analysis Set included all randomized participants who took at least 1 dose of the study drug.

ArmMeasureValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 240 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 240 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 240 percentage of participants
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 2410.0 percentage of participants
Placebo: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 240 percentage of participants
Placebo: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum Quantitative Hepatitis B Surface Antigen (qHBsAg) From Baseline at Week 240 percentage of participants
95% CI: [-47.2, 47.1]
Secondary

Change From Baseline in Serum qHBsAg at Week 4

Time frame: Baseline, Week 4

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg at Week 40.02 log10 IU/mLStandard Deviation 0.047
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg at Week 4-0.07 log10 IU/mLStandard Deviation 0.11
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg at Week 40.00 log10 IU/mLStandard Deviation 0.07
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg at Week 4-0.01 log10 IU/mLStandard Deviation 0.127
Placebo: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg at Week 4-0.02 log10 IU/mLStandard Deviation 0.034
Placebo: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg at Week 4-0.03 log10 IU/mLStandard Deviation 0.058
Secondary

Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 12

Time frame: Baseline, Week 12

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 12-0.01 log10 IU/mLStandard Deviation 0.059
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 12-0.05 log10 IU/mLStandard Deviation 0.117
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 120.00 log10 IU/mLStandard Deviation 0.05
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 12-0.04 log10 IU/mLStandard Deviation 0.115
Placebo: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 120.05 log10 IU/mLStandard Deviation 0.034
Placebo: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 120.00 log10 IU/mLStandard Deviation 0.048
Secondary

Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 24

Time frame: Baseline, Week 24

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 240.01 log10 IU/mLStandard Deviation 0.059
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 24-0.05 log10 IU/mLStandard Deviation 0.136
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 24-0.05 log10 IU/mLStandard Deviation 0.059
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 24-0.16 log10 IU/mLStandard Deviation 0.46
Placebo: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 24-0.02 log10 IU/mLStandard Deviation 0.048
Placebo: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 24-0.01 log10 IU/mLStandard Deviation 0.066
Secondary

Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 48

Time frame: Baseline, Week 48

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 48-0.01 log10 IU/mLStandard Deviation 0.073
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 48-0.05 log10 IU/mLStandard Deviation 0.145
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 48-0.07 log10 IU/mLStandard Deviation 0.11
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 48-0.17 log10 IU/mLStandard Deviation 0.523
Placebo: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 480.00 log10 IU/mLStandard Deviation 0.049
Placebo: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 48-0.05 log10 IU/mLStandard Deviation 0.05
Secondary

Change From Baseline in Serum qHBsAg (log10 IU/mL) at Week 8

Time frame: Baseline, Week 8

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 80.00 log10 IU/mLStandard Deviation 0.051
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 8-0.05 log10 IU/mLStandard Deviation 0.117
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 8-0.01 log10 IU/mLStandard Deviation 0.041
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 8-0.04 log10 IU/mLStandard Deviation 0.119
Placebo: HBeAg-positive CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 80.02 log10 IU/mLStandard Deviation 0.041
Placebo: HBeAg-negative CHB ParticipantsChange From Baseline in Serum qHBsAg (log10 IU/mL) at Week 8-0.03 log10 IU/mLStandard Deviation 0.061
Secondary

Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 12

Time frame: Week 12

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 120 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 120 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 120 percentage of participants
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 120 percentage of participants
Placebo: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 120 percentage of participants
Placebo: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 120 percentage of participants
Secondary

Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 4

Time frame: Week 4

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 40 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 40 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 40 percentage of participants
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 40 percentage of participants
Placebo: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 40 percentage of participants
Placebo: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 40 percentage of participants
Secondary

Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 48

Time frame: Week 48

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 480 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 480 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 480 percentage of participants
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 4810.0 percentage of participants
Placebo: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 480 percentage of participants
Placebo: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 480 percentage of participants
95% CI: [-47.2, 47.1]
Secondary

Percentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 8

Time frame: Week 8

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 80 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 80 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 80 percentage of participants
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 80 percentage of participants
Placebo: HBeAg-positive CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 80 percentage of participants
Placebo: HBeAg-negative CHB ParticipantsPercentage of Participants With ≥ 1 log10 IU/mL Decline in Serum qHBsAg From Baseline at Week 80 percentage of participants
Secondary

Percentage of Participants With Drug Resistance Mutations

The criteria for a drug resistance mutation was having two consecutive visits of HBV DNA ≥ 69 IU/mL.

Time frame: Baseline up to Week 48

Population: There were no participants analyzed for the outcome measure since none of the participants met the criteria.

Secondary

Percentage of Participants With HBeAg Loss and Seroconversion at Week 12

HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as HBeAb test changing from negative or missing at baseline to positive at a postbaseline visit.

Time frame: Week 12

Population: Participants in the Full Analysis Set were analyzed. Analysis was performed only on HBeAg-positive CHB participants.

ArmMeasureGroupValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 12HBeAg Loss0 percentage of participants
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 12HBeAg Loss and Seroconversion0 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 12HBeAg Loss10.0 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 12HBeAg Loss and Seroconversion0 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 12HBeAg Loss0 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 12HBeAg Loss and Seroconversion0 percentage of participants
Secondary

Percentage of Participants With HBeAg Loss and Seroconversion at Week 24

HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as HBeAb test changing from negative or missing at baseline to positive at a postbaseline visit.

Time frame: Week 24

Population: Participants in the Full Analysis Set were analyzed. Analysis was performed only on HBeAg-positive CHB participants.

ArmMeasureGroupValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 24HBeAg Loss0 percentage of participants
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 24HBeAg Loss and Seroconversion0 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 24HBeAg Loss10.0 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 24HBeAg Loss and Seroconversion0 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 24HBeAg Loss0 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 24HBeAg Loss and Seroconversion0 percentage of participants
Secondary

Percentage of Participants With HBeAg Loss and Seroconversion at Week 48

HBeAg loss was defined as qualitative HBeAg changing from positive at baseline to negative at a postbaseline visit. HBeAg seroconversion was defined as hepatitis B e antibody (HBeAb) test changing from negative or missing at baseline to positive at a postbaseline visit.

Time frame: Week 48

Population: Participants in the Full Analysis Set were analyzed. Analysis was performed only on HBeAg-positive CHB participants.

ArmMeasureGroupValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 48HBeAg Loss22.2 percentage of participants
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 48HBeAg Loss and Seroconversion11.1 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 48HBeAg Loss10.0 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 48HBeAg Loss and Seroconversion0 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 48HBeAg Loss0 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBeAg Loss and Seroconversion at Week 48HBeAg Loss and Seroconversion0 percentage of participants
Secondary

Percentage of Participants With HBsAg Loss at Week 24

HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.

Time frame: Week 24

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 240 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 2410.0 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 240 percentage of participants
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 240 percentage of participants
Placebo: HBeAg-positive CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 240 percentage of participants
Placebo: HBeAg-negative CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 240 percentage of participants
Secondary

Percentage of Participants With HBsAg Loss at Week 48

HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.

Time frame: Week 48

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 480 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 4810.0 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 480 percentage of participants
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 4810.0 percentage of participants
Placebo: HBeAg-positive CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 480 percentage of participants
Placebo: HBeAg-negative CHB ParticipantsPercentage of Participants With HBsAg Loss at Week 480 percentage of participants
Secondary

Percentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 12

HBsAg loss was defined as qualitative HBsAg changing from positive at baseline to negative at a postbaseline visit.

Time frame: Week 12

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Selgantolimod 3 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 120 percentage of participants
Selgantolimod 3 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 1210.0 percentage of participants
Selgantolimod 1.5 mg: HBeAg-positive CHB ParticipantsPercentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 120 percentage of participants
Selgantolimod 1.5 mg: HBeAg-negative CHB ParticipantsPercentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 120 percentage of participants
Placebo: HBeAg-positive CHB ParticipantsPercentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 120 percentage of participants
Placebo: HBeAg-negative CHB ParticipantsPercentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 120 percentage of participants
Secondary

Percentage of Participants With Virologic Breakthrough

Virologic breakthrough was defined as having two consecutive visits of hepatitis B virus (HBV) deoxyribonucleic acid (DNA) ≥ 69 IU/mL.

Time frame: Baseline up to Week 48

Population: There were no participants analyzed for the outcome measure since none of the participants met the criteria.

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026