RecruitingPhase 2ACTRN12620000403932

Phase 1/2 study of IMC-I109V in non-cirrhotic HBeAg-negative chronic hepatitis B (HBV) infection

An Open-label Study Evaluating the Safety, Antiviral Activity, and Pharmacokinetics of IMC-I109V in HLA-A*02:01 Positive Patients with Chronic HBV who are Non-Cirrhotic, Hepatitis B e Antigen-negative, and Virally Suppressed


Sponsor

Immunocore Ltd

Enrollment

80 participants

Start Date

May 18, 2021

Study Type

Interventional

Conditions

Summary

Hepatitis B is the most common liver infection in the world and is caused by the hepatitis B virus (HBV). HBV enters the body and travels to the liver via the bloodstream. In the liver, the virus attaches to healthy liver cells and multiplies. The liver is the main site of HBV replication. Hepatitis B infection can lead to cirrhosis (scarring of the liver), liver cancer, or liver failure, if it is not diagnosed and managed appropriately. The purpose of this study is to test IMC-I109V in people with chronic hepatitis B virus (HBV) infection. The main goal of the study is to assess the safety and effectiveness a new treatment, called IMC-I109V. IMC- I109V has been developed to treat HBV by activating the body’s own immune system to fight the virus.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 55 Yearss

Plain Language Summary

Simplified for easier understanding

Chronic hepatitis B is a viral infection affecting the liver that can, over many years, lead to cirrhosis or liver cancer. While antiviral tablets can keep the virus suppressed, they rarely clear it completely, and patients often need lifelong treatment. This Phase 1/2 clinical trial is testing a new immunotherapy approach called IMC-I109V, which is designed to 'train' the immune system to recognise and attack hepatitis B-infected liver cells — essentially teaching the body to fight the virus itself. IMC-I109V is given as an injection to people who have been on antiviral therapy for at least a year and whose virus levels are already suppressed. The study assesses whether the treatment is safe, tolerable, and capable of reducing the level of hepatitis B surface antigen in the blood — a marker that, if decreased, may indicate the immune system is gaining control over the infection. You may be eligible if you are aged 18–55, have a specific immune system marker (HLA-A*02:01), have chronic hepatitis B without liver cirrhosis, have been taking entecavir or tenofovir for at least 12 months, and have undetectable virus with low surface antigen levels. Co-infection with HIV, hepatitis C, or D, or a history of liver cancer would exclude you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

The purpose of this study is to test IMCI109V in people with chronic hepatitis B virus (HBV) infection and to assess the safety and effectiveness a new treatment, called IMC-I109V. IMC- I109V has been

The purpose of this study is to test IMCI109V in people with chronic hepatitis B virus (HBV) infection and to assess the safety and effectiveness a new treatment, called IMC-I109V. IMC- I109V has been developed to treat HBV by activating the body’s own immune system to fight the virus. This is the first time that IMC-I109V is being tested in humans. The study consists of 2 parts as follows; Part 1 – Single Ascending Dose (SAD): will be approximately 10 weeks for each participant, comprising a maximum 42-day screening period, a 1-day treatment period involving a single administration of IMC-I109V (by intravenous (IV) infusion) and a 28 day follow-up period, for a total of 9 visits. The first cohort will receive a single IMC-I109V starting dose of 0.8 mcg, and subsequent cohorts up to 60.0 mcg. Visits will take place on Day -1 and Days 1, 2, 3, 5, 8, 15, 22, and 29. Follow up may be extended in participants who achieve a decrease in HBsAg of greater than 0.5 log10 IU/mL at Day 29. Approximately 5 to 9 cohorts will be enrolled. Part 2 – Multiple Ascending Dose (MAD): will be approximately 54 weeks for each participant, comprising a maximum 42-day screening period, a 24-week treatment period involving weekly administration of IMC-I109V (by intravenous (IV) infusion), and a 24-week follow-up period, with a total of 30 visits. The initial dose in Part 2 – MAD will be the lowest dose evaluated during Part 1 – SAD i.e. 0.8 mcg. Visits will take place on Day -1 and Days 1, 3, 5, and 8, Weeks 3 (Day 15) through 24, Weeks 28, 36, 48 and 49. Participants who have achieved HBsAg less than 100 IU/mL at end of Week 24 may be considered for further study treatments of up to Week 48 and follow-up visits every 12 weeks to Week 72. Treatment will be discontinued at Week 16 in participants who have not shown evidence of a response to IMC-I109V. Approximately 3 to 6 dose cohorts will be enrolled and the maximum possible dose that may be administered to a cohort will be 60.0 mcg. The participant groups in SAD and MAD are exclusive.


Locations(11)

St Vincent's Hospital (Melbourne) Ltd - Fitzroy

NSW,WA,VIC, Australia

Linear Clinical Research - Nedlands

NSW,WA,VIC, Australia

Scientia Clinical Research - Randwick

NSW,WA,VIC, Australia

New Zealand

Hong Kong

United Kingdom

Korea, Republic Of

Romania

Belgium

Poland

Spain

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ACTRN12620000403932