Study of Bepirovirsen in Nucleos(t)Ide Analogue-treated Participants With Chronic Hepatitis B (B-Well 2)

Last updated: July 6, 2026
Sponsor: GlaxoSmithKline
Overall Status: Completed

Phase

3

Condition

Hepatitis

Hepatitis B

Liver Disorders

Treatment

Bepirovirsen

Placebo

Clinical Study ID

NCT05630820
219288
2022-002268-53
  • Ages > 18
  • All Genders

Study Summary

This study is intended to confirm the efficacy, safety, pharmacokinetic (PK) profile, and the durability of hepatitis B virus surface antigen (HBsAg) suppression observed with bepirovirsen for 24 weeks (with loading doses) as compared to the placebo arm. This study will have 4 stages: a) Double-blind treatment (bepirovirsen or placebo) for 24 weeks. b) Nucleos(t)ide analogue (NA) treatment for 24 weeks. c) NA cessation stage OR Continue NA for 24 weeks. d) Durability of response and follow up for further 24 weeks for participants who stopped NA treatment at Week 48. The arms will be stratified based on HBsAg level (HBsAg greater than or equal to [≥] 100 international unit per milliliter [IU/mL] to less than or equal [≤]1000 IU/mL or greater than [>] 1000 IU/mL to ≤3000 IU/mL) at screening. The total duration of the study, including screening (up to 60 days), the double-blind treatment stage (24 weeks), the On NA only stage (24 weeks), and the NA cessation and durability stages (48 weeks) is up to approximately 104 weeks at maximum for each participant.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participants who have documented chronic HBV infection ≥6 months prior to screeningand currently receiving stable NA therapy defined as no changes to their NA regimenfrom at least 6 months prior to Screening and with no planned changes to the stableregimen over the duration of the study.

  • Plasma or serum HBsAg concentration >100 IU/mL, but no greater than ≤3000 IU/mL.

  • Plasma or serum HBV DNA concentration must be adequately suppressed, defined asplasma or serum HBV DNA <90 IU/mL.

  • Alanine aminotransferase (ALT) ≤2 × upper limit of normal (ULN).

  • Participants who are willing and able to cease their NA treatment in accordance withthe protocol.

Exclusion

Exclusion Criteria:

  • Clinically significant abnormalities, aside from chronic HBV infection in medicalhistory (e.g., moderate severe liver disease other than chronic HBV, acute coronarysyndrome within 6 months of screening, major surgery within 3 months of screening,significant/unstable cardiac disease, uncontrolled diabetes, bleeding diathesis orcoagulopathy) or physical examination.

Co-infection with:

a) Current history of Hepatitis C infection or participants that have been cured for <12 months at the time of screening b) Human immunodeficiency virus (HIV), c) Hepatitis D virus.

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

  • Diagnosed or suspected hepatocellular carcinoma.

  • History of malignancy within the past 5 years except for specific cancers that arecured by surgical resection (e.g., skin cancer). Participants under evaluation forpossible malignancy are not eligible.

  • 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,cryoglobulinemia, uncontrolled hypertension).

  • History of alcohol or drug abuse/dependence.

  • Currently taking, or took within 3 months of screening, any immunosuppressing drugs (e.g., prednisone), other than a short course of therapy (≤2 weeks) ortopical/inhaled steroid use.

  • Participants to whom immunosuppressive treatment, including therapeutic doses ofsteroids is contraindicated, should not be considered for enrolment in the study.

  • Currently taking, or has taken within 12 months of Screening, any interferoncontaining therapy.

  • Participants requiring anti coagulation therapies (e.g., warfarin, Factor Xainhibitors) or anti-platelet agents (like clopidogrel or aspirin) unless treatmentcan safely be discontinued throughout duration of the study, by the discretion ofthe investigator. Occasional use is permitted.

  • Prior treatment with any oligonucleotide or siRNA within 12 months prior to thefirst dosing day.

  • Prior treatment with bepirovirsen.

Study Design

Total Participants: 857
Treatment Group(s): 2
Primary Treatment: Bepirovirsen
Phase: 3
Study Start date:
December 06, 2022
Estimated Completion Date:
April 13, 2026

Connect with a study center

  • GSK Investigational Site

    Ciudad Autonoma de Buenos Aires, Buenos Aires C1425AGC
    Argentina

    Active - Recruiting

  • GSK Investigational Site

    Buenos Aires, 1023
    Argentina

    Site Not Available

  • GSK Investigational Site

    Buenos Aires 3435910, C1425AGC
    Argentina

    Site Not Available

  • GSK Investigational Site

    Ciudad Autonoma De Bueno, C1056ABJ
    Argentina

    Site Not Available

  • GSK Investigational Site

    Ciudad Autonoma de Bueno, C1056ABI
    Argentina

    Site Not Available

  • GSK Investigational Site

    Santa Fe, 3000
    Argentina

    Site Not Available

  • GSK Investigational Site

    Westmead, New South Wales 2145
    Australia

    Site Not Available

  • GSK Investigational Site

    Herston, Queensland 4029
    Australia

    Site Not Available

  • GSK Investigational Site

    Box Hill, Victoria 3128
    Australia

    Site Not Available

  • GSK Investigational Site

    Fitzroy, Victoria 3065
    Australia

    Site Not Available

  • GSK Investigational Site

    Vitoria, Espirito Santo 29043260
    Brazil

    Site Not Available

  • GSK Investigational Site

    Botucatu, 18618-686
    Brazil

    Site Not Available

  • GSK Investigational Site

    Fortaleza, 60430-372
    Brazil

    Site Not Available

  • GSK Investigational Site

    Nova Iguaçu, 26030-380
    Brazil

    Site Not Available

  • GSK Investigational Site

    Porto Alegre, 90020-090
    Brazil

    Site Not Available

  • GSK Investigational Site

    Porto Alegre 3452925, 90035003
    Brazil

    Site Not Available

  • GSK Investigational Site

    Rio de Janeiro, 21045-900
    Brazil

    Site Not Available

  • GSK Investigational Site

    Salvador, 40110160
    Brazil

    Site Not Available

  • GSK Investigational Site

    Vitória, 29043260
    Brazil

    Site Not Available

  • GSK Investigational Site

    Plovdiv, 4002
    Bulgaria

    Site Not Available

  • GSK Investigational Site

    Sliven, 8800
    Bulgaria

    Site Not Available

  • GSK Investigational Site

    Sofia, 1797
    Bulgaria

    Site Not Available

  • GSK Investigational Site

    Varna, 9020
    Bulgaria

    Site Not Available

  • GSK Investigational Site

    Calgary, Alberta T2N 4N1
    Canada

    Site Not Available

  • GSK Investigational Site

    Edmonton, Alberta T6G 2B7
    Canada

    Site Not Available

  • GSK Investigational Site

    Edmonton 5946768, Alberta 5883102 T6G 2X8
    Canada

    Site Not Available

  • GSK Investigational Site

    Halifax, Nova Scotia B3H 2Y9
    Canada

    Site Not Available

  • GSK Investigational Site

    Toronto, Ontario M6H 3M1
    Canada

    Site Not Available

  • GSK Investigational Site

    Montreal, Quebec H2L 4E9
    Canada

    Site Not Available

  • GSK Investigational Site

    Montreal 6077243, Quebec 6115047 H2L 4E9
    Canada

    Site Not Available

  • GSK Investigational Site

    Regina, Saskatchewan S4P 0W5
    Canada

    Site Not Available

  • GSK Investigational Site

    Beijing, 100032
    China

    Site Not Available

  • GSK Investigational Site

    Beijing 1816670, 100032
    China

    Site Not Available

  • GSK Investigational Site

    Changchun, 130021
    China

    Site Not Available

  • GSK Investigational Site

    Chengdu, 610072
    China

    Site Not Available

  • GSK Investigational Site

    Chongqing, 400042
    China

    Site Not Available

  • GSK Investigational Site

    Guangzhou, 510630
    China

    Site Not Available

  • GSK Investigational Site

    Guangzhou 1809858, 510515
    China

    Site Not Available

  • GSK Investigational Site

    Hangzhou, 310022
    China

    Site Not Available

  • GSK Investigational Site

    Hangzhou 1808926, 310003
    China

    Site Not Available

  • GSK Investigational Site

    Hefei, 230022
    China

    Site Not Available

  • GSK Investigational Site

    Kunming, 650021
    China

    Site Not Available

  • GSK Investigational Site

    Liuzhou, 545006
    China

    Site Not Available

  • GSK Investigational Site

    Nanjing, 210003
    China

    Site Not Available

  • GSK Investigational Site

    Shanghai, 200025
    China

    Site Not Available

  • GSK Investigational Site

    Shanghai 1796236, 200025
    China

    Site Not Available

  • GSK Investigational Site

    Shenzhen, 518112
    China

    Site Not Available

  • GSK Investigational Site

    Taiyuan, 030001
    China

    Site Not Available

  • GSK Investigational Site

    Tianjin, 300000
    China

    Site Not Available

  • GSK Investigational Site

    Wuhan, 430022
    China

    Site Not Available

  • GSK Investigational Site

    Xi'an, 710061
    China

    Site Not Available

  • GSK Investigational Site

    Xiamen, 361015
    China

    Site Not Available

  • GSK Investigational Site

    Zhengzhou, 450000
    China

    Site Not Available

  • GSK Investigational Site

    Zunyi, 563114
    China

    Site Not Available

  • GSK Investigational Site

    Ürümqi, 830054
    China

    Site Not Available

  • GSK Investigational Site

    Créteil, 94010
    France

    Site Not Available

  • GSK Investigational Site

    Créteil Cedex, 94010
    France

    Active - Recruiting

  • GSK Investigational Site

    Grenoble, 38043
    France

    Site Not Available

  • GSK Investigational Site

    Limoges, 87042
    France

    Site Not Available

  • GSK Investigational Site

    Limoges cedex, 87042
    France

    Active - Recruiting

  • GSK Investigational Site

    Lyon, 69317
    France

    Site Not Available

  • GSK Investigational Site

    Paris, 75651
    France

    Site Not Available

  • GSK Investigational Site

    Rouen, 76031
    France

    Site Not Available

  • GSK Investigational Site

    Toulouse, 31059
    France

    Site Not Available

  • GSK Investigational Site

    Hannover, Niedersachsen 30625
    Germany

    Site Not Available

  • GSK Investigational Site

    Frankfurt, 60329
    Germany

    Site Not Available

  • GSK Investigational Site

    Frankfurt 2925536, 60329
    Germany

    Site Not Available

  • GSK Investigational Site

    Hamburg, 20146
    Germany

    Site Not Available

  • GSK Investigational Site

    Hanover, 30625
    Germany

    Site Not Available

  • GSK Investigational Site

    Athens, 115 27
    Greece

    Site Not Available

  • GSK Investigational Site

    Heraklion Crete, 715 00
    Greece

    Site Not Available

  • GSK Investigational Site

    Thessaloniki, 54642
    Greece

    Site Not Available

  • GSK Investigational Site

    Szeged, 6725
    Hungary

    Site Not Available

  • GSK Investigational Site

    Székesfehérvár, 8000
    Hungary

    Site Not Available

  • GSK Investigational Site

    Zalaegerszeg,
    Hungary

    Site Not Available

  • GSK Investigational Site

    Ahmedabad, 380009
    India

    Site Not Available

  • GSK Investigational Site

    Chennai, 600035
    India

    Site Not Available

  • GSK Investigational Site

    Kanpur, 208002
    India

    Site Not Available

  • GSK Investigational Site

    Kochi, 682026
    India

    Site Not Available

  • GSK Investigational Site

    Kolkata,
    India

    Site Not Available

  • GSK Investigational Site

    Kolkata 1275004,
    India

    Site Not Available

  • GSK Investigational Site

    Mumbai, 400012
    India

    Site Not Available

  • GSK Investigational Site

    Mumbai 1275339, 400012
    India

    Site Not Available

  • GSK Investigational Site

    Nagpur, 441108
    India

    Site Not Available

  • GSK Investigational Site

    New Delhi, 110029
    India

    Site Not Available

  • GSK Investigational Site

    New Delhi 1261481, 110070
    India

    Site Not Available

  • GSK Investigational Site

    Pune, 411001
    India

    Site Not Available

  • GSK Investigational Site

    Raipur,
    India

    Site Not Available

  • GSK Investigational Site

    Secunderabad, 500003
    India

    Site Not Available

  • GSK Investigational Site

    Napoli, Campania 80131
    Italy

    Site Not Available

  • GSK Investigational Site

    Milano, Lombardia 20157
    Italy

    Site Not Available

  • GSK Investigational Site

    Milan, 20157
    Italy

    Site Not Available

  • GSK Investigational Site

    Naples, 80131
    Italy

    Site Not Available

  • GSK Investigational Site

    Padova, 35128
    Italy

    Site Not Available

  • GSK Investigational Site

    Palermo, 90127
    Italy

    Site Not Available

  • GSK Investigational Site

    Pisa, 56124
    Italy

    Site Not Available

  • GSK Investigational Site

    Roma, 00133
    Italy

    Site Not Available

  • GSK Investigational Site

    Sassari, 07100
    Italy

    Site Not Available

  • GSK Investigational Site

    Torino, 10126
    Italy

    Site Not Available

  • GSK Investigational Site

    Fukui, 918-8503
    Japan

    Site Not Available

  • GSK Investigational Site

    Hiroshima, 730-8619
    Japan

    Site Not Available

  • GSK Investigational Site

    Hokkaido, 062-8618
    Japan

    Site Not Available

  • GSK Investigational Site

    Ishikawa, 920-8650
    Japan

    Site Not Available

  • GSK Investigational Site

    Kagawa, 760-8557
    Japan

    Site Not Available

  • GSK Investigational Site

    Kumamoto, 860-8556
    Japan

    Site Not Available

  • GSK Investigational Site

    Nagasaki, 856-8562
    Japan

    Site Not Available

  • GSK Investigational Site

    Nara, 634-8522
    Japan

    Site Not Available

  • GSK Investigational Site

    Niigata, 950-1104
    Japan

    Site Not Available

  • GSK Investigational Site

    Osaka, 565-0871
    Japan

    Site Not Available

  • GSK Investigational Site

    Tokyo, 113-8603
    Japan

    Site Not Available

  • GSK Investigational Site

    Yamaguchi, 750-0061
    Japan

    Site Not Available

  • GSK Investigational Site

    Yamanashi, 409-3898
    Japan

    Site Not Available

  • GSK Investigational Site

    Busan, 49241
    Korea, Republic of

    Active - Recruiting

  • GSK Investigational Site

    Gyeonggi-do, 15355
    Korea, Republic of

    Active - Recruiting

  • GSK Investigational Site

    Seoul, 05505
    Korea, Republic of

    Site Not Available

  • GSK Investigational Site

    Ulsan, 44033
    Korea, Republic of

    Active - Recruiting

  • GSK Investigational Site

    Johor Bahru, 80100
    Malaysia

    Site Not Available

  • GSK Investigational Site

    Kota Bharu Kelantan,
    Malaysia

    Site Not Available

  • GSK Investigational Site

    Kota Kinabalu,
    Malaysia

    Site Not Available

  • GSK Investigational Site

    Kuala Lumpur, 59100
    Malaysia

    Site Not Available

  • GSK Investigational Site

    Kuala Terengganu, 20400
    Malaysia

    Site Not Available

  • GSK Investigational Site

    Kuantan, 25100
    Malaysia

    Site Not Available

  • GSK Investigational Site

    Aguascalientes, 20010
    Mexico

    Site Not Available

  • GSK Investigational Site

    Auckland, 2025
    New Zealand

    Site Not Available

  • GSK Investigational Site

    Panama City,
    Panama

    Site Not Available

  • GSK Investigational Site

    Cebu City, 6000
    Philippines

    Site Not Available

  • GSK Investigational Site

    Makati City, 1229
    Philippines

    Site Not Available

  • GSK Investigational Site

    Pasig, 1605
    Philippines

    Site Not Available

  • GSK Investigational Site

    Silang, 4118
    Philippines

    Site Not Available

  • GSK Investigational Site

    Gdansk, 80-405
    Poland

    Site Not Available

  • GSK Investigational Site

    Mysłowice, 41-400
    Poland

    Site Not Available

  • GSK Investigational Site

    Żychlin, 62-571
    Poland

    Site Not Available

  • GSK Investigational Site

    Bucharest, 020475
    Romania

    Site Not Available

  • GSK Investigational Site

    Bucharest 683506, 020475
    Romania

    Site Not Available

  • GSK Investigational Site

    Cluj-Napoca, 400348
    Romania

    Site Not Available

  • GSK Investigational Site

    Constanța, 900709
    Romania

    Site Not Available

  • GSK Investigational Site

    Galati, 800179
    Romania

    Site Not Available

  • GSK Investigational Site

    Oradea, 410469
    Romania

    Site Not Available

  • GSK Investigational Site

    Ansan, 15355
    South Korea

    Site Not Available

  • GSK Investigational Site

    Incheon, 405-760
    South Korea

    Site Not Available

  • GSK Investigational Site

    Pusan, 49241
    South Korea

    Site Not Available

  • GSK Investigational Site

    Seoul, 03312
    South Korea

    Site Not Available

  • GSK Investigational Site

    Seoul 1835848, 03312
    South Korea

    Site Not Available

  • GSK Investigational Site

    Ulsan, 44033
    South Korea

    Site Not Available

  • GSK Investigational Site

    Alcorcon Madrid,
    Spain

    Site Not Available

  • GSK Investigational Site

    Badajoz, 06080
    Spain

    Site Not Available

  • GSK Investigational Site

    Granada, 18016
    Spain

    Site Not Available

  • GSK Investigational Site

    Madrid, 28032
    Spain

    Site Not Available

  • GSK Investigational Site

    Madrid 3117735, 28032
    Spain

    Site Not Available

  • GSK Investigational Site

    Sabadell Barcelona, 08208
    Spain

    Site Not Available

  • GSK Investigational Site

    Sevilla, 41013
    Spain

    Active - Recruiting

  • GSK Investigational Site

    Seville, 41013
    Spain

    Site Not Available

  • GSK Investigational Site

    Valencia, 46026
    Spain

    Site Not Available

  • GSK Investigational Site

    Valladolid, 47012
    Spain

    Site Not Available

  • GSK Investigational Site

    Zaragoza, 50009
    Spain

    Site Not Available

  • GSK Investigational Site

    Kaohsiung City, 824
    Taiwan

    Site Not Available

  • GSK Investigational Site

    Taichung, 404
    Taiwan

    Site Not Available

  • GSK Investigational Site

    Tainan, 704
    Taiwan

    Site Not Available

  • GSK Investigational Site

    Taipei, 100
    Taiwan

    Site Not Available

  • GSK Investigational Site

    Chiang Mai, 50200
    Thailand

    Site Not Available

  • GSK Investigational Site

    Ankara, 06590
    Turkey (Türkiye)

    Site Not Available

  • GSK Investigational Site

    Istanbul, 34010
    Turkey (Türkiye)

    Site Not Available

  • GSK Investigational Site

    Izmir, 35100
    Turkey (Türkiye)

    Site Not Available

  • GSK Investigational Site

    Liverpool, L7 8XP
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    London, WC1E 6JB
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    Middlesbrough, TS4 3BW
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    Newcastle upon Tyne, NE7 7DN
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    Centreville, Alabama 35042
    United States

    Site Not Available

  • GSK Investigational Site

    Los Angeles, California 90033
    United States

    Site Not Available

  • GSK Investigational Site

    San Francisco, California 94115
    United States

    Site Not Available

  • GSK Investigational Site

    San Francisco 5391959, California 5332921 94115
    United States

    Site Not Available

  • GSK Investigational Site

    Colorado Springs, Colorado 80907
    United States

    Site Not Available

  • GSK Investigational Site

    Ft. Pierce, Florida 34982
    United States

    Site Not Available

  • GSK Investigational Site

    Miami, Florida 33136
    United States

    Site Not Available

  • GSK Investigational Site

    Glen Burnie, Maryland 21061
    United States

    Site Not Available

  • GSK Investigational Site

    Minneapolis, Minnesota 55404
    United States

    Site Not Available

  • GSK Investigational Site

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • GSK Investigational Site

    Denison, Texas 75020
    United States

    Site Not Available

  • GSK Investigational Site

    Seattle, Washington 98104
    United States

    Site Not Available

Map preview placeholder

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.