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NCT02166047

Study To Evaluate Safety and Efficacy of Vesatolimod for the Treatment of Chronic Hepatitis B Virus in Virally-Suppressed Participants

Completed Phase 2 Results posted Last updated 14 October 2020
What this trial tests

Phase 2 trial testing Vesatolimod in Chronic Hepatitis B in 162 participants. Completed in 20 October 2016.

Timeline
30 June 2014
Primary endpoint
11 May 2016
20 October 2016

Quick facts

Lead sponsorGilead Sciences
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingdouble
Primary purposetreatment
Enrollment162
Start date30 June 2014
Primary completion11 May 2016
Estimated completion20 October 2016
Sites23 locations across Italy, New Zealand, Netherlands, South Korea, Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Gilead Sciences — full company profile →

Who can join

Adults 18 to 65, any sex, with Chronic Hepatitis B. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Serum Hepatitis B Surface Antigen (HBsAg) Level at Week 24 Primary · Baseline to Week 24

A mixed effect model for repeated measures (MMRM) was used to analyze HBsAg change from baseline, which included treatment, baseline HBsAg level (\> 5000 IU/mL or ≤ 5000 IU/mL), HBeAg baseline status (positive or negative), visit and treatment-by-visit interaction as fixed effect and visit as repeated measurement.

GroupValue95% CI
Vesatolimod 1 mg 4 Weeks (Cohort A)-0.011-0.054 – 0.031
Vesatolimod 2 mg 4 Weeks (Cohort A)0.033-0.012 – 0.079
Vesatolimod 4 mg 4 Weeks (Cohort A)-0.018-0.062 – 0.026
Placebo 4 Weeks (Cohort A)-0.035-0.109 – 0.040
Vesatolimod 1 mg 8 Weeks (Cohort B)-0.081-0.145 – -0.016
Vesatolimod 2 mg 8 Weeks (Cohort B)-0.081-0.147 – -0.014
Vesatolimod 4 mg 8 Weeks (Cohort B)-0.082-0.148 – -0.015
Placebo 8 Weeks (Cohort B)-0.163-0.281 – -0.045
Vesatolimod 1 mg 12 Weeks (Cohort C)-0.015-0.057 – 0.027
Vesatolimod 2 mg 12 Weeks (Cohort C)0.000-0.041 – 0.042
Vesatolimod 4 mg 12 Weeks (Cohort C)0.000-0.046 – 0.047
Placebo 12 Weeks (Cohort C)0.001-0.057 – 0.058
Composite Endpoint Measuring the Percentage of Participants With Hepatitis B Envelope Antigen (HBeAg) Loss and Seroconversion at Week 24 Secondary · Week 24

HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window. HBeAg seroconversion was defined as qualitative hepatitis B envelope antibody (HBeAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window. Participants who had missing information were assumed to have no HBeAg loss and no HBeAg seroconversion.

GroupValue95% CI
Vesatolimod 1 mg 4 Weeks (Cohort A)0.0
Vesatolimod 2 mg 4 Weeks (Cohort A)0.0
Vesatolimod 4 mg 4 Weeks (Cohort A)0.0
Placebo 4 Weeks (Cohort A)0.0
Vesatolimod 1 mg 8 Weeks (Cohort B)20.0
Vesatolimod 2 mg 8 Weeks (Cohort B)0.0
Vesatolimod 4 mg 8 Weeks (Cohort B)0.0
Vesatolimod 1 mg 12 Weeks (Cohort C)0.0
Vesatolimod 2 mg 12 Weeks (Cohort C)0.0
Vesatolimod 4 mg 12 Weeks (Cohort C)0.0
Placebo 12 Weeks (Cohort C)0.0
Composite Endpoint Measuring the Percentage of Participants With Hepatitis B Envelope Antigen (HBeAg) Loss and Seroconversion at Week 48 Secondary · Week 48

HBeAg loss was defined as qualitative HBeAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window. HBeAg seroconversion was defined as qualitative hepatitis B envelope antibody (HBeAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window. Participants who had missing information were assumed to have no HBeAg loss and no HBeAg seroconversion. Only participants who were HBeAg+ at baseline were included.

GroupValue95% CI
Vesatolimod 1 mg 4 Weeks (Cohort A)0.0
Vesatolimod 2 mg 4 Weeks (Cohort A)0.0
Vesatolimod 4 mg 4 Weeks (Cohort A)0.0
Placebo 4 Weeks (Cohort A)0.0
Vesatolimod 1 mg 8 Weeks (Cohort B)20.0
Vesatolimod 2 mg 8 Weeks (Cohort B)0.0
Vesatolimod 4 mg 8 Weeks (Cohort B)0.0
Vesatolimod 1 mg 12 Weeks (Cohort C)33.3
Vesatolimod 2 mg 12 Weeks (Cohort C)0.0
Vesatolimod 4 mg 12 Weeks (Cohort C)0.0
Placebo 12 Weeks (Cohort C)0.0
Composite Endpoint Measuring the Percentage of Participants With HBsAg Loss and Seroconversion at Week 24 Secondary · Week 24

HBsAg loss was defined as qualitative HBsAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window. HBsAg seroconversion was defined as qualitative hepatitis B surface antibody (HBsAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window. Participants who had missing information were assumed to have no HBsAg loss and no HBsAg seroconversion.

GroupValue95% CI
Vesatolimod 1 mg 4 Weeks (Cohort A)0
Vesatolimod 2 mg 4 Weeks (Cohort A)0
Vesatolimod 4 mg 4 Weeks (Cohort A)0
Placebo 4 Weeks (Cohort A)0
Vesatolimod 1 mg 8 Weeks (Cohort B)0
Vesatolimod 2 mg 8 Weeks (Cohort B)0
Vesatolimod 4 mg 8 Weeks (Cohort B)0
Placebo 8 Weeks (Cohort B)0
Vesatolimod 1 mg 12 Weeks (Cohort C)0
Vesatolimod 2 mg 12 Weeks (Cohort C)0
Vesatolimod 4 mg 12 Weeks (Cohort C)0
Placebo 12 Weeks (Cohort C)0
Composite Endpoint Measuring the Percentage of Participants With HBsAg Loss and Seroconversion at Week 48 Secondary · Week 48

HBsAg loss was defined as qualitative HBsAg result changing from positive at baseline to negative at any postbaseline visit within the targeted time window. HBsAg seroconversion was defined as qualitative hepatitis B surface antibody (HBsAb) result changing from negative at baseline to positive at any postbaseline visit within the targeted time window. Participants who had missing information were assumed to have no HBsAg loss and no HBsAg seroconversion.

GroupValue95% CI
Vesatolimod 1 mg 4 Weeks (Cohort A)0.0
Vesatolimod 2 mg 4 Weeks (Cohort A)0.0
Vesatolimod 4 mg 4 Weeks (Cohort A)0.0
Placebo 4 Weeks (Cohort A)0.0
Vesatolimod 1 mg 8 Weeks (Cohort B)0.0
Vesatolimod 2 mg 8 Weeks (Cohort B)0.0
Vesatolimod 4 mg 8 Weeks (Cohort B)0.0
Placebo 8 Weeks (Cohort B)0.0
Vesatolimod 1 mg 12 Weeks (Cohort C)0.0
Vesatolimod 2 mg 12 Weeks (Cohort C)0.0
Vesatolimod 4 mg 12 Weeks (Cohort C)0.0
Placebo 12 Weeks (Cohort C)0.0
Change From Baseline in Serum HBsAg Level at Week 4 Secondary · Baseline; Week 4
GroupValue95% CI
Vesatolimod 1 mg 4 Weeks (Cohort A)-0.009± 0.0505
Vesatolimod 2 mg 4 Weeks (Cohort A)0.025± 0.0514
Vesatolimod 4 mg 4 Weeks (Cohort A)-0.008± 0.0516
Placebo 4 Weeks (Cohort A)-0.017± 0.0600
Vesatolimod 1 mg 8 Weeks (Cohort B)-0.003± 0.0574
Vesatolimod 2 mg 8 Weeks (Cohort B)0.014± 0.0794
Vesatolimod 4 mg 8 Weeks (Cohort B)-0.001± 0.0436
Placebo 8 Weeks (Cohort B)0.046± 0.0648
Vesatolimod 1 mg 12 Weeks (Cohort C)-0.034± 0.0375
Vesatolimod 2 mg 12 Weeks (Cohort C)-0.023± 0.0529
Vesatolimod 4 mg 12 Weeks (Cohort C)-0.001± 0.0627
Placebo 12 Weeks (Cohort C)-0.041± 0.0955
Change From Baseline in Serum HBsAg Level at Week 8 Secondary · Baseline; Week 8
GroupValue95% CI
Vesatolimod 1 mg 4 Weeks (Cohort A)-0.029± 0.0666
Vesatolimod 2 mg 4 Weeks (Cohort A)0.002± 0.0544
Vesatolimod 4 mg 4 Weeks (Cohort A)-0.035± 0.0649
Placebo 4 Weeks (Cohort A)-0.013± 0.0440
Vesatolimod 1 mg 8 Weeks (Cohort B)0.000± 0.0442
Vesatolimod 2 mg 8 Weeks (Cohort B)0.006± 0.0772
Vesatolimod 4 mg 8 Weeks (Cohort B)0.020± 0.0596
Placebo 8 Weeks (Cohort B)0.006± 0.0600
Vesatolimod 1 mg 12 Weeks (Cohort C)-0.021± 0.0376
Vesatolimod 2 mg 12 Weeks (Cohort C)-0.033± 0.0487
Vesatolimod 4 mg 12 Weeks (Cohort C)-0.013± 0.0426
Placebo 12 Weeks (Cohort C)-0.019± 0.0483
Change From Baseline in Serum HBsAg Level at Week 12 Secondary · Baseline; Week 12
GroupValue95% CI
Vesatolimod 1 mg 4 Weeks (Cohort A)-0.050± 0.0755
Vesatolimod 2 mg 4 Weeks (Cohort A)0.017± 0.0646
Vesatolimod 4 mg 4 Weeks (Cohort A)-0.004± 0.0546
Placebo 4 Weeks (Cohort A)-0.023± 0.0623
Vesatolimod 1 mg 8 Weeks (Cohort B)-0.031± 0.0817
Vesatolimod 2 mg 8 Weeks (Cohort B)-0.005± 0.0843
Vesatolimod 4 mg 8 Weeks (Cohort B)-0.021± 0.0716
Placebo 8 Weeks (Cohort B)-0.020± 0.0666
Vesatolimod 1 mg 12 Weeks (Cohort C)-0.023± 0.0545
Vesatolimod 2 mg 12 Weeks (Cohort C)-0.034± 0.0549
Vesatolimod 4 mg 12 Weeks (Cohort C)-0.010± 0.0621
Placebo 12 Weeks (Cohort C)-0.024± 0.0661
Change From Baseline in Serum HBsAg Level at Week 48 Secondary · Baseline; Week 48
GroupValue95% CI
Vesatolimod 1 mg 4 Weeks (Cohort A)-0.048± 0.1054
Vesatolimod 2 mg 4 Weeks (Cohort A)-0.055± 0.1400
Vesatolimod 4 mg 4 Weeks (Cohort A)-0.071± 0.0857
Placebo 4 Weeks (Cohort A)-0.067± 0.0831
Vesatolimod 1 mg 8 Weeks (Cohort B)-0.035± 0.0923
Vesatolimod 2 mg 8 Weeks (Cohort B)-0.024± 0.0679
Vesatolimod 4 mg 8 Weeks (Cohort B)-0.114± 0.2169
Placebo 8 Weeks (Cohort B)-0.324± 0.6811
Vesatolimod 1 mg 12 Weeks (Cohort C)-0.083± 0.0858
Vesatolimod 2 mg 12 Weeks (Cohort C)-0.071± 0.1076
Vesatolimod 4 mg 12 Weeks (Cohort C)-0.054± 0.0715
Placebo 12 Weeks (Cohort C)-0.063± 0.1011

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events: First dose date up to Week 12 plus 30 days; All-Cause Mortality: Baseline up to Week 48. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Vesatolimod 1 mg 4 Weeks (Cohort A)
Serious: 0/16 (0%)
Deaths: 0/16
Vesatolimod 2 mg 4 Weeks (Cohort A)
Serious: 1/15 (7%)
Deaths: 0/15
Vesatolimod 4 mg 4 Weeks (Cohort A)
Serious: 1/16 (6%)
Deaths: 0/16
Placebo 4 Weeks (Cohort A)
Serious: 0/5 (0%)
Deaths: 0/5
Vesatolimod 1 mg 8 Weeks (Cohort B)
Serious: 0/18 (0%)
Deaths: 0/18
Vesatolimod 2 mg 8 Weeks (Cohort B)
Serious: 0/17 (0%)
Deaths: 0/17
Vesatolimod 4 mg 8 Weeks (Cohort B)
Serious: 0/17 (0%)
Deaths: 0/17
Placebo 8 Weeks (Cohort B)
Serious: 0/5 (0%)
Deaths: 0/5
Vesatolimod 1 mg 12 Weeks (Cohort C)
Serious: 0/16 (0%)
Deaths: 0/16
Vesatolimod 2 mg 12 Weeks (Cohort C)
Serious: 1/17 (6%)
Deaths: 0/17
Vesatolimod 4 mg 12 Weeks (Cohort C)
Serious: 1/14 (7%)
Deaths: 0/14
Placebo 12 Weeks (Cohort C)
Serious: 0/6 (0%)
Deaths: 0/6

Serious adverse events (8 terms)

ReactionSystemVesatolimod 1 mg 4 Weeks (…Vesatolimod 2 mg 4 Weeks (…Vesatolimod 4 mg 4 Weeks (…Placebo 4 Weeks (Cohort A)Vesatolimod 1 mg 8 Weeks (…Vesatolimod 2 mg 8 Weeks (…Vesatolimod 4 mg 8 Weeks (…Placebo 8 Weeks (Cohort B)Vesatolimod 1 mg 12 Weeks …Vesatolimod 2 mg 12 Weeks …Vesatolimod 4 mg 12 Weeks …Placebo 12 Weeks (Cohort C)
CataractEye disorders
ChillsGeneral disorders
PyrexiaGeneral disorders
CholecystitisHepatobiliary disorders
HeadacheNervous system disorders
TremorNervous system disorders
Hot flushVascular disorders
HypotensionVascular disorders
Other adverse events (120 terms — click to expand)

ReactionSystemVesatolimod 1 mg 4 Weeks (…Vesatolimod 2 mg 4 Weeks (…Vesatolimod 4 mg 4 Weeks (…Placebo 4 Weeks (Cohort A)Vesatolimod 1 mg 8 Weeks (…Vesatolimod 2 mg 8 Weeks (…Vesatolimod 4 mg 8 Weeks (…Placebo 8 Weeks (Cohort B)Vesatolimod 1 mg 12 Weeks …Vesatolimod 2 mg 12 Weeks …Vesatolimod 4 mg 12 Weeks …Placebo 12 Weeks (Cohort C)
HeadacheNervous system disorders
AstheniaGeneral disorders
FatigueGeneral disorders
Influenza like illnessGeneral disorders
Abdominal pain upperGastrointestinal disorders
NauseaGastrointestinal disorders
PyrexiaGeneral disorders
DiarrhoeaGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
SomnolenceNervous system disorders
InsomniaPsychiatric disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
AcneSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
Ear swellingEar and labyrinth disorders
Vertigo positionalEar and labyrinth disorders
AsthenopiaEye disorders
DiplopiaEye disorders
Dry eyeEye disorders
GlaucomaEye disorders
PhotophobiaEye disorders
PhotopsiaEye disorders
Visual acuity reducedEye disorders
Vitreous floatersEye disorders
Abdominal distensionGastrointestinal disorders
Abdominal painGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
Dental cariesGastrointestinal disorders
Epigastric discomfortGastrointestinal disorders
HaemorrhoidsGastrointestinal disorders
Mouth cystGastrointestinal disorders
Mouth ulcerationGastrointestinal disorders
Paraesthesia oralGastrointestinal disorders
Rectal haemorrhageGastrointestinal disorders
ToothacheGastrointestinal disorders
VomitingGastrointestinal disorders
ChillsGeneral disorders
Feeling coldGeneral disorders

Most-reported serious reactions: Cataract, Chills, Pyrexia, Cholecystitis, Headache, Tremor, Hot flush, Hypotension.

Data from ClinicalTrials.gov NCT02166047 adverse events section.

Sponsor's own description

The primary objectives of this study are to evaluate the safety, tolerability, and efficacy of vesatolimod in participants with chronic hepatitis B (CHB) infection currently being treated with oral antivirals (OAV). Participants will be randomized in 3 sequential cohorts (Cohorts A, B, and C). Within each cohort, participants will be randomized in a 1:3:3:3 ratio to placebo or one of the doses of vesatolimod (1, 2, or 4 mg).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Present and future therapies of hepatitis B: From discovery to cure.
    Liang TJ, Block TM, McMahon BJ, Ghany MG, et al · · 2015 · cited 245× · PMID 26239691 · DOI 10.1002/hep.28025
  2. Recent clinical trends in Toll-like receptor targeting therapeutics.
    Anwar MA, Shah M, Kim J, Choi S. · · 2019 · cited 209× · PMID 30450666 · DOI 10.1002/med.21553
  3. HIV-hepatitis B virus coinfection: epidemiology, pathogenesis, and treatment.
    Singh KP, Crane M, Audsley J, Avihingsanon A, et al · · 2017 · cited 190× · PMID 28692539 · DOI 10.1097/qad.0000000000001574
  4. TLR Agonists as Mediators of Trained Immunity: Mechanistic Insight and Immunotherapeutic Potential to Combat Infection.
    Owen AM, Fults JB, Patil NK, Hernandez A, et al · · 2020 · cited 101× · PMID 33679711 · DOI 10.3389/fimmu.2020.622614
  5. Agonist and antagonist ligands of toll-like receptors 7 and 8: Ingenious tools for therapeutic purposes.
    Patinote C, Karroum NB, Moarbess G, Cirnat N, et al · · 2020 · cited 87× · PMID 32203790 · DOI 10.1016/j.ejmech.2020.112238
  6. Targeting toll-like receptor 7/8 for immunotherapy: recent advances and prospectives.
    Sun H, Li Y, Zhang P, Xing H, et al · · 2022 · cited 86× · PMID 36476317 · DOI 10.1186/s40364-022-00436-7
  7. Hepatitis B Virus Cure: Targets and Future Therapies.
    Lee HW, Lee JS, Ahn SH. · · 2020 · cited 75× · PMID 33379331 · DOI 10.3390/ijms22010213
  8. Toll-Like Receptors as a Therapeutic Target in the Era of Immunotherapies.
    Farooq M, Batool M, Kim MS, Choi S. · · 2021 · cited 70× · PMID 34671606 · DOI 10.3389/fcell.2021.756315

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Trials by the same sponsor.

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