Phase I Study of INO-1800 With or Without INO-9112 + EP in Chronic Hepatitis B Subjects



Status:Completed
Conditions:Hepatitis, Hepatitis
Therapuetic Areas:Immunology / Infectious Diseases
Healthy:No
Age Range:18 - 65
Updated:9/15/2018
Start Date:January 2015
End Date:May 2018

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Phase I, Randomized, Open-Label, Active-Controlled, Dose Escalation Study to Evaluate the Safety, Tolerability & Immunogenicity of INO-1800 Alone or in Combination With INO-9112 Delivered IM Followed by EP in Select Nucleos(t)Ide Analogue-Treated, Chronic Hepatitis B Patients

This is an open-label study to evaluate the safety, tolerability, and immunogenicity of dose
combinations of INO-1800 (DNA plasmids encoding HBsAg and HBcAg) and INO-9112 (DNA plasmid
encoding human interleukin 12) delivered by electroporation (EP) in 90 (ninety) nucleos(t)ide
analogue treated patients.


INCLUSION CRITERIA:

- Chronic Hepatitis B virus infection

- Negative for Hepatitis A IgM, C, D and HIV

- Liver biopsy, Fibroscan® or equivalent elastography-based test obtained within the
past 6 mon demonstrating liver disease without evidence of bridging fibrosis or
cirrhosis supported by platelet count greater than the central laboratory LLN at
screening

- Positive for Hepatitis B surface antigen (≥250 IU/mL at screening)

- Nucleos(t)ide treatment for at least 1 year with ongoing nucleos(t)ide analogue
treatment at randomization

- HBV DNA <90 IU/mL for ≥6 mon prior to randomization

- Screening laboratory values within normal range

- ALT ≤1.5x ULN from 2 measurements separated by at least 14 days during the 6 mon prior
to randomization and ALT at screening ≤1.5x ULN

- AST, TBili, DBili, GGT, Alk Phos and albumin within normal range or judged to be not
clinically significant by PI and medical monitor at screening

- For men and women who are not postmenopausal [i.e. ≥ 12 months of non-therapy-induced
amenorrhea, confirmed by follicle stimulating hormone (FSH), if not on hormone
replacement] or surgically sterile (vasectomy in males or absence of ovaries and/or
uterus in females) agreement to remain abstinent or use 1 highly effective or combined
contraceptive methods that result in a failure rate of < 1% per year during the
treatment period and at least through week 12 after last dose

EXCLUSION CRITERIA:

- Pregnant or breastfeeding females

- Positive serum pregnancy test at screening or positive urine pregnancy test at
randomization

- Use of topical corticosteroids at or near the intended administration site

- Autoimmune disorders, transplant recipients, other immunosuppression including any
concurrent condition requiring the use of immunosuppressive/immunomodulating agents
(eye drop-containing and infrequent inhaled corticosteroids are permissible)

- Need for systemic antiviral treatment (other than for chronic hepatitis B infection)

- Documented history or other evidence of decompensated liver disease (e.g., ascites,
bleeding from esophageal varices, Child-Pugh clinical classification B or C)

- History of liver cirrhosis demonstrated by biopsy, Fibroscan® or equivalent
elastography-based test

- History of other evidence of a medical condition associated with chronic liver disease
[e.g., hemochromatosis, autoimmune hepatitis, alcoholic liver disease, non-alcoholic
steatohepatitis (NASH), toxin exposure, thalassemia, etc.]

- Documented history or other evidence of metabolic liver disease within 1yr of
randomization

- Abnormal renal function including serum creatinine >ULN or calculated creatinine
clearance <70 mL/min (using the Cockcroft Gault formula)

- History of or suspicion of HCC

- Screening alpha fetoprotein ≥13 ng/mL

- Prior history or current malignancy other than adequately treated BCC, unless history
of BCC is near intended administration site

- History of significant medical conditions [e.g., cardiac (including ventricular or
supraventricular arrhythmias), renal disease, pulmonary, gastrointestinal,
neurological]

- Significant acute infection (e.g., influenza, local infection) or any other clinically
significant illness within 2 weeks of randomization

- Administration of any blood product within 3 mon of randomization

- History of seizures (unless seizure free for 5yrs)
We found this trial at
8
sites
Manhasset, New York 11030
2413
mi
from 98109
Manhasset, NY
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Cincinnati, Ohio 45267
Principal Investigator: Kenneth Sherman
Phone: 513-584-5245
1966
mi
from 98109
Cincinnati, OH
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Kingswood, New South Wales 2747
Principal Investigator: Martin Weltman
Phone: +61247343466
7764
mi
from 98109
Kingswood,
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2730
mi
from 98109
Miami, FL
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New York, New York 10029
Principal Investigator: Douglas Dieterich
Phone: 212-241-1617
2402
mi
from 98109
New York, NY
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Philadelphia, Pennsylvania 19104
Principal Investigator: David Kaplan
Phone: 215-823-5800
2371
mi
from 98109
Philadelphia, PA
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San Diego, California 92105
Principal Investigator: Tuan Nguyen
Phone: 619-563-4040
1064
mi
from 98109
San Diego, CA
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Seattle, Washington 98104
2
mi
from 98109
Seattle, WA
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