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GLS4

Phase 2

Chronic HBV Infection | Small molecule | Infectious Disease |Sunshine Biopharma Inc.|Trials Updated: Jun 21, 2024

GLS4 development status

Highest phase Phase 2
Registered trials 4 across 1 sponsor since Aug 2018

GLS4 target and mechanism

ModalitySmall molecule

Also known as Morphothiadine Mesilate Capsules, Morphothiadine Mesilate Capsule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials4
Total Enrollment354

FDA Designations

No designations recorded

GLS4 clinical trials

GLS4 · 4 trials · 2 indications

Phase 2 2Phase 1 2
NCT04147208Evaluate the Safety, Tolerability, and Antiviral Activity of GLS4 With Ritonavir in Patients With Chronic HBV InfectionChronic HBV Infection
COMPLETED250 Analytics
NCT03638076The Safety, Antiviral Activity, and Pharmacokinetics of Morphothiadine Mesilate CapsulesChronic Hepatitis B
COMPLETED20 Analytics
PHASE2COMPLETED
Evaluate the Safety, Tolerability, and Antiviral Activity of GLS4 With Ritonavir in Patients With Chronic HBV Infection
Chronic HBV InfectionUnlock trial analytics
PHASE2COMPLETED
The Safety, Antiviral Activity, and Pharmacokinetics of Morphothiadine Mesilate Capsules
Chronic Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

The value of serum HBsAg decreased from baseline
48 weeks after dosing

The value of serum HBsAg at 48 weeks of treatment was lowered compared with baseline.

The mean value of HBV DNA decreased from baseline
Prior to dosing and 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 28, 32, 36, 40, 44 and 48 weeks after dosing and 7 days after drug withdrawal.

The mean value of HBV DNA (unit IU/ml) at different time points in each group was lowered compared with baseline.

Adverse events
From the baseline to 7 days after drug withdrawal.

To assess the safety and tolerability after dosing.

Cmax
predose to 96 hour after dosing

maximum observed plasma concentration

AUC
predose to 96 hour after dosing

area under the plasma concentration-time curve (AUC)

Adverse event
Baseline to day 22

To assess the safety and tolerability of therapy.

Tmax
Day 1-2 and Day 21-23

Time to maximum concentration of study drugs

T1/2
Day 1-2 and Day 21-23

Terminal half-life of study drugs

Secondary Endpoints

The value of serum HBeAg decreased from baseline
48 weeks after dosing
The value of HBV DNA decreased from baseline
48 weeks after dosing
The value of serum HBsAg decreased from baseline
24 weeks after dosing
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Combination groupEXPERIMENTALSubjects will receive 96 weeks of GLS4+RTV+ETV.
Entecavir monotherapyACTIVE_COMPARATORSubjects received 96 weeks of entecavir treatment
GLS4 120 mg+ RTV 100mg,bidEXPERIMENTALPatients with chronic HBV infection will receive GLS4 120 mg+ Ritonavir Tablet 100 mg twice daily for 48 weeks.
GLS4 120 mg+ RTV 100mg,tidEXPERIMENTALPatients with chronic HBV infection will receive GLS4 120 mg+ Ritonavir Tablet 100 mg three times daily for 48 weeks .
Part AEXPERIMENTALSubjects will receive GLS4 and RTV on Day 1, TAF on Day 5-14, GLS4 and RTV and TAF on Day15.
Part BEXPERIMENTALSubjects will receive TAF on Day 1, GLS4 and RTV on Day 5-14, GLS4 and RTV and TAF on Day15.
Part A:Group AEXPERIMENTALSubjects will receive GLS4+RTV on Day 1,followed by ETV on Day11-21 and co-administration with GLS4+RTV on Day 21.
Part A:Group BEXPERIMENTALSubjects will receive ETV on Day 1,followed by GLS4+RTV on Day11-21 and co-administration with ETV on Day 21.
Part B:Group CEXPERIMENTALSubjects will receive GLS4+RTV on Day 1,followed by TDF on Day11-21 and co-administration with GLS4+RTV on Day 21.
Part B:Group DEXPERIMENTALSubjects will receive TDF on Day 1,followed by GLS4+RTV on Day11-21 and co-administration with TDF on Day 21.

Interventions

NameTypeDescription
GLS4DRUGAdministered GLS4 120 mg orally three times daily in fed state
RTVDRUGAdministered RTV 100 mg orally three times daily in fed state
ETVDRUGAdministered orally ETV 0.5 mg once daily in fasted state
TAFDRUGIt is a hepatitis B virus (HBV) nucleoside analog reverse transcriptase inhibitor and is indicated for the treatment of chronic hepatitis B virus infection in adults with compensated liver disease.
TDFDRUGAdministered TDF 300 mg orally once daily in fasted state
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: * Chronic HBV infection population * HBeAg positive * HBsAg≥250 IU/mL * No cirrhosis Exclusion Criteria: * AST\>5×ULN * Platelet count less than 90E+09/L * TBil\>1.5×ULN * albumin\<35 g/L * INR\>1.5 * AFP\>50 ng/mL

Countries:China
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Frequently asked questions about GLS4

What is GLS4 used for?

GLS4 is an investigational small molecule being developed for chronic HBV infection and chronic hepatitis B. It is currently in Phase 2 clinical development and has not been approved by regulatory authorities.

What does GLS4 target?

GLS4 is a small molecule antiviral agent. Its specific molecular target has not been disclosed in the available clinical trial information, so its precise mechanism of action is not described here.

Who makes GLS4?

GLS4 is being developed by Sunshine Biopharma Inc., a company listed on the stock exchange under the ticker symbol SBFM.

What phase is GLS4 in?

GLS4 is in Phase 2 clinical development for chronic HBV infection and chronic hepatitis B. It is an investigational drug and has not received FDA approval.

What clinical trials is GLS4 in?

GLS4 has completed three clinical trials, including two Phase 2 studies (NCT03638076 and NCT04147208) and two Phase 1 studies (NCT03662568 and NCT04551261). All trials were conducted in China and have been completed.

Is GLS4 the same as morphothiadine mesilate?

Yes, GLS4 is also known as morphothiadine mesilate. Clinical trials reference both names, with NCT03638076 and NCT03662568 using the morphothiadine mesilate name and NCT04147208 using GLS4.