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NCT Number: NCT07606950

Phase III Study of HRS-5635 in Nucleos(t)Ide Analogue-suppressed HBeAg-negative Patients With Chronic Hepatitis B

This study is intended to confirm the efficacy, safety, pharmacokinetic (PK) profile, and immunogenicity of HRS-5635 injection as compared to the placebo arm in nucleos(t)ide analogue-suppressed HBeAg-negative patients with chronic hepatitis B. The total duration of the study, including screening (up to 4 weeks), the double-blind treatment stage (60 weeks),NAs-only treatment stage(12 weeks) and the off-treatment follow-up (24 weeks), is up to approximately 100 weeks at maximum for each participant.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Nanfang Hospital, Southern Medical University

Guangzhou, 510515, China

Location status: Recruiting

Location contact

Jinlin Hou

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Chronic hepatitis B defined as HBV infection documented for at least 6 months prior to screening;
  • Virologically suppressed on nucleoside or nucleotide analogues treatment with HBV DNA below the lower limit of quantitation;
  • HBeAg negative at screening;
  • On commercially available NAs monotherapy for at least 24 weeks before randomization, and the dosing regimen remained unchanged for at least 4 weeks before randomization;
  • Need to take effective contraceptive measures;
  • Volunteer to sign an informed consent.

Exclusion criteria

  • History of cirrhosis or clinical evidence of hepatic decompensation, confirmed or suspected liver cancer, with other liver diseases other than chronic hepatitis B that may affect the evaluation of the study;
  • With autoimmune disease;
  • History of solid organ transplantation or hematopoietic stem cell transplantation;
  • Clinically significant and unstable or uncontrolled severe cardiovascular and cerebrovascular diseases;
  • Malignant tumors were diagnosed within 5 years prior to randomization;
  • Major trauma or major surgery within the 12 weeks prior to randomization, or surgical plans or other treatment during the study period which the investigators determined may influence the evaluation of the study results;
  • Laboratory tests during the screening period were obviously abnormal;
  • Prolonged ECG QTcF or other clinically significant abnormal results that may pose a significant safety risk to the subject during the screening period;
  • History of drug use, alcohol or drug abuse in the 12 months prior to randomization;
  • Participated in clinical study of other drugs (received experimental drugs);
  • Pregnant or nursing women;
  • Allergic to a drug ingredient or component;
  • Other reasons for ineligibility as judged by the investigators.

Treatment and study plan

HRS-5635 Injection

Drug

HRS-5635 Injection, administered by subcutaneous injection;

Placebo

Drug

Placebo, administered by subcutaneous injection.

Primary outcomes

  1. Percentage of participants with sustained HBV DNA suppression and HBsAg loss within 24 weeks after discontinuation of all HBV therapy

    Time frame: 24 weeks after discontinuation of all CHB treatment

Secondary outcomes

  1. Percentage of participants with sustained HBV DNA suppression and HBsAg < 100 IU/mL

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  2. Percentage of participants with sustained HBV DNA suppression and HBsAg < 10 IU/mL

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  3. Percentage of participants with sustained HBV DNA suppression

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  4. Percentage of participants with HBsAg < 100 IU/mL

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  5. Percentage of participants with HBsAg < 10 IU/mL

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  6. Changes from baseline in mean log10 HBsAg levels

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  7. Percentage of participants with HBsAg loss

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  8. Percentage of participants with HBsAg seroconversion

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  9. Percentage of participants with HBeAb positive

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  10. Percentage of participants with virologic breakthrough

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  11. Percentage of participants with drug resistance

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

  12. Percentage of participants who meet the criteria for stopping nucleos(t)ide analogue (NA) therapy

    Time frame: Week 72 and Week 96

  13. Relapse rate after discontinuation of NAs therapy

    Time frame: Up to 24 weeks after discontinuation of NAs treatment

  14. Treatment-emergent adverse events

    Time frame: Up to 24 weeks after discontinuation of NAs treatment

  15. Percentage of participants with detectable anti-drug antibodies

    Time frame: Pre-specified time points up to 24 weeks after discontinuation of all CHB treatment

Study contacts

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

Xiaopeng Wang

CONTACT

[email protected]

0518-82342973

Sponsors and collaborators

Lead sponsor

Fujian Shengdi Pharmaceutical Co., Ltd.

Industry

Registry information

Official study title

A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-designed Phase III Clinical Study to Evaluate the Efficacy and Safety of HRS-5635 Injection in Nucleos(t)Ide Analogue-suppressed HBeAg-negative Patients With Chronic Hepatitis B

Important dates

Study start
2026
Primary completion
2028
Study completion
2028
First posted
May 26, 2026
Registry last updated
Jul 24, 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.