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Study of VIR-2218 With or Without Pegylated Interferon Alpha-2a for Treatment of Chronic Hepatitis B Virus Infection

A Phase 1/2 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of VIR-2218 Alone or in Combination With Pegylated Interferon Alpha-2a

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04412863
Enrollment
84
Registered
2020-06-02
Start date
2020-07-03
Completion date
2024-03-25
Last updated
2026-04-16

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

Conditions

Chronic Hepatitis B

Keywords

Hepatitis B Virus, Chronic Hepatitis B, HBV, Hepatitis

Brief summary

This is a phase 2 study in which subjects with chronic hepatitis B virus (HBV) infection will receive VIR-2218 alone or in combination with pegylated interferon alfa-2a and will be assessed for safety, tolerability, pharmacokinetics, and antiviral activity.

Interventions

VIR-2218 given by subcutaneous injection

pegylated interferon-alfa 2a given by subcutaneous injection

Sponsors

Vir Biotechnology, Inc.
Lead SponsorINDUSTRY
Alnylam Pharmaceuticals
CollaboratorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Male or female of ages 18 - 65 * Chronic HBV infection for \>/= 6 months

Exclusion criteria

* Any clinically significant chronic or acute medical condition that makes the volunteer unsuitable for participation * Significant fibrosis or cirrhosis * History or evidence of drug or alcohol abuse * History of intolerance to SC injection * History of chronic liver disease from any cause other than chronic HBV infection * History of hepatic decompensation * Any prior receipt of an interferon product

Design outcomes

Primary

MeasureTime frame
Number of Subjects With Adverse Events as Assessed by CTCAE v5.0Up to 148 Weeks
Number of Subjects With Abnormalities in Vital Signs, Electrocardiogram (ECG), and Clinically Significant Laboratory FindingsUp to 148 Weeks

Secondary

MeasureTime frameDescription
Mean Maximum Reduction of Serum HBsAg at Any TimepointUp to 148 Weeks
Proportion of Subjects With Serum HBsAg Loss (Undetectable HBsAg) at Any TimepointUp to 148 Weeks
Proportion of Subjects With Sustained Serum HBsAg Loss (Undetectable HBsAg) for Greater Than 6 MonthsUp to 148 Weeks
Proportion of Subjects With Anti-HBs Seroconversion at Any TimepointUp to 148 WeeksAnti-HBs seroconversion is defined as Anti-HBs quantitative value changed from baseline \<LLOQ (5 mIU/mL) to post-baseline\>=LLOQ.
For HBeAg-positive Patients: Proportion of Subjects With HBeAg Loss (Undetectable HBeAg) and/or Anti-HBe Seroconversion at Any TimepointUp to 148 weeks

Countries

Australia, Hong Kong, Malaysia, New Zealand, South Korea, Thailand

Participant flow

Recruitment details

Phase 1 Part1 A-C data results are posted on clinicaltrials.gov in NCT03672188.

Baseline characteristics

Characteristic
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
Age, Continuous46.6 Years
STANDARD_DEVIATION 7.8
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Hepatitis B surface antigen (Log10 IU/mL)3.28 Log10 IU/mL
STANDARD_DEVIATION 0.726
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
12 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
1 Participants
Region of Enrollment
Australia
1 Participants
Region of Enrollment
Hong Kong
10 Participants
Region of Enrollment
Malaysia
0 Participants
Region of Enrollment
New Zealand
15 Participants
Region of Enrollment
South Korea
7 Participants
Region of Enrollment
Thailand
13 Participants
Sex: Female, Male
Female
4 Participants
Sex: Female, Male
Male
14 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 / 150 / 150 / 50 / 180 / 180 / 13
other
Total, other adverse events
9 / 1513 / 153 / 516 / 1817 / 1813 / 13
serious
Total, serious adverse events
0 / 150 / 150 / 51 / 181 / 181 / 13

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 17, 2026