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NCT04544956: B-Fine

A Mechanistic Study of GSK3228836 With Fine Needle Aspiration (FNA) in Participants With Chronic Hepatitis B

Completed Phase 2 Results posted Last updated 15 July 2025
What this trial tests

Phase 2 trial testing GSK3228836 in Hepatitis B in 12 participants. Completed in 30 November 2023.

Timeline
6 October 2020
Primary endpoint
30 November 2023
30 November 2023

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment12
Start date6 October 2020
Primary completion30 November 2023
Estimated completion30 November 2023
Sites4 locations across Netherlands, Canada, United States, United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

18 and older, any sex, with 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.

Percentage of Participants Achieving Serum Hepatitis B Virus Surface Antigen (HBsAg) Level Less Than (<) Lower Limit of Quantitation (LLOQ) Primary · Up to Week 12

Percentage of participants achieving serum HBsAg level \<LLOQ were reported. Percentage values are rounded-off.

GroupValue95% CI
GSK3228836 300 mg25
Percentage of Participants With Sustained HBsAg Response (HBsAg <LLOQ) for 24 Weeks After the Planned and Actual End of GSK3228836 Treatment Secondary · Up to 24 weeks off treatment (Study Weeks 12 to 36)

Sustained HBsAg response is defined as HBsAg \<LLOQ for 24 weeks from end of GSK3228836 treatment. Percentage values are rounded-off.

Sustained HBsAg Response for 24 Weeks after Planned End of GSK3228836 Treatment
GroupValue95% CI
GSK3228836 300 mg8
Sustained HBsAg Response for 24 Weeks after Actual End of GSK3228836 Treatment
GroupValue95% CI
GSK3228836 300 mg8
Percentage of Participants Achieving Sustained Virologic Response (HBsAg <LLOQ and HBV DNA <LLOQ) for 24 Weeks After the Planned and Actual End of GSK3228836 Treatment Secondary · Up to 24 weeks off treatment (Study Weeks 12 to 36)

Sustained virologic response is defined as HBsAg \<LLOQ and hepatitis B virus (HBV) deoxyribonucleic acid (DNA) \<LLOQ for 24 weeks from end of GSK3228836 treatment. Percentage values are rounded-off.

Sustained Virologic Response for 24 Weeks after Planned End of GSK3228836 Treatment
GroupValue95% CI
GSK3228836 300 mg8
Sustained Virologic Response for 24 Weeks after Actual End of GSK3228836 Treatment
GroupValue95% CI
GSK3228836 300 mg8
Percentage of Participants Achieving HBsAg <LLOQ at Indicated Time Points Secondary · Baseline (Week -1), treatment Day 78 and off treatment (OT) Day 162

Percentage of participants achieving HBsAg \<LLOQ were assessed at indicated time points. Percentage values are rounded-off.

Baseline (Week -1)
GroupValue95% CI
GSK3228836 300 mg0
Treatment Day 78
GroupValue95% CI
GSK3228836 300 mg30
Off Treatment Day 162
GroupValue95% CI
GSK3228836 300 mg18
Percentage of Participants Achieving HBV DNA <LLOQ at Indicated Time Points Secondary · Baseline (Week -1), treatment Day 78 and off treatment Day 162

Percentage of participants achieving HBV DNA \<LLOQ were assessed at indicated time points. Percentage values are rounded-off.

Baseline (Week -1)
GroupValue95% CI
GSK3228836 300 mg92
Treatment Day 78
GroupValue95% CI
GSK3228836 300 mg78
Off Treatment Day 162
GroupValue95% CI
GSK3228836 300 mg100
Percentage of Participants Achieving HBsAg <LLOQ and HBV DNA <LLOQ at Indicated Time Points Secondary · Baseline (Week -1), treatment Day 78 and off treatment Day 162

Percentage of participants achieving HBsAg \<LLOQ and HBV DNA \<LLOQ were assessed at indicated time points. Percentage values are rounded-off.

Baseline (Week -1)
GroupValue95% CI
GSK3228836 300 mg0
Treatment Day 78
GroupValue95% CI
GSK3228836 300 mg20
Off Treatment Day 162
GroupValue95% CI
GSK3228836 300 mg18
Percentage of Participants With Categorical Change From Baseline in HBsAg Values at Indicated Time Points Secondary · Baseline (Week -1), Treatment Week 12 and off treatment Week 24

Participants who achieved a decline in HBsAg values from Baseline were reported. Participants were categorized in the following categorical HBsAg decline of \<0.5, greater than or equal to (\>=) 0.5, \>=1, \>=1.5, and \>=3 log10 international units per milliliter (IU/mL). The 'HBsAg \< LLOQ' category is derived based on Absolute/raw HBsAg result. The HBsAg decline categories are based on change from Baseline values. Percentage values are rounded-off.

Treatment Week 12, HBsAg < LLOQ
GroupValue95% CI
GSK3228836 300 mg30
Treatment Week 12, HBsAg decline <0.5 log10 IU/mL
GroupValue95% CI
GSK3228836 300 mg10
Treatment Week 12, HBsAg decline >=0.5 log10 IU/mL
GroupValue95% CI
GSK3228836 300 mg90
Treatment Week 12, HBsAg decline >=1 log10 IU/mL
GroupValue95% CI
GSK3228836 300 mg80
Treatment Week 12, HBsAg decline >=1.5 log10 IU/mL
GroupValue95% CI
GSK3228836 300 mg80
Treatment Week 12, HBsAg decline >=3 log10 IU/mL
GroupValue95% CI
GSK3228836 300 mg50
Off Treatment Week 24, HBsAg < LLOQ
GroupValue95% CI
GSK3228836 300 mg18
Off Treatment Week 24, HBsAg decline <0.5 log10 IU/mL
GroupValue95% CI
GSK3228836 300 mg73
Number of Participants With Alanine Aminotransferase (ALT) Greater Than (>)3 Times Upper Limit of Normal (ULN) at Indicated Time Points Secondary · Baseline (Week -1), treatment Days 8, 15, 22, 29, 36, 43, 50, 57, 64, 71, and 78; off treatment Days 1, 8, 22, 50, 78, 106, 134 and 162

Blood samples were collected at indicated time points to assess ALT levels. The ALT normalization (ALT \<=upper limit of normal \[ULN\]) over time in absence of rescue medication in participants with Baseline ALT\>ULN and ALT data at that visit. Participants who achieved ALT normalization were reported.

Baseline (Week -1)
GroupValue95% CI
GSK3228836 300 mg0
Treatment Day 8
GroupValue95% CI
GSK3228836 300 mg0
Treatment Day 15
GroupValue95% CI
GSK3228836 300 mg0
Treatment Day 22
GroupValue95% CI
GSK3228836 300 mg0
Treatment Day 29
GroupValue95% CI
GSK3228836 300 mg0
Treatment Day 36
GroupValue95% CI
GSK3228836 300 mg1
Treatment Day 43
GroupValue95% CI
GSK3228836 300 mg1
Treatment Day 50
GroupValue95% CI
GSK3228836 300 mg1
Number of Participants With HBe Antibody (Anti-HBeAg) Levels Secondary · Baseline (Week -1), treatment Days 29, 36, and 57; off treatment Days 1, 8, 22, 50, 78, 106, 134 and 162

Blood samples were collected to assess HBe antibody levels and results reported are for Baseline HBeAg positive participants.

Baseline (Week -1)
GroupValue95% CI
GSK3228836 300 mg11
Treatment Day 29
GroupValue95% CI
GSK3228836 300 mg11
Treatment Day 36
GroupValue95% CI
GSK3228836 300 mg0
Treatment Day 57
GroupValue95% CI
GSK3228836 300 mg9
Off Treatment Day 1
GroupValue95% CI
GSK3228836 300 mg9
Off Treatment Day 8
GroupValue95% CI
GSK3228836 300 mg10
Off Treatment Day 22
GroupValue95% CI
GSK3228836 300 mg10
Off Treatment Day 50
GroupValue95% CI
GSK3228836 300 mg10
Actual Values of HBsAg at Indicated Time Points Secondary · Baseline (Week -1), treatment Day 78 and off treatment Day 162

Blood samples were collected from participants at indicated time points to assess HBsAg levels.

Baseline (Week -1)
GroupValue95% CI
GSK3228836 300 mg3.29± 0.590
Treatment Day 78
GroupValue95% CI
GSK3228836 300 mg0.33± 1.432
Off Treatment Day 162
GroupValue95% CI
GSK3228836 300 mg2.08± 1.933
Mean Change From Baseline in HBsAg at Indicated Time Points Secondary · Baseline (Week -1), treatment Day 78 and off treatment Day 162

Blood samples were collected from participants at indicated time points to assess HBsAg levels. Change from Baseline was defined as value at the indicated time point minus Baseline value. Baseline was the latest pre-dose assessment with a non-missing value, including those from unscheduled visits.

Treatment Day 78
GroupValue95% CI
GSK3228836 300 mg-2.923± 1.5803
Off Treatment Day 162
GroupValue95% CI
GSK3228836 300 mg-1.183± 1.8343
Actual Values of HBV DNA at Indicated Time Points Secondary · Baseline (Week -1), treatment Day 78 and off treatment Day 162

Blood samples were collected from participants at indicated time points to assess HBV DNA levels.

Baseline (Week -1)
GroupValue95% CI
GSK3228836 300 mg0.43± 0.849
Treatment Day 78
GroupValue95% CI
GSK3228836 300 mg0.31± 0.611
Off Treatment Day 162
GroupValue95% CI
GSK3228836 300 mg0.24± 0.525

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to Study Week 36. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

GSK3228836 300 mg
Serious: 0/12 (0%)
Deaths: 0/12
Other adverse events (41 terms — click to expand)

ReactionSystemGSK3228836 300 mg
Injection site erythemaGeneral disorders
Injection site pruritusGeneral disorders
Procedural painInjury, poisoning and procedural complications
FatigueGeneral disorders
Injection site bruisingGeneral disorders
Injection site painGeneral disorders
PyrexiaGeneral disorders
DiarrhoeaGastrointestinal disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
Chest discomfortGeneral disorders
Injection site discomfortGeneral disorders
Injection site swellingGeneral disorders
ContusionInjury, poisoning and procedural complications
Post procedural discomfortInjury, poisoning and procedural complications
Abdominal discomfortGastrointestinal disorders
DyspepsiaGastrointestinal disorders
NauseaGastrointestinal disorders
Sensory disturbanceNervous system disorders
DiplopiaEye disorders
HypertransaminasaemiaHepatobiliary disorders
Seasonal allergyImmune system disorders
COVID-19Infections and infestations
Respiratory tract infection viralInfections and infestations
RhinitisInfections and infestations
Alanine aminotransferase increasedInvestigations
Creatinine renal clearance decreasedInvestigations
Platelet count decreasedInvestigations
SARS-CoV-2 test positiveInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Muscle tightnessMusculoskeletal and connective tissue disorders
Muscle twitchingMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DysuriaRenal and urinary disorders
ProstatomegalyReproductive system and breast disorders
AcneSkin and subcutaneous tissue disorders
HyperhidrosisSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT04544956 adverse events section.

Sponsor's own description

Hepatitis B virus (HBV) infection, especially chronic, is a significant worldwide medical problem. This is an exploratory study of the therapeutic mechanism of GSK3228836 in participants with chronic hepatitis B (CHB) on stable nucleos(t)ide therapy (which is the first line therapy for CHB). This study is a Phase IIa, multi-center open label exploratory study of the therapeutic mechanism of GSK3228836 in participants with hepatitis B virus e-antigen (HBeAg)-negative CHB on stable nucleos(t)ide therapy using repeat fine needle aspirations of the liver for intrahepatic immunophenotyping. It will investigate the virologic and immunologic correlates of hepatitis B virus surface antigen (HBsAg) loss observed in participants when treated for 12 weeks with 300 milligrams (mg) GSK3228836. Repeat fine needle aspirates of the liver will be performed to enable analysis of liver-resident immune cells to investigate any immunomodulatory properties of GSK3228836 and to study the biology of underlying treatment-associated liver flares. The study will consist of a screening, treatment, and post-treatment follow-up phase. Approximately 20 participants will be enrolled in the study.

Publications & conference data

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

  1. Landscape of small nucleic acid therapeutics: moving from the bench to the clinic as next-generation medicines.
    Liu M, Wang Y, Zhang Y, Hu D, et al · · 2025 · cited 62× · PMID 40059188 · DOI 10.1038/s41392-024-02112-8
  2. Opportunities and challenges for hepatitis B cure.
    Roca Suarez AA, Zoulim F. · · 2023 · cited 9× · PMID 39944004 · DOI 10.1136/egastro-2023-100021
  3. Utilization of hepatitis B virus-positive allografts in liver transplantation: a new arrow to the bowstring for expanding the donor pool?
    Xu G, Jiang CH, Xiao Y, Lyu T, et al · · 2022 · PMID 35464271 · DOI 10.21037/hbsn-21-543

Verify or expand the search:

Other trials of GSK3228836

Trials testing the same drug.

Other recruiting trials for Hepatitis B

Currently open trials in the same condition.

Other GlaxoSmithKline trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing