A Multi-dose Study of ARC-520 in Patients With Hepatitis B 'e' Antigen (HBeAg) Positive, Chronic Hepatitis B Virus Infection

Sponsor
Arrowhead Pharmaceuticals (Industry)
Overall Status
Terminated
CT.gov ID
NCT02604212
Collaborator
(none)
32
16
4
13
2
0.2

Study Details

Study Description

Brief Summary

Patients with HBeAG positive, chronic HBV infection will receive either ARC-520 or placebo in combination with entecavir or tenofovir, and be evaluated for safety and efficacy.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

This is a multicenter, randomized, double-blind, placebo-controlled, multi-dose study of ARC-520 in combination with entecavir or tenofovir administered to patients with HBeAg positive and immune active chronic HBV infection Eligible patients who have signed an Ethics Committee - approved informed consent, will be enrolled and will receive ARC-520 or placebo in combination with entecavir or tenofovir. The study will enroll up to a total of 90 eligible chronic HBV infected patients. Patients will undergo the following evaluations at regular intervals during the study: medical history, physical examinations, vital sign measurements (blood pressure, heart rate, respiratory rate and temperature), weight, adverse events assessment (AEs), 12 lead electrocardiograms (ECGs), liver fibrosis testing, concomitant medication assessment, blood sample collection for hematology, coagulation, chemistry, lactate, Pharmacokinetic (PK) measures (in a subset of patients), exploratory Pharmacodynamic (PD) measures, urinalysis, HBV serology, Follicle Stimulating Hormone (FSH) testing (post-menopausal females) and pregnancy testing for females of childbearing potential. Clinically significant changes including AEs will be followed until resolution, until the condition stabilizes, until the event is otherwise explained, or until the patient is lost to follow-up. For each patient the duration of the study is approximately 33 weeks from screening to the Day 169 follow-up visit. For patients enrolling into a planned extension study, the total duration of this study is approximately 25 weeks from screening to Day 113 end of study visit.

Study Design

Study Type:
Interventional
Actual Enrollment :
32 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Double-blind, Placebo-controlled Multi-dose Study to Determine the Depth of Hepatitis B Surface Antigen (HBsAg) Reduction Following Intravenous ARC-520 in Combination With Entecavir or Tenofovir in Patients With HBeAg Positive, Chronic Hepatitis B Virus (HBV) Infection
Study Start Date :
Nov 1, 2015
Actual Primary Completion Date :
Dec 1, 2016
Actual Study Completion Date :
Dec 1, 2016

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Placebo Low Dose Comparator

Placebo (low dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

Other: Placebo

Drug: entecavir
All participants will take entecavir or tenofovir throughout the study. Participants will be instructed to take their medication daily.

Drug: antihistamine
All participants will be pretreated with an oral antihistamine. The antihistamine used should in general be an H1>H2 receptor blocker and would include diphenhydramine 50 mg, cetirizine 10 mg, chlorpheniramine 8 mg or hydroxyzine 50 mg. The Investigator is free to choose any of these antihistamines available locally and consistent with their country's Marketing Authorisation.

Drug: tenofovir
All participants will take entecavir or tenofovir throughout the study. Participants will be instructed to take their medication daily.

Placebo Comparator: Placebo High Dose Comparator

Placebo (high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

Other: Placebo

Drug: entecavir
All participants will take entecavir or tenofovir throughout the study. Participants will be instructed to take their medication daily.

Drug: antihistamine
All participants will be pretreated with an oral antihistamine. The antihistamine used should in general be an H1>H2 receptor blocker and would include diphenhydramine 50 mg, cetirizine 10 mg, chlorpheniramine 8 mg or hydroxyzine 50 mg. The Investigator is free to choose any of these antihistamines available locally and consistent with their country's Marketing Authorisation.

Drug: tenofovir
All participants will take entecavir or tenofovir throughout the study. Participants will be instructed to take their medication daily.

Experimental: ARC-520 1.0 mg/kg

Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

Drug: ARC-520

Drug: entecavir
All participants will take entecavir or tenofovir throughout the study. Participants will be instructed to take their medication daily.

Drug: antihistamine
All participants will be pretreated with an oral antihistamine. The antihistamine used should in general be an H1>H2 receptor blocker and would include diphenhydramine 50 mg, cetirizine 10 mg, chlorpheniramine 8 mg or hydroxyzine 50 mg. The Investigator is free to choose any of these antihistamines available locally and consistent with their country's Marketing Authorisation.

Drug: tenofovir
All participants will take entecavir or tenofovir throughout the study. Participants will be instructed to take their medication daily.

Experimental: ARC-520 2.0 mg/kg

High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)

Drug: ARC-520

Drug: entecavir
All participants will take entecavir or tenofovir throughout the study. Participants will be instructed to take their medication daily.

Drug: antihistamine
All participants will be pretreated with an oral antihistamine. The antihistamine used should in general be an H1>H2 receptor blocker and would include diphenhydramine 50 mg, cetirizine 10 mg, chlorpheniramine 8 mg or hydroxyzine 50 mg. The Investigator is free to choose any of these antihistamines available locally and consistent with their country's Marketing Authorisation.

Drug: tenofovir
All participants will take entecavir or tenofovir throughout the study. Participants will be instructed to take their medication daily.

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in Quantitative Hepatitis B Surface Antigen (Log qHBsAg) at Day 113 [Baseline, Day 113]

    Change From Baseline in log qHBsAg at Day 113 in response to multiple doses of ARC-520 versus placebo, using a a mixed effect model for repeated measures (MMRM). Includes parameter baseline as a continuous covariate, and treatment and visit as fixed factors, interaction of treatment and visit, and interaction of parameter baseline and visit.

Secondary Outcome Measures

  1. Change From Baseline in Log qHBsAg Over Time [Baseline, Days 15, 29, 43, 57, 71, 85, 99]

    Change From Baseline in log qHBsAg up to Day 99 in response to multiple doses of ARC-520 versus placebo, using a a mixed effect model for repeated measures (MMRM). Includes parameter baseline as a continuous covariate, and treatment and visit as fixed factors, interaction of treatment and visit, and interaction of parameter baseline and visit.

  2. Change From Baseline at Day 15 in Log qHBsAg, by Category [Baseline, Day 15]

    Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.

  3. Change From Baseline at Day 29 in Log qHBsAg, by Category [Baseline, Day 29]

    Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.

  4. Change From Baseline at Day 43 in Log qHBsAg, by Category [Baseline, Day 43]

    Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.

  5. Change From Baseline at Day 57 in Log qHBsAg, by Category [Baseline, Day 57]

    Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.

  6. Change From Baseline at Day 71 in Log qHBsAg, by Category [Baseline, Day 71]

    Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.

  7. Change From Baseline at Day 85 in Log qHBsAg, by Category [Baseline, Day 85]

    Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.

  8. Change From Baseline at Day 99 in Log qHBsAg, by Category [Baseline, Day 99]

    Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.

  9. Change From Baseline at Day 113 in Log qHBsAg, by Category [Baseline, Day 113]

    Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.

  10. Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Deaths, and Discontinuations Due to AEs [Through Day 169 (± 3 days)]

    An AE is any untoward medical occurrence which does not necessarily have to have a causal relationship with this treatment. A treatment emergent AE (TEAE) was defined as an AE that was not present prior to the first study drug administration and started at/after the time of initiation of administration of study drug, or an AE which was present prior to initiation of study drug administration, which increased in severity after study drug administration. An SAE is any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of an existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; is a medically important event or reaction.

  11. Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours (AUC0-24) [Through 48 hours post-dosing on Day 1 and Day 85]

  12. Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 to the Last Quantifiable Plasma Concentration (AUClast) [Through 48 hours post-dosing on Day 1 and Day 85]

  13. Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUCinf) [Through 48 hours post-dosing on Day 1 and Day 85]

  14. Pharmacokinetics of ARC-520: Maximum Observed Plasma Concentration (Cmax) [Through 48 hours post-dosing on Day 1 and Day 85]

  15. Pharmacokinetics of ARC-520: Clearance (CL) [Through 48 hours post-dosing on Day 1 and Day 85]

  16. Pharmacokinetics of ARC-520: Apparent Volume of Distribution (V) [Through 48 hours post-dosing on Day 1 and Day 85]

  17. Pharmacokinetics of ARC-520: Terminal Elimination Rate Constant (Kel) [Through 48 hours post-dosing on Day 1 and Day 85]

  18. Pharmacokinetics of ARC-520: Terminal Elimination Half-Life (t1/2) [Through 48 hours post-dosing on Day 1 and Day 85]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Male or female, 18 to 75 years of age.

  • Written informed consent.

  • No clinically significant abnormalities at screening/pre-dose 12-lead ECG assessment.

  • No new abnormal finding of clinical relevance at the screening evaluation.

  • Diagnosis of HBeAg positive, immune active, chronic HBV infection.

  • 2months of continuous treatment with daily, oral entecavir or tenofovir.

  • Willingness to continue taking entecavir or tenofovir throughout the study.

  • Must use 2 effective methods of contraception (double barrier contraception or hormonal contraceptive along with a barrier contraceptive) (both male and female partners).

Exclusion Criteria:
  • Pregnant or lactating

  • Acute signs of hepatitis/other infection within 4 weeks of screening.

  • Antiviral therapy other than entecavir or tenofovir within 3 months of screening.

  • Prior treatment with interferon in the last 3 years.

  • Use within the last 6 months or anticipated requirement for anticoagulants, corticosteroids, immunomodulators, or immunosuppressants.

  • Use of prescription medication within 14 days prior to treatment administration except: topical products without systemic absorption, statins (except rosuvastatin), hypertension medications, or hormonal contraceptives.

  • Depot injection or implant of any drug within 3 months prior to treatment administration, except injectable/implantable birth control.

  • Diagnosis of diabetes mellitus.

  • History of autoimmune disease especially autoimmune hepatitis.

  • Human immunodeficiency virus (HIV) infection.

  • Sero-positive for Hepatitis C Virus (HCV), and/or a history of delta virus hepatitis.

  • Hypertension defined as blood pressure > 150/100 mmHg.

  • History of cardiac rhythm disturbances.

  • Family history or congenital long QT syndrome, Brugada syndrome or unexplained sudden cardiac death.

  • Symptomatic heart failure, unstable angina, myocardial infarction, severe cardiovascular disease within 6 months prior to study entry.

  • History of malignancy except for adequately treated basal cell carcinoma, squamous cell skin cancer, superficial bladder tumors, or in situ cervical cancer.

  • Has had a major surgery within 3 months of screening.

  • History of alcohol and/or drug abuse < 12 months from screening.

  • Regular uses of alcohol within 6 months prior to screening (ie, more than 14 units of alcohol per week).

  • Evidence of severe systemic acute inflammation, sepsis, or hemolysis.

  • Diagnosed with a significant psychiatric disorder.

  • Use of recreational drugs, such as marijuana, within 3 months prior to screening.

  • Use of drugs such as cocaine, phencyclidine (PCP), and methamphetamines, within 1 year prior to screening.

  • History of allergy to bee sting.

  • Use of investigational agents or devices within 30 days prior to planned study dosing or current participation in an investigational study.

  • Clinically significant history or presence of any gastrointestinal pathology, unresolved gastrointestinal symptoms, liver or kidney disease.

  • Presence of cholangitis, cholecystitis, cholestasis, or duct obstruction.

  • Clinically significant history or presence of poorly controlled/uncontrolled systemic disease.

  • History of fever within 2 weeks of screening.

  • Immunized with a live attenuated vaccine within 7 days prior to dosing or planned vaccination (excluding flu vaccine by injection).

  • Presence of any medical or psychiatric condition or social situation that impacts compliance or results in additional safety risk.

  • Participated in excessive exercise/physical activity within 7 days of screening or planned during the trial.

  • History of coagulopathy/stroke within past 6 months, and/or concurrent anticoagulant medication(s).

Contacts and Locations

Locations

Site City State Country Postal Code
1 Queen Mary Hospital Hong Kong China 999077
2 Prince of Wales Hospital Hong Kong China
3 Klinikum der Johann Wolfgang Goethe Universitaet Frankfurt Germany 60590
4 Asklepios Klinik St. Georg - Chirurgisch-Traumatologisches Zentrum Hamburg Germany 20099
5 Medizinische Hochschule Hannover Hannover Germany 30625
6 Eugastro Gmbh Leipzig Germany 04103
7 Universitaetsklinikum Leipzig Leipzig Germany 4103
8 Klinikum Der Ludwig-Maximilian-Universitaet Muenchen Muenchen Germany 81377
9 University Hospital of Tuebingen Tuebingen Germany 72076
10 Universitaetsklinikum Ulm, Klinik fur Innere Medizin I Ulm Germany 89081
11 Universitaetsklinikum Wuerzburg, Medizinische Klinik Und Poliklinik II Wuerzburg Germany 97080
12 Pusan National University Hospital Busan Korea, Republic of 602-739
13 Gachon University Gil Medical Center Incheon Korea, Republic of 405-760
14 Seoul National University Hospital Seoul Korea, Republic of 110-744
15 Severance Hospital, Yonsei University College of Medicine Seoul Korea, Republic of 120-752
16 Pusan National University Yangsan Hospital Yangsan-si Gyeongnam Korea, Republic of 626-770

Sponsors and Collaborators

  • Arrowhead Pharmaceuticals

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Arrowhead Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT02604212
Other Study ID Numbers:
  • Heparc-2003
  • 2014-004751-31
First Posted:
Nov 13, 2015
Last Update Posted:
Apr 16, 2019
Last Verified:
Jan 1, 2019

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Placebo (high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Period Title: Overall Study
STARTED 6 5 10 11
COMPLETED 4 4 6 8
NOT COMPLETED 2 1 4 3

Baseline Characteristics

Arm/Group Title Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg Total
Arm/Group Description Placebo (low dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Placebo (high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Total of all reporting groups
Overall Participants 6 5 10 11 32
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
39.8
(9.54)
45.0
(10.68)
42.1
(12.57)
41.6
(12.05)
42.0
(10.98)
Sex: Female, Male (Count of Participants)
Female
3
50%
1
20%
0
0%
6
54.5%
10
31.3%
Male
3
50%
4
80%
10
100%
5
45.5%
22
68.8%

Outcome Measures

1. Primary Outcome
Title Change From Baseline in Quantitative Hepatitis B Surface Antigen (Log qHBsAg) at Day 113
Description Change From Baseline in log qHBsAg at Day 113 in response to multiple doses of ARC-520 versus placebo, using a a mixed effect model for repeated measures (MMRM). Includes parameter baseline as a continuous covariate, and treatment and visit as fixed factors, interaction of treatment and visit, and interaction of parameter baseline and visit.
Time Frame Baseline, Day 113

Outcome Measure Data

Analysis Population Description
Intent to treat population: all participants who received at least 1 dose of study drug and had valid qHBsAg values at baseline and at least one time point on or after the Day 15 visit.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 6 6 8
Least Squares Mean (Standard Error) [log IU/mL]
-0.104
(0.073)
-0.146
(0.065)
-0.542
(0.061)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.6815
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.042
Confidence Interval (2-Sided) 95%
-0.243 to 0.159
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.102
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.0001
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.438
Confidence Interval (2-Sided) 95%
-0.638 to -0.237
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.101
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.0001
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.396
Confidence Interval (2-Sided) 95%
-0.569 to -0.223
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.088
Estimation Comments
2. Secondary Outcome
Title Change From Baseline in Log qHBsAg Over Time
Description Change From Baseline in log qHBsAg up to Day 99 in response to multiple doses of ARC-520 versus placebo, using a a mixed effect model for repeated measures (MMRM). Includes parameter baseline as a continuous covariate, and treatment and visit as fixed factors, interaction of treatment and visit, and interaction of parameter baseline and visit.
Time Frame Baseline, Days 15, 29, 43, 57, 71, 85, 99

Outcome Measure Data

Analysis Population Description
Intent to treat population: all participants who received at least 1 dose of study drug and had valid qHBsAg values at baseline and at least one time point on or after the Day 15 visit.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 10 10 10
Day 15
3.734
(0.519)
3.069
(0.654)
3.000
(0.411)
Day 29
3.692
(0.588)
3.148
(0.658)
3.027
(0.395)
Day 43
3.812
(0.463)
3.097
(0.664)
2.893
(0.436)
Day 57
3.793
(0.507)
3.148
(0.651)
2.882
(0.437)
Day 71
3.756
(0.489)
3.088
(0.626)
2.714
(0.477)
Day 85
3.743
(0.543)
3.198
(0.610)
2.698
(0.466)
Day 99
3.767
(0.541)
3.048
(0.593)
2.606
(0.477)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments Day 15
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0131
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.208
Confidence Interval (2-Sided) 95%
-0.372 to -0.044
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.083
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments Day 15
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0036
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.247
Confidence Interval (2-Sided) 95%
-0.412 to -0.082
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.084
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments Day 15
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.6136
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.039
Confidence Interval (2-Sided) 95%
-0.192 to 0.113
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.077
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments Day 29
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.3104
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.085
Confidence Interval (2-Sided) 95%
-0.249 to 0.080
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.083
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments Day 29
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0401
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.174
Confidence Interval (2-Sided) 95%
-0.340 to -0.008
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.084
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments Day 29
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.2494
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.089
Confidence Interval (2-Sided) 95%
-0.242 to 0.063
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.077
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments Day 43
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0149
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.211
Confidence Interval (2-Sided) 95%
-0.380 to -0.042
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.085
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments Day 43
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.319
Confidence Interval (2-Sided) 95%
-0.489 to -0.149
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.086
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments Day 29
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.1655
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.108
Confidence Interval (2-Sided) 95%
-0.262 to 0.045
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.078
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments Day 57
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0889
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.150
Confidence Interval (2-Sided) 95%
-0.324 to 0.023
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.088
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments Day 57
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.322
Confidence Interval (2-Sided) 95%
-0.497 to -0.147
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.088
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments Day 57
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0298
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.172
Confidence Interval (2-Sided) 95%
-0.326 to -0.017
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.078
Estimation Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments Day 71
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0415
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.184
Confidence Interval (2-Sided) 95%
-0.361 to -0.007
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.089
Estimation Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments Day 71
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.0001
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.441
Confidence Interval (2-Sided) 95%
-0.620 to -0.261
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.091
Estimation Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments Day 71
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0015
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.257
Confidence Interval (2-Sided) 95%
-0.413 to -0.100
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.079
Estimation Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments Day 85
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.3510
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.086
Confidence Interval (2-Sided) 95%
-0.268 to 0.096
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.092
Estimation Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments Day 85
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.0001
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.404
Confidence Interval (2-Sided) 95%
-0.590 to -0.219
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.094
Estimation Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments Day 85
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.318
Confidence Interval (2-Sided) 95%
-0.481 to -0.156
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.082
Estimation Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments Day 99
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.1198
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.151
Confidence Interval (2-Sided) 95%
-0.341 to 0.040
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.096
Estimation Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments Day 99
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.0001
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.516
Confidence Interval (2-Sided) 95%
-0.708 to -0.325
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.097
Estimation Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments Day 99
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.0001
Comments
Method MMRM
Comments
Method of Estimation Estimation Parameter LS Mean Difference
Estimated Value -0.366
Confidence Interval (2-Sided) 95%
-0.535 to -0.197
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.085
Estimation Comments
3. Secondary Outcome
Title Change From Baseline at Day 15 in Log qHBsAg, by Category
Description Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.
Time Frame Baseline, Day 15

Outcome Measure Data

Analysis Population Description
Intent to treat population: all participants who received at least 1 dose of study drug and had valid qHBsAg values at baseline and at least one time point on or after the Day 15 visit.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 10 10 10
No Decrease
0.026
(0.015)
0.032
(0.035)
Decrease > 0 to < 0.5 log IU/mL
-0.035
(0.014)
-0.153
(0.144)
-0.266
(0.192)
Decrease 0.5 to 1.0 log IU/mL
-0.707
(NA)
-0.666
(NA)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0867
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.6285
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.7214
Comments
Method Fisher Exact
Comments
4. Secondary Outcome
Title Change From Baseline at Day 29 in Log qHBsAg, by Category
Description Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.
Time Frame Baseline, Day 29

Outcome Measure Data

Analysis Population Description
Intent to treat population: all participants who received at least 1 dose of study drug and had valid qHBsAg values at baseline and at least one time point on or after the Day 15 visit.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 9 10 10
No Decrease
0.048
(0.043)
0.064
(NA)
Decrease > 0 to < 0.5 log IU/mL
-0.084
(0.078)
-0.129
(0.083)
-0.251
(0.190)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0325
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.1409
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.0000
Comments
Method Fisher Exact
Comments
5. Secondary Outcome
Title Change From Baseline at Day 43 in Log qHBsAg, by Category
Description Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.
Time Frame Baseline, Day 43

Outcome Measure Data

Analysis Population Description
Intent to treat population: all participants who received at least 1 dose of study drug and had valid qHBsAg values at baseline and at least one time point on or after the Day 15 visit.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 8 9 10
No Decrease
0.022
(0.012)
0.017
(NA)
1 participant analyDecrease > 0 to < 0.5 log IU/mL
-0.050
(0.051)
-0.226
(0.077)
-0.275
(0.137)
Decrease 0.5 to 1.0 log IU/mL
-0.633
(0.141)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0824
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.2217
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.1409
Comments
Method Fisher Exact
Comments
6. Secondary Outcome
Title Change From Baseline at Day 57 in Log qHBsAg, by Category
Description Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.
Time Frame Baseline, Day 57

Outcome Measure Data

Analysis Population Description
Intent to treat population: all participants who received at least 1 dose of study drug and had valid qHBsAg values at baseline and at least one time point on or after the Day 15 visit.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 7 9 10
No Decrease
0.027
(0.012)
1 participant analyDecrease > 0 to < 0.5 log IU/mL
-0.067
(0.072)
-0.176
(0.049)
-0.276
(0.156)
Decrease 0.5 to 1.0 log IU/mL
-0.571
(0.060)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0625
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0684
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.2105
Comments
Method Fisher Exact
Comments
7. Secondary Outcome
Title Change From Baseline at Day 71 in Log qHBsAg, by Category
Description Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.
Time Frame Baseline, Day 71

Outcome Measure Data

Analysis Population Description
Intent to treat population: all participants who received at least 1 dose of study drug and had valid qHBsAg values at baseline and at least one time point on or after the Day 15 visit.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 7 9 9
No Decrease
0.011
(0.012)
1 participant analyDecrease > 0 to < 0.5 log IU/mL
-0.094
(0.079)
-0.235
(0.086)
-0.296
(0.119)
Decrease 0.5 to 1.0 log IU/mL
-0.662
(0.140)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.1750
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0229
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0294
Comments
Method Fisher Exact
Comments
8. Secondary Outcome
Title Change From Baseline at Day 85 in Log qHBsAg, by Category
Description Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.
Time Frame Baseline, Day 85

Outcome Measure Data

Analysis Population Description
Intent to treat population: all participants who received at least 1 dose of study drug and had valid qHBsAg values at baseline and at least one time point on or after the Day 15 visit.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 7 7 8
No Decrease
0.009
(0.010)
1 participant analyDecrease > 0 to < 0.5 log IU/mL
-0.112
(0.147)
-0.171
(0.037)
-0.293
(0.112)
Decrease 0.5 to 1.0 log IU/mL
-0.684
(0.179)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.4615
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0508
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0769
Comments
Method Fisher Exact
Comments
9. Secondary Outcome
Title Change From Baseline at Day 99 in Log qHBsAg, by Category
Description Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.
Time Frame Baseline, Day 99

Outcome Measure Data

Analysis Population Description
Intent to treat population: all participants who received at least 1 dose of study drug and had valid qHBsAg values at baseline and at least one time point on or after the Day 15 visit.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 7 6 8
No Decrease
0.027
(0.018)
1 participant analyDecrease > 0 to < 0.5 log IU/mL
-0.160
(0.202)
-0.210
(0.070)
-0.343
(0.110)
Decrease 0.5 to 1.0 log IU/mL
-0.652
(0.068)
Decrease > 1.0 log IU/mL
-1.011
(NA)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0699
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0179
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0430
Comments
Method Fisher Exact
Comments
10. Secondary Outcome
Title Change From Baseline at Day 113 in Log qHBsAg, by Category
Description Change in log qHBsAg from baseline, categorized into the following groups: no decrease, decrease > 0 to < 0.5 log IU/mL; decrease 0.5 to 1.0 log IU/mL; decrease > 1.0 log IU/mL, tabulated by dose and treatment for each visit.
Time Frame Baseline, Day 113

Outcome Measure Data

Analysis Population Description
Intent to treat population: all participants who received at least 1 dose of study drug and had valid qHBsAg values at baseline and at least one time point on or after the Day 15 visit.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 6 6 8
No Decrease
0.042
(NA)
1 participant analyDecrease > 0 to < 0.5 log IU/mL
-0.115
(0.171)
-0.142
(0.045)
-0.359
(0.049)
Decrease 0.5 to 1.0 log IU/mL
-0.726
(0.228)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 1.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.0000
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0849
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection ARC-520 1.0 mg/kg, ARC-520 2.0 mg/kg
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0849
Comments
Method Fisher Exact
Comments
11. Secondary Outcome
Title Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Deaths, and Discontinuations Due to AEs
Description An AE is any untoward medical occurrence which does not necessarily have to have a causal relationship with this treatment. A treatment emergent AE (TEAE) was defined as an AE that was not present prior to the first study drug administration and started at/after the time of initiation of administration of study drug, or an AE which was present prior to initiation of study drug administration, which increased in severity after study drug administration. An SAE is any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of an existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; is a medically important event or reaction.
Time Frame Through Day 169 (± 3 days)

Outcome Measure Data

Analysis Population Description
Safety Population: all participants who received at least one dose of study drug or placebo, and had at least one post-dose safety assessment.
Arm/Group Title Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Placebo (high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 6 5 10 11
≥ 1 AE
4
66.7%
0
0%
6
60%
3
27.3%
≥ 1 TEAE
4
66.7%
0
0%
5
50%
3
27.3%
≥ 1 Serious TEAE
0
0%
0
0%
0
0%
0
0%
Deaths
0
0%
0
0%
0
0%
0
0%
≥ 1 TEAE Leading to Study Discontinuation
0
0%
0
0%
0
0%
0
0%
≥ 1 TEAE Leading to Treatment Discontinuation
0
0%
0
0%
0
0%
0
0%
12. Secondary Outcome
Title Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours (AUC0-24)
Description
Time Frame Through 48 hours post-dosing on Day 1 and Day 85

Outcome Measure Data

Analysis Population Description
Due to the early suspension and termination of the study, all pharmacokinetic analyses were removed from the initial statistical analysis plan for this study. No collected samples were analyzed and all were destroyed.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 0 0 0
13. Secondary Outcome
Title Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 to the Last Quantifiable Plasma Concentration (AUClast)
Description
Time Frame Through 48 hours post-dosing on Day 1 and Day 85

Outcome Measure Data

Analysis Population Description
Due to the early suspension and termination of the study, all pharmacokinetic analyses were removed from the initial statistical analysis plan for this study. No collected samples were analyzed and all were destroyed.
Arm/Group Title Placebo ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 0 0 0
14. Secondary Outcome
Title Pharmacokinetics of ARC-520: Area Under the Plasma Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUCinf)
Description
Time Frame Through 48 hours post-dosing on Day 1 and Day 85

Outcome Measure Data

Analysis Population Description
Due to the early suspension and termination of the study, all pharmacokinetic analyses were removed from the initial statistical analysis plan for this study. No collected samples were analyzed and all were destroyed.
Arm/Group Title Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 0 0 0
15. Secondary Outcome
Title Pharmacokinetics of ARC-520: Maximum Observed Plasma Concentration (Cmax)
Description
Time Frame Through 48 hours post-dosing on Day 1 and Day 85

Outcome Measure Data

Analysis Population Description
Due to the early suspension and termination of the study, all pharmacokinetic analyses were removed from the initial statistical analysis plan for this study. No collected samples were analyzed and all were destroyed.
Arm/Group Title Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 0 0 0
16. Secondary Outcome
Title Pharmacokinetics of ARC-520: Clearance (CL)
Description
Time Frame Through 48 hours post-dosing on Day 1 and Day 85

Outcome Measure Data

Analysis Population Description
Due to the early suspension and termination of the study, all pharmacokinetic analyses were removed from the initial statistical analysis plan for this study. No collected samples were analyzed and all were destroyed.
Arm/Group Title Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 0 0 0
17. Secondary Outcome
Title Pharmacokinetics of ARC-520: Apparent Volume of Distribution (V)
Description
Time Frame Through 48 hours post-dosing on Day 1 and Day 85

Outcome Measure Data

Analysis Population Description
Due to the early suspension and termination of the study, all pharmacokinetic analyses were removed from the initial statistical analysis plan for this study. No collected samples were analyzed and all were destroyed.
Arm/Group Title Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 0 0 0
18. Secondary Outcome
Title Pharmacokinetics of ARC-520: Terminal Elimination Rate Constant (Kel)
Description
Time Frame Through 48 hours post-dosing on Day 1 and Day 85

Outcome Measure Data

Analysis Population Description
Due to the early suspension and termination of the study, all pharmacokinetic analyses were removed from the initial statistical analysis plan for this study. No collected samples were analyzed and all were destroyed.
Arm/Group Title Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 0 0 0
19. Secondary Outcome
Title Pharmacokinetics of ARC-520: Terminal Elimination Half-Life (t1/2)
Description
Time Frame Through 48 hours post-dosing on Day 1 and Day 85

Outcome Measure Data

Analysis Population Description
Due to the early suspension and termination of the study, all pharmacokinetic analyses were removed from the initial statistical analysis plan for this study. No collected samples were analyzed and all were destroyed.
Arm/Group Title Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose or high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
Measure Participants 0 0 0

Adverse Events

Time Frame Through Day 169 (± 3 days)
Adverse Event Reporting Description
Arm/Group Title Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Arm/Group Description Placebo (low dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Placebo (high dose comparator) once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) Low dose (1.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day) High dose (2.0 mg/kg) ARC-520 once every 4 weeks for 4 doses, plus entecavir (0.5 or 1.0 mg/day) or tenofovir (300 mg/day)
All Cause Mortality
Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/6 (0%) 0/5 (0%) 0/10 (0%) 0/11 (0%)
Other (Not Including Serious) Adverse Events
Placebo Low Dose Comparator Placebo High Dose Comparator ARC-520 1.0 mg/kg ARC-520 2.0 mg/kg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 4/6 (66.7%) 0/5 (0%) 5/10 (50%) 3/11 (27.3%)
Blood and lymphatic system disorders
Anaemia 1/6 (16.7%) 0/5 (0%) 0/10 (0%) 0/11 (0%)
Gastrointestinal disorders
Dyspepsia 0/6 (0%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Gastrooesophageal reflux disease 0/6 (0%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Nausea 1/6 (16.7%) 0/5 (0%) 0/10 (0%) 0/11 (0%)
General disorders
Asthenia 0/6 (0%) 0/5 (0%) 0/10 (0%) 1/11 (9.1%)
Chills 0/6 (0%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Discomfort 0/6 (0%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Fatigue 1/6 (16.7%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Pyrexia 0/6 (0%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Infections and infestations
Nasopharyngitis 1/6 (16.7%) 0/5 (0%) 0/10 (0%) 0/11 (0%)
Pharyngitis 0/6 (0%) 0/5 (0%) 0/10 (0%) 1/11 (9.1%)
Rhinitis 1/6 (16.7%) 0/5 (0%) 0/10 (0%) 0/11 (0%)
Upper respiratory tract infection 0/6 (0%) 0/5 (0%) 0/10 (0%) 1/11 (9.1%)
Investigations
Blood creatine phosphokinase increased 0/6 (0%) 0/5 (0%) 0/10 (0%) 1/11 (9.1%)
Eosinophil count increased 0/6 (0%) 0/5 (0%) 0/10 (0%) 1/11 (9.1%)
Musculoskeletal and connective tissue disorders
Arthritis 0/6 (0%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Intervertebral disc protrusion 0/6 (0%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Nervous system disorders
Dizziness 1/6 (16.7%) 0/5 (0%) 0/10 (0%) 0/11 (0%)
Headache 0/6 (0%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Respiratory, thoracic and mediastinal disorders
Cough 0/6 (0%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Skin and subcutaneous tissue disorders
Eczema 0/6 (0%) 0/5 (0%) 1/10 (10%) 0/11 (0%)
Urticaria 1/6 (16.7%) 0/5 (0%) 0/10 (0%) 0/11 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Chief Operating Officer
Organization Arrowhead Pharmaceuticals, Inc.
Phone 626-304-3400
Email
Responsible Party:
Arrowhead Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT02604212
Other Study ID Numbers:
  • Heparc-2003
  • 2014-004751-31
First Posted:
Nov 13, 2015
Last Update Posted:
Apr 16, 2019
Last Verified:
Jan 1, 2019