PMID- 31267367 OWN - NLM STAT- MEDLINE DCOM- 20200610 LR - 20200610 IS - 1865-8652 (Electronic) IS - 0741-238X (Linking) VI - 36 IP - 9 DP - 2019 Sep TI - Pharmacokinetics, Safety and Tolerability of JNJ-56136379, a Novel Hepatitis B Virus Capsid Assembly Modulator, in Healthy Subjects. PG - 2450-2462 LID - 10.1007/s12325-019-01017-1 [doi] AB - INTRODUCTION: Hepatitis B viral capsid assembly is an attractive target for new antiviral treatments. JNJ-56136379 (JNJ-6379) is a potent capsid assembly modulator in vitro with a dual mode of action. In Part 1 of this first-in-human study in healthy adults, the pharmacokinetics (PK), safety and tolerability of JNJ-6379 were evaluated following single ascending and multiple oral doses. METHODS: This was a double-blind, randomized, placebo-controlled study in 30 healthy adults. Eighteen subjects were randomized to receive single doses of JNJ-6379 (25 to 600 mg) or placebo. Twelve subjects were randomized to receive 150 mg JNJ-6379 or placebo twice daily for 2 days, followed by 100 mg JNJ-6379 or placebo daily for 10 days. RESULTS: The maximum observed plasma concentration and the area under the curve increased dose proportionally from 25 to 300 mg JNJ-6379. Following multiple dosing, steady-state conditions were achieved on day 8. Steady-state clearance was similar following single and multiple dosing, suggesting time-linear PK. All adverse events (AEs) reported were mild to moderate in severity. There were no serious AEs or dose-limiting toxicities and no apparent relationship to dose for any AE. CONCLUSION: JNJ-6379 was well tolerated in this study. Based on the safety profile and plasma exposures of JNJ-6379 in healthy subjects, a dosing regimen was selected for Part 2 of this study in patients with chronic hepatitis B. This is anticipated to achieve trough plasma exposures of JNJ-6379 at steady state of more than three times the 90% effective concentration of viral replication determined in vitro. TRIAL REGISTRATION: Clinicaltrials.gov identifier, NCT02662712. FUNDING: Janssen Pharmaceutica. FAU - Vandenbossche, Joris AU - Vandenbossche J AD - Janssen Pharmaceutica NV, Beerse, Belgium. jvdbossc@its.jnj.com. FAU - Jessner, Wolfgang AU - Jessner W AD - Janssen Pharmaceutica NV, Beerse, Belgium. FAU - van den Boer, Maarten AU - van den Boer M AD - Janssen Pharmaceutica NV, Merksem, Belgium. FAU - Biewenga, Jeike AU - Biewenga J AD - Janssen Pharmaceutica NV, Beerse, Belgium. FAU - Berke, Jan Martin AU - Berke JM AD - Janssen Pharmaceutica NV, Beerse, Belgium. FAU - Talloen, Willem AU - Talloen W AD - Janssen Pharmaceutica NV, Beerse, Belgium. FAU - De Zwart, Loeckie AU - De Zwart L AD - Janssen Pharmaceutica NV, Beerse, Belgium. FAU - Snoeys, Jan AU - Snoeys J AD - Janssen Pharmaceutica NV, Beerse, Belgium. FAU - Yogaratnam, Jeysen AU - Yogaratnam J AD - Janssen Biopharma, Inc., South San Francisco, CA, USA. LA - eng SI - ClinicalTrials.gov/NCT02662712 SI - figshare/10.6084/m9.figshare.8256479 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20190702 PL - United States TA - Adv Ther JT - Advances in therapy JID - 8611864 RN - 0 (Antiviral Agents) RN - 0 (Azepines) RN - 0 (JNJ-38893777) RN - 0 (Piperidines) EIN - Adv Ther. 2020 Mar 4;:. PMID: 32133584 MH - Adult MH - Antiviral Agents/*administration & dosage MH - Area Under Curve MH - Azepines/administration & dosage/adverse effects/*pharmacology MH - Capsid/*drug effects MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Female MH - Healthy Volunteers MH - Hepatitis B virus/drug effects MH - Hepatitis B, Chronic/*drug therapy MH - Humans MH - Male MH - Middle Aged MH - Piperidines/administration & dosage/adverse effects/*pharmacology OTO - NOTNLM OT - Antiviral activity OT - Capsid assembly OT - Hepatitis B virus OT - Infectious diseases OT - Phase 1 EDAT- 2019/07/04 06:00 MHDA- 2020/06/11 06:00 CRDT- 2019/07/04 06:00 PHST- 2019/04/15 00:00 [received] PHST- 2019/07/04 06:00 [pubmed] PHST- 2020/06/11 06:00 [medline] PHST- 2019/07/04 06:00 [entrez] AID - 10.1007/s12325-019-01017-1 [pii] AID - 10.1007/s12325-019-01017-1 [doi] PST - ppublish SO - Adv Ther. 2019 Sep;36(9):2450-2462. doi: 10.1007/s12325-019-01017-1. Epub 2019 Jul 2.