Study of GSK3965193 in Healthy Participants and Participants Living With Chronic Hepatitis B Infection

Last updated: April 22, 2025
Sponsor: GlaxoSmithKline
Overall Status: Active - Recruiting

Phase

1/2

Condition

Hepatitis

Hepatitis B

Liver Disorders

Treatment

Placebo to match GSK3965193

GSK3965193

Bepirovirsen

Clinical Study ID

NCT05330455
214760
2023-509684-24
2021-005117-13
  • Ages 18-65
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

This Phase 1/2a multiple part study is a first time-in-human (FTIH) study designed to evaluate the safety, tolerability, and pharmacokinetics (PK) of single (Part 1) and repeat doses (Part 2) of GSK3965193 in healthy participants. Part 3 will evaluate the ability of GSK3965193 to lower hepatitis B virus surface antigen (HBsAg) in participants living with chronic hepatitis B infection (PLWCHB) and will be given the option to subsequently receive treatment with open label bepirovirsen. Part 4 will evaluate the safety and tolerability of combination therapy with GSK3965193 and bepirovirsen and the potential to effect sustained virologic response in PLWCHB.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Parts 1 and 2: Participants between 18 and 55 years of age inclusive, at the time of signing the informed consent.

  • Parts 3 and 4: Participants between 18 and 65 years of age inclusive, at the time ofsigning the informed consent.

  • Body weight >=50 kilograms (kg) and body mass index within the range 18-32 kilogramsper square meter (kg/m^2) (inclusive).

  • Male or female participant: a. Parts 1 and 2: woman of nonchildbearing potentialonly. b. Parts 3 and 4: woman of nonchildbearing potential or woman of child-bearingpotential who is not pregnant or breastfeeding and is using a contraceptive methodthat is highly effective.

  • Capable of giving signed informed consent.

  • Additional Inclusion Criteria for PLWCHB (Parts 3 and 4).

  • Participants who have documented chronic hepatitis B virus (HBV) infection >=6months prior to screening.

  • Participants currently receiving stable NA therapy (e.g., tenofovir disoproxil,tenofovir alafenamide, entecavir).

  • Plasma or serum HBsAg concentration >100 IU/mL.

  • Plasma or serum HBV deoxyribonucleic acid (DNA) concentration <90 IU/mL.

  • Hepatitis B virus e-antigen (HBeAg) positive or negative.

  • Alanine aminotransferase (ALT) <=2 times the upper limit of normal (ULN)

Exclusion

Exclusion Criteria:

Exclusion Criteria for Healthy Participants:

  • Positive Hepatitis A virus antibody (HAV Ab immunoglobulin M [IgM]), or positive forHBV, hepatitis C virus (HCV) or human immunodeficiency virus (HIV) at screening

  • A current diagnosis of migraine headache

  • ALT >1 times ULN.

  • Bilirubin >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable ifbilirubin is fractionated and direct bilirubin <35 percent [%])

  • Corrected QT interval (QTc) >450 milliseconds (msec)

  • Signs and symptoms suggestive of Coronavirus Disease 2019 (COVID-19)

  • Participants with known COVID-19 positive contacts in the past 14 days.

  • For participants in Part 2A: i. Personal history or family history of peripheralneuropathy. ii. A score ≥4 on the Toronto clinical scoring system for polyneuropathy

  • Current or previous use of tobacco- or nicotine-containing products (for example (e.g.) cigarettes, nicotine patches or electronic devices) within 6 months beforescreening and/or have a smoking pack history of >5 pack years

Exclusion Criteria for PLWCHB:

  • Clinically significant abnormalities affecting physical or mental health in medicalhistory or on physical examination, aside from chronic HBV infection.

  • Co-infection with or past history of HCV, HIV or Hepatitis D virus (HDV).

  • History of or suspected liver cirrhosis and/or evidence of cirrhosis.

  • Diagnosed or suspected hepatocellular carcinoma.

  • History of malignancy within the past 5 years with the exception of specific cancersthat are cured by surgical resection (e.g., skin cancer).

  • History of vasculitis or presence of symptoms and signs of potential vasculitis [e.g., vasculitic rash, skin ulceration, repeated blood detected in urine withoutidentified cause] or history/presence of other diseases Exclusion Criteria forHealthy Participants:

  • Positive Hepatitis A virus antibody (HAV Ab immunoglobulin M [IgM]), or positive forHBV, hepatitis C virus (HCV) or human immunodeficiency virus (HIV) at screening.

  • A current diagnosis of migraine headache

  • ALT >1 times ULN.

  • Bilirubin >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable ifbilirubin is fractionated and direct bilirubin <35 percent [%]).

  • Corrected QT interval (QTc) >450 milliseconds (msec).

  • Signs and symptoms suggestive of Coronavirus Disease 2019 (COVID-19).

  • Participants with known COVID-19 positive contacts in the past 14 days.

  • For participants in Part 2A: i. Personal history or family history of peripheralneuropathy. ii. A score ≥4 on the Toronto clinical scoring system forpolyneuropathy.

  • Current or previous use of tobacco- or nicotine-containing products (for example (e.g.) cigarettes, nicotine patches or electronic devices) within 6 months beforescreening and/or have a smoking pack history of >5 pack years

Exclusion Criteria for PLWCHB:

  • Clinically significant abnormalities affecting physical or mental health in medicalhistory or on physical examination, aside from chronic HBV infection.

  • Co-infection with or past history of HCV, HIV or Hepatitis D virus (HDV).

  • History of or suspected liver cirrhosis and/or evidence of cirrhosis.

  • Diagnosed or suspected hepatocellular carcinoma.

  • History of malignancy within the past 5 years with the exception of specific cancersthat are cured by surgical resection (e.g., skin cancer).

  • History of vasculitis or presence of symptoms and signs of potential vasculitis [e.g., vasculitic rash, skin ulceration, repeated blood detected in urine withoutidentified cause] or history/presence of other diseases that may be associated withvasculitis condition (e.g., systemic lupus erythematosus, rheumatoid arthritis,relapsing polychondritis, mononeuritis multiplex).

  • History of extrahepatic disorders possibly related to HBV immune conditions (e.g.,nephrotic syndrome, any type of glomerulonephritis, polyarteritis nodosa,cryoglobulinaemia, uncontrolled hypertension).

  • History of alcohol or drug abuse/dependence: a. Current alcohol use as judged byinvestigator to potentially interfere with participant compliance. b. History of orcurrent drug abuse/dependence as judged by the investigator to potentially interferewith participant compliance.

  • History or other evidence of bleeding from esophageal varices.

  • Documented history or other evidence of metabolic liver disease within 1 year ofrandomization.

  • Personal history or family history of peripheral neuropathy.

  • A score >4 on the Toronto clinical scoring system for polyneuropathy.

  • History of having received or currently receiving any systemic anti-neoplastic (including radiation) or immune-modulatory treatment (including systemic oralcorticosteroids, interferon or pegylated interferon) within the 3 months prior torandomization or the expectation that such treatment will be needed at any timeduring the study.

  • Abnormal and clinically significant 12-lead ECG finding.

  • Currently taking, or taken within 3 months prior to randomization, anyimmunosuppressing drugs (e.g., prednisone), other than a short course of therapy (≤2weeks) or topical/inhaled steroid use.

  • Participants requiring anti-coagulation therapies.

  • Prior treatment with any oligonucleotide or small interfering RNA (siRNA) within 12months prior to the first dosing day.

  • Positive test for COVID-19 infection.

Study Design

Total Participants: 84
Treatment Group(s): 3
Primary Treatment: Placebo to match GSK3965193
Phase: 1/2
Study Start date:
April 14, 2022
Estimated Completion Date:
January 25, 2027

Connect with a study center

  • GSK Investigational Site

    Calgary, Alberta T2N 4Z6
    Canada

    Active - Recruiting

  • GSK Investigational Site

    Ottawa, Ontario K1H 8L6
    Canada

    Active - Recruiting

  • GSK Investigational Site

    Grenoble Cedex 9, 38043
    France

    Active - Recruiting

  • GSK Investigational Site

    Lyon, 69004
    France

    Active - Recruiting

  • GSK Investigational Site

    Nantes cedex 1, 44000
    France

    Active - Recruiting

  • GSK Investigational Site

    Rennes, 35033
    France

    Active - Recruiting

  • GSK Investigational Site

    Milano, 20122
    Italy

    Active - Recruiting

  • GSK Investigational Site

    Monza MB, 20900
    Italy

    Active - Recruiting

  • GSK Investigational Site

    Daegu, 700-721
    Korea, Republic of

    Active - Recruiting

  • GSK Investigational Site

    Pusan, 49241
    Korea, Republic of

    Active - Recruiting

  • GSK Investigational Site

    Seoul, 05505
    Korea, Republic of

    Active - Recruiting

  • GSK Investigational Site

    Bangkok, 10330
    Thailand

    Active - Recruiting

  • GSK Investigational Site

    Cambridge, CB2 2GG
    United Kingdom

    Completed

  • GSK Investigational Site

    London, W2 1NY
    United Kingdom

    Active - Recruiting

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