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PS-076
Antiviral activity of JNJ-4964 (AL-034/TQ-A3334), a selective
toll-like receptor 7 agonist, in AAV/HBV mice after oral
administration for 12 weeks
Florence Herschke1, Chris Li2, An De Creus1, Ren Zhu2, Qinglin Han2,
Qing Lu2, Tse -I Lin3. 1Janssen Pharmaceutica NV, Beerse, Belgium;
2Janssen China RandD Center, Shanghai, China; 3Janssen Biopharma,
San Francisco, United States
Email: [email protected]
Background and aims: JNJ-64794964 (JNJ-4964), an oral toll-like
receptor 7 (TLR7) agonist in clinical development for the treatment of
chronic hepatitis B (CHB), may play an important role in restoring
immune responses to hepatitis B virus (HBV). The ability of JNJ-4964
to restore anti-HBV immune responses was assessed preclinically in
an adeno-associated virus/replicable HBV genome (AAV/HBV) mouse
model.
Method: C57BL/6 mice infected with rAAV8-1.3HBV (genotype D)
were treated orally with 20 mg/kg of JNJ-4964 weekly for 12 weeks
and followed up for 4 weeks. The anti-HBV activity of JNJ-4964, and
the capacity to induce HBV-specific immune responses, were
evaluated by T and B-cell ELIspot assays.Results: JNJ-4964 showed potent anti-HBV activity in AAV/HBV mice
treated for 12 weeks. HBV DNA and HBV surface-antigen (HBsAg)
concentrationswere undetectable for all animals 14 days after start of
treatment with no alanine aminotransferase elevations. No rebound
in HBV DNA and HBsAg was observed until the end of follow-up.
Seroconversion (HBsAg under detection limit and with detectable
anti-HBsAg antibody) was observed from 21 days after start of
treatment through to the end of follow-up by which time liver HBV
DNA and HBV RNA levels had dropped by 1.17 log10 and 0.5 log10,
respectively. Four weeks after the last dose, HBV core-antigen
expression was decreased and HBsAg became undetectable in the
liver in half of the animals. Detectable T-cell and B-cell responses
against HBsAg were observed at the end of treatment and the end of
follow-up, suggesting sustained T and B-cell immunity in JNJ-4964-
treated mice.
Conclusion: Oral administration of JNJ-4964 in AAV/HBV mice for 12
weeks resulted in potent and sustained anti-HBV activity resulting
in HBsAg seroconversion and detectable HBsAg-specific T-cell and
B-cell responses, supporting further investigation of JNJ-4964 in
patients with CHB.
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