A Study to Assess the Safety, Pharmacokinetics, and Tolerability of ABI-1179 in Healthy Subjects and in Subjects Seropositive for HSV-2 With Recurrent Genital Herpes

NCT06698575 — Phase 1, Completed, 103 participants, Assembly Biosciences

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A Phase 1a/1b, Blinded, Placebo-Controlled Study of the Safety, Tolerability and Pharmacokinetics of Single- and Multiple Ascending Doses of ABI-1179 in Healthy Subjects and in Subjects Who Are Seropositive for Herpes Simplex Virus Type 2 With Recurrent Genital Herpes

RegistryNCT06698575
StatusCompleted
PhasePhase 1
Study typeInterventional; randomized, parallel, masking: triple, treatment
Enrollment103 (Actual)
SponsorAssembly Biosciences (Industry)
ConditionsRecurrent Genital Herpes Simplex Type 2
InterventionsABI-1179, ABI-1179 Placebo (Drug)
Datesstart 2024-12-08, primary completion 2026-01-19, completion 2026-01-19, first posted 2024-11-21, last updated 2026-03-23
Locations18 sites in United States, Australia, New Zealand

Related Papers Related Patents Related Grants Related Experts
All trials for Recurrent Genital Herpes Simplex Type 2 All trials of ABI-1179 All trials of ABI-1179 Placebo

-Summary

This study is designed to assess safety, tolerability, and pharmacokinetics (PK) of single ascending dose (SAD) of ABI-1179 in Part A in healthy participants and multiple-ascending doses (MAD) of ABI-1179 in Part B in participants seropositive for Herpes Simplex Virus Type 2 (HSV-2) with recurrent genital herpes. Effect of food will also be evaluated in Part A.

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+Arms and interventions

ArmTypeInterventionsDescription
Part A: SAD Cohorts 1-5, ABI-1179ExperimentalDrug: ABI-1179; Drug: ABI-1179 PlaceboSingle dose of ABI-1179 (tablet) in Part A for cohorts 1-5
Part A:SAD Cohorts 1-5, PlaceboPlacebo comparatorDrug: ABI-1179; Drug: ABI-1179 PlaceboSingle dose of matching placebo (tablet) in Part A for Cohorts 1-5
Part A: (SAD) Fed Cohort 6 or 7, ABI-1179ExperimentalDrug: ABI-1179; Drug: ABI-1179 PlaceboSingle dose of ABI-1179 (tablet) in Part A for Cohort 6 or 7, food effect
Part B: MAD Cohorts 1-4, ABI-1179ExperimentalDrug: ABI-1179; Drug: ABI-1179 PlaceboWeekly dose ofABI-1179 (tablet) in Part B for Cohorts 1-4. May have loading dose.
Part B: MAD Cohorts 1-4 PlaceboPlacebo comparatorDrug: ABI-1179; Drug: ABI-1179 PlaceboWeekly dose of matching placebo (tablet) in Part B for Cohorts 1-4.
  • ABI-1179 (Drug): Once daily tablet dosing (SAD), or weekly tablet dosing over 29 days (MAD)
  • ABI-1179 Placebo (Drug): Once daily tablet dosing (SAD), or weekly tablet dosing over 29 days (MAD)

+Outcome measures

Primary outcomes

  • Area Under the Plasma Concentration Time Curve, (AUC) of ABI-1179 [SAD Cohorts: before and at pre-specified timepoints up to 144 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.]
  • Maximum Observed Plasma Concentration (Cmax) of ABI-1179 [SAD Cohorts: before and at pre-specified timepoints up to 144 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.]
  • Time to Cmax (Tmax) of ABI-1179 [SAD Cohorts: before and at pre-specified timepoints up to 144 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.]
  • Apparent Terminal Elimination Half Life ( t 1/2) ABI-1179 [SAD Cohorts: before and at pre-specified timepoints up to 144 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.]
  • Apparent Systemic Clearance (CL/F) of ABI-1179 [SAD Cohorts: before and at pre-specified timepoints up to 144 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.]
  • Apparent Volume of Distribution (Vz/F) of ABI-1179 [SAD Cohorts: before and at pre-specified timepoints up to 144 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.]
  • Dose normalized AUCs and Cmax of ABI-1179 [SAD Cohorts: before and at pre-specified timepoints up to 144 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.]
  • Proportion of subjects with adverse events (AEs), premature treatment discontinuation due to AE's and abnormal laboratory results. [Up to 56 days after last dose.]

Secondary outcomes

  • SAD Cohorts: Comparison of Plasma AUC between fasted and fed treatments [MAD Cohorts: At pre-specified time points from Days 8 to 36.]
  • SAD Cohorts: Comparison of plasma Cmax between fasted and fed treatments [SAD Cohorts: before and at pre-specified timepoints up to 144 hours after dosing.]
  • MAD Cohort: If applicable comparison of plasma AUC and Cmax with and without loading doses [MAD Cohorts At pre-specified timepoints from Days 8 to 36]
  • MAD Cohorts: Difference in viral shedding rate (number of anogenital swabs positive for HSV-2 DNA/total number of swabs) across treatments. [MAD Cohorts: At pre-specified time points from Days 8 to 36.]
  • MAD Cohorts: in mean and median HSV-2 DNA copies/ml for swab samples positive for HSV-2 DNA across treatments [MAD Cohorts: At pre-specified time points from Days 8 to 36.]
  • MAD Cohorts: Difference in the proportion of swab samples with HSV-2 DNA>4log10 copies/mL across treatments (number of swabbing samples with HSV-2 DNA >4 log10 copies/mL / total number of swabs obtained). [MAD Cohorts: At pre-specified time points from Days 8 to 36.]
  • MAD Cohorts: Difference in number of shedding episodes during the swabbing period across treatments. [MAD Cohorts: At pre-specified time points from Days 8 to 36.]
  • MAD Cohorts: Difference in duration of shedding episodes during the swabbing period across treatments. [MAD Cohorts: At pre-specified time points from Days 8 to 36.]
  • MAD Cohorts: Difference in the subclinical shedding rate (number of swabs positive for HSV-2 DNA in the absence of lesions/total number of swabs in the absence of lesions) across treatments. [MAD Cohorts: At pre-specified time points from Days 8 to 36.]
  • MAD Cohorts: Difference in the lesion rate during the swabbing period across treatments. [MAD Cohorts: At pre-specified time points from Days 8 to 36.]
  • MAD Cohorts: Difference in lesion duration during the swabbing period across treatments [MAD Cohorts: At pre-specified time points from Days 8 to 36.]
  • MAD Cohorts: Difference in the recurrence rate (number of reappearances of lesions during the swabbing period/total days assessed) across treatments. [MAD Cohorts: At pre-specified time points from Days 8 to 36.]

+Eligibility

Sex: All, ages: 18 Years to 60 Years, accepts healthy volunteers

Part A: Inclusion Criteria:

* Subject has a body mass index (BMI) between ≥18.0 and <32.0 kg/m2
* In good health (as determined by the Investigator) based on medical history, physical examination, ECG, and clinical laboratory results.
* Female subjects must be non-pregnant and have a negative serum pregnancy test at Screening and a negative urine pregnancy test at Day-1 or Day 1 (predose).
* Agreement to comply with protocol-specified contraceptive requirements.

Part B: Inclusion Criteria:

* Subject has a body mass index (BMI) between ≥18.0 and <32.0 kg/m2
* Other than HSV infection, is in good health (as determined by the investigator) based on medical history, physical examination, ECG, and clinical laboratory results.
* Female subjects must be non-pregnant and have a negative serum pregnancy test at Screening and a negative urine pregnancy test at Day 1 (predose).
* Agreement to comply with protocol-specified contraceptive requirements

Part A and B: Exclusion Criteria:

* Current infection of human immunodeficiency virus (HIV), hepatitis B virus, (HBV), hepatitis C virus (HCV), acute hepatitis A virus (HAV), or acute hepatitis E virus (HEV).
* History of any illness that, in the opinion of the Investigator, might confound the results of the study, pose an additional risk in administering study drug to the subject, or condition known to interfere with the absorption /distribution/ elimination of drugs.
* History of any significant drug-related allergic reactions such as anaphylaxis, Stevens-Johnson Syndrome, urticaria, or multiple drug allergies.
* History of persistent alcohol abuse or illicit drug abuse within 3 years prior to screening.
* Has participated in a clinical study involving administration of either an investigational or a marketed drug within 30 days or 5 half-lives before screening, whatever is longer.

+Locations (18)

FacilityCityCountryStatus
Alliance for Multispecialty ResearchKansas City, MissouriUnited States
Rochester Clinical ResearchRochester, New YorkUnited States
Seattle Clinical Research CenterSeattle, WashingtonUnited States
University of Washington Virology Research ClinicSeattle, WashingtonUnited States
East Sydney DoctorsDarlinghurst, AustraliaAustralia
Royal Melbourne HospitalParkville, AustraliaAustralia
Taylor Square Private ClinicSurry Hills, AustraliaAustralia
Momentum Clinical ResearchSydney, AustraliaAustralia
Canopy Clinical WollongongWollongong, AustraliaAustralia
Momentum SunshineMelbourne, AuAustralia
New Zealand Clinical ResearchAuckland, New ZealandNew Zealand
New Zealand Clinical ResearchChristchurch, New ZealandNew Zealand
Pacific Clinical Research NetworkNelson, New ZealandNew Zealand
Momentum Palmerston NorthPalmerston North, New ZealandNew Zealand
Pacific Clinical Research NetworkRotorua, New ZealandNew Zealand
Pacific Clinical Research NetworkUpper Hutt, New ZealandNew Zealand
Momentum KapitiWaikanae, New ZealandNew Zealand
Pacific Clinical Research NetworkHamilton, NewNew Zealand