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HEPLISAV

Phase 3

End Stage Renal Disease | Monoclonal antibody | Nephrology |Dynavax Technologies Corporation|Trials Updated: Apr 30, 2019

HEPLISAV development status

Highest phase Phase 3
Registered trials 5 across 1 sponsor since Aug 2007

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials4
Total Enrollment2,815

FDA Designations

No designations recorded

HEPLISAV clinical trials

HEPLISAV · 4 trials · 2 indications

Phase 3 2Phase 2 1Phase 1 1
NCT01195246Safety and Immunogenicity of HEPLISAV™ a Hepatitis B Virus Vaccine in Adults on HemodialysisEnd Stage Renal Disease
COMPLETED155 Analytics
NCT00435812Safety and Efficacy of HEPLISAV™ Hepatitis B Virus Vaccine Compared With Engerix-B® VaccineHepatitis B
COMPLETED2,428 Analytics
PHASE3COMPLETED
Safety and Immunogenicity of HEPLISAV™ a Hepatitis B Virus Vaccine in Adults on Hemodialysis
End Stage Renal DiseaseUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of HEPLISAV™ Hepatitis B Virus Vaccine Compared With Engerix-B® Vaccine
Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of subjects with seroprotection rate (SPR), defined as the percentage of subjects with anti-HBsAg serum concentration of 10 milli-international unit (mIU)/mL or higher, measured at Week 4
week 4
Percentage of Subjects With Seroprotective Immune Response
Week 12 for HEPLISAV and Week 28 for Engerix-B

Percentage of subjects who have a seroprotective immune response (anti-HBsAg ≥ 10 milli-international unit (mIU)/mL) after the final active injection in each treatment group (Week 12 for HEPLISAV™ and Week 28 for Engerix-B®)

Percentage of Participants With Local and Systemic Post-injection Reaction Rates
Within 7 days post-injection for post-injection reactions at Week 0 and Week 4

Local and Systemic post-injection reactions.

Evaluate the changes in cellular responses and gene expression patterns in serial blood samples collected from healthy older adults after vaccination with HEPLISAV.
Day 1, 3, and 7 and on Day 28
Determine which of these changes correlate with the development of protective levels of antibody (anti-HBs >/= 10 milli-international unit (mIU)/mL) to hepatitis B virus (HBV).
Day 1, 3, and 7 and on Day 28

Secondary Endpoints

Overall incidence of post-injection reactions and adverse events in each treatment group
week 12
Percentage of Participants With Local and Systemic Reactions to Injections
Within 7 days post-injection for Post Injection Reactions
Percentage of Subjects Who Have a Seroprotective Immune Response (Anti-HBsAg ≥ 10 Milli-international Unit (mIU)/mL) at Weeks 4, 8, 12 and 28.
Weeks 4, 8, 12 and 28
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
HEPLISAVEXPERIMENTAL0.5 mL HEPLISAV
Engerix-BACTIVE_COMPARATOR2.0 mL Engerix-B
FendrixACTIVE_COMPARATOR0.5 mL Fendrix
HEPLISAV and/or PlaceboEXPERIMENTAL0.5 mL HEPLISAV (20 mcg HBsAg and 3000 mcg 1018)

Interventions

NameTypeDescription
HEPLISAVBIOLOGICALIntramuscular (IM) injection on Day1
Engerix-BBIOLOGICALIntramuscular (IM) injection on Day 1
FendrixBIOLOGICALIntramuscular (IM) injection on Day 1
HEPLISAV and/or PlaceboBIOLOGICALIntramuscular (IM) injections on Week 0, Week 4; placebo (saline) injection at Week 24
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: * ≥ 18 years of age * Has loss of renal function and is receiving hemodialysis treatments * Is not seroprotected against hepatitis B (has anti-HBs \< 10 mIU/mL) * In the opinion of the investigator, is clinically stable * Be serum negative for HBsAg, anti-hepatitis B core antige...

Countries:GermanyCanadaUnited States
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Frequently asked questions about HEPLISAV

What is HEPLISAV used for?

HEPLISAV is a hepatitis B vaccine studied for the prevention of hepatitis B virus infection. It has also been evaluated in adults with end stage renal disease, including patients on hemodialysis, who often respond poorly to conventional hepatitis B vaccines. Its clinical program covers both healthy adult and older adult populations.

Who makes HEPLISAV?

HEPLISAV is developed by Dynavax Technologies Corporation, which trades on the Nasdaq under the ticker DVAX. The company sponsored the clinical trials of the vaccine, including the Phase 3 study comparing it with Engerix-B and the Phase 3 study in adults on hemodialysis.

What phase is HEPLISAV in?

HEPLISAV has been studied in Phase 3 clinical development. Its Phase 3 program includes NCT00435812, which enrolled 2,428 participants with hepatitis B, and NCT01195246, which enrolled 155 adults with end stage renal disease on hemodialysis. Earlier Phase 1 and Phase 2 studies were also completed.

What clinical trials is HEPLISAV in?

Four completed trials are registered for HEPLISAV: NCT01999699, a Phase 1 study in healthy older adults; NCT01195246, a Phase 3 study in adults on hemodialysis with end stage renal disease; NCT00511095, a Phase 2 open-label study; and NCT00435812, a Phase 3 active-controlled study versus Engerix-B.

How many patients were enrolled in HEPLISAV trials?

Across the registered studies, 2,815 participants were enrolled. The largest was NCT00435812, a randomized, double-blind, active-controlled Phase 3 trial with 2,428 participants in Canada and Germany. The hemodialysis study NCT01195246 enrolled 155 adults, and the Phase 2 study NCT00511095 enrolled 207.

Is HEPLISAV studied in end stage renal disease?

Yes. HEPLISAV was evaluated in adults with end stage renal disease in the Phase 3 trial NCT01195246, titled a study of safety and immunogenicity of HEPLISAV in adults on hemodialysis. That trial enrolled 155 participants in Germany and has been completed. The other registered studies focused on hepatitis B in healthy volunteers.