Study to Evaluate Induction of HBV Virus Neutralizing Antibodies Using VVX001

Last updated: April 2, 2021
Sponsor: Viravaxx AG
Overall Status: Active - Recruiting

Phase

2

Condition

Hepatitis B

Treatment

N/A

Clinical Study ID

NCT03625934
VVX001-CS001
  • Ages 18-60
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The Study will evaluate the effects of VVX001, a novel vaccine for hepatitis B, to

  • elicit a robust protective IgG immune response in vaccine naive subjects

  • in subjects who failed to demonstrate seroconversion after treatment with a licensed hepatitis B vaccine and

  • in patients chronically infected with HBV.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Cohort 1: hepatits B vaccine naive subjects Seronegative for anti-HBs and anti-HBcantibodies and for HBs Antigen
  • Cohort 2: Subjects who failed to develop a protective immune response upon standardvaccination with a licensed hepatitis B vaccine (<10 IU/L anti HbS antibodies)Seronegative for anti-HbS (<10 IU/L) and anti-HBc antibodies and for HbSAg
  • Cohort 3: Parameters confirmed at screening during the past 12 months
  1. HBeAg negative;
  2. HbSAg positive at screening <3000 IU/ml;
  3. HBV viral load <2000 IU/ml
  4. ALT Levels ≤ULN at screening
  • Cohort 4a: Parameters confirmed at screening during the last 12 months
  1. HBeAg negative;
  2. HbSAg positive <1000 IU/ml
  3. HBV DNA not detectable for at least 2 years
  4. History of nucleos(t)die Treatment for at least 3 years
  5. Willingness to discontinue NUC treatment during study
  6. ALT levels ≤ULN at screening
  • Cohort 4b: in addition to cohort 4a:
  1. willingness to discontinue NUC treatment 6 weeks before entering the Study
  2. ALT Levels ≤ULN 6 weeks before entering the study and
  • 5x ULN at screening

Exclusion

Exclusion Criteria:

  • Pregnant or breast-feeding females, adequate contraception required during thetreatment phase
  • History of grass pollen allergy
  • Co-infection with HCV, HDV, HIV
  • History of auto-immune hepatitis
  • Elevated Levels of Alpha-Fetoprotein (AFP) >100 ng/ml
  • Documented history of decompensated liver disease (albumin <3.5 g/dl and bilirubin >1.3 mg/dl)
  • Autoimmune disorders, transplant recipients, use of immunosuppressive or immunemodulating agents
  • Oral corticosteroids of 20 mg/week within the past 4 weeks prior to screening
  • History of treatment with PEG-IFN of IFN for at least 1 year prior to screening
  • History of evidence or conditions associated with chronic liver disease
  • Acute fever at time of enrolment
  • History of alcohol abuse
  • Planned administration of a vaccine not foreseen by study protocol in the periodstarting 30 days before first product administration and during the entire studyperiod with exception of influenza vaccine
  • History of Cancer
  • Other severe co-morbid conditions and concurrent medication making the subjectunsuitable for participation
  • blood or plasma donation within 1 month of study enrolement and during the course ofthe study
  • For all patients with chronic HBV infection:
  1. Total bilirubin >2x ULN confirmed by repeat testing within 2 weeks, unlesshistorical documentation of Gilbert's syndrome
  2. Documented or suspected hepatocelluar carcinoma
  3. Presence of cholangitis, cholecystitis or bile duct obstruction
  4. Liver cirrhosis assessed by fibroscan with elastography <9kPa within the previous 12 months and FIB-score <3.2 at study entry

Study Design

Total Participants: 84
Study Start date:
August 06, 2018
Estimated Completion Date:
December 31, 2023

Study Description

VVX001 is a recombinant fusion Protein composed of PreS from the large surface antigen of HBV and Peptides derived from the grass pollen allergen Phl p 5. In a previous trial in allergic but otherwise healthy subjects the product has been shown to elicit a potent IgG response to the epitope of PreS1, which is responsible for binding to the cellular receptor NTCP. These antibodies prevent infection with HBV in a cell culture model. The present study will evaluate if such an immune response can also be achieved in four different patient populations: 1) vaccine naive subjects; 2) subjects having failed to seroconvert upon vaccination with a licensed HBV vaccine; 3) patients who are chronically infected with HBV, but are classified as inactive carriers; 4) patients with active chronic HBV infection who are HbEAg negative and chronically treated with nucleo(t)side (NUC) antiviral drugs. All subjects will receive 5 s.c. injections of VVX001, the time course of antibody response to PreS1 will be monitored in all of them. In cohort 4) NUC treatment will be withdrawn at different timepoints during the study and the effect of treatment with VVX001 on hepatitis B disease Parameters will be monitored. Subjects will be followed for 6 months after the of treatment for Evaluation of a long-term effect.

Connect with a study center

  • Medical University of Graz

    Graz, 8036
    Austria

    Active - Recruiting

  • Medical University of Vienna

    Vienna, 1090
    Austria

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.