Study of GS-4321 in Healthy Participants and Participants With Chronic Hepatitis Delta Virus
Purpose
The goals of this clinical study are to first learn more about safety and dosing of the study drug GS-4321 in healthy participants. The study will then learn about the safety and effectiveness of GS-4321 in participants with chronic hepatitis delta (CHD). The primary objective of Phase 1 of this study is to evaluate the safety, tolerability and Pharmacokinetics (PK) of the escalating single doses of GS-4321 administered in healthy participants. The primary objective of Phase 2 of this study is to evaluate the efficacy and safety of the multiple escalating doses of GS-4321 in participants with CHD.
Condition
- Chronic Hepatitis Delta
Eligibility
- Eligible Ages
- Between 18 Years and 70 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
Part A: - Participants assigned male or female at birth who are of childbearing potential and engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception. - Have a body mass index (BMI) of ≤ 30.0 kg/m2 at screening and at admission. Part B: - Participants assigned male or female at birth who are of childbearing potential and engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception. - Chronic hepatitis delta (CHD) for ≥ 6 months prior to screening, documented by prior medical history. - Must be receiving a commercially available entecavir, TAF, or TDF for the treatment of hepatitis B virus (HBV) infection at or prior to enrollment. Coformulation as part of a fixed-dose combination for the treatment of HIV is permitted. - Non-cirrhotic or compensated cirrhosis. - Hepatitis delta virus ribonucleic acid (HDV RNA ) > 100 IU/mL at screening. - Alanine aminotransferase (ALT) level > 1 × Upper limit of normal (ULN), but < 10 × ULN at screening.
Exclusion Criteria
Part A: - Positive serum or urine pregnancy test. - Participants with plans to breastfeed during the study period. Part B: - Positive serum or urine pregnancy test. - Participants with plans to breastfeed during the study period. - Current or previous clinically decompensated liver disease, including coagulopathy, hepatic encephalopathy, and esophageal varices hemorrhage due to HDV or HBV. - Child-Turcotte-Pugh (CTP)-B or -C or a CTP score of ≥ 7. Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Study Design
- Phase
- Phase 1/Phase 2
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Sequential Assignment
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Phase 1: GS-4321 |
Participants will receive single escalating doses of GS-4321. |
|
|
Placebo Comparator Phase 1: Placebo |
Participants will receive placebo to match the single escalating doses of GS-4321 |
|
|
Experimental Phase 2: GS-4321 |
Participants will receive multiple escalating doses of GS-4321 up to 96 weeks. |
|
Recruiting Locations
Anaheim 5323810, California 5332921 92801
More Details
- Status
- Recruiting
- Sponsor
- Gilead Sciences
Study Contact
Gilead Clinical Study Information Center1-833-445-3230 (GILEAD-0)
GileadClinicalTrials@gilead.com