ClinicalTrials.gg
CompletedNCT04426968Updated Jan 27, 2025

A Phase II Study of Hepalatide in Subjects With Chronic Hepatitis B

A Phase 2 interventional study of Hepalatide 2.1mg and Hepalatide 4.2mg in Hepatitis B, Chronic, sponsored by Shanghai HEP Pharmaceutical Co., Ltd.. Completed at 12 sites in China. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2025-01-27.

Sponsored by Shanghai HEP Pharmaceutical Co., Ltd. · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 375 studies in Hepatitis B, Chronic with a site in China — 89 open to participants now, 110 under way, 7 of them phase 3. Hepatitis B, Chronic · China.

Enrollment
170th of 273
96 · median 120
Started
2021
with 24 others
Phase 2
72 of 375
15 open now
Registered
189th of 375
by date

Among the 375 studies in Hepatitis B, Chronic with a site in China, this one is the 170th largest by enrollment of the 273 interventional ones that give a count, is one of 25 that started in 2021, is one of 72 in phase 2, and was the 189th registered.

Hepatitis B, Chronic

896 studies on the registry are indexed under Hepatitis B, Chronic; 153 are open to participants now.

Browse Hepatitis B, Chronic studies →

Open to participants now

89 of the 375 studies in Hepatitis B, Chronic with a site in China are open now. Recruiting first, the newest first:

84 more — sign in →

All 89 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 97 Hepatitis B, Chronic studies recruiting now, 33 (34%) set no upper age limit and 59 (61%) stop at 75 or younger; 11 take children under 18; 13 take healthy volunteers.

This study: 18 Years to 60 Years · all sexes · no healthy volunteers.

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02

Study summary

A Phase II Randomized, Double-blind, Placebo-controlled, Multi-center, Dose-effect Relationship Study of Hepalatide for Injection Combined with Pegylated Interferon in Subjects with Chronic Hepatitis B

Read the detailed description

The study is a 4-arm parallel design, randomized, double-blind, placebo-controlled, multicenter, dose-effect relationship, phase II clinical trial. The study is designed to assess efficacy and safety of 3 Doses of hepalatide in Combination with Pegylated Interferon Compared to Pegylated Interferon Alone in patients with Chronic Hepatitis B .Subjects will be randomly assigned to the 2.1mg, 4.2mg, and 6.3mg dose groups , 32 subjects in each group . The subjects in each dose group will be randomly and double-blindly administered the corresponding dose of trial drug or placebo in a ratio of 3:1. The subjects in each dose group who received placebo treatment combine as the placebo group. All subjects will receive Pegylated Interferon treatment for 28 weeks as the basic treatment,trial drug or placebo treatment for 24 weeks continuously , followed by a safety follow-up for 4 weeks.

03

Conditions studied

  • Hepatitis B, Chronic

Browse trials for

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age from 18 to 60 years inclusively at the time of signing Form.
  2. or/and HBV DNA Positive for at least 6 months before Screening.
  3. Subjects did not receive interferon treatment and did not receive nucleotide/nucleoside analogue within 6 months
  4. HBeAg positive or negative
  5. HBV DNA≥20,000 IU/ml (HBeAg positive) or HBV DNA≥2,000 IU/ml (HBeAg negative)
  6. 2× ≤≤10×ULN
  7. Serum total \<2×ULN
  8. Subjects had no history of decompensated liver disease(Ascites, jaundice, hepatic encephalopathy, varicose hemorrhage), serious heart disease (including unstable or uncontrolled heart disease within 6 months),serious mental illness (especially depression),organ transplantation .subjects have no uncontrolled epilepsy, mental illness, diabetes and hypertension,no disease, immune related extrahepatic manifestations (vasculitis, purpura, nodular arteritis, peripheral neuropathy and glomerulonephritis), thyroid disease, malignant tumor, therapy; no basic diseases and other serious diseases such as serious infection, retinal disease, heart failure and ; no alcohol and drug abuse.
  9. Subjects must agree to use a highly effective for 2 years , female subjects are not pregnant or breastfeeding
  10. Subjects did not donate blood or as clinical trial subjects within 3 months before screening
  11. Subjects have good compliance with the protocol
  12. Subjects understood and agreed to sign the informed consent form.

Exclusion criteria

Exclusion Criteria:

  1. Decompensated liver disease: direct > 1.2 × ,
  2. > 1.2 × ULN, serum albumin \< 35 g / L
  3. Severe liver fibrosis or cirrhosis: METAVIR score of liver is 4 points; or or score> 7
  4. Hemocytopenia: neutrophil \< 1 × 10\^9 / L, \< 50 × 10\^9 / L, \< 100g / L (female) or hemoglobin \< 110g / L (male) points
  5. HAV,,HDV,HEV or infection
  6. Pegylated interferon therapy is
  7. Allergic to interferon, Such as severe depression, epilepsy, diseases, uncontrolled thyroid dysfunction and so on
  8. severe retinopathy or eye disease(Eye diseases due to high blood pressure or diabetes, CMV retinitis, macular degeneration)
  9. Positive for anti- Pre-S1 antibody.
  10. Hamilton Depression Scale (HAMD, 17 items) score > 17 points
  11. Female subjects pregnancy test positive
  12. Other laboratories or auxiliary examinations are obviously abnormal
Terms in these criteria, in plain language(17)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorized to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
96 participants (actual)

Study arms

  • Experimental
    Hepalatide 2.1mg+Pegylated Interferon

    Hepalatide 2.1mg s.c., q.d., treatment continued for 24 weeks, follow up 4 weeks. PEG-IFNalpha, s.c., q.w.,treatment continued for 48 weeks

    Drug: Hepalatide 2.1mg · Drug: Pegylated Interferon

  • Experimental
    Hepalatide 4.2mg+Pegylated Interferon

    Hepalatide 4.2mg s.c., q.d., treatment continued for 24 weeks, follow up 4 weeks. PEG-IFNalpha, s.c., q.w.,treatment continued for 48 weeks

    Drug: Hepalatide 4.2mg · Drug: Pegylated Interferon

  • Experimental
    Hepalatide 6.3mg+Pegylated Interferon

    Hepalatide 6.3mg s.c., q.d., treatment continued for 24 weeks, follow up 4 weeks. PEG-IFNalpha, s.c., q.w.,treatment continued for 48 weeks

    Drug: Hepalatide 6.3mg · Drug: Pegylated Interferon

  • Active comparator
    placebo+Pegylated Interferon

    Hepalatide placebo s.c., q.d., treatment continued for 24 weeks, follow up 4 weeks. PEG-IFNalpha, s.c., q.w.,treatment continued for 48 weeks

    Drug: placebo 2.1mg · Drug: placebo 4.2mg · Drug: placebo 6.3mg · Drug: Pegylated Interferon

Interventions

  • 2.1 mg/day subcutaneously (s.c.) for 24 week

    Also known as: L47

  • 4.2mg/day subcutaneously (s.c.) for 24 week

    Also known as: L47

  • 6.3mg/day subcutaneously (s.c.) for 24 week

    Also known as: L47

  • Drugplacebo 2.1mg

    2.1 mg/day subcutaneously (s.c.) for 24 week

  • Drugplacebo 4.2mg

    4.2 mg/day subcutaneously (s.c.) for 24 week

  • Drugplacebo 6.3mg

    6.3 mg/day subcutaneously (s.c.) for 24 week

  • 180 ug/week subcutaneously (s.c.) for 28 week

    Also known as: Pegasys

06

What researchers measure

Primary outcomes

  1. virological response

    Time frame: 24weeks

Secondary outcomes

  1. HBV DNA down from baseline

    HBV DNA down from baseline log10

    Time frame: 24weeks

Other outcomes

  1. Virological suppression

    HBV DNA \<2,000 IU/ml

    Time frame: 24weeks

  2. No response

    HBsAg \>20,000 IU/ml and HBV DNA lower than baseline \<2log10 IU/ml

    Time frame: 24weeks

  3. Partial virological response

    HBV DNA \>20 IU/ml and ≥2log10 IU/ml lower than baseline

    Time frame: 24weeks

  4. HBsAg is down from baseline

    HBsAg is down from baseline log10

    Time frame: 24weeks

  5. HBeAg turned negative

    HBeAg \<0.05 index

    Time frame: 24weeks

  6. HBeAg is down from baseline

    HBeAg is down from baseline log10

    Time frame: 24weeks

  7. ALT recurrence

    ALT≤1.25×ULN

    Time frame: 24weeks

  8. Histological response

    Liver tissue inflammatory necrosis score reduced by ≥2 points with no increased liver fibrosis score; liver fibrosis score reduced by ≥1 point

    Time frame: 24weeks

07

Study locations

12 sites
  • The fifth medical center of PLA
    Beijing, Beijing 100039, China
  • Jilin Hepatobiliary Disease Hospital
    Changchun, China
  • The first hospital of Jilin University
    Changchun, China
  • Chizhou People's Hospital
    Chizhou, China
  • The First Hospital Affiliated to the Army Medical University
    Chongqing, China
  • The First Affiliated Hospital of Nanchang University
    Nanchang, China
  • The Second Hospital of Nanjing
    Nanjing, China
  • Qingyuan People's Hospital
    Qingyuan, China
  • Shanghai Tongren Hospital
    Shanghai, China
  • The Sixth People's Hospital of Shenyang
    Shenyang, China
  • Henan Provincial People's Hospital
    Zhengzhou, China
  • Henan Provincial Infectious Disease Hospital
    Zhenzhou, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2021 to primary completion in Nov 2023, 28 months.

Of 75 industry-sponsored phase 2 interventional studies under Hepatitis B, Chronic, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 39. This study's 28 months is above that.

Counting every sponsor, half of 87 studies reached it within 23 months; a quarter within 16 and three quarters within 41.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 9, 2020
First posted
Jun 11, 2020
StartActual
Jun 18, 2021
Primary completionActual
Nov 1, 2023
CompletionActual
Nov 29, 2023
Last update
Jan 27, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04426968
Lead sponsor
Shanghai HEP Pharmaceutical Co., Ltd.
Responsible party
Sponsor
First posted
Jun 11, 2020
Start date
Jun 18, 2021
Primary completion
Nov 1, 2023
Completion
Nov 29, 2023
Last update
Jan 27, 2025

Study contacts

Fusheng Wang
principal investigator · The fifth medical center of PLA

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Hepalatide

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