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ABI-H0731

Phase 2

Chronic Hepatitis B | Small molecule | Infectious Disease |Assembly Biosciences, Inc.|Last Updated: Feb 17, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment222
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03577171A Study Evaluating ABI-H0731+ Entecavir vs Entecavir Alone for the Treatment of Viremic HBeAg-positive Participants With Chronic Hepatitis B Virus Infection (cHBV)PHASE2 COMPLETED 25Jun 19, 2018Jun 21, 2019Jan 28, 202112 United States, Canada +3
NCT03576066A Study Evaluating ABI-H0731 as Adjunctive Therapy in Participants With Chronic Hepatitis B InfectionPHASE2 COMPLETED 73Jun 11, 2018Jul 5, 2019Feb 17, 202121 United States, Canada +1
NCT03109730Phase 1b/2a Study of ABI-H0731 in Patients With Chronic Hepatitis BPHASE1 COMPLETED 38Jun 15, 2017Jun 12, 2018Jul 6, 201814 Australia, Hong Kong +3
NCT02908191A Study in Healthy Volunteers and Patients With Chronic Hepatitis BPHASE1 COMPLETED 86Nov 1, 2016Jun 12, 2018Apr 4, 20192 New Zealand
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Study Endpoints
Primary Endpoints
Change in Mean log10 HBV DNA From Baseline (Day 1) to Week 12 or Week 24 on ABI H0731 + SOC ETV as Compared to Placebo + SOC ETV
Baseline, Week 12, and Week 24

Hepatitis B virus (HBV) DNA was measured using COBAS TaqMan Version 2.0. The lower limit of quantitation (LLOQ) was 20 IU/mL and the limit of detection (LOD) was 10 IU/mL.

Change in Mean log10 Serum HBsAg From Baseline (Day 1) to Week 24 on ABI-H0731 + SOC NUC as Compared to Placebo + SOC NUC
Baseline to Week 24
Change in Mean log10 Serum HBeAg From Baseline (Day 1) to Week 24 on ABI-H0731 + SOC NUC as Compared to Placebo + SOC NUC
Baseline to Week 24
Number of patients with chronic HBV infection with treatment-related adverse events and laboratory abnormalities as assessed by CTCAE v4.0.
Up to 57 days
Number of healthy volunteers and patients with chronic HBV infection with treatment-related adverse events as assessed by CTCAE v4.0.
Up to 57 days
Secondary Endpoints
Number of Participants One or More Adverse Events
Up to Follow-up (maximum up to Week 36)
Number of Participants With Premature Study Discontinuation
Up to Follow-up (maximum up to Week 36)
Number of Participants With One or More Abnormal Safety Laboratory Result
Up to Week 36
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ABI-H0731 + SOC ETVEXPERIMENTALParticipants with cHBV who are currently not being treated will receive ABI-H0731 along with SOC ETV tablets orally for 24 weeks. Eligible participants may enter a separate extension study after Week 24 to continue open-label ABI-H0731 for up to an additional year if necessary.
Placebo + SOC ETVEXPERIMENTALParticipants with cHBV who are currently not being treated will receive matching placebo along with SOC ETV tablets orally for 24 weeks. Eligible participants may enter a separate extension study after Week 24 to start treatment on open-label ABI-H0731 for up to a year if necessary.
ABI-H0731 + SOC NUCEXPERIMENTALVirologically suppressed participants will receive ABI-H0731 along with SOC NUC (ETV, TDF or TAF) tablets orally for 24 weeks. Eligible participants may enter a separate extension study after Week 24 to continue open-label ABI-H0731 for up to an additional year if necessary.
Placebo + SOC NUCACTIVE_COMPARATORVirologically suppressed participants will receive matching placebo tablets and continue their SOC NUC (ETV, TDF or TAF) for 24 weeks. Eligible participants may enter a separate extension study after Week 24 to start treatment on open-label ABI-H0731 for up to a year if necessary.
Cohort B1EXPERIMENTALABI-H0731 or Placebo in varying doses by mouth for 28 days
Cohort B2EXPERIMENTALABI-H0731 or Placebo in varying doses by mouth for 28 days
Cohort B3EXPERIMENTALABI-H0731 or Placebo in varying doses by mouth for 28 days
Cohort B4EXPERIMENTALABI-H0731 or Placebo in varying doses by mouth for 28 days
Cohort B5EXPERIMENTALABI-H0731 or Placebo in combination with entecavir or tenofovir for 28 days
Cohort B6EXPERIMENTALABI-H0731 or Placebo, in combination with a commerically-approved nucleos(t)ide plus PegIFN in treatment-experienced patients, for 28 days
ABI-H0731 or Matching PlaceboEXPERIMENTALABI-H0731 in varying doses of tablets by mouth for 1 day, 7 days, or 28 days
ABI-H0731 or Placebo and ETV or TDFEXPERIMENTALABI-H0731 and entecavir or tenofovir in combination in a yet to be determined dose by mouth for 28 days
ABI-H0731 or Placebo and a Nucleos(t)ide and PegasysEXPERIMENTALABI-H0731 or Placebo, in combination with a commerically-approved nucleos(t)ide plus PegIFN in treatment-experienced patients, for 28 days
Interventions
NameTypeDescription
ABI-H0731DRUGParticipants will receive 300mg QD of ABI-H0731 tablets orally.
SOC ETVDRUGParticipants will receive SOC ETV (0.5 mg QD) orally as per approved package insert.
Placebo Oral TabletDRUGParticipants will receive matching QD placebo tablets orally.
SOC NUCDRUGParticipants will continue on their SOC NUC (ETV, TDF or TAF) tablet orally as per approved package insert.
Placebo for ABI-H0731DRUGSugar pill manufactured to mimic the ABI-H0731 tablet
EntecavirDRUGAn antiviral medication used in the treatment of hepatitis B virus infection
Tenofovir Disoproxil FumarateDRUGAn antiviral medication used in the treatment of hepatitis B virus infection
PegasysDRUGUsed to treat adults with chronic hepatitis B virus who show signs of liver damage
Nucleos(t)ideDRUGUsed to treat adults with chronic hepatitis B virus
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites12

Key Inclusion Criteria: * Male or female between ages 18 and 70 years * HBeAg-positive at screening * In good general health except for cHBV * HBV viral load ≥2×105 IU/mL * Hepatitis B surface antigen (HBsAg) \>1000 IU/mL at screening Key Exclusion Criteria: * Any prior treatment with lamivudine ...

Countries:United StatesCanadaHong KongNew ZealandUnited KingdomAustraliaSouth KoreaTaiwan
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