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GSK3228836

Phase 2

Hepatitis B | Small molecule | Infectious Disease |GSK plc|Last Updated: Jul 15, 2025

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
RandomizedCONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment601
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04676724Study of Sequential GSK3228836 and Peginterferon Treatment in Participants With Chronic Hepatitis B (CHB)PHASE2 COMPLETED 108Jan 28, 2021Feb 17, 2023May 2, 202449 United States, Canada +9
NCT04544956A Mechanistic Study of GSK3228836 With Fine Needle Aspiration (FNA) in Participants With Chronic Hepatitis BPHASE2 COMPLETED 12Oct 6, 2020Nov 30, 2023Jul 15, 20254 United States, Canada +2
NCT04449029A Study of GSK3228836 in Participants With Chronic Hepatitis B (CHB)PHASE2 COMPLETED 457Jul 27, 2020Mar 18, 2022May 16, 2023121 United States, Argentina +20
NCT04971928Phase 1 Study of GSK3228836 Pharmacokinetics in Participants With Hepatic ImpairmentPHASE1 COMPLETED 24Sep 7, 2021May 12, 2022Sep 27, 20222 United States
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Study Endpoints
Primary Endpoints
Treatment Arm 1 - Percentage of Participants Achieving Sustained Virologic Response (SVR) for 24 Weeks After End of Treatment
Up to 24 weeks off treatment (Study Weeks 48 to 72)

Sustained virologic response is defined as undetectable levels of Hepatitis B surface antigen (HBsAg) and Hepatitis-B virus deoxy-ribonucleic acid (HBV DNA) on treatment. The SVR was a composite endpoint defined as HBsAg and HBV DNA levels were less than (\<) Lower limit of quantitation (LLOQ) at the planned end of sequential treatment of GSK3228836 and PegIFN treatment which is sustained for 24 weeks post-GSK3228836 and PegIFN treatment in the absence of any rescue medication. Percentage values are rounded-off.

Treatment Arm 2 - Percentage of Participants Achieving Sustained Virologic Response (SVR) for 24 Weeks After End of Treatment
Up to 24 weeks off treatment (Study Weeks 36 to 60)

Sustained virologic response is defined as undetectable levels of Hepatitis B surface antigen (HBsAg) and Hepatitis-B virus deoxy-ribonucleic acid (HBV DNA) on treatment. The SVR was a composite endpoint defined as HBsAg and HBV DNA levels were less than (\<) Lower limit of quantitation (LLOQ) at the planned end of sequential treatment of GSK3228836 and PegIFN treatment which is sustained for 24 weeks post-GSK3228836 and PegIFN treatment in the absence of any rescue medication. Percentage values are rounded-off.

Percentage of Participants Achieving Serum Hepatitis B Virus Surface Antigen (HBsAg) Level Less Than (<) Lower Limit of Quantitation (LLOQ)
Up to Week 12

Percentage of participants achieving serum HBsAg level \<LLOQ were reported. Percentage values are rounded-off.

Number of Participants Achieving Sustained Virologic Response (SVR)
Up to Week 48

The SVR was a composite endpoint defined as Hepatitis B surface antigen (HBsAg) and Hepatitis B virus (HBV) Deoxyribonucleic acid (DNA) levels were less than (\<) Lower limit of quantitation (LLOQ) at the planned end of GSK3228836 treatment which is sustained for 24 weeks post-GSK3228836 treatment in the absence of rescue medication.

Area under the concentration-time curve (AUC) from time zero (pre-dose) extrapolated to infinite time [AUC(0-infinity)]
Up to Day 50 post-dose
Maximum observed concentration (Cmax)
Up to Day 50 post-dose
Secondary Endpoints
Treatment Arm 1: Percentage of Participants Achieving HBsAg and HBV DNA < Lower Limit of Quantitation (LLOQ)
End of treatment (up to 48 weeks) and up to 24 weeks off treatment follow-up (Study Weeks 48 to 72)
Treatment Arm 2: Percentage of Participants Achieving HBsAg and HBV DNA < Lower Limit of Quantitation (LLOQ)
End of treatment (up to 36 weeks), up to 24 weeks off treatment follow-up (Study Weeks 36 to 60) and up to 36 weeks off treatment follow-up (Study Weeks 36 to 72)
Treatment Arm 1: Percentage of Participants With Categorical Changes From Baseline in HBsAg Values
Baseline, End of treatment (up to 48 weeks), and up to 24 weeks off treatment follow-up (Study Weeks 48 to 72)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
GSK3228836 300 mg (24 weeks) + PegIFN 180 mcg (24 weeks)EXPERIMENTALParticipants on stable NA therapy received 300 milligrams per week (mg/week) GSK3228836 for 24 weeks (plus a loading dose on Day 4 and 11), followed by Pegylated Interferon (PegIFN) 180 microgram per week (mcg/week) up to 24 weeks.
GSK3228836 300 mg (12 weeks) + PegIFN 180 mcg (24 weeks)EXPERIMENTALParticipants on stable NA therapy received 300mg/week GSK3228836 for 12 weeks (plus a loading dose on Day 4 and 11), followed by PegIFN 180 mcg/week up to 24 weeks.
GSK3228836 300 mgEXPERIMENTALParticipants on stable nucleos(t)ide therapy will receive GSK3228836 300 mg subcutaneously (SC) weekly once for 12 weeks along with a loading dose of GSK3228836 300 mg in Week 1 (Day 4) and Week 2 (Day 11).
Cohort 1: GSK3228836 300 mg + LDEXPERIMENTALEligible participants on stable nucleos(t)ide treatment will receive 300 milligrams (mg) GSK3228836 once weekly for 24 weeks along with loading dose (LD) of 300 mg GSK3228836 on Day 4 and Day 11.
Cohort 1: GSK3228836 300 mg + LD/ GSK3228836 150 mg + PlaceboEXPERIMENTALEligible participants on stable nucleos(t)ide treatment will receive 300 mg GSK3228836 once weekly for 12 weeks along with LD of 300 mg GSK3228836 on Day 4 and Day 11 followed by step-down in dose of 150 mg GSK3228836 once weekly for 12 weeks along with placebo to match to maintain participant blinding.
Cohort 1: GSK3228836 300 mg + LD/ PlaceboEXPERIMENTALEligible participants on stable nucleos(t)ide treatment will receive 300 mg GSK3228836 once weekly for 12 weeks along with LD of 300 mg GSK3228836 on Day 4 and Day 11 followed by placebo once weekly for 12 weeks.
Cohort 1: Placebo/ GSK3228836 300 mg + Placebo LDEXPERIMENTALEligible participants on stable nucleos(t)ide treatment will receive placebo once weekly for 12 weeks followed by 300 mg GSK3228836 once weekly for 12 weeks along with placebo LD to match on Day 4 and Day 11.
Cohort 2: GSK3228836 300 mg + LDEXPERIMENTALEligible participants not currently on nucleos(t)ide therapy will receive 300 mg GSK3228836 once weekly for 24 weeks along with LD of 300 mg GSK3228836 on Day 4 and Day 11.
Cohort 2: GSK3228836 300 mg + LD/ GSK3228836 150 mg + PlaceboEXPERIMENTALEligible participants not currently on nucleos(t)ide therapy will receive 300 mg GSK3228836 once weekly for 12 weeks along with LD of 300 mg GSK3228836 on Day 4 and Day 11 followed by step-down in dose of 150 mg GSK3228836 once weekly for 12 weeks along with placebo to match to maintain participant blinding.
Cohort 2: GSK3228836 300 mg + LD/ PlaceboEXPERIMENTALEligible participants not currently on nucleos(t)ide therapy will receive 300 mg GSK3228836 once weekly for 12 weeks along with LD of 300 mg GSK3228836 on Day 4 and Day 11 followed by placebo once weekly for 12 weeks.
Cohort 2: Placebo/ GSK3228836 300 mg + Placebo LDEXPERIMENTALEligible participants not currently on nucleos(t)ide therapy will receive placebo once weekly for 12 weeks followed by 300 mg GSK3228836 once weekly for 12 weeks along with placebo LD to match on Day 4 and Day 11.
Participants with Moderate (CP-B) hepatic impairmentEXPERIMENTAL -
Participants with Mild (CP-A) hepatic impairmentEXPERIMENTAL -
Healthy participantsEXPERIMENTAL -
Interventions
NameTypeDescription
GSK3228836DRUGParticipants will be administered GSK3228836.
PegIFNDRUGParticipants will be administered PegIFN.
NA therapyDRUGParticipants will continue to receive their NA therapy for the duration of the study.
Nucleos(t)ide therapyDRUGParticipants receiving nucleos(t)ide therapy upon entry in the study will continue to receive nucleos(t)ide therapy for the duration of the study.
PlaceboDRUGPlacebo will be available as a clear colorless solution for injection to be administered subcutaneously once weekly.
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites49

Inclusion Criteria: * 18 to 75 years of age at the time of signing the informed consent. * Participants who are eligible to be treated with PegIFN. * Documented chronic HBV infection \>=6 months prior to screening and currently receiving stable NA therapy except telbivudine, defined as no changes t...

Countries:United StatesCanadaChinaItalyJapanPolandRussiaSouth AfricaSouth KoreaSpainUnited KingdomNetherlandsArgentinaBulgariaFranceGermanyHong KongMalaysiaPhilippinesRomaniaSingaporeTaiwanThailand
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