Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
JNJ-73763989 · 12 trials · 6 indications
Percentage of participants who achieved HBsAg seroclearance at FU Week 24 were reported. Seroclearance of HBsAg was defined as a (quantitative) HBsAg level less than (\<) lower limit of quantification (LLOQ) (0.05 international unit per milliliters \[IU/mL\]).
Absolute change from baseline to on-treatment liver biopsy timepoint (Week 40) in terms of the percentage of HBsAg-positive hepatocytes (at Week 40) were reported.
Liver concentrations of JNJ-73763989 (JNJ-73763976, JNJ-73763924 - Molecules of JNJ-73763989 and JNJ-87719164 \[M65; deaminated metabolite of JNJ-73763976\]) at Week 12 were reported.
Liver concentrations of JNJ-73763989 (JNJ-73763976, and JNJ-73763924 and JNJ-87719164 \[M65; deaminated metabolite of JNJ-73763976\]) at Week 40 were reported.
Plasma concentration of JNJ-73763989 (JNJ-73763976 and JNJ-73763924-molecules of JNJ-73763989) at Week 12 were reported.
Plasma concentrations of JNJ-73763989 (JNJ-73763976 and JNJ-73763924-molecules of JNJ-73763989) at Week 40 were reported.
Correlation of liver concentration to plasma concentration of JNJ-73763989 (JNJ-73763976 and JNJ-73763924) and liver concentration of JNJ-87719164 (M65: Deaminated metabolite of JNJ-73763976) to liver concentration JNJ-73763976 at Week 12 were reported.
Correlation of liver concentration to plasma concentration of JNJ-73763989 (JNJ-73763976 and JNJ-73763924) and liver concentration of JNJ-87719164 (M65: Deaminated metabolite of JNJ-73763976) to liver concentration JNJ-73763976 at Week 40 were reported.
Percentage of participants with a reduction of at least 2 log10IU/mL in HBsAg levels from baseline to Week 24 were reported. A responder was defined as a participant with reduction of at least 2 log10 IU/mL in HBsAg levels from baseline at Week 24.
Percentage of participants with hepatitis D virus (HDV) RNA greater than or equal to (\>=) 2 log10 international units per milliliter (IU/mL) decline from baseline or HDV RNA TND in combination with normal ALT at Week 48 using multiple imputation approach was reported. TND was defined as no traces of HBV RNA were detected/found. Normal ALT was defined as ALT less than (\<) upper limit of normal (ULN) with ULN = 34 units per liter (U/L) for female and 43 U/L for male. The baseline assessment was defined as the last observed non-missing measurement before the date and time of the first administration of any of study intervention on Day 1. The multiple imputation approach was derived using a longitudinal multiple regression model to impute missing data.
Percentage of participants with HDV RNA \>=2 log10 IU/mL decline from baseline or HDV RNA TND in combination with normal ALT at Week 48 using multiple imputation approach was reported. TND was defined as no traces of HBV RNA were detected/found. Normal ALT was defined as ALT \<ULN with ULN = 34 U/L for female and 43 U/L for male. The baseline assessment was defined as the last observed non-missing measurement before the date and time of the first administration of any of study intervention on Day 1. The multiple imputation approach was derived using a longitudinal multiple regression model to impute missing data.
Percentage of participants with functional cure (defined as percentage of participants with HBsAg seroclearance at 24 weeks after stopping all study interventions at the end of consolidation phase and without restarting NA treatment) were reported. Seroclearance HBsAg was defined as a (quantitative) HBsAg level \<lower limit of quantification (LLOQ; \<0.05 international units per milliliter \[IU/mL\]).
Percentage of participants with HBsAg seroclearance at Week 72 (24 weeks after completion of all study interventions at Week 48) without restarting NA treatment was reported. Seroclearance at Week 72 of the treatment defined as a confirmed loss of HBsAg at Week 72. Loss is defined as a baseline HBsAg with a repeat reactive, confirmed or positive result and a post-baseline assessment with a negative result.
Percentage of participants meeting the NA treatment completion criteria at Week 48 were reported. A participant was defined as a responder in meeting the NA treatment completion criteria at Week 48, if the following criteria were met based on the clinical laboratory tests performed at Week 44: participants had alanine transaminase (ALT) less than (\<) 3\*upper limit of normal range (ULN); had hepatitis B virus deoxyribonucleic acid (HBV DNA) \< lower limit of quantification (LLOQ); was hepatitis B e antigen (HBeAg)-negative; had hepatitis B surface antigen (HBsAg) \<10 international units per milliliter (IU/mL). Multiple Imputation using a longitudinal multiple regression model was applied to impute missing data.
Percentage of participants with a reduction of at least 2 log10 IU/mL in HBsAg levels from baseline to Week 36 will be reported.
Plasma samples will be analyzed to determine concentrations of JNJ-73763989 (as the 2 triggers JNJ-73763976 and JNJ-73763924) using a validated and qualified method.
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Urine samples will be analyzed to determine concentrations of JNJ-73763989 (as the 2 triggers JNJ-73763976 and JNJ-73763924).
Cmax is the maximum observed plasma analyte concentration.
Tmax is defined as actual sampling time to reach maximum observed plasma analyte concentration.
Clast is last measurable observed plasma analyte concentration.
AUC(0-last) is area under the plasma concentration-time curve from time zero to the time of the last measurable (non-below quantification limit \[non-BQL\]) concentration, calculated by linear-linear trapezoidal summation.
AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
| Arm | Type | Description |
|---|---|---|
| Arm 1: JNJ-73763989 + PD-1 Inhibitor + Nucleos(t)ide analog (NA) | EXPERIMENTAL | Participants will receive JNJ-73763989 subcutaneous (SC) injections and single dose of programmed cell death protein receptor-1 (PD-1) inhibitor as intravenous (IV) infusion. Participants will also receive background treatment with NA (either tenofovir disoproxil, tenofovir alafenamide \[TAF\] or entecavir \[ETV\]). |
| Arm 2: JNJ-73763989 + PD-1 Inhibitor + NA | EXPERIMENTAL | Participants will receive JNJ-73763989 SC injections and multiple doses of PD-1 inhibitor as IV infusion. Participants will also receive background treatment with NA (either tenofovir disoproxil, TAF or ETV). |
| Panel 1: JNJ-73763989+ NA | EXPERIMENTAL | Ongoing and new participants will receive JNJ-73763989 subcutaneous (SC) injection once every 4 weeks (last injection at Week 44) and nucleos(t)ide analog (NA) treatment (either entecavir \[ETV\], tenofovir disoproxil or tenofovir alafenamide \[TAF\] tablets) once daily up to 48 weeks. Participants may receive optional treatment with pegylated interferon alpha-2a (PegIFN-alpha-2a) after the Week 40 for a duration of either 12 or 24 weeks at the investigator's discretion. As per amendment-5, JNJ-56136379 is no longer included as part of the study intervention and all participants are counted as single arm in each panel. |
| Panel 2: JNJ-73763989+ NA | EXPERIMENTAL | Ongoing and new participants will receive JNJ-73763989 SC injection once every 4 weeks (last injection at Week 44) and NA treatment (ETV, tenofovir disoproxil or TAF tablets) once daily up to 48 weeks. Participants may receive optional treatment with PegIFN-alpha-2a after the Week 40 for a duration of either 12 or 24 weeks at the investigator's discretion. As per amendment-5, JNJ-56136379 is no longer included as part of the study intervention and all participants are counted as single arm in each panel. |
| Treatment Period (TP) 1 (JNJ-73763989 + Nucleos(t)ide Analog)+ TP 2 (TP 1+PegIFN-alpha2a) | EXPERIMENTAL | Participants will receive combination treatment with JNJ-73763989+ nucleos(t)ide analog (NA) for 12 weeks during Treatment Period 1 and the participants who meet the eligibility criteria for PegIFN-alpha2a at Week 12 will receive combination treatment with JNJ-73763989 + NA plus PegIFN-α2a for 12 weeks during Treatment Period 2. |
| Immediate Active Treatment arm: JNJ-73763989 + NA | EXPERIMENTAL | Participants will receive JNJ-73763989 subcutaneous (SC) injection every 4 weeks (Q4W) along with NA (entecavir \[ETV\], tenofovir disoproxil, or tenofovir alafenamide \[TAF\]) once daily for 144 Weeks in Part 1 and for at least 96 weeks in Part 2. |
| Deferred Active Treatment arm: Placebo+NA+JNJ-73763989+NA | PLACEBO_COMPARATOR | Participants will receive matching placebo to JNJ-73763989 SC injection Q4W along with NA (ETV, tenofovir disoproxil, or TAF) once daily for 52 Weeks followed by JNJ-73763989 SC injection Q4W along with NA once daily for 96 weeks in Part 1 and for at least 48 weeks in Part 2. |
| Cohort 1: Participants Enrolled Prior to Protocol Amendment 5 is in Effect | EXPERIMENTAL | During the Induction phase, participants will receive JNJ-73763989 subcutaneously along with JNJ-56136379 tablet orally with NA (either tenofovir disoproxil or tenofovir alafenamide tablets orally) treatment. At the start of consolidation phase, participants will be randomized to receive PegIFN-alpha-2a subcutaneously in addition to JNJ-73763989 and JNJ-56136379 with NA in arm 1 and arm 2 (without PegIFN-alpha-2a). According to predefined criteria NA treatment may be continued during the follow up (FU) phase. |
| Cohort 2: Participants Enrolled After Protocol Amendment 5 is in Effect | EXPERIMENTAL | Following implementation of protocol amendment- 5 and 6, all participants will receive JNJ-73763989 subcutaneously along with NA (tenofovir disoproxil tablets orally) for 36 weeks (induction phase). In the consolidation phase, participants will receive PegIFN-alpha-2a subcutaneously in addition to JNJ-73763989 and NA for 12 weeks. According to predefined criteria NA treatment may be continued during the follow up (FU) phase. JNJ-56136379 (JNJ-6379) was discontinued as per amendment 6 of the study. |
| JNJ-73763989+ JNJ-56136379+ NA | EXPERIMENTAL | Participants will receive fixed dose of JNJ-73763989 subcutaneous injection once every 4 weeks along with fixed dose of JNJ-56136379 tablet once daily and nucleos(t)ide analog (NA) treatment (either entecavir \[ETV\], tenofovir disoproxil fumarate \[TDF\], or tenofovir alafenamide \[TAF\]) once daily up to 48 weeks. |
| Placebo for JNJ-73763989+ Placebo for JNJ-56136379+ NA | PLACEBO_COMPARATOR | Participants will receive matching placebo for JNJ-73763989 subcutaneous injection once every 4 weeks with matching placebo for JNJ-56136379 once daily and NA treatment (either ETV, TDF or TAF) once daily up to 48 weeks. |
| Arm 1: JNJ-73763989 (medium dose) + JNJ-56136379 + NA | EXPERIMENTAL | Participants will receive medium dose of JNJ-73763989 along with JNJ-56136379 and nucleos(t)ide analog (NA) treatment (either entecavir \[ETV\], tenofovir disoproxil fumarate \[TDF\], or tenofovir alafenamide \[TAF\]) up to 48 weeks. |
| Arm 2: JNJ-73763989 (high dose) + Placebo + NA | EXPERIMENTAL | Participants will receive high dose of JNJ-73763989 along with placebo for JNJ-56136379 and NA (either ETV, TDF, or TAF) up to 48 weeks. |
| Arm 3: JNJ-73763989 (medium dose) + Placebo + NA | EXPERIMENTAL | Participants will receive medium dose of JNJ-73763989 along with placebo for JNJ-56136379 and NA (either ETV, TDF, or TAF) up to 48 weeks. |
| Arm 4: JNJ-73763989 (low dose) + Placebo + NA | EXPERIMENTAL | Participants will receive low dose of JNJ-73763989 along with placebo for JNJ-56136379 and NA (either ETV, TDF, or TAF) up to 48 weeks. |
| Arm 5: Placebo + JNJ-56136379 + NA | EXPERIMENTAL | Participants will receive placebo for JNJ-73763989 and a fixed dose of JNJ-56136379 along with NA (either ETV, TDF, or TAF) up to 48 weeks. |
| Arm 6 (Control): Placebo + Placebo + NA | PLACEBO_COMPARATOR | Participants will receive placebo for JNJ-73763989 and placebo for JNJ-56136379 along with NA (either ETV, TDF, or TAF) up to 48 weeks. |
| JNJ-73763989 plus JNJ-64300535 plus Nucleos(t)ide Analogs (NAs) | EXPERIMENTAL | Participants will receive JNJ-73763989 subcutaneous (SC) injection once every 4 weeks (q4w), NA (either Entecavir monohydrate \[ETV\], Tenofovir disoproxil or Tenofovir alafemide \[TAF\]) oral tablets once daily (qd) and JNJ-64300535 intramuscular (IM) injection q4w. From day 187, participants will receive treatment with NA oral tablets qd up to Week 36. |
| Group 1: JNJ-73763989 | EXPERIMENTAL | Participants with moderate renal impairment will receive a single subcutaneous (SC) injection of JNJ-73763989 on Day 1. |
| Group 2: JNJ-73763989 | EXPERIMENTAL | Participants with severe renal impairment or end-stage renal disease (ESRD) will receive a single SC injection of JNJ-73763989 on Day 1. |
| Group 3: JNJ-73763989 | EXPERIMENTAL | Participants with normal renal function will receive a single SC injection of JNJ-73763989 on Day 1. |
| Panel A: JNJ-73763989 | EXPERIMENTAL | Participants will receive single subcutaneous (SC) injection of low dose of JNJ-73763989 on Day 1. |
| Panel B: J NJ-73763989 | EXPERIMENTAL | Participants will receive single SC injection of high dose of JNJ-73763989 on Day 1. |
| Part A: Group 1 | EXPERIMENTAL | Participants with liver cirrhosis with moderate hepatic impairment will receive single subcutaneous (SC) injection of JNJ-73763989 on Day 1 under fasted condition. |
| Part A: Group 2 | EXPERIMENTAL | Participants with normal liver function with no liver cirrhosis will receive single SC injection of JNJ-73763989 on Day 1 under fasted condition. |
| Part B: Group 3 (optional) | EXPERIMENTAL | Participants with liver cirrhosis with mild hepatic impairment will receive single SC injection of JNJ-73763989 on Day 1 under fasted condition. |
| Part B: Group 4 (optional) | EXPERIMENTAL | Participants with liver cirrhosis with severe hepatic impairment will receive SC injection of JNJ-73763989 on Day 1 under fasted condition. |
| Panel A: JNJ-73763989 or Placebo | EXPERIMENTAL | Participants will receive JNJ-73763989 (Dose Level 1) or matching placebo as single subcutaneous injection. |
| Panel B: JNJ-73763989 or Placebo | EXPERIMENTAL | Participants will receive JNJ-73763989 (Dose Level 2) or matching placebo as single subcutaneous injection. |
| Panel C: JNJ-73763989 or Placebo | EXPERIMENTAL | Participants will receive JNJ-73763989 (Dose Level 3) or matching placebo as single subcutaneous injection. |
| Name | Type | Description |
|---|---|---|
| JNJ-73763989 | DRUG | JNJ-73763989 will be administered subcutaneously. |
| PD-1 inhibitor | DRUG | PD-1 inhibitor will be administered as IV infusion. |
| Tenofovir Disoproxil | DRUG | Tenofovir disoproxil film-coated tablets will be administered orally. |
| Tenofovir Alafenamide | DRUG | TAF film-coated tablets will be administered orally. |
| Entecavir | DRUG | ETV film-coated tablets will be administered orally. |
| JNJ-56136379 | DRUG | JNJ-56136379 tablets will be administered orally once daily up to 48 weeks. |
| Entecavir (ETV) | DRUG | ETV tablet will be administered orally once daily up to 48 weeks as NA treatment. |
| Tenofovir alafenamide (TAF) | DRUG | TAF will be administered orally once daily up to 48 weeks as NA treatment. |
| PegIFN-alpha-2a (Optional) | DRUG | PegIFN-alpha-2a injection will be administered subcutaneously once weekly after Week 40 for either 12 or 24 weeks. |
| Entecavir (ETV) monohydrate | DRUG | ETV monohydrate film-coated tablet will be administered orally once daily. |
| PegIFN-alpha2a | DRUG | PegIFN-alpha2a injection will be administered subcutaneously once weekly. |
| Placebo | DRUG | Matching placebo to JNJ-73763989 will be administered as a SC injection. |
| PegIFN-alpha-2a | DRUG | PegIFN-alpha-2a injection will be administered subcutaneously. |
| Placebo for JNJ-73763989 | DRUG | Matching placebo for JNJ-73763989 will be administered as subcutaneous injection up to 48 weeks. |
| Placebo for JNJ-56136379 | DRUG | Matching placebo for JNJ-56136379 tablets will be administered orally up to 48 weeks. |
| Tenofovir disoproxil fumarate (TDF) | DRUG | TDF will be administered orally once daily up to 48 weeks as NA treatment. |
| Nucleos(t)ide Analog (NA) | DRUG | NA treatment that is either of ETV, TDF or TAF tablets will be administered orally. |
| JNJ-64300535 | BIOLOGICAL | JNJ-64300535 deoxyribonucleic acid (DNA) vaccine injection will be administered intramuscularly. |
| ETV monohydrate | DRUG | ETV monohydrate film-coated tablets will be administered orally. |
| TAF | DRUG | TAF film-coated tablets will be administered orally. |
Inclusion Criteria: * Participants must have chronic hepatitis B virus (HBV) infection * Participants must have fibroscan liver stiffness measurement less than or equal to (\<=) 9.0 kilopascal (kPa) or a liver biopsy result classified as metavir F0-F2 Exclusion Criteria: * Participants with evide...
JNJ-73763989 is an investigational small molecule being studied for chronic hepatitis B, chronic hepatitis D, and related conditions. Clinical trials have evaluated it in participants with hepatitis B and hepatitis D, including those co-infected with both viruses, as well as in healthy volunteers and people with renal or hepatic impairment.
JNJ-73763989 is being developed by Johnson & Johnson, a company traded on the New York Stock Exchange under the ticker JNJ. The company has sponsored multiple clinical trials of this investigational drug across various countries.
JNJ-73763989 has been studied in Phase 1 and Phase 2 clinical trials. All six trials listed are completed, with no active trials currently enrolling. The drug remains investigational and has not been approved by regulatory authorities.
JNJ-73763989 has been studied in six completed trials, including NCT04535544 for hepatitis B and D co-infection, NCT04585789 for chronic hepatitis B, NCT05123599 for virologically suppressed hepatitis B, and NCT05275023 combining it with a PD-1 inhibitor. These trials enrolled a total of 764 participants.
JNJ-73763989 is a small molecule therapeutic being investigated for viral hepatitis. The specific molecular target has not been disclosed in the available information, so its precise mechanism of action is not detailed here.
No, JNJ-73763989 and JNJ-64300535 are distinct investigational agents. They have been studied together in combination with nucleos(t)ide analogs in a clinical trial for chronic hepatitis B, but they are separate drugs with different names and properties.