Skip to main content
OpenTrials
Not Yet Recruiting

NCT Number: NCT07537387

A Study on the Pursuit of Sustained Clearance of HBsAg in Chronic Hepatitis B(CHB) Patients With Previous Interferon Treatment Using Pegylated Interferon Alpha

This is a real-world, prospective, multicenter, non-randomized, controlled study. It aims to investigate the efficacy and safety of pegylated interferon α-2b (PEG IFN α-2b) monotherapy versus its combination with nucleos(t)ide analogs (NAs) regarding hepatitis B surface antigen (HBsAg) clearance in interferon-experienced patients with chronic hepatitis B (CHB). Subjects will receive either interferon-based therapy or NAs monotherapy based on their personal willingness and physicians' professional recommendations, with a uniform 48-week treatment course for all enrolled patients.

Not Yet Recruiting

Trial opening soon.

Get Notified

Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, China

Location contact

Qing Xie

CONTACT

[email protected]

13651804273

Who can participate

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

Inclusion criteria

  • • Voluntary participation and ability to understand and provide written informed consent.
  • Age 18-65 years (inclusive), either gender.
  • Documented HBsAg positivity for at least 6 months, or other evidence confirming chronic hepatitis B (CHB).
  • Prior interferon therapy before enrollment (treatment discontinuation ≥ 3 months), with HBsAg level at the end of prior treatment reduced by ≥ 50% from baseline.
  • HBsAg ≤ 500 IU/mL at screening, and HBsAg rebound at screening not exceeding 50% of the baseline HBsAg level during the first-round interferon therapy.
  • Negative pregnancy test within 24 hours prior to the first dose (for women of childbearing potential); all subjects (male and female) must use effective contraceptive measures during the study.

Exclusion criteria

  • • Pregnant or lactating women, or subjects with a pregnancy plan during the study period.
  • Subjects with neuropsychiatric disorders, in particular a history of depression, anxiety, mania, schizophrenia, or a family history of psychiatric disorders (especially a history of depression or depressive tendency).
  • Concurrent active infection with hepatitis A, hepatitis C, hepatitis E and/or HIV, or chronic liver disease due to other causes (e.g., alcoholic hepatitis, drug-induced liver injury, autoimmune liver disease, etc.).
  • Evidence of acute severe liver damage: e.g., ALT > 10 × ULN, or marked ALT elevation accompanied by significant hyperbilirubinemia.
  • Evidence of decompensated liver disease: e.g., ascites, esophagogastric variceal bleeding, sepsis, hepatic encephalopathy, hepatorenal syndrome, etc.; or prior evidence of decompensated cirrhosis.
  • Evidence of hepatocellular carcinoma (HCC), or AFP > 1 × ULN.
  • Renal diseases: acute or chronic nephritis, renal insufficiency, nephrotic syndrome, etc.; or serum creatinine > 1 × ULN at screening.
  • Neutrophil count < 1.5 × 10⁹/L, platelet count < 90 × 10⁹/L, or serum phosphorus < 0.8 mmol/L during the screening period.
  • Autoimmune diseases (e.g., psoriasis, systemic lupus erythematosus, etc.), endocrine disorders (e.g., thyroid diseases, diabetes, etc.), hypertension poorly controlled by prescription medications (blood pressure ≥ 140/90 mmHg), a history of severe heart disease (especially poorly controlled within 6 months), severe retinopathy or other serious ophthalmologic diseases, or other organic lesions or dysfunction of vital organs.
  • Subjects planning to undergo or having previously undergone organ transplantation.
  • Subjects with hypersensitivity to the investigational product or its excipients, or meeting any contraindication listed in the prescribing information of the investigational product.
  • Other conditions deemed inappropriate for enrollment by the investigator

Treatment and study plan

PEG IFNα-2b monotherapy or combination therapy with NAs

Drug

Peginterferon α-2b injection, 180mcg, s.c, once a week, for 48 weeks.If HBV DNA is below the lower limit of detection at baseline (highly sensitive assay is recommended), PEG IFNα-2b monotherapy will be administered.

NAs monotherapy group

Drug

Peginterferon α-2b injection, 180mcg, s.c, once a week, for 48 weeks.If HBV DNA is below the lower limit of detection at baseline (highly sensitive assay is recommended), PEG IFNα-2b monotherapy will be administered.

Primary outcomes

  1. Percentage of subjects with undetectable HBsAg

    Time frame: Week 48

  2. Percentage of subjects with undetectable HBV DNA

    Time frame: Week 48

Secondary outcomes

  1. Number of patients with a decrease in HBV DNA from baseline

    Time frame: Week 1-48

  2. Proportion of subjects with HBV DNA below the lower limit of detection

    Time frame: Week 1-48

  3. Number of patients with a decrease in HBsAg from baseline

    Time frame: Week 1-48

  4. Proportion of HBsAg seroclearance

    Time frame: Week 1-48

  5. Proportion of HBsAg seroconversion

    Time frame: Week 1-48

  6. Proportion of HBeAg seroclearance

    Time frame: Week 1-48

  7. Proportion of HBeAg seroconversion

    Time frame: Week 1-48

  8. Serious adverse events

    Time frame: Week 1-48

Study contacts

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

Qing Xie

CONTACT

[email protected]

13651804273

Sponsors and collaborators

Lead sponsor

xieqing

Other

Registry information

Official study title

A Prospective, Non-Randomized, Multicenter Study of Peginterferon Alfa for Pursuing Sustained Hepatitis B Surface Antigen(HBsAg) Clearance in Interferon-Pretreated Patients With Chronic Hepatitis B

Important dates

Study start
2026
Primary completion
2029
Study completion
2030
First posted
Apr 17, 2026
Registry last updated
Apr 17, 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.

Published trials that share one or more normalized conditions with this study.