Brief Summary
This was an open-label study that evaluated the safety, tolerability, and immunogenicity of dose combinations of INO-1800 (DNA plasmids encoding Hepatitis B surface antigen \[HBsAg\] and Hepatitis B core antigen \[HBcAg\]) and INO-9112 (DNA plasmid encoding human interleukin 12) delivered by electroporation (EP) in 90 (ninety) nucleos(t)ide analogue treated participants.
Brief Title
Phase I Study of INO-1800 With or Without INO-9112 + EP in Chronic Hepatitis B Subjects
Categories
Completion Date
Completion Date Type
Actual
Conditions
Hepatitis B
Eligibility Criteria
INCLUSION CRITERIA:
* Chronic Hepatitis B virus infection
* Negative for Hepatitis A IgM, C, D and HIV
* Liver biopsy, Fibroscan® or equivalent elastography-based test obtained within the past 6 months demonstrating liver disease without evidence of bridging fibrosis or cirrhosis supported by platelet count greater than the central laboratory LLN at screening
* Positive for Hepatitis B surface antigen (≥250 IU/mL at screening)
* Nucleos(t)ide treatment for at least 1 year with ongoing nucleos(t)ide analogue treatment at randomization
* HBV DNA \<90 IU/mL for ≥6 months prior to randomization
* Screening laboratory values within normal range
* ALT ≤1.5x upper limit of normal (ULN) from 2 measurements separated by at least 14 days during the 6 months prior to randomization and ALT at screening ≤1.5x ULN
* AST, TBili, DBili, GGT, Alk Phos and albumin within normal range or judged to be not clinically significant by PI and medical monitor at screening
* For men and women who are not postmenopausal \[i.e. ≥ 12 months of non-therapy-induced amenorrhea, confirmed by follicle stimulating hormone (FSH), if not on hormone replacement\] or surgically sterile (vasectomy in males or absence of ovaries and/or uterus in females) agreement to remain abstinent or use 1 highly effective or combined contraceptive methods that result in a failure rate of \< 1% per year during the treatment period and at least through week 12 after last dose
EXCLUSION CRITERIA:
* Pregnant or breastfeeding females
* Positive serum pregnancy test at screening or positive urine pregnancy test at randomization
* Use of topical corticosteroids at or near the intended administration site
* Autoimmune disorders, transplant recipients, other immunosuppression including any concurrent condition requiring the use of immunosuppressive/immunomodulating agents (eye drop-containing and infrequent inhaled corticosteroids are permissible)
* Need for systemic antiviral treatment (other than for chronic hepatitis B infection)
* Documented history or other evidence of decompensated liver disease (e.g., ascites, bleeding from esophageal varices, Child-Pugh clinical classification B or C)
* History of liver cirrhosis demonstrated by biopsy, Fibroscan® or equivalent elastography-based test
* History of other evidence of a medical condition associated with chronic liver disease \[e.g., hemochromatosis, autoimmune hepatitis, alcoholic liver disease, non-alcoholic steatohepatitis (NASH), toxin exposure, thalassemia, etc.\]
* Documented history or other evidence of metabolic liver disease within 1yr of randomization
* Abnormal renal function including serum creatinine \>ULN or calculated creatinine clearance \<70 mL/min (using the Cockcroft Gault formula)
* History of or suspicion of HCC
* Screening alpha fetoprotein ≥13 ng/mL
* Prior history or current malignancy other than adequately treated BCC, unless history of BCC is near intended administration site
* History of significant medical conditions \[e.g., cardiac (including ventricular or supraventricular arrhythmias), renal disease, pulmonary, gastrointestinal, neurological\]
* Significant acute infection (e.g., influenza, local infection) or any other clinically significant illness within 2 weeks of randomization
* Administration of any blood product within 3 mon of randomization
* History of seizures (unless seizure free for 5yrs)
* Chronic Hepatitis B virus infection
* Negative for Hepatitis A IgM, C, D and HIV
* Liver biopsy, Fibroscan® or equivalent elastography-based test obtained within the past 6 months demonstrating liver disease without evidence of bridging fibrosis or cirrhosis supported by platelet count greater than the central laboratory LLN at screening
* Positive for Hepatitis B surface antigen (≥250 IU/mL at screening)
* Nucleos(t)ide treatment for at least 1 year with ongoing nucleos(t)ide analogue treatment at randomization
* HBV DNA \<90 IU/mL for ≥6 months prior to randomization
* Screening laboratory values within normal range
* ALT ≤1.5x upper limit of normal (ULN) from 2 measurements separated by at least 14 days during the 6 months prior to randomization and ALT at screening ≤1.5x ULN
* AST, TBili, DBili, GGT, Alk Phos and albumin within normal range or judged to be not clinically significant by PI and medical monitor at screening
* For men and women who are not postmenopausal \[i.e. ≥ 12 months of non-therapy-induced amenorrhea, confirmed by follicle stimulating hormone (FSH), if not on hormone replacement\] or surgically sterile (vasectomy in males or absence of ovaries and/or uterus in females) agreement to remain abstinent or use 1 highly effective or combined contraceptive methods that result in a failure rate of \< 1% per year during the treatment period and at least through week 12 after last dose
EXCLUSION CRITERIA:
* Pregnant or breastfeeding females
* Positive serum pregnancy test at screening or positive urine pregnancy test at randomization
* Use of topical corticosteroids at or near the intended administration site
* Autoimmune disorders, transplant recipients, other immunosuppression including any concurrent condition requiring the use of immunosuppressive/immunomodulating agents (eye drop-containing and infrequent inhaled corticosteroids are permissible)
* Need for systemic antiviral treatment (other than for chronic hepatitis B infection)
* Documented history or other evidence of decompensated liver disease (e.g., ascites, bleeding from esophageal varices, Child-Pugh clinical classification B or C)
* History of liver cirrhosis demonstrated by biopsy, Fibroscan® or equivalent elastography-based test
* History of other evidence of a medical condition associated with chronic liver disease \[e.g., hemochromatosis, autoimmune hepatitis, alcoholic liver disease, non-alcoholic steatohepatitis (NASH), toxin exposure, thalassemia, etc.\]
* Documented history or other evidence of metabolic liver disease within 1yr of randomization
* Abnormal renal function including serum creatinine \>ULN or calculated creatinine clearance \<70 mL/min (using the Cockcroft Gault formula)
* History of or suspicion of HCC
* Screening alpha fetoprotein ≥13 ng/mL
* Prior history or current malignancy other than adequately treated BCC, unless history of BCC is near intended administration site
* History of significant medical conditions \[e.g., cardiac (including ventricular or supraventricular arrhythmias), renal disease, pulmonary, gastrointestinal, neurological\]
* Significant acute infection (e.g., influenza, local infection) or any other clinically significant illness within 2 weeks of randomization
* Administration of any blood product within 3 mon of randomization
* History of seizures (unless seizure free for 5yrs)
Inclusion Criteria
INCLUSION CRITERIA:
* Chronic Hepatitis B virus infection
* Negative for Hepatitis A IgM, C, D and HIV
* Liver biopsy, Fibroscan® or equivalent elastography-based test obtained within the past 6 months demonstrating liver disease without evidence of bridging fibrosis or cirrhosis supported by platelet count greater than the central laboratory LLN at screening
* Positive for Hepatitis B surface antigen (≥250 IU/mL at screening)
* Nucleos(t)ide treatment for at least 1 year with ongoing nucleos(t)ide analogue treatment at randomization
* HBV DNA \<90 IU/mL for ≥6 months prior to randomization
* Screening laboratory values within normal range
* ALT ≤1.5x upper limit of normal (ULN) from 2 measurements separated by at least 14 days during the 6 months prior to randomization and ALT at screening ≤1.5x ULN
* AST, TBili, DBili, GGT, Alk Phos and albumin within normal range or judged to be not clinically significant by PI and medical monitor at screening
* For men and women who are not postmenopausal \[i.e. ≥ 12 months of non-therapy-induced amenorrhea, confirmed by follicle stimulating hormone (FSH), if not on hormone replacement\] or surgically sterile (vasectomy in males or absence of ovaries and/or uterus in females) agreement to remain abstinent or use 1 highly effective or combined contraceptive methods that result in a failure rate of \< 1% per year during the treatment period and at least through week 12 after last dose
* Chronic Hepatitis B virus infection
* Negative for Hepatitis A IgM, C, D and HIV
* Liver biopsy, Fibroscan® or equivalent elastography-based test obtained within the past 6 months demonstrating liver disease without evidence of bridging fibrosis or cirrhosis supported by platelet count greater than the central laboratory LLN at screening
* Positive for Hepatitis B surface antigen (≥250 IU/mL at screening)
* Nucleos(t)ide treatment for at least 1 year with ongoing nucleos(t)ide analogue treatment at randomization
* HBV DNA \<90 IU/mL for ≥6 months prior to randomization
* Screening laboratory values within normal range
* ALT ≤1.5x upper limit of normal (ULN) from 2 measurements separated by at least 14 days during the 6 months prior to randomization and ALT at screening ≤1.5x ULN
* AST, TBili, DBili, GGT, Alk Phos and albumin within normal range or judged to be not clinically significant by PI and medical monitor at screening
* For men and women who are not postmenopausal \[i.e. ≥ 12 months of non-therapy-induced amenorrhea, confirmed by follicle stimulating hormone (FSH), if not on hormone replacement\] or surgically sterile (vasectomy in males or absence of ovaries and/or uterus in females) agreement to remain abstinent or use 1 highly effective or combined contraceptive methods that result in a failure rate of \< 1% per year during the treatment period and at least through week 12 after last dose
Gender
All
Gender Based
false
Keywords
Chronic HBV
immunotherapy
DNA vaccine
electroporation
Healthy Volunteers
No
Last Update Post Date
Last Update Post Date Type
Actual
Last Update Submit Date
Maximum Age
65 Years
Minimum Age
18 Years
NCT Id
NCT02431312
Org Class
Industry
Org Full Name
Inovio Pharmaceuticals
Org Study Id
HBV-001
Overall Status
Completed
Phases
Phase 1
Primary Completion Date
Primary Completion Date Type
Actual
Official Title
Phase I, Randomized, Open-Label, Active-Controlled, Dose Escalation Study to Evaluate the Safety, Tolerability & Immunogenicity of INO-1800 Alone or in Combination With INO-9112 Delivered IM Followed by EP in Select Nucleos(t)Ide Analogue-Treated, Chronic Hepatitis B Patients
Primary Outcomes
Outcome Description
Composite outcome measure consisting of multiple measures, including:
1. Local pain immediately after Study Treatment/EP and at select times using a visual analog scale (VAS) from 0 to 10, with 0 representing "No Pain" and 10 representing "Worst Pain"
2. Frequency and severity of local and systemic events for at least 7 days after Study Treatment/EP
3. Frequency and severity of laboratory abnormalities
4. Frequency and severity of all adverse events
5. Changes in vital signs
1. Local pain immediately after Study Treatment/EP and at select times using a visual analog scale (VAS) from 0 to 10, with 0 representing "No Pain" and 10 representing "Worst Pain"
2. Frequency and severity of local and systemic events for at least 7 days after Study Treatment/EP
3. Frequency and severity of laboratory abnormalities
4. Frequency and severity of all adverse events
5. Changes in vital signs
Outcome Measure
Safety Assessment (Composite of multiple measures: pain (VAS), adverse events, lab abnormalities, changes in vital signs)
Outcome Time Frame
Signing of ICF through up to 76 weeks following the first dose
Secondary Outcomes
Outcome Description
Composite outcome measure consisting of multiple measures, including
1. Breadth and Magnitude of antigen specific cellular immune responses
* Interferon-ɣ ELISpot
* Flow Cytometry for T-cell activation, cytolytic phenotype, memory phenotype
2. Breadth and Magnitude of antigen specific ELISA
1. Breadth and Magnitude of antigen specific cellular immune responses
* Interferon-ɣ ELISpot
* Flow Cytometry for T-cell activation, cytolytic phenotype, memory phenotype
2. Breadth and Magnitude of antigen specific ELISA
Outcome Time Frame
Baseline (screening and first dose) and select points up to 76 weeks after the first dose
Outcome Measure
Immunogenicity Assessment
Outcome Description
Composite outcome measure consisting of multiple measures, including:
1. Evaluate effect on HBsAg kinetics as measured in the quantitative HBsAg assay
2. Evaluate effect on maintenance of HBV DNA suppression (\< 90 IU/ml) as measured in the quantitative viral load assay
1. Evaluate effect on HBsAg kinetics as measured in the quantitative HBsAg assay
2. Evaluate effect on maintenance of HBV DNA suppression (\< 90 IU/ml) as measured in the quantitative viral load assay
Outcome Time Frame
Screening and/or first dose and select points up to 76 weeks after the first dose
Outcome Measure
Viral/Antiviral Assessment
Start Date
Start Date Type
Actual
Status Verified Date
First Post Date
First Post Date Type
Estimated
First Submit Date
First Submit QC Date
Std Ages
Adult
Older Adult
Maximum Age Number (converted to Years and rounded down)
65
Minimum Age Number (converted to Years and rounded down)
18
Investigators
Investigator Type
Principal Investigator
Investigator Name
Samuel Sigal
Investigator Email
ssigal@montefiore.org
Investigator Phone
718-920-6240
Categories Mesh Debug
Hepatitis --- HEPATITIS B
Blood Disorders --- BLOOD-BORNE INFECTIONS
HIV/AIDS --- BLOOD-BORNE INFECTIONS
Infectious Disease --- BLOOD-BORNE INFECTIONS
Hepatitis --- COMMUNICABLE DISEASES
HIV/AIDS --- COMMUNICABLE DISEASES
Infectious Disease --- COMMUNICABLE DISEASES
COVID-19 --- INFECTIONS
Infectious Disease --- INFECTIONS
COVID-19 --- VIRUS DISEASES
Hepatitis --- VIRUS DISEASES
Infectious Disease --- VIRUS DISEASES
Hepatitis --- HEPATITIS, VIRAL, HUMAN
Hepatitis --- HEPATITIS
Digestive System --- LIVER DISEASES
Liver --- LIVER DISEASES
Gastrointestinal (GI) Cancers --- DIGESTIVE SYSTEM DISEASES
Digestive System --- DIGESTIVE SYSTEM DISEASES
Liver --- DIGESTIVE SYSTEM DISEASES
MeSH Terms
HEPATITIS B
BLOOD-BORNE INFECTIONS
COMMUNICABLE DISEASES
INFECTIONS
HEPADNAVIRIDAE INFECTIONS
DNA VIRUS INFECTIONS
VIRUS DISEASES
HEPATITIS, VIRAL, HUMAN
HEPATITIS
LIVER DISEASES
DIGESTIVE SYSTEM DISEASES
ROCAKINOGENE SIFUPLASMID