ClinicalTrials.gg
TerminatedNCT04684914Updated Dec 8, 2025Results posted

HepTcell Immunotherapy in Patients With Inactive Chronic Hepatitis B (CHB)

A Phase 2 interventional study of HepTcell and Placebo in Hepatitis B, Chronic, sponsored by Altimmune, Inc.. Terminated at 21 sites in 5 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-12-08.

Sponsored by Altimmune, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
Did not meet endpoints
Phase
Phase 2
Study type
Interventional
Enrollment
87
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

A study to evaluate the antiviral effects, immunogenicity, and safety of HepTcell in treatment-naive patients with inactive chronic hepatitis B (CHB) and low hepatitis B surface antigen (HBsAg) levels.

02

Conditions studied

  • Hepatitis B, Chronic

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Keywords

  • Immunotherapy
  • CHB
03

In context

Hepatitis B, Chronic

895 studies on the registry are indexed under Hepatitis B, Chronic; 151 are open to participants now.

This study's enrollment of 87 is below the median of 100 across 659 interventional studies indexed under Hepatitis B, Chronic.

Browse Hepatitis B, Chronic studies →

Lead sponsor

Altimmune, Inc. is the lead sponsor of 20 studies on the registry; 1 is open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 4 (29%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 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

  • Men and women 18 to 65 years of age, inclusive
  • Inactive CHB with documented positivity for at least 12 months before Day 1
  • qHBsAg ≥ 10 IU/mL but ≤ 100 IU/mL in the 12 months prior to screening
  • HBV DNA ≥ 10 IU/mL at screening
  • , ALT, , albumin, total (excluding patients with Gilbert Syndrome) and direct bilirubin within normal limits at screening

Exclusion criteria

Exclusion Criteria:

  • Positive e antigen (HBeAg) at screening
  • History of a hepatitis B flare or 1-log increase in HBV DNA or HBsAg in the prior 12 months
  • Undetectable HBV DNA at screening
  • Fibroscan > 8.5 kPA at screening, or history of hepatic fibrosis or cirrhosis (NB, a Fibroscan is not required if an examination is performed within 12 months or a liver was performed within 2 years before Screening and no fibrosis [F1 or greater] was identified).
Terms in these criteria, in plain language(5)

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.

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
87 participants (actual)

Study arms

  • Experimental
    HepTcell

    Dose administered at intervals of 4 weeks for 6 doses

    Biological: HepTcell

  • Placebo comparator
    Placebo

    Dose administered at intervals of 4 weeks for 6 doses

    Drug: Placebo

Interventions

  • BiologicalHepTcell

    Intramuscular injection

  • DrugPlacebo

    Intramuscular injection

06

What researchers measure

Primary outcomes

  1. The Proportion of Patients Achieving Virologic Responses

    Virologic response is defined as a 1.0-log reduction in quantitative hepatitis B surface antigen (HBsAg) or serologic clearance of HBsAg from Baseline to Day 169

    Time frame: Baseline to Day 169

Secondary outcomes

  1. The Proportion of Patients Achieving Serologic Clearance of Hepatitis B Surface Antigen (HBsAg) on Day 169

    Time frame: Baseline to Day 169

  2. The Proportion of Patients Achieving Serologic Clearance of Hepatitis B Virus (HBV) DNA on Day 169

    Time frame: Baseline to Day 169

  3. Changes in Quantitative HBsAg Level

    Time frame: Baseline to Days 85 and 169

  4. Changes in HBV DNA Levels

    Time frame: Baseline to Days 85 and 169

  5. Changes in Hepatitis B Core-related Antigen (HBCrAg) Levels

    Time frame: Baseline to Days 85 and 169

  6. Changes in Pre-genomic RNA Levels

    Time frame: Baseline to Days 85 and 169

  7. Change in IFN-gamma Frequency by ELISpot Assay in PBMCs

    Percent change in antigen-specific spot forming cells per million peripheral blood mononuclear cells (PBMCs)

    Time frame: Baseline to Days 85 and 169

07

Results

Posted Dec 8, 2025

Participant flow

Participant flow — Overall Study
MilestoneHepTcellPlacebo
Started4245
Treated4143
Completed4043
Not completed22
Withdrew: Withdrawal by subject10
Withdrew: Discontinued before receiving study treatment12

Outcome measures

PrimaryThe Proportion of Patients Achieving Virologic Responses

Virologic response is defined as a 1.0-log reduction in quantitative hepatitis B surface antigen (HBsAg) or serologic clearance of HBsAg from Baseline to Day 169

Time frame:
Baseline to Day 169
Reported as:
Count of participants · Participants
The Proportion of Patients Achieving Virologic Responses
ParticipantsHepTcellPlacebo
The Proportion of Patients Achieving Virologic Responses10
Statistical analysis
  • HepTcell vs Placebo · Chi-squared · p = 0.3029
  • HepTcell vs Placebo · Fisher Exact · p = 0.4881
SecondaryThe Proportion of Patients Achieving Serologic Clearance of Hepatitis B Surface Antigen (HBsAg) on Day 169
Time frame:
Baseline to Day 169
Reported as:
Count of participants · Participants
The Proportion of Patients Achieving Serologic Clearance of Hepatitis B Surface Antigen (HBsAg) on Day 169
ParticipantsHepTcellPlacebo
The Proportion of Patients Achieving Serologic Clearance of Hepatitis B Surface Antigen (HBsAg) on Day 16910
Statistical analysis
  • HepTcell vs Placebo · Chi-squared · p = 0.3029
  • HepTcell vs Placebo · Fisher Exact · p = 0.4881
SecondaryThe Proportion of Patients Achieving Serologic Clearance of Hepatitis B Virus (HBV) DNA on Day 169
Time frame:
Baseline to Day 169
Reported as:
Count of participants · Participants
The Proportion of Patients Achieving Serologic Clearance of Hepatitis B Virus (HBV) DNA on Day 169
ParticipantsHepTcellPlacebo
The Proportion of Patients Achieving Serologic Clearance of Hepatitis B Virus (HBV) DNA on Day 16958
Statistical analysis
  • HepTcell vs Placebo · Chi-squared · p = 0.4169
  • HepTcell vs Placebo · Fisher Exact · p = 0.5495
SecondaryChanges in Quantitative HBsAg Level
Time frame:
Baseline to Days 85 and 169
Reported as:
Mean · IU/mL
Changes in Quantitative HBsAg Level
IU/mLHepTcellPlacebo
Day 85-7.76 ± 28.01-8.47 ± 15.85
Day 169-13.72 ± 32.80-10.19 ± 31.87
SecondaryChanges in HBV DNA Levels
Time frame:
Baseline to Days 85 and 169
Reported as:
Mean · IU/mL
Changes in HBV DNA Levels
IU/mLHepTcellPlacebo
Day 85-7559.73 ± 46650.54-5270.05 ± 33240.79
Day 169-7868.48 ± 44871.40-4690.12 ± 32070.75
SecondaryChanges in Hepatitis B Core-related Antigen (HBCrAg) Levels
Time frame:
Baseline to Days 85 and 169
Reported as:
Mean · kU/mL
Changes in Hepatitis B Core-related Antigen (HBCrAg) Levels
kU/mLHepTcellPlacebo
Day 85-4.00 ± 7.811.00 ± NA
Day 169-1.00 ± 1.001.00 ± NA
SecondaryChanges in Pre-genomic RNA Levels
Time frame:
Baseline to Days 85 and 169
Reported as:
Mean · Log U/mL
Changes in Pre-genomic RNA Levels
Log U/mLHepTcellPlacebo
Day 850.26 ± 0.420.16 ± 0.39
Day 1690.31 ± 0.440.30 ± 0.48
SecondaryChange in IFN-gamma Frequency by ELISpot Assay in PBMCs

Percent change in antigen-specific spot forming cells per million peripheral blood mononuclear cells (PBMCs)

Time frame:
Baseline to Days 85 and 169
Reported as:
Mean · percent change
Change in IFN-gamma Frequency by ELISpot Assay in PBMCs
percent changeHepTcellPlacebo
Day 853.71 ± 39.02-0.14 ± 21.50
Day 169-5.28 ± 28.563.45 ± 45.56

Adverse events

Collected over 6 months. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
HepTcell0/41 (0%)0/41 (0%)19/41 (46.3%)
Placebo0/43 (0%)0/43 (0%)29/43 (67.4%)
Most frequent other events
Showing 10 of 17
Most frequent other events
EventHepTcellPlacebo
COVID-19Infections and infestations6/414/43
Back painMusculoskeletal and connective tissue disorders3/413/43
Neutrophil count decreasedInvestigations1/413/43
HeadacheNervous system disorders2/412/43
PyrexiaGeneral disorders2/412/43
DiarrheaGastrointestinal disorders1/412/43
Food poisoningGastrointestinal disorders0/412/43
ArthralgiaMusculoskeletal and connective tissue disorders1/412/43
Influenza A virus test positiveInvestigations0/412/43
FatigueGeneral disorders0/412/43

Baseline characteristics

mITT population: all randomized subjects who received any amount of study medication and had a baseline and at least one postbaseline efficacy assessment

Age, Continuous
Age, Continuous(years)HepTcellPlaceboTotal
Mean50.95 ± 9.0753.21 ± 8.0852.11 ± 8.60
Sex: Female, Male
Sex: Female, Male(Participants)HepTcellPlaceboTotal
Female131932
Male282452
Race (NIH/OMB)
Race (NIH/OMB)(Participants)HepTcellPlaceboTotal
American Indian or Alaska Native000
Asian272451
Native Hawaiian or Other Pacific Islander000
Black or African American268
White121123
More than one race000
Unknown or Not Reported022
Region of Enrollment
Region of Enrollment(participants)HepTcellPlaceboTotal
Canada6814
United States6410
United Kingdom145
Germany011
Spain91120
Thailand131225
Italy639
08

Study locations

21 sites
  • Paragon Rx Clinical
    Garden Grove, California 92840, United States
  • Stanford University Department of Medicine
    Redwood City, California 94063, United States
  • San Jose Gastroenterology Institute
    San Jose, California 95128, United States
  • Kansas City Research Institute
    Kansas City, Missouri 64131, United States
  • Central Sooner Research
    Oklahoma City, Oklahoma 73071, United States
  • University of Calgary Liver Unit - Heritage Medical Research Clinic
    Calgary, Alberta T2N 4Z6, Canada
  • University of Alberta Hospital
    Edmonton, Alberta T6G 2G3, Canada
  • The Ottawa Hospital
    Ottawa, Ontario K1H 8L6, Canada
  • Toronto Centre for Liver Disease (TCLD), Toronto General Hospital, UHN
    Toronto, Ontario M5G 2C4, Canada
  • Toronto Liver Centre
    Toronto, Ontario M6H 3M1, Canada
  • Goethe University Hospital
    Frankfurt am Main, 60590, Germany
  • Univesritätsklinikum Hamburg-Eppendorf
    Hamburg, 20246, Germany
  • Hospital Clínic De Barcelona
    Barcelona, 08028, Spain
  • Hospital Universitari Vall D'Hebron
    Barcelona, 08035, Spain
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
  • Hospital Nuestra Señora De Valme
    Seville, 41014, Spain
  • Consorcio Hospital General Universitario De Valencia
    Valencia, 46014, Spain
  • Hospital Universitari I Politècnic La Fe
    Valencia, 46026, Spain
  • St. Georges University of London
    London, SW17 0RE, United Kingdom
  • St. Mary's Hospital
    London, W2 1NY, United Kingdom
  • Queens Medical Center
    Nottingham, NG7 2UH, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2020 to primary completion in Mar 2024, 39 months.

Results were first posted in Dec 2025, 1 year 8 months after primary completion.

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

Registered
Dec 22, 2020
First posted
Dec 28, 2020
StartActual
Dec 26, 2020
Primary completionActual
Mar 27, 2024
CompletionActual
Apr 17, 2024
Results first posted
Dec 8, 2025
Last update
Dec 8, 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 Dec 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04684914
Lead sponsor
Altimmune, Inc.
Responsible party
Sponsor
First posted
Dec 28, 2020
Start date
Dec 26, 2020
Primary completion
Mar 27, 2024
Completion
Apr 17, 2024
Results posted
Dec 8, 2025
Last update
Dec 8, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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