Study of IMC-I109V in Non-cirrhotic HBeAg-negative Chronic HBV Infection

Last updated: October 9, 2024
Sponsor: Immunocore Ltd
Overall Status: Trial Not Available

Phase

1

Condition

Hepatitis B

Hepatitis

Treatment

IMC-I109V-101 Single Ascending Dose

HBV HCC Module MAD

IMC-I109V-101 Multiple Ascending Doses

Clinical Study ID

NCT05867056
IMC-I109V-101
2019-004212-64
  • Ages 18-65
  • All Genders

Study Summary

IMC-I109V is an immune-mobilizing monoclonal T cell receptor (TCR) against viruses (ImmTAV®), a new class of bispecific protein therapeutics designed for the treatment of chronic hepatitis B virus (HBV) infection (CHB). This is the first in-human study of IMC-I109V in persons with CHB.

Eligibility Criteria

Inclusion

Inclusion Criteria

Parts 1 and 2:

  • ≥18 to 65 years old at time of informed consent

  • HLA-A*02:01 positive

  • Documented evidence of CHB based on one of the following: a. Positive HBsAg and HBVDNA at least 6 months prior to the Screening visit; OR b. Historical liver biopsyconsistent with CHB infection.

  • Have been receiving entecavir and/or tenofovir (including tenofovir alafenamide) for ≥12months prior to screening and are willing to continue.

  • HBV DNA negative at screening

  • No history of liver cirrhosis AND prior assessment of fibrosis demonstratingnon-cirrhotic status at screening

  • Participants of childbearing potential who are sexually active with a non-sterilizedpartner must agree to use highly effective methods of birth control from the trialscreening date until 3 months after the final dose of the study intervention orlonger if required by local regulations

Part 3:

  • ≥18 years old at time of informed consent

  • HLA-A*02:01 positive

  • ECOG ≤1

  • Locally advanced or metastatic and/or unresectable HCC with diagnosis confirmed byhistology / cytology, or clinically by American Association for the Study of LiverDiseases criteria

  • Failed or intolerant of ≥1 systemic therapy

  • At least one measurable lesion (per RECIST 1.1) which is either not previouslytreated or, if treated, has clearly progressed prior to enrollment

  • Documented evidence of CHB based on one of the following: a. Positive HBsAg and HBVDNA at least 6 months prior to the Screening visit; OR b. Historical liver biopsyconsistent with CHB infection

  • Life expectancy >3 months from time of enrolment

  • Have compensated cirrhosis with a Child-Pugh score ≤ 7 (A or B7)

  • On entecavir and/or tenofovir (disoproxil fumarate or alafenamide) with HBV DNA <100IU/ml at screening; willingness to continue for at least 6 months after the lastdose of study drug

  • Quantitative HBV surface antigen ≤ 5,000 IU/mL at screening

  • Participants of childbearing potential who are sexually active with a non-sterilizedpartner must agree to use highly effective methods of birth control from the trialscreening date until 3 months after the final dose of the study intervention orlonger if required by local regulations

Exclusion

Exclusion Criteria:

Parts 1 and 2:

  • Pregnant or lactating persons

  • Known co-infection with any of the following: HIV, Hepatitis C virus, OR Hepatitis Dvirus

  • Changes in HBeAg status within 3 months prior to the screening visit

  • Known HBV genotype A

  • Gilbert's syndrome

  • Any known pre-existing medical or psychiatric condition that could interfere withthe participant's ability to provide informed consent or participate in studyconduct, or that may confound study findings including, but not limited to:Immunologically-mediated disease, e.g. inflammatory bowel disease (Crohn's disease,ulcerative colitis), rheumatoid arthritis, idiopathic thrombocytopenic purpura,systemic lupus erythematosus, scleroderma, or sarcoidosis within 5 years of thescreening visit.

  • Current or history of any clinically significant cardiac abnormalities/dysfunction,e.g. congestive heart failure, myocardial infarction ≤6 months prior to thescreening visit, pulmonary hypertension, complex congenital heart disease,significant arrhythmia, or active cardiac ischemia.

  • Evidence of decompensated liver disease including, but not limited to, a history orpresence of clinical ascites, bleeding esophageal varices, hepatorenal syndrome, orhepatic encephalopathy.

  • Significant immunosuppression from, but not limited to immunodeficiency conditionssuch as common variable hypogammaglobulinemia

  • Evidence of active or suspected malignancy, or a history of malignancy ≤3 yearsprior to the screening visit (except adequately treated carcinoma in situ, basalcell carcinoma of the skin, or stage 0 HCC that has been treated). NOTE:Participants under evaluation for malignancy are not eligible

  • Receiving or planning to receive systemic immunosuppressive medications during thestudy or ≤ 2 months prior to Day1, including but not limited to prednisone >10mg/day (or equivalent), methotrexate, cyclosporine, or interferon. NOTE: Localsteroid therapy is allowed (eg, inhaled, otic, ophthalmic, or intra-articularmedications)

  • Use of any live vaccines against infectious diseases within 4 weeks of the firstplanned administration of study intervention or use of any non-live vaccines againstinfectious diseases within 2 weeks of the first planned administration of studyintervention.

  • Treatment with any investigational drug or enrollment in any other clinical study ≤ 3 months prior to Day1, or at any time during participation in the study.

  • Clinical diagnosis of substance abuse with alcohol, narcotics, or cocaine ≤12 monthsprior to the screening visit, except for those participants monitored in an opioidsubstitution maintenance program.

Part 3:

  • Pregnant or lactating persons

  • Untreated or symptomatic CNS metastases

  • Significant ongoing toxicity from prior anticancer treatment -

  • Ascites requiring recurrent paracentesis

  • Inadequate washout from prior anticancer therapy

  • Prior cellular therapy for HBV-associated HCC

  • Known HBV genotype A

  • Decompensated liver disease

  • Surgical intervention or local / loco-regional therapy for HBV HCC within 28 days ofplanned first dose of study treatment

  • Active hepatitis C virus (HCV) infection

  • Untreated HIV infection

  • Significant secondary malignancy

  • Clinically significant lung, heart, or autoimmune disease

  • Ongoing requirement for immunosuppressive treatment

  • Prior solid organ or bone marrow transplant

  • Hypersensitivity to study drug or excipients, or pre-medications

  • Systemic antibiotics, vaccines or major surgery within 2-4 weeks prior to the firstdose of study intervention

  • Out-of-range laboratory values, including ALT or AST > 3x upper limit of normal (ULN), total bilirubin and direct bilirubin > 1.5x ULN, Albumin ≤ 28 g/L,International normalized ratio (INR) > 1.3

Study Design

Treatment Group(s): 5
Primary Treatment: IMC-I109V-101 Single Ascending Dose
Phase: 1
Study Start date:
August 12, 2020
Estimated Completion Date:
December 15, 2024

Study Description

IMC-I109V-101 is a first-in-human (FIH) study designed to assess the safety, tolerability, and pharmacokinetic (PK) profile of IMC-I109V in single and multiple dose regimens and to provide a preliminary assessment of antiviral activity, when administered to virally suppressed hepatitis B e-antigen (HBeAg)-negative participants receiving long-term NA therapy. The aim of this study is to identify safe, tolerable, and clinically active dose (CAD) regimens of IMC-I109V for further clinical development. The IMC-I109V study is divided into 3 main parts: Part 1 - Single Ascending Dose (SAD); Part 2 - Multiple Ascending Dose (MAD), in HBeAg-negative CHB; Part 3 will evaluate safety, tolerability, antiviral activity, PK and anti-tumor efficacy of Multiple Ascending Doses of IMC-I109V in participants with HBV-associated hepatocellular carcinoma (HBV HCC) who are virally suppressed on NA therapy.

Connect with a study center

  • Linear Clinical Research

    Crawley, 6009
    Australia

    Site Not Available

  • St. Vincent's Hospital

    Fitzroy, 3065
    Australia

    Site Not Available

  • The Alfred Centre

    Melbourne, VIC 3004
    Australia

    Site Not Available

  • Scienta Clinical Research

    Randwick, 2031
    Australia

    Site Not Available

  • Universitair Ziekenhuis Antwerp

    Antwerpen, 2060
    Belgium

    Site Not Available

  • Aarhus University

    Aarhus, 8200
    Denmark

    Site Not Available

  • Queen Mary Hospital

    Hong Kong,
    Hong Kong

    Site Not Available

  • Pusan National University Hospital

    Busan, 49241
    Korea, Republic of

    Site Not Available

  • Asan Medical Center

    Seoul, 05505
    Korea, Republic of

    Site Not Available

  • Gangnam Severance Hospital-Yonsei University Health System

    Seoul, 06273
    Korea, Republic of

    Active - Recruiting

  • SMG-SNU Boramae Medical Center

    Seoul, 07061
    Korea, Republic of

    Active - Recruiting

  • Auckland Clinical Studies

    Grafton, 1010
    New Zealand

    Site Not Available

  • ID Clinic Myslowice

    Mysłowice, 41-400
    Poland

    Site Not Available

  • ARENSIA Exploratory Medicine Research Clinic

    Bucharest, 010458
    Romania

    Site Not Available

  • Hospital Universitari Vall d'Hebron de Barcelona

    Barcelona, 08035
    Spain

    Site Not Available

  • Hospital Ramón and Cajal

    Madrid, 28034
    Spain

    Site Not Available

  • Hospital Universitario Puerta de Hierro Majadahonda

    Majadahonda, 28222
    Spain

    Site Not Available

  • Hospital Universitario Virgen de la Victoria

    Málaga, 29071
    Spain

    Site Not Available

  • Kaohsiung Medical University Chung-Ho

    Kaohsiung City, 80756
    Taiwan

    Site Not Available

  • Taipei Veterans General Hospital

    Taipei city, 112
    Taiwan

    Site Not Available

  • Chelsea and Westminster Hospital, Research and Development, Clinical Trials Facility

    London, SW10 9NH
    United Kingdom

    Site Not Available

  • Guy's Hospital, Dept. of Infectious Disease

    London, SE1 9RT
    United Kingdom

    Site Not Available

  • Nottingham University Hospitals NHS Trust Biomedical Research Centre

    Nottingham, NG7 2UH
    United Kingdom

    Site Not Available

  • University of Southern California Keck School of Medicine

    Los Angeles, California 90033
    United States

    Site Not Available

  • New York Presbyterian Hospital Cornell University Joan & Sanford I. Weill Medical College

    New York, New York 10021
    United States

    Site Not Available

  • University Hospitals Cleveland Medical Center Case Western Reserve

    Cleveland, Ohio 44106
    United States

    Site Not Available

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