A Study of ABI-H2158-containing Regimens in Participants With Chronic Hepatitis B Virus Infection
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ClinicalTrials.gov Identifier: NCT04398134 |
Recruitment Status :
Recruiting
First Posted : May 21, 2020
Last Update Posted : December 24, 2020
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Chronic Hepatitis B | Drug: ABI-H2158 Drug: Placebo Drug: Entecavir (ETV) | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 80 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Double (Participant, Investigator) |
Primary Purpose: | Treatment |
Official Title: | A Phase 2a, Multicenter, Single-Blind, Placebo-Controlled, Multiple Cohort Study Evaluating ABI-H2158-Containing Regimens in Chronic Hepatitis B Infection |
Actual Study Start Date : | August 28, 2020 |
Estimated Primary Completion Date : | January 19, 2023 |
Estimated Study Completion Date : | January 19, 2023 |

Arm | Intervention/treatment |
---|---|
Experimental: ABI-H2158 plus ETV
ABI-2158 300 mg tablet once daily for 72 weeks plus ETV 0.5 mg tablet once daily for 96 weeks
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Drug: ABI-H2158
3 X 100 mg tablets for oral administration Drug: Entecavir (ETV) 0.5 mg tablet for oral administration |
Placebo Comparator: Placebo plus ETV
Placebo matching ABI-2158 300 mg tablet once daily for 72 weeks plus ETV 0.5 mg tablet once daily for 96 weeks
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Drug: Placebo
Sugar pill manufactured to mimic the ABI-H2158 tablets Drug: Entecavir (ETV) 0.5 mg tablet for oral administration |
- Number of Participants with One or More Adverse Events [ Time Frame: Up to 96 weeks ]
- Number of Participants with Premature Treatment Discontinuation due to an Adverse Event [ Time Frame: Up to 96 weeks ]
- Change from Baseline in Mean log10 HBV DNA [ Time Frame: Baseline and Week 24 ]
- Trough Plasma Concentration of ABI-H2158 [ Time Frame: Predose on Day 1, Week 4, Week 48, and Week 72 ]
- Trough-to-Peak Plasma Concentration Ratio of ABI-H2158 [ Time Frame: Predose on Day 1 and Weeks 4, 48, and 72 and at pre-specified intervals after dosing on Day 1 and Weeks 2, 8, 12, 16, 20, 24, and 28 ]
- Trough Plasma Concentration of ETV [ Time Frame: Predose on Day 1, Week 4, Week 48, and Week 72 ]
- Trough-to-Peak Plasma Concentration Ratio of ETV [ Time Frame: Predose on Day 1 and Weeks 4, 48, and 72 and at pre-specified intervals after dosing on Day 1 and Weeks 2, 8, 12, 16, 20, 24, and 28 ]
- Change from Baseline in Mean log10 HBV Pre-genomic RNA (pgRNA) [ Time Frame: Baseline and Week 24 ]
- Number of Participants with Reduction in HBV DNA Below the Assay Lower Limit of Quantitation [ Time Frame: Up to 96 weeks ]
- Number of Participants with Reduction in HBV pgRNA Below the Assay Lower Limit of Quantitation [ Time Frame: Up to 96 weeks ]
- Change from Baseline in Plasma HBV Surface Antigen (HBsAg) [ Time Frame: Baseline and up to 96 weeks ]
- Change from Baseline in Plasma HBV "e" Antigen (HBeAg) [ Time Frame: Baseline and up to 96 weeks ]
- Change from Baseline in Plasma HBV Core-related Antigen (HBcrAg) [ Time Frame: Baseline and up to 96 weeks ]
- Number of Participants with Normal Serum Alanine Aminotransferase (ALT) [ Time Frame: Baseline and up to Week 24 ]
- Number of Participants with HBV Core Protein Gene Sequence Variation Potentially Associated with Treatment Nonresponse [ Time Frame: Up to 96 weeks ]

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Ages Eligible for Study: | 18 Years to 65 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Body mass index of 18 - 36 kg/m^2 and body weight ≥45 kg
- HBeAg ≥500 IU/mL at Screening
- In good general health except for chronic HBV infection for ≥6 months documented, for example, by at least two measurements of HBsAg positivity and/or detectable HBV DNA ≥6 months apart
- Lack of cirrhosis or advanced liver disease
Exclusion Criteria:
- Prior treatment for chronic HBV infection with lamivudine, telbivudine, adefovir, standard of care nucleoside or nucleotide analogue (NrtI), HBV core inhibitors, or an investigational agent for HBV infection
- History or evidence of advanced liver disease or hepatic decompensation (including jaundice, ascites, portal hypertension, gastrointestinal bleeding, esophageal varices, hepatic encephalopathy)
- History or presence of clinically significant medical conditions requiring frequent medical management or pharmacologic or surgical treatment

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04398134
Contact: Assembly Biosciences | 833-509-4583 | clinicaltrials@assemblybio.com |

Study Director: | Katia Alves, MD | Assembly Biosciences |
Responsible Party: | Assembly Biosciences |
ClinicalTrials.gov Identifier: | NCT04398134 |
Other Study ID Numbers: |
ABI-H2158-201 2019-004902-85 ( EudraCT Number ) |
First Posted: | May 21, 2020 Key Record Dates |
Last Update Posted: | December 24, 2020 |
Last Verified: | November 2020 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Undecided |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
HBV hepatitis B |
Hepatitis A Hepatitis B Hepatitis B, Chronic Hepatitis Hepatitis, Chronic Hepatitis, Viral, Human Liver Diseases Digestive System Diseases Virus Diseases |
Enterovirus Infections Picornaviridae Infections RNA Virus Infections Hepadnaviridae Infections DNA Virus Infections Entecavir Antiviral Agents Anti-Infective Agents |