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NCT Number: NCT07635186

A Study to Evaluate AHB-137 Injection in Treatment-naïve Participants With Chronic Hepatitis B

This study is a randomized, double-blind, placebo-controlled, multicenter phase 2 study to assess the efficacy and safety of AHB-137 injection in treatment-naïve participants with chronic hepatitis B.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

The Second Affiliated Hospital of Chongqing Medical University, Chongqing, Chongqing Municipality, China

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Volunteer to participate and sign the informed consent form, and are willing to complete the study in accordance with the requirements of the protocol.
  • Aged 18-65 years (including boundary values).
  • Body mass index between the range of 18-32 kg/m2 (inclusive boundary values).
  • HBsAg or HBV DNA positive for ≥ 6 months at screening and no antiviral treatment with interferon or nucleoside analogue.
  • HBsAg and HBV DNA values met protocol requirements at screening.
  • ALT < 3xULN at screening.
  • Use highly effective contraception as required.

Exclusion criteria

  • Uncontrolled and stable clinically significant abnormalities other than a history of chronic HBV infection.
  • Participants with other clinically significant liver diseases, previous/current manifestations of hepatic decompensation, and a history of extrahepatic diseases that may be related to HBV immune status.
  • Any serious infection other than chronic hepatitis B infection requiring intravenous anti-infective therapy within 1 month prior to randomization.
  • Hepatitis C virus (HCV) infection or < 12 months from cure at screening (HCV RNA positive within 12 months), human immunodeficiency virus (HIV) positive at screening, and syphilis positive (treponema pallidum antibody positive).
  • Significant fibrosis or cirrhosis, or liver stiffness value (LSM) > 9.0 kPa at screening.
  • Participants with confirmed or suspected liver cancer who have a history of malignancy within the past 5 years or are undergoing assessment for a possible malignancy.
  • Laboratory test results do not meet the criteria.
  • Prior/current autoimmune disease, history of vasculitis, or presence of signs, symptoms, or laboratory tests of underlying vasculitis.
  • Fridericia ' s formula corrected QT interval (QTcF) ≥ 450 msec for male participants and ≥ 470 msec for female participants at screening.
  • Allergic to AHB-137 ingredients, or history of drug allergy or other allergies.
  • Major trauma or major surgery within 3 months prior to screening, or planned surgery during the trial.
  • Participants are participating in another clinical trial or failing to wash out as required.
  • Current use or use of any immunosuppressive medication (e.g. prednisone) within 3 months prior to screening, except for short courses (≤ 2 weeks) or use of topical/inhaled steroids;Those who have used immunomodulators within 3 months prior to screening;Those who have used cytotoxic drugs within 6 months prior to screening;History of vaccination within 1 month prior to screening or a live vaccination plan during the trial.
  • Participants that require regular long-term anticoagulants.
  • Abnormal thyroid function.
  • Participants that have received any antisense oligonucleic acid, siRNA, capsid assembly modulator (CAM) antiviral drug used to treat chronic hepatitis B.
  • Any other circumstances or conditions in which, in the opinion of the investigator, the participant is inappropriate for participation in this trial.

Treatment and study plan

AHB-137

Drug

AHB-137 will be administered subcutaneously.

Placebo

Drug

Placebo will be administered subcutaneously.

Primary outcomes

  1. HBV DNA < lower limit of quantitation (LLOQ), 10 IU/mL, HBsAg < limit of detection (LOD), 0.05 IU/mL with or without hepatitis B virus surface antibody (HBsAb) 24 weeks after discontinuation of all chronic hepatitis B treatment.

    Time frame: Up to 48 weeks.

  2. Highly sensitive HBsAg < 0.005 IU/mL and HBV DNA < LLOQ (10 IU/mL) at the end of treatment.

    Time frame: Up to 48 weeks.

Secondary outcomes

  1. HBV DNA < LLOQ, 10 IU/mL, and HBsAg < 10 IU/mL 24 weeks after discontinuation of all chronic hepatitis B treatment.

    Time frame: Up to 48 weeks.

  2. HBV DNA < LLOQ 24 weeks after discontinuation of all chronic hepatitis B treatment.

    Time frame: Up to 48 weeks.

  3. HBV DNA < LLOQ and HBsAg < 100 IU/mL 24 weeks after discontinuation of all chronic hepatitis B treatment.

    Time frame: Up to 48 weeks.

  4. HBsAg seroconversion rate 24 weeks after discontinuation of all chronic hepatitis B treatment.

    Time frame: Up to 48 weeks.

    HBsAg seroconversion : serum HBsAg<LOD, and at the same time or subsequently, HBsAb>10 IU/L.

  5. HBeAg seroconversion rate 24 weeks after discontinuation of all chronic hepatitis B treatment.

    Time frame: Up to 48 weeks.

    HBeAg seroconversion:HBeAg negative, with simultaneous or subsequent positivity for HBeAb.

  6. Proportion of participants who discontinued all chronic hepatitis B treatment at the end of treatment.

    Time frame: Up to 48 weeks.

  7. HBV DNA < LLOQ and HBsAg < LOD rate and HBV DNA < LLOQ and HBsAg < 10 IU/mL rate by visit.

    Time frame: Up to 48 weeks.

  8. HBsAg, HBeAg seroconversion rates by visit.

    Time frame: Up to 48 weeks.

    HBsAg seroconversion: serum HBsAg<LOD, and at the same time or subsequently, HBsAb>10 IU/L.

    HBeAg seroconversion: HBeAg negative, with simultaneous or subsequent positivity for HBeAb.

  9. Test Values of Virological Parameters.

    Time frame: Up to 48 weeks.

    HBsAb, HBsAg, HBV DNA values and changes from baseline at each visit.

  10. Time to first achievement of HBsAg and first HBeAg seroconversion.

    Time frame: Up to 48 weeks.

    HBsAg seroconversion: serum HBsAg<LOD, and at the same time or subsequently, HBsAb>10 IU/L.

    HBeAg seroconversion: HBeAg negative, with simultaneous or subsequent positivity for HBeAb.

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

    Time frame: Up to 48 weeks.

    Response options range from 1 to 5 with higher scores indicating more severe impact .

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

    Time frame: Up to 48 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 participant's health state.

  13. Proportion of participants with protocol-defined virologic response for HBsAg and HBV DNA.

    Time frame: Up to 48 weeks.

  14. Change from baseline in alanine aminotransferase (ALT) and noninvasive assessment of liver fibrosis at each visit.

    Time frame: Up to 48 weeks.

  15. Time to normalization of ALT without rescue therapy (for participants with abnormal baseline ALT).

    Time frame: Up to 48 weeks.

  16. AHB-137 resistance analysis.

    Time frame: Up to 48 weeks.

    Method: Sequencing of HBV DNA/RNA.

  17. Proportion of participants who are HBeAb positive and HBeAg negative, and the test values of HBsAb, HBsAg and HBV DNA meet certain conditions.

    Time frame: Up to 48 weeks.

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

    Time frame: Up to 48 weeks.

    Examination including laboratory examination, electrocardiogram (ECG) examination.

  19. Proportion of participants with positive anti-drug antibody (ADA) and ADA level at each visit.

    Time frame: Up to 48 weeks.

  20. Plasma drug concentration of AHB-137.

    Time frame: Up to 48 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, Double-blind, Placebo-controlled, Multicenter Phase 2 Clinical Study to Evaluate the Efficacy and Safety of AHB-137 Injection in Treatment-naïve Participants With Chronic Hepatitis B.

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Jun 9, 2026
Registry last updated
Jun 9, 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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