RO7565020 for Chronic Hepatitis B

No longer recruiting at 17 trial locations
RS
Overseen ByReference Study ID Number: BP44118 https://forpatients.roche.com/
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Hoffmann-La Roche
Must be taking: NUC monotherapy

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called RO7565020 to assess its safety and behavior in the body. It targets individuals with chronic hepatitis B (a long-term liver infection) who are currently managing their condition with specific medications. Participants will receive either the new treatment or a placebo (a look-alike substance with no active ingredients) to compare results. Ideal candidates for this trial have had hepatitis B for at least six months, have been on specific medications for at least a year, and maintain a healthy body weight. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Do I have to stop taking my current medications for the trial?

The trial does not specify if you need to stop all current medications. However, if you are a healthy volunteer, you must not have used any treatment within 2 weeks or 5 half-lives before the first dose. If you have chronic hepatitis B, you must continue your NUC monotherapy.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that treatments like RO7565020, part of a group called nucleos(t)ide analogues, are usually well-tolerated. These treatments effectively reduce virus levels, indicating their safety. So far, studies have not identified any major side effects for RO7565020, suggesting it is relatively safe for people with chronic hepatitis B. However, as this is its first test in humans, ongoing trials will provide more detailed information about its safety.12345

Why do researchers think this study treatment might be promising for chronic hepatitis B?

Unlike the standard treatments for chronic hepatitis B, which often include nucleos(t)ide analogs (NUCs) that work by suppressing viral replication, RO7565020 is unique because it represents a new class of medication with a different mechanism of action. Researchers are excited about RO7565020 because it targets the virus in a novel way, potentially offering improved outcomes for patients who do not respond well to existing therapies. This innovative approach could lead to a more effective strategy for managing chronic hepatitis B, which remains a significant global health challenge.

What evidence suggests that this trial's treatments could be effective for chronic hepatitis B?

Research shows that RO7565020, a treatment under study for chronic hepatitis B, is a monoclonal antibody. This means it targets specific proteins in the body to combat the virus. Early studies suggest it might help remove the virus, a major goal in treating hepatitis B. For instance, after 48 weeks, some patients in these studies had a 10% clearance rate of the virus. Although this number might seem small, it is promising for a new treatment. More research is needed, but these early results are encouraging.12567

Who Is on the Research Team?

CT

Clinical Trials

Principal Investigator

Hoffmann-La Roche

Are You a Good Fit for This Trial?

This trial is for healthy adults or those with chronic hepatitis B (CHB) who have a BMI of 18-32 kg/m^2. CHB participants must have been positive for HBsAg for at least 6 months and on NUC therapy for over a year without signs of advanced liver disease. People with cirrhosis, suspected cancer, or other significant diseases are excluded.

Inclusion Criteria

Healthy volunteers: Body mass index (BMI) between 18 and 32 kg/m^2
CHB participants: CHB infection (HBsAg-positive for >/= 6 months), On NUC (ETV, TAF, or TDF) monotherapy for >/= 12 months, Liver biopsy, FibroScan, or equivalent test within the past 6 months demonstrating liver disease consistent with chronic HBV infection without evidence of bridging fibrosis or cirrhosis, BMI between 18 and 32 kg/m^2

Exclusion Criteria

I am healthy with no significant diseases or treatments that could affect the study.
I have liver issues not solely due to hepatitis B, or I've had cancer or immune treatments recently.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive single and/or multiple doses of RO7565020 to investigate safety, tolerability, pharmacokinetics, and pharmacodynamics

8-12 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • NUC treatment
  • Placebo
  • RO7565020
Trial Overview The study tests RO7565020's safety and effects in humans compared to a placebo. It's the first time this drug is being tried in people. The trial will gradually increase doses to find safe levels and see how the body reacts over single or multiple doses in both healthy individuals and those with suppressed CHB.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: RO7565020Experimental Treatment2 Interventions
Group II: PlaceboPlacebo Group1 Intervention

NUC treatment is already approved in European Union, United States, Canada, Japan for the following indications:

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Approved in European Union as Nucleos(t)ide analogue for:
🇺🇸
Approved in United States as Nucleos(t)ide analogue for:
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Approved in Canada as Nucleos(t)ide analogue for:
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Approved in Japan as Nucleos(t)ide analogue for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Hoffmann-La Roche

Lead Sponsor

Trials
2,482
Recruited
1,107,000+
Headquarters
Basel, Switzerland
Known For
Precision medicine
Top Products
Avastin, Herceptin, Rituxan, Accu-Chek
Dr. Levi Garraway profile image

Dr. Levi Garraway

Hoffmann-La Roche

Chief Medical Officer since 2019

MD from the University of Basel

Dr. Thomas Schinecker profile image

Dr. Thomas Schinecker

Hoffmann-La Roche

Chief Executive Officer since 2023

PhD in Molecular Biology from New York University

Published Research Related to This Trial

In a study of 102 patients with chronic hepatitis B, persistence rates for nucleos(t)ide analogues (NUCs) decreased over time, with a more rapid decline observed between weeks 48 and 96.
Entecavir demonstrated the highest persistence rates among the five NUCs studied, suggesting that medications with a high genetic barrier, like entecavir and tenofovir, are more effective in maintaining treatment adherence in the initial stages of therapy.
Persistence profile to nucleos(t)ide analogue treatment for patients with chronic hepatitis B.Borrego Izquierdo, Y., Gómez Fernández, E., Monje Agudo, P., et al.[2022]
In a study of 600 treatment-naïve chronic hepatitis B patients over 3 years, those treated with entecavir (ETV) showed a significantly lower rate of treatment modification (9.0%) compared to those on telbivudine (38.8%) and lamivudine (54.2%).
Patients on ETV also demonstrated a higher adherence rate (>90%) at year 3 (90.8%), indicating that ETV may be a more effective and reliable treatment option for chronic hepatitis B compared to other nucleos(t)ide analogs.
Higher adherence with 3-year entecavir treatment than lamivudine or telbivudine in treatment-naïve Taiwanese patients with chronic hepatitis B.Chien, RN., Peng, CY., Kao, JH., et al.[2014]
Lamivudine treatment significantly reduces the risk of developing hepatocellular carcinoma (HCC) by 51% compared to no treatment, based on a study of 3,306 patients.
Despite the reduction in HCC risk with antiviral treatment, the incidence remains at 1.3 cases per 100 person-years, indicating the need for ongoing surveillance, especially in older patients and those with cirrhosis.
Meta-analysis: the impact of oral anti-viral agents on the incidence of hepatocellular carcinoma in chronic hepatitis B.Singal, AK., Salameh, H., Kuo, YF., et al.[2022]

Citations

Clinical trial for Chronic Hepatitis B-Genentech A Member...A clinical trial to look at the safety and effectiveness of RO7565020 at different doses and how the body processes RO7565020 in healthy people and those with ...
RO7565020 for Chronic Hepatitis B · Info for ParticipantsIn a study of 102 patients with chronic hepatitis B, persistence rates for nucleos(t)ide analogues (NUCs) decreased over time, with a more rapid decline ...
Updates on Recent Advancements in Hepatitis D Virus ...According to data at week 48 of treatment, when comparing cirrhotic and noncirrhotic groups, virologic, biochemical, and combined response rates were 66% vs. 65 ...
Roche Discontinues 4 Hepatitis B Drug PipelinesAfter 24 weeks of post-treatment follow-up, the HBsAg clearance rates were 7%, 12%, and 23%, respectively, and after 48 weeks, the rates were 10 ...
EASL-2025-poster-gane-safety-tolerability-pharmacokinetics ...Safety, tolerability, pharmacokinetics, and pharmacodynamics of RO7565020, a novel monoclonal antibody that targets the hepatitis B surface antigen: results ...
ANZCTR - RegistrationRO7565020 will be administered by subcutaneous injection or intravenous infusion. Other interventions: Placebo Matching placebo will be ...
Safety, tolerability, pharmacokinetics, and pharmacodynamics of ...Safety, tolerability, pharmacokinetics, and pharmacodynamics of RO7565020, a novel monoclonal antibody that targets the hepatitis B surface antigen: results ...
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