ClinicalTrials.gg
CompletedNCT05244057Updated Jul 15, 2024

A Study of Hepalatide Combined With TAF and PEG-IFN as Finite Treatment of Chronic Hepatitis B Patients

A Phase 2 interventional study of Hepalatide and Placebo of Hepalatide in Chronic Hepatitis B, sponsored by Shanghai HEP Pharmaceutical Co., Ltd.. Completed at 1 site in China. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2024-07-15.

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

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Phase
Phase 2
Study type
Interventional
Enrollment
8
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
271st of 273
8 · median 120
Started
2022
with 23 others
Phase 2
72 of 375
15 open now
Registered
228th of 375
by date

Among the 375 studies in Hepatitis B, Chronic with a site in China, this one is the 271st largest by enrollment of the 273 interventional ones that give a count, is one of 24 that started in 2022, is one of 72 in phase 2, and was the 228th 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

The study is designed to assess efficacy of a finitie treatment in Chronic Hepatitis B patients who had stable treatment of NAs for ≧ 2 years, which is compared hepalatide in combination with Pegylated Interferon + TAF with Pegylated Interferon +TAF. Subjects will be randomly assigned to the hepalatide or placebo groups , 15 subjects in each group . Subjects will receive hepalatide+Pegylated Interferon +TAF treatment for 48 weeks or placebo +PegylatedInterferon +TAF treatment for 48 weeks , Then, stopping hepalatide and Pegylate Interferon treatments and followed with further 8 weeks follow-up.

Read the detailed description

Hepalatide is a liver-targeted antiviral therapeutic for subcutaneous injection designed to treat chronic hepatitis B virus (HBV) infection. The aim of this study is to assess efficacy of a finitie treantment , that combination regimen of hepalatide+half dose Pegylated interferon + TAF , as measured by the primary efficacy endpoint. This study will be conducted in 3 periods: Screening Period (4weeks), Treatment Period (48 weeks) and Follow-up (FU) Period (8 weeks). Safety assessments will include adverse events (AEs), serious AEs, clinical safety laboratory tests, electrocardiograms (ECGs), vital signs, ophthalmologic examinations and physical examinations. Total duration of individual participation will be up to 60 weeks (including screening period).

03

Conditions studied

  • Chronic Hepatitis B

Browse trials for

Keywords

  • hepalatide, Hepatitis B,finite treatment,
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. or/and HBV DNA Positive for at least 6 months

      1. HBeAg negative
      1. Received NAs stabilization therapy for at least 2 years
      1. ≤ 2×
      1. HBV DNA\< LLQD(lower limit of quantitative detection) in Screening
      1. Serum total \<2×ULN
      1. no childbirth plan within 2 years and agree to take effective measures throughout the treatment period and within 3 months after the last dose, and that the woman is not pregnant or breastfeeding.
      1. have not participant in another clinical trial within 3 months before screening
      1. Subjects have good compliance with the protocol
      1. Subjects understood and agreed to sign the form.

Exclusion criteria

Exclusion Criteria:

    1. of Peginterferon such as depressive disorder, epilepsy, diseases, uncontrolled thyroid dysfunction, etc

      1. Subjects with cirrhosis, e.g., definite cirrhosis on imaging such as abdominal ultrasound and CT; liver with Metavir fibrosis score = 4; clinical diagnosis of cirrhosis by the investigator.
      1. Decompensated liver disease
      1. score of B-C or over 6 points.
      1. Subjects with any of the following circumstances
  • History of decompensated liver disease
  • History of serious heart disease (including unstable or uncontrolled heart disease within 6 months)
  • Uncontrolled seizures, severe psychiatric disorders, or a history of psychiatric disorders
  • with history of organ transplantation
  • with poorly controlled diabetes and hypertension
  • with autoimmune diseases, immune-related extrahepatic manifestations, thyroid disease, malignant tumors, or in therapy
  • underlying diseases such as malignant tumor, severe infection, heart failure and and other serious diseases.
  • with history of alcohol or drug abuse

    1. \<60 mL/min.
    1. HAV, , HDV, HEV or co-infection
    1. Subjects who must be treated with Nucleosides (acids) other than TAF during treatment period
    1. Subjects who used interferon in the 6 months prior to the screening period
    1. Positive for anti- Pre-S1 antibody.
    1. Hemocytopenia: White blood cells \< 3 × 10\^9 / L, neutrophil \< 1.5 × 10\^9 / L, \< 60 × 10\^9 / L,
    1. Female subjects pregnancy test positive
    1. known to be allergic to the drug or the underlying treatment drug
    1. 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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    Hepalatide + TAF + PEG-IFN

    Patients will receive 6.3mg Hepalatide +25mg Tenofovir alafenamide+ 90ug Pegylated Interferon for 48 weeks with a further follow-up period of 24 weeks.

    Drug: Hepalatide · Drug: Tenofovir Alafenamide Tablets · Drug: Pegylated Interferon alfa 2a

  • Placebo comparator
    Placebo+ TAF + PEG-IFN

    Patients will receive Placebo +25mg Tenofovir alafenamide + 90ug Pegylated Interferon for 48 weeks with a further follow-up period of 24 weeks.

    Drug: Placebo of Hepalatide · Drug: Tenofovir Alafenamide Tablets · Drug: Pegylated Interferon alfa 2a

Interventions

06

What researchers measure

Primary outcomes

  1. Proportion of subjects with negative conversion of HBsAg

    Proportion of subjects with negative conversion of HBsAg treatment at 8 weeks off treatment

    Time frame: 56 Weeks

Secondary outcomes

  1. Number of subjects with virological relapse(VR) at 8 weeks off treatment

    VR: reappearance of HBV DNA \> 2000 IU/ml from undetectable status

    Time frame: 56 Weeks

  2. Number of subjects with clinical relapse(CR) at 8 weeks off treatment

    CR: the presence of VR with the elevation of alanine transaminase (ALT) more than two times upper limit of normal (ULN)

    Time frame: 56 Weeks

  3. HBsAg is down from baseline at 8 weeks off treatment

    HBsAg is down from baseline log10

    Time frame: 56 Weeks

  4. Number of subjects with Serological conversion of HBsAg

    Number of subjects with Serological conversion of HBsAg at 8 weeks off treatment

    Time frame: 56 Weeks

  5. Change in liver stiffness at 8 weeks off treatment

    The findings of Liver stiffness measurement(LSM) of Fibroscan/FibroTouch at week 8 off treatment compared to baseline

    Time frame: 56 Weeks

07

Study locations

1 site
  • Shanghai Tong Ren Hospital
    Shanghai, Shanghai 200050, 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 Aug 2022 to primary completion in Jun 2024, 22 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 22 months is close to 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
Feb 3, 2022
First posted
Feb 17, 2022
StartActual
Aug 23, 2022
Primary completionActual
Jun 24, 2024
CompletionActual
Jun 24, 2024
Last update
Jul 15, 2024
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 Jul 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05244057
Lead sponsor
Shanghai HEP Pharmaceutical Co., Ltd.
Collaborators
Shanghai Tong Ren Hospital, Shanghai East Hospital
Responsible party
Sponsor
First posted
Feb 17, 2022
Start date
Aug 23, 2022
Primary completion
Jun 24, 2024
Completion
Jun 24, 2024
Last update
Jul 15, 2024

Study contacts

Qin Zhang
principal investigator · Shanghai Tong Ren Hospital

Oversight

Data monitoring committee
No
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 2023. 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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