CClinicalTrials.gg
CompletedNCT04536337Updated Nov 21, 2025

A Study of ALG-000184 Drug to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics After Single and Multiple Doses in Healthy Volunteers and CHB Subjects

A Phase 1 interventional study of ALG-000184 and Placebo in Chronic Hepatitis B, sponsored by Aligos Therapeutics. Completed at 10 sites in 6 countries. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by Aligos Therapeutics · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
165
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if ALG-000184 is safe, well-tolerated, and works to treat chronic hepatitis B virus (HBV) infection. The main questions it aims to answer are:

Is ALG-000184 safe and well-tolerated when given alone or with entecavir (a standard HBV treatment)? Does ALG-000184 reduce HBV viral levels in the blood of patients with chronic hepatitis B? How does the body process ALG-000184 (pharmacokinetics)?

Researchers will compare ALG-000184 to placebo (a look-alike substance that contains no drug) to see if ALG-000184 works better at reducing hepatitis B viral markers.

The study has five parts:

Parts 1 and 2: Healthy volunteers will receive single or multiple doses of ALG-000184 or placebo Part 3: Patients with chronic hepatitis B will receive ALG-000184 or placebo daily for 28 days Part 4: Patients with chronic hepatitis B will receive ALG-000184 or placebo combined with entecavir for 12 weeks (may be extended up to 96 weeks) Part 5: Additional groups of patients with chronic hepatitis B will receive ALG-000184 with entecavir for 12 weeks (may be extended up to 96 weeks)

Participants will:

Take study medication orally as directed Visit the clinic regularly for blood tests, physical examinations, and other safety assessments Have their HBV viral markers measured to determine if the treatment is working

Read the detailed description

ALG-000184-201 is a Phase 1, double-blind, randomized, placebo-controlled study evaluating ALG-000184, a novel capsid assembly modulator (CAM) targeting hepatitis B virus (HBV).

ALG-000184 is a prodrug that is converted to ALG-001075, a Class E CAM that inhibits HBV replication through two mechanisms: (1) blocking pregenomic RNA encapsidation, and (2) preventing the formation and transcription of covalently closed circular DNA (cccDNA).

The study employs a sequential approach, beginning with single-ascending dose (SAD) and multiple-ascending dose (MAD) evaluations in healthy volunteers, then progressing to monotherapy assessments in chronic hepatitis B (CHB) subjects, and finally testing combination therapy with entecavir.

A Study Review Committee (SRC) oversees safety throughout the trial and determines dose escalation based on predefined criteria. Each cohort in Parts 1-3 includes a 4:1 (ALG-000184:placebo) randomization ratio, while Parts 4-5 include extended treatment durations to evaluate longer-term efficacy and safety.

The study includes comprehensive pharmacokinetic assessments and extensive virologic evaluations (HBV DNA, HBV RNA, HBsAg, HBeAg, HBcrAg, and resistance monitoring). An ALT Flare Committee specifically reviews and manages liver-related safety events.

Part 4 focuses on HBeAg-positive subjects to explore potential HBsAg declines, as the secondary mechanism of action of ALG-000184 may be more pronounced in subjects with higher cccDNA levels. The trial includes provisions for extending treatment duration up to 96 weeks based on emerging safety and efficacy data.

02

Conditions studied

  • Chronic Hepatitis B

Browse trials for

03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria for All Subjects:

  1. Female subjects must have a negative serum pregnancy test at screening
  2. Subjects must have a 12-lead electrocardiogram (ECG) that meets the protocol criteria

    Inclusion Criteria for Healthy Volunteers:

    In addition to inclusion criteria 1-2, the following inclusion criteria also apply to HV's (Parts 1 and 2)

  3. Male or female between 18 and 55 years of age, extremes included.
  4. Subjects must have a body mass index (BMI; weight in kg divided by the square of height in meters) of 18.0 to 32.0 kg/m2, extremes included.

CHB Subjects:

In addition to inclusion criteria 1-4, the following inclusion criteria also apply to CHB subjects:

All of the Following criteria apply to Part 3 at screening:

5 .Subjects must be 18 to 65 years of age, extremes included.

6.CHB subjects must have a BMI of 18.0 to 35.0 kg/m2, extremes included.

7.CHB subjects who at screening, have not received treatment with an approved or investigational medicine, or have never received treatment with HBV antiviral medicines

All of the following criteria apply to Part 4 Cohorts A \& B, unless otherwise specified, at Screening:

8.Subjects must be 18 to 65 years of age, extremes included.

9.Subjects must have a BMI of 18.0 to 35.0 kg/m2, extremes included

10.Subjects must be HBeAg positive (HBeAg ≥LLOQ and HBeAb negative)

11.Subjects enrolled in Part 4 Cohort A and B must have a history of Chronic Hepatitis B

12. Subjects must have ALT and AST must have ≤1.2×ULN or ≤5×ULN

All of the following criteria apply to Part 5 at Screening

13.Subjects must be 18 to 65 years of age, extremes included.

14. Subjects have a BMI of 17.0 to 35.0 kg/m2, extremes included

15.Subjects could belong to any of the following treatment categories: treatment naïve (TN), currently not treated (CNT) , virologically suppressed.

Exclusion Criteria

Exclusion Criteria for All Subjects:

  1. Subjects with any previous or current illness that, in the opinion of the investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject, or pose an additional risk in administering study drug to the subject, or that could prevent, limit, or confound the protocol specified assessments or study results' interpretation
  2. Subjects with a past history of cardiac arrhythmias, risk factors for Torsade de Pointes syndrome (e.g., hypokalemia, family history of long QT syndrome, or history of clinical evidence at screening of significant or unstable cardiac disease etc.
  3. Subjects with a history of clinically significant drug allergy
  4. Subject with a current history of clinically significant (as determined by investigator) skin disease requiring intermittent or chronic treatment
  5. Excessive use of alcohol, defined as regular consumption of ≥14 standard drinks/week for women and ≥21 standard drinks/week for men
  6. Subjects with Hepatitis A, B, C, D, E or HIV-1/HIV-2 infection or acute infections such as SARS- CoV-2 infection

    Exclusion Criteria for Healthy Volunteers (Parts 1 and 2):

    In addition to exclusion criteria 1-6, the following exclusion criteria also apply to HV's (Parts 1 and 2)

  7. Unwilling to abstain from alcohol use for 48 hours prior to start of dosing through end of study follow up.
  8. Positive alcohol or cotinine test at screening and Day -1.
  9. Subjects with renal dysfunction (e.g., estimated creatinine clearance \<90 mL/min/1.73 m2at screening, calculated by the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula).

    Exclusion Criteria for CHB Subjects (Parts 3, 4, and 5):

    All exclusion criteria listed above for healthy volunteers apply also to CHB subjects, except for exclusion Criteria 9 (requirement relative to cotinine).All the following exclusion criteria apply to Parts 3, 4, and 5, unless otherwise specified.

  10. Subjects who are positive for anti-HBs antibodies.
  11. For HBeAg-positive subjects, they should be negative for anti-HBe antibodies (Parts 4 and 5)
  12. Subject with any history or current evidence of hepatic decompensation such as: variceal bleeding, spontaneous bacterial peritonitis, ascites, hepatic encephalopathy, or active jaundice (within the last year).
  13. History or current evidence of cirrhosis.
  14. Subjects with liver fibrosis that is classified as Metavir Score ≥F3 liver disease
  15. Subjects with signs of hepatocellular carcinoma
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
165 participants (actual)

Study arms

  • Experimental
    ALG-000184

    Oral tablet(s) of ALG-000184 in HV or CHB subjects once daily for up to 96 weeks

    Drug: ALG-000184

  • Placebo comparator
    Placebo

    Oral tablet(s) of placebo in HV or CHB subjects once daily for up to 12 weeks

    Drug: Placebo

  • Active comparator
    Entecavir in combination with ALG-000184

    Oral tablet(s) of ALG-000184 in combination with Entecavir in CHB subjects once or twice daily for up to 96 weeks

    Drug: ALG-000184 · Drug: Entecavir

  • Active comparator
    Placebo plus Entecavir

    Oral tablet(s) of matching placebo in combination with Entecavir in CHB subjects once daily for 12 weeks, with option to switch to open-label ALG-000184 plus Entecavir for up to 96 weeks (Part 4).

    Drug: ALG-000184 · Drug: Entecavir

  • Experimental
    Open-label ALG-000184 plus Entecavir

    Open-label oral tablet(s) of ALG-000184 in combination with Entecavir in CHB subjects once daily for up to 96 weeks (Part 5)

    Drug: Placebo · Drug: Entecavir

Interventions

  • DrugALG-000184

    Single or multiple doses of ALG-000184

  • DrugPlacebo

    Single or multiple doses of Placebo

  • DrugEntecavir

    multiple doses of Entecavir

05

What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1

    Time frame: up to 8 days for Part 1

  2. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1

    Time frame: up to 21 days for Part 2

  3. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1

    Time frame: up to 112 days for Part 3

  4. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1 of ALG-184 in combination with Entecavir (Parts 4 and 5)

    Time frame: Up to 756 days for parts 4 & 5

Secondary outcomes

  1. Maximum Plasma Concentration [Cmax]

    Pharmacokinetic parameters of ALG-000184 in plasma

    Time frame: Predose up to763 Days

  2. Area under the concentration time curve [AUC]

    Pharmacokinetic parameters of ALG-000184 in plasma

    Time frame: Predose up to 763 Days

  3. Time to maximum plasma concentration [Tmax]

    pharmacokinetic parameters of ALG-000184 in plasma

    Time frame: Predose up to 763 Days

  4. Half-time [t1/2]

    Pharmacokinetic parameters of ALG-000184 in plasma

    Time frame: Predose up to 763 Days

  5. Minimum Plasma Concentration [Cmin]

    Pharmacokinetic parameters of ALG-000184 in plasma

    Time frame: Predose up to 763 Days

  6. Change in HBV DNA from baseline through Day 812 in Multiple Dose HBV Infected Patients

    Time frame: Screening up to Day 812

06

Study locations

10 sites
  • Saint Vincent's Hospital Melbourne
    Fitzroy, Victoria 3065, Australia
  • Western Health
    Footscray, Victoria 3011, Australia
  • The Second Affiliated Hospital of Chongqing Medical University
    Chongqing, Chongqing Municipality 400016, China
  • Nanfang Hospital of Southern Medical University
    Guangzhou, Guangdong, China
  • The First Hospital of Jilin University
    Changchun, Jilin 130021, China
  • Queen Mary Hospital
    Hong Kong, Hong Kong
  • Prince of Wales
    Shatin, Hong Kong
  • CAP Research
    Quatre Bornes, Mauritius 72218, Mauritius
  • PMSI Republican Clinical Hospital "T. Mosneaga", ARENSIA Exploratory Medicine Phase I Unit
    Chisinau, Moldova
  • ACS
    Auckland, New Zealand
07

References and documents

Publications

  • Yuen MF, Agarwal K, Jucov A, Hou J, Niu J, Ding Y, Haceatrean A, Liang X, Xu J, Wu M, Le K, Lin TI, Blatt L, Chanda S, Fry J, Gane E. ALG-000184 (pevifoscorvir sodium) monotherapy in participants with chronic HBV infection: a phase 1, multicentre, randomised, dose escalation trial. Lancet Gastroenterol Hepatol. 2026 Mar;11(3):218-231. doi: 10.1016/S2468-1253(25)00293-6. Epub 2026 Jan 16. PubMed 41554267 ↗
  • Gane E, Schwabe C, Wu M, Lin TI, Blatt L, Fry J, Chanda S, Le K. A Phase 1 study of the safety, tolerability, and pharmacokinetics of ALG-000184 (pevifoscorvir sodium), a novel Class E capsid assembly modulator, in healthy participants. Antivir Ther. 2025 Dec;30(6):13596535251392955. doi: 10.1177/13596535251392955. Epub 2025 Nov 21. PubMed 41268712 ↗
  • Li C, Wu M, Zhang H, Mai J, Yang L, Ding Y, Niu J, Mao J, Wu W, Zhang D, Tang Y, Yan W. Safety, Tolerability, and Pharmacokinetics of the Novel Hepatitis B Virus Capsid Assembly Modulator GST-HG141 in Healthy Chinese Subjects: a First-in-Human Single- and Multiple-Dose Escalation Trial. Antimicrob Agents Chemother. 2021 Sep 17;65(10):e0122021. doi: 10.1128/AAC.01220-21. Epub 2021 Jul 19. PubMed 34280012 ↗
08

Registry details

Key details

Study ID
NCT04536337
Lead sponsor
Aligos Therapeutics
Responsible party
Sponsor
First posted
Sep 2, 2020
Start date
Oct 22, 2020
Primary completion
Jun 16, 2025
Completion
Jun 16, 2025
Last update
Nov 21, 2025

Oversight

Data monitoring committee
Yes
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 Nov 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion