TherVacB - A Heterologous Protein Prime/MVA Boost Therapeutic Hepatitis B Vaccine Candidate

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-70
SponsorMichael Hoelscher

About this trial

This study is an open-label, ascending dose phase 1b/2a trial to assess the safety and immunogenicity of a heterologous protein prime/MVA boost therapeutic hepatitis B vaccine in patients with chronic HBV who are virally suppressed with oral anti-viral therapies.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Ability to understand the subject information and to personally name, sign and date the informed consent to participate in the clinical trial.

Provided written informed consent.

HBsAg positive for ≥ 6 months

Anti-HBs negative

Disqualifiers

Known liver disease other than hepatitis B

Advanced liver fibrosis or cirrhosis (demonstrated by ultrasound or transient elastography ≥8 kP in fasting condition)

WOCBP who don't agree to comply with the applicable contraceptive requirements of the protocol

History of hepatocellular carcinoma

Trial design

Design model

Sequential

Treatments tested in this trial

  • TherVacB (HEPLISAV B +/- HBcoreAg + MVA-HBVac)

    Biological/Vaccine

    Administration of the described combinations via the intramuscular route

  • TherVacB (2xHEPLISAV B + HBcoreAg + MVA-HBVac)

    Biological/Vaccine

    Administration of the described combinations via the intramuscular route

Treatment groups

81 Participants
are divided into 8 treatment groups

8

Treatment groups

See each treatment group below.

Group A: Arm A1Experimental treatment 1 intervention
Group B: Arm A2Experimental treatment 1 intervention
Group C: Arm A3Experimental treatment 1 intervention
Group D: Arm A4Experimental treatment 1 intervention
Group E: Arm A5 (Europe)Experimental treatment 1 intervention
Group F: Arm A6 (Tanzania)Experimental treatment 1 intervention
Group G: Arm B1Experimental treatment 1 intervention
Group H: Arm B2Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Frequencies and magnitudes of unsolicited adverse events

Reported numbers and severity grade of unsolicited AEs for 28 days after each vaccination

Time frame
up to day 84
2

Frequencies and magnitudes of serious adverse events (SAEs) throughout the trial period

Reported numbers and types of SAEs throughout the period of the clinical trial

Time frame
up to day 224
3

Frequencies and magnitudes of adverse event of special interest (AESI) and Suspected Unexpected Serious Adverse Reaction (SUSAR) throughout the trial period

Reported numbers and severity grade of AESIs and numbers and types of SUSARs

Time frame
up to day 224
4

Frequencies and magnitudes of solicited local reactogenicity signs and symptoms within 7 days after each vaccination

Reported numbers and severity of solicited AEs

Time frame
up to day 63

Secondary outcomes

1

Frequency of subjects with HBsAg drop below the lower limit of quantification

Determined by an accredited serological immuno-assay

Time frame
2 weeks (Day 70), 2 months (Day 112) and 6 months (Day 224) after completion of the vaccination regimen (last study visit).
2

Frequency of subjects with a ≥ 1 log10 drop in HBsAg titers from day 0 (start of study medication) with the goal of 30% of patients achieving a ≥ 1log10 HBsAg drop

Determined by an accredited serological immuno-assay

Time frame
2 weeks (Day 70), 2 months (Day 112) and 6 months (Day 224) after completion of the vaccination regimen (last study visit
3

Frequency of subjects with an induction of anti-HBs titers ≥ 10 IU/L

Determined by an accredited serological immuno-assay

Time frame
2 weeks (Day 70), 2 months (Day 112) and 6 months (Day 224) after completion of the vaccination regimen (last study visit
4

Frequency of subjects developing any anti-HBs antibody response

Determined by an accredited serological immuno-assay

Time frame
2 weeks (Day 70), 2 months (Day 112) and 6 months (Day 224) after completion of the vaccination regimen (last study visit

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Michael Hoelscher

Lead sponsor

Ludwig-Maximilians - University of Munich

Sponsor institution

Institute of Virology Helmholtz Zentrum München Trogerstraße 30 81675 Munich, Germany

Collaborator