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NCT Number: NCT07069569

A Multicenter Study of AHB-137 Injection Combined With Other Hepatitis B Drugs

This is a randomized, open-label, multicenter phase II study to evaluate the efficacy and safety of AHB-137 injection in combination with other hepatitis B drugs in participants with HBeAg-negative CHB treated with NAs.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Location status: Recruiting

Location contact

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants voluntarily participate in the study, and sign the Informed Consent Form (ICF) prior to screening, able to complete the study according to the protocol;
  • Aged between 18 and 65 years at the time of signing the ICF;
  • Body mass index (BMI) within the range of 18-30 kg/ m2;
  • HBeAg negative at screening;
  • HBsAg or HBV DNA positive for at least 6 months;
  • Continue antiviral therapy with a single nucleoside (t) ide analogue for more than 6 months prior to screening;
  • Alanine aminotransferase (ALT) ≤ 2 × upper limit of normal (ULN);
  • Effective contraception as required.

Exclusion criteria

  • Participants who are not eligible for treatment with Peg-IFN/recombinant hepatitis B vaccine;
  • Clinically significant abnormalities other than a history of chronic HBV infection;
  • Concomitant clinically significant other liver diseases;
  • Any serious infection other than chronic hepatitis B infection requiring intravenous anti-infective therapy within 1 month prior to screening;
  • HCV RNA positive, Human immunodeficiency virus (HIV) positive, syphilis positive;
  • Significant liver fibrosis or cirrhosis at screening, or a liver stiffness value (LSM) > 9.0 kPa;
  • Previous/current manifestations of hepatic decompensation;
  • Diagnosis or suspicion of hepatocellular carcinoma, or alpha-fetoprotein concentration (AFP) ≥ 20 ng/mL at screening;
  • Obviously abnormal laboratory test results;
  • History of vasculitis or presence of signs, symptoms, or laboratory tests of underlying vasculitis, and previous/current other diseases that may be related to vasculitic conditions;
  • QT interval corrected for heart rate (Fridericia method) abnormal;
  • History of extrahepatic disease possibly related to HBV immune status;
  • Participants with a history of malignancy within the past 5 years or who are being evaluated for a possible malignancy;
  • Serious mental illness or history of serious mental illness prior to screening;
  • Suspected history of allergy to any component of the study drug, or allergic constitution;
  • Major trauma or major surgery within 3 months prior to screening, or planned surgery during the study;
  • Those who are participating in another clinical trial, or have not undergone a protocol-specified washout period prior to this study;
  • Current use or use of any immunosuppressive medication within 3 months prior to screening, with the exception of short courses (≤ 2 weeks) or use of topical/inhaled steroids;Those who have used immunomodulators and cytotoxic drugs within 6 months prior to the first dose;Or a history of vaccination within 6 months prior to screening or a live vaccination plan during the trial;
  • Participants requiring regular long-term administration of anticoagulants or antiplatelet drugs;
  • Thyroid dysfunction;
  • Patients with uncontrolled epilepsy and other progressive neurological disorders;
  • Received any antisense oligonucleotides (ASO) or small molecule interfering ribonucleic acid (siRNA) drug;
  • Any other circumstance or condition that, in the opinion of the investigator, the participants are inappropriate for participation in the study.

Treatment and study plan

AHB-137

Drug

AHB-137 will be injected.

Peg-IFN

Drug

Peg-IFN will be administered .

Hepatitis B vaccine

Drug

Hepatitis B vaccine will be administered.

Primary outcomes

  1. Proportion of participants with persistent HBsAg < limit of detection (LOD) and HBV DNA < lower limit of quantification (LLOQ) at the 24th week after all treatment for CHB was discontinued.

    Time frame: up to 72 weeks

Secondary outcomes

  1. Proportion of participants with persistent HBsAg < LOD and HBV DNA < LLOQ .

    Time frame: Up to 72 weeks

  2. Detection of the serum concentration of HBsAg, HBsAb, HBV DNA, HBV RNA, HBcrAg, HBeAb,and HBeAg.

    Time frame: Up to 72 weeks

  3. Proportion of participants who met discontinuation criteria for NAs treatment at the end of the treatment period.

    Time frame: Up to 48 weeks

  4. Relapse rate after discontinuation of NAs therapy.

    Time frame: Up to 72 weeks

  5. Change from baseline in alanine aminotransferase (ALT) values and time to normalization of values.

    Time frame: Up to 72 weeks

  6. Relapse time after discontinuation of NAs therapy.

    Time frame: Up to 72 weeks

  7. Plasma concentrations of AHB-137.

    Time frame: Up to 48 weeks

  8. Serum concentrations of Peg-IFN.

    Time frame: Up to 48 weeks.

  9. Safety: Number and percentage of participants with detectable anti-drug antibodies (ADA).

    Time frame: Up to 72 weeks

  10. Safety: Changes of the hepatitis B quality of life (HBQOL) instrument in participants compared with baseline.

    Time frame: Up to 72 weeks

    This scale has 31 items, including 7 dimensions: psychological status, expected anxiety, vitality, shame, infectivity, health vulnerability, and viral response. Each item is scored on a 5-point scale, with higher scores indicating a more severe impact of hepatitis B on quality of life.

  11. Safety: Number of participants with treatment-emergent adverse events (TEAEs), serious adverse events (SAE) and clinically significant examination results.

    Time frame: Up to 72 weeks

    Examination including laboratory examination, electrocardiogram (ECG) examination.

  12. Safety: Monitoring the score changes of Columbia Suicide Severity Scale (CSSRS) .

    Time frame: Up to 72 weeks.

    The CSSRS is a categorical, interviewer-rated instrument that screens for suicidal ideation (five items, 0-1 each) and suicidal behavior (six items, 0-1 each); the highest positive item defines the risk level rather than a total score. For ideation items 3-5 an additional 0-5 intensity rating can be recorded. Across all items the minimum value is 0 (absent) and the maximum is 1 (present); a score of 1 on any item indicates a worse outcome and triggers escalating clinical safeguards, with any behavior item being tantamount to a suicidal event.

  13. Safety: Changes of the score of EuroQol Five-Dimension Five-Level Scale (EQ-5D-5L) in participants compared with baseline.

    Time frame: Up to 72 weeks

    The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.

  14. Safety: Monitoring the score changes of Self-Rating Depression Scale (SDS).

    Time frame: Up to 72 weeks.

    The SDS is a 20-item, 4-point Likert self-report scale that yields a raw sum of 20-80 points, conventionally converted to a standard score of 25-100 by multiplying the raw total by 1.25. Higher standard scores denote worse outcomes: <50 normal, 50-59 mild, 60-69 moderate, and ≥70 severe depression, with ≥70 warranting specialist evaluation and suicide-risk assessment.

  15. Discontinue all treatment for CHB for 24 weeks with HBV DNA<LLOQ and HBsAg<10IU/mL.

    Time frame: Up to 72 weeks

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

Ausper Biopharma Co., Ltd.

Industry

Registry information

Official study title

A Randomized, Open-Label, Multicenter Phase II Study to Evaluate the Efficacy and Safety of AHB-137 Injection in Combination With Hepatitis B Vaccine or Pegylated Interferon α-2b (Peg-IFN) in Participants With HBeAg-Negative Chronic Hepatitis B (CHB) Treated With Nucleos(t)Ide Analogue (NAs)

Important dates

Study start
2025
Primary completion
2027
Study completion
2028
First posted
Jul 16, 2025
Registry last updated
May 20, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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