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ABI-H2158

Phase 2

Chronic Hepatitis B | Small molecule | Infectious Disease |Assembly Biosciences, Inc.|Trials Updated: Jan 27, 2021

ABI-H2158 development status

Highest phase Phase 2 (NCT04398134)
Phase scored for ASMBPhase 1
Registered trials 3 across 1 sponsor since Oct 2018

ABI-H2158 target and mechanism

ModalitySmall molecule

Also known as ABI-H2158 Reference Formulation

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment175

FDA Designations

No designations recorded

ABI-H2158 clinical trials

ABI-H2158 · 3 trials · 1 indication

Phase 1 3
NCT04142762A Study to Assess CYP3A4 Modulator, Oral Contraceptive, and pH Modifier Drug Interactions for ABI-H2158 in Healthy AdultsChronic Hepatitis B
COMPLETED80 Analytics
NCT04083716A Study to Assess the Relative Bioavailability and Food Effect of ABI-H2158 in Healthy AdultsChronic Hepatitis B
COMPLETED15 Analytics
NCT03714152A Study of ABI-H2158 in Healthy Volunteers and Patients With Chronic Hepatitis BChronic Hepatitis B
COMPLETED80 Analytics
PHASE1COMPLETED
A Study to Assess CYP3A4 Modulator, Oral Contraceptive, and pH Modifier Drug Interactions for ABI-H2158 in Healthy Adults
Chronic Hepatitis BUnlock trial analytics
PHASE1COMPLETED
A Study to Assess the Relative Bioavailability and Food Effect of ABI-H2158 in Healthy Adults
Chronic Hepatitis BUnlock trial analytics
PHASE1COMPLETED
A Study of ABI-H2158 in Healthy Volunteers and Patients With Chronic Hepatitis B
Chronic Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Area under the plasma concentration time curve (AUC) of ABI-H2158
before dosing and at pre-specified time points up to Day 17
Maximum observed plasma concentration (Cmax) of ABI-H2158
before dosing and at pre-specified time points up to Day 17
AUC of Midazolam
before dosing and at pre-specified time points up to Day 12
Cmax of Midazolam
before dosing and at pre-specified time points up to Day 17
AUC of ethinyl estradiol and levonorgestrel
before dosing and at pre-specified time points up to 5 days after dosing on Day 21 of Cycle 1 and Cycle 2. Cycle 1 is 28 days and Cycle 2 is 26 days
Cmax of ethinyl estradiol and levonorgestrel
before dosing and at pre-specified time points up to 5 days after dosing on Day 21 of Cycle 1 and Cycle 2. Cycle 1 is 28 days and Cycle 2 is 26 days
Area under the plasma concentration time curve (AUC) of ABI-H2158: Relative Bioavailability and Food Effect
before dosing and 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48, 72, 96, and 120 hours after dosing on Days 1, 8, and 15
Maximum observed plasma concentration (Cmax) of ABI-H2158: Relative Bioavailability and Food Effect
before dosing and 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, 48, 72, 96, and 120 hours after dosing on Days 1, 8, and 15
Number of healthy volunteers and patients with chronic HBV infection with treatment-related adverse events as assessed by CTCAE v4.0.
Up to 28 days
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1: ABI-H2158 + ItraconazoleEXPERIMENTALOral ABI-H2158 on Days 1 and 9; oral itraconazole once-daily (QD) on Days 6 through 13
Cohort 2: ABI-H2158 + RifampinEXPERIMENTALOral ABI-H2158 on Days 1 and 12; oral rifampin QD on Days 6 through 16
Cohort 3: ABI-H2158 + EsomeprazoleEXPERIMENTALOral ABI-H2158 on Days 1 and 11; oral esomeprazole QD on Days 6 through 11
Cohort 4: ABI-H2158 + MidazolamEXPERIMENTALOral midazolam on Days 1 and 11; oral ABI-H2158 QD on Days 2 through 11
Cohort 5: ABI-H2158 + Oral ContraceptiveEXPERIMENTALCycle 1: active oral contraceptive (ethinyl estradiol/levonorgestrel) QD on Days 1 through 21 and oral placebo QD on Days 22 through 28; Cycle 2: active oral contraceptive QD on Days 1 through 21, oral placebo QD on Days 22 through 26, and oral ABI-H2158 QD on Days 11 through 24
Group 1EXPERIMENTALABI-H2158 Reference Formulation in a fasting state on Day 1 (Period 1), then ABI-H2158 Test Formulation in a fasting state on Day 8 (Period 2), then ABI-H2158 Test Formulation after a high-fat meal on Day 15 (Period 3)
Group 2EXPERIMENTALABI-H2158 Test Formulation in a fasting state on Day 1 (Period 1), then ABI-H2158 Test Formulation after a high-fat meal on Day 8 (Period 2), then ABI-H2158 Reference Formulation in a fasting state on Day 15 (Period 3)
Group 3EXPERIMENTALABI-H2158 Test Formulation after a high-fat meal on Day 1 (Period 1), then ABI-H2158 Reference Formulation in a fasting state on Day 8 (Period 2), then ABI-H2158 Test Formulation in a fasting state on Day 15 (Period 3)
ABI-H2158EXPERIMENTALABI-H2158 in varying doses of tablets by mouth without and with food for 1 day or 10 days
Matching Placebo for ABI-H2158PLACEBO_COMPARATORMatching Placebo in varying doses of tablets by mouth without and with food for 1 day or 10 days

Interventions

NameTypeDescription
ABI-H2158DRUGABI-H2158 tablets
ItraconazoleDRUGItraconazole capsules
RifampinDRUGRifampin capsules
MidazolamDRUGMidazolam syrup
Ethinyl Estradiol / LevonorgestrelDRUGEthinyl Estradiol / Levonorgestrel tablets
EsomeprazoleDRUGEsomeprazole capsules
Placebo matching oral contraceptiveDRUGPlacebo matching Ethinyl Estradiol / Levonorgestrel tablets
ABI-H2158 Reference FormulationDRUGABI-H2158 tablets Reference Formulation
ABI-H2158 Test FormulationDRUGABI-H2158 tablets Test Formulation
Placebo for ABI-H2158DRUGSugar pill manufactured to mimic the ABI-H2158 5 mg or 25 mg tablets
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. No clinically significant abnormal findings on physical exam, medical history, or clinical laboratory results at screening. 2. Cohort 5: naive to the use of oral contraceptives. Exclusion Criteria: 1\. Positive test results for human immunodeficiency virus (HIV) or hepatiti...

Countries:United StatesAustraliaChinaHong KongNew ZealandSouth KoreaUnited Kingdom
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Frequently asked questions about ABI-H2158

What is ABI-H2158 used for?

ABI-H2158 is an investigational small molecule being developed for the treatment of chronic hepatitis B, a viral infection of the liver. It is in Phase 1 clinical development and is not approved for any indication. All three of its clinical trials have been completed.

Who is developing ABI-H2158?

ABI-H2158 is being developed by Assembly Biosciences, Inc., which trades on the Nasdaq under the ticker ASMB. The company sponsored the Phase 1 clinical program evaluating the drug in healthy volunteers and patients with chronic hepatitis B.

What phase is ABI-H2158 in?

ABI-H2158 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA or any other regulatory authority. Three Phase 1 trials have been completed, and no trials are currently active.

What clinical trials is ABI-H2158 in?

ABI-H2158 has been studied in three completed Phase 1 trials: NCT03714152 in healthy volunteers and patients with chronic hepatitis B, NCT04083716 assessing relative bioavailability and food effect, and NCT04142762 evaluating drug interactions with a CYP3A4 modulator, an oral contraceptive, and a pH modifier.

Is ABI-H2158 the same as ABI-H2158 Reference Formulation?

Yes. ABI-H2158 Reference Formulation is another name for ABI-H2158, the investigational small molecule developed by Assembly Biosciences for chronic hepatitis B. Both names refer to the same drug candidate, which has been evaluated in three completed Phase 1 trials.

How many patients have been enrolled in ABI-H2158 trials?

Across the three completed Phase 1 trials of ABI-H2158, total enrollment was 175 participants. The studies were randomized, double-blind, and placebo-controlled, and included healthy adult volunteers as well as patients with chronic hepatitis B.