ClinicalTrials.gg
CompletedNCT05630807Updated Jul 8, 2026

Study of Bepirovirsen in Nucleos(t)Ide Analogue-treated Participants With Chronic Hepatitis B (B-Well 1)

A Phase 3 interventional study of Bepirovirsen and Placebo in Chronic Hepatitis B and Hepatitis B, Chronic, sponsored by GlaxoSmithKline. Completed at 177 sites in 26 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-08.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Nov 2025, 1 year ago, and no results have been posted to the registry.
Phase
Phase 3
Study type
Interventional
Enrollment
981
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is intended to confirm the efficacy, safety, pharmacokinetic (PK) profile, and the durability of hepatitis B virus surface antigen (HBsAg) suppression observed with bepirovirsen for 24 weeks (with loading doses) as compared to the placebo arm. This study will have 4 stages: a) Double-blind treatment (bepirovirsen or placebo) for 24 weeks. b) Nucleos(t)ide analogue (NA) treatment for 24 weeks. c) NA cessation stage OR Continue NA for 24 weeks. d) Durability of response and follow up for further 24 weeks for participants who stopped NA treatment at Week 48. The arms will be stratified based on HBsAg level (HBsAg greater than or equal to [≥] 100 international unit per milliliter [IU/mL] to less than or equal [≤]1000 IU/mL or greater than [>] 1000 IU/mL to ≤3000 IU/mL) at screening. The total duration of the study, including screening (up to 60 days), the double-blind treatment stage (24 weeks), the On NA only stage (24 weeks), and the NA cessation and durability stages (48 weeks) is up to approximately 104 weeks at maximum for each participant.

02

Conditions studied

  • Chronic Hepatitis B
  • Hepatitis B, Chronic

Keywords

  • Hepatitis
  • Chronic Hepatitis
  • Chronic Hepatitis B
  • Hepatitis B Virus
  • hepatitis B virus e-antigen
  • Bepirovirsen
  • Nucleos(t)ide analogue
  • Antisense Oligonucleotide
  • 202009
  • 219288
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 981 is above the median of 100 across 659 interventional studies indexed under Hepatitis B, Chronic.

Browse Hepatitis B, Chronic studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,650 studies on the registry; 118 are open to participants now.

Of its 264 completed or terminated interventional studies of FDA-regulated products, 241 (91%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
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

  • Participants who have documented chronic infection ≥6 months prior to screening and currently receiving stable NA therapy defined as no changes to their NA regimen from at least 6 months prior to Screening and with no planned changes to the stable regimen over the duration of the study.
  • Plasma or serum HBsAg concentration >100 IU/mL, but no greater than ≤3000 IU/mL.
  • Plasma or serum HBV DNA concentration must be adequately suppressed, defined as plasma or serum HBV DNA \<90 IU/mL.
  • (ALT) ≤2 × (ULN).
  • Participants who are willing and able to cease their NA treatment in accordance with the protocol.

Exclusion criteria

Exclusion criteria:

- abnormalities, aside from chronic infection in medical history (e.g., moderate severe liver disease other than chronic HBV, acute coronary syndrome within 6 months of screening, major surgery within 3 months of screening, significant/unstable cardiac disease, uncontrolled diabetes, bleeding diathesis or coagulopathy) or physical examination.

Co-infection with:

a) Current history of infection or participants that have been cured for \<12 months at the time of screening b) (HIV), c) Hepatitis D virus.

  • History of or suspected liver cirrhosis and/or evidence of cirrhosis.
  • Diagnosed or suspected hepatocellular carcinoma.
  • History of within the past 5 years except for specific cancers that are cured by surgical resection (e.g., skin cancer). Participants under evaluation for possible malignancy are not eligible.
  • History of vasculitis or presence of symptoms and signs of potential vasculitis (e.g., vasculitic rash, skin ulceration, repeated blood detected in urine without identified cause) current or history of an condition or history/presence of other diseases that may be associated with vasculitis condition (e.g., systemic lupus erythematosus, rheumatoid arthritis, relapsing polychondritis, mononeuritis multiplex).
  • History of extrahepatic disorders possibly related to HBV immune conditions (e.g., nephrotic syndrome, any type of glomerulonephritis, polyarteritis nodosa, cryoglobulinemia, uncontrolled hypertension).
  • History of alcohol or drug abuse/dependence.
  • Currently taking, or took within 3 months of screening, any drugs (e.g., prednisone), other than a short course of therapy (≤2 weeks) or topical/inhaled use.
  • Participants to whom immunosuppressive treatment, including therapeutic doses of steroids is , should not be considered for enrolment in the study.
  • Currently taking, or has taken within 12 months of Screening, any interferon containing therapy.
  • Participants requiring anti coagulation therapies (e.g., warfarin, Factor Xa inhibitors) or anti- agents (like clopidogrel or aspirin) unless treatment can safely be discontinued throughout duration of the study, by the discretion of the investigator. Occasional use is permitted.
  • Prior treatment with any oligonucleotide or siRNA within 12 months prior to the first dosing day.
  • Prior treatment with bepirovirsen.
Terms in these criteria, in plain language(12)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
981 participants (actual)

Study arms

  • Experimental
    Bepirovirsen

    Drug: Bepirovirsen

  • Placebo comparator
    Placebo

    Other: Placebo

Interventions

  • Bepirovirsen will be administered.

  • OtherPlacebo

    Matching placebo will be administered.

06

What researchers measure

Primary outcomes

  1. Number of participants achieving functional cure (FC) with baseline HBsAg ≤3000 IU/mL

    The number of participants who achieved FC after discontinuation of all chronic HBV treatment (bepirovirsen/placebo and NA) in the absence of rescue medication will be reported. The FC for HBV is defined as Sustained suppression (24 weeks or longer) of HBV DNA \< Lower limit of quantification (LLOQ) off all HBV treatment and HBsAg not detected with or without HBsAb after a finite duration of therapy.

    Time frame: Up to 72 weeks

Secondary outcomes

  1. Number of participants achieving FC with baseline HBsAg ≤1000 IU/mL

    The number of participants who achieved FC after discontinuation of all chronic HBV treatment (bepirovirsen/placebo and NA) in the absence of rescue medication will be reported. The FC for HBV is defined as Sustained suppression (24 weeks or longer) of HBV DNA (\<LLOQ) and HBsAg not detected with or without HBsAb after a finite duration of therapy.

    Time frame: Up to 72 weeks

  2. Number of participants achieving sustained suppression of HBV DNA (<LLOQ) with baseline HBsAg ≤3000 IU/mL

    The number of participants who achieved sustained suppression of HBV DNA after discontinuation of all chronic HBV treatment (bepirovirsen/placebo and NA) in the absence of rescue medication will be reported.

    Time frame: Up to 72 weeks

  3. Number of participants achieving sustained suppression of HBV DNA (<LLOQ) with baseline HBsAg ≤1000 IU/mL

    The number of participants who achieved sustained suppression of HBV DNA after discontinuation of all chronic HBV treatment (bepirovirsen/placebo and NA) in the absence of rescue medication will be reported.

    Time frame: Up to 72 weeks

07

Study locations

177 sites
  • GSK Investigational Site
    Chandler, Arizona 85224, United States
  • GSK Investigational Site
    Davis, California 95817, United States
  • GSK Investigational Site
    Los Angeles, California 90027, United States
  • GSK Investigational Site
    Palo Alto, California 94304, United States
  • GSK Investigational Site
    San Jose, California 95116, United States
  • GSK Investigational Site
    Littleton, Colorado 80120, United States
  • GSK Investigational Site
    Miami, Florida 33134, United States
  • GSK Investigational Site
    Iowa City, Iowa 52242, United States
  • GSK Investigational Site
    Baltimore, Maryland 21287, United States
  • GSK Investigational Site
    Detroit, Michigan 48377, United States
  • GSK Investigational Site
    Richmond, Virginia 23249, United States
  • GSK Investigational Site
    Richmond, Virginia 23298, United States
  • GSK Investigational Site
    Buenos Aires, 1061, Argentina
  • GSK Investigational Site
    Buenos Aires, C1061AAS, Argentina
  • GSK Investigational Site
    Buenos Aires, C1125ABE, Argentina
  • GSK Investigational Site
    Capital Federal, C1181ACI, Argentina
  • GSK Investigational Site
    Derqui Pilar, B1629AHJ, Argentina
  • GSK Investigational Site
    Rosario, S2002KDT, Argentina
  • GSK Investigational Site
    Aracaju, 49060-010, Brazil
  • GSK Investigational Site
    Campinas, 13034-685, Brazil
  • GSK Investigational Site
    Curitiba, 80810-050, Brazil
  • GSK Investigational Site
    Manaus, 69040-000, Brazil
  • GSK Investigational Site
    Porto Alegre, 90035003, Brazil
  • GSK Investigational Site
    Santa Maria, 97105-900, Brazil
  • GSK Investigational Site
    São Paulo, 05403-000, Brazil
  • GSK Investigational Site
    São Paulo, 08270-070, Brazil
  • GSK Investigational Site
    Vila Mariana, 04121-000, Brazil
  • GSK Investigational Site
    Sofia, 1431, Bulgaria
  • GSK Investigational Site
    Sofia, 1606, Bulgaria
  • GSK Investigational Site
    Sofia, Bulgaria
  • GSK Investigational Site
    Veliko Tarnovo, 5000, Bulgaria
  • GSK Investigational Site
    Vancouver, British Columbia V6Z 2K5, Canada
  • GSK Investigational Site
    Victoria, British Columbia V8V 3M9, Canada
  • GSK Investigational Site
    Ottawa, Ontario K1H 8L6, Canada
  • GSK Investigational Site
    Toronto, Ontario M5G 2C4, Canada
  • GSK Investigational Site
    Montreal, Quebec H2X 0A9, Canada
  • GSK Investigational Site
    Montreal, Quebec H4A 3J1, Canada
  • GSK Investigational Site
    Québec, Quebec G1V 4G2, Canada
  • GSK Investigational Site
    Saint-Jérôme, Quebec J7Z 2V4, Canada
  • GSK Investigational Site
    Beijing, 100015, China
  • GSK Investigational Site
    Beijing, 100050, China
  • GSK Investigational Site
    Beijing, China
  • GSK Investigational Site
    Changchun, 130021, China
  • GSK Investigational Site
    Chengdu, China
  • GSK Investigational Site
    Chongqing, 400042, China
  • GSK Investigational Site
    Fuzhou, 350025, China
  • GSK Investigational Site
    Guangzhou, 510060, China
  • GSK Investigational Site
    Guangzhou, 510515, China
  • GSK Investigational Site
    Guangzhou, 510630, China
  • GSK Investigational Site
    Hangzhou, 310003, China
  • GSK Investigational Site
    Hangzhou, 310022, China
  • GSK Investigational Site
    Kunming, 650021, China
  • GSK Investigational Site
    Nanjing, 210008, China
  • GSK Investigational Site
    Shanghai, 200025, China
  • GSK Investigational Site
    Shanghai, 200040, China
  • GSK Investigational Site
    Shanghai, 200083, China
  • GSK Investigational Site
    Shenyang, 110022, China
  • GSK Investigational Site
    Shenzhen, 518112, China
  • GSK Investigational Site
    Ürümqi, 830054, China
  • GSK Investigational Site
    Wuhan, 430022, China
  • GSK Investigational Site
    Xi'an, 710061, China
  • GSK Investigational Site
    Zhengzhou, 450000, China
  • GSK Investigational Site
    Zhenjiang, China
  • GSK Investigational Site
    Clermont-Ferrand, 63003, France
  • GSK Investigational Site
    Clichy, 92118, France
  • GSK Investigational Site
    Dijon, 21079, France
  • GSK Investigational Site
    Lille, 59037, France
  • GSK Investigational Site
    Pessac, 33604, France
  • GSK Investigational Site
    Poitiers, 86021, France
  • GSK Investigational Site
    Rennes, 35033, France
  • GSK Investigational Site
    Strasbourg, 67091, France
  • GSK Investigational Site
    Toulouse, 31059, France
  • GSK Investigational Site
    Berlin, 10243, Germany
  • GSK Investigational Site
    Berlin, 10439, Germany
  • GSK Investigational Site
    Berlin, 10787, Germany
  • GSK Investigational Site
    Berlin, 12163, Germany
  • GSK Investigational Site
    Bochum, 44787, Germany
  • GSK Investigational Site
    Cologne, 50668, Germany
  • GSK Investigational Site
    Düsseldorf, 40225, Germany
  • GSK Investigational Site
    München, 80336, Germany
  • GSK Investigational Site
    Athens, 10676, Greece
  • GSK Investigational Site
    Athens, 11527, Greece
  • GSK Investigational Site
    Periohi Dragana Alexand, 68100, Greece
  • GSK Investigational Site
    Rio Patras, 26504, Greece
  • GSK Investigational Site
    Kowloon, Hong Kong
  • GSK Investigational Site
    Pokfulam, Hong Kong
  • GSK Investigational Site
    Shatin, Hong Kong
  • GSK Investigational Site
    Budapest, 1097, Hungary
  • GSK Investigational Site
    Eger, 3300, Hungary
  • GSK Investigational Site
    Gyula, 5700, Hungary
  • GSK Investigational Site
    Miskolc, 3530, Hungary
  • GSK Investigational Site
    Belagavi, 590010, India
  • GSK Investigational Site
    Chandigarh, 160012, India
  • GSK Investigational Site
    Chennai, 600113, India
  • GSK Investigational Site
    Coimbatore, 641005, India
  • GSK Investigational Site
    Guhawati, 781006, India
  • GSK Investigational Site
    Hyderabad, 500033, India
  • GSK Investigational Site
    HyderabadTelangana, 500048, India
  • GSK Investigational Site
    Jaipur, 302001, India
  • GSK Investigational Site
    Ludhiana, 141001, India

Showing the first 100 of 177 sites across 26 countries. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Hou J, Lim SG, Buti M, Yuen MF, Gane E, Lampertico P, Terrault N, Nguyen H, Yim HJ, Xie Q, Lin J, Qiu Y, Jeng WJ, Heo J, Peng CY, Chen CH, Chuang WL, Xie Y, Hlebowicz M, Idriz N, Mehta R, Agarwal K, Gomes da Silva MM, Franca A, Cernat R, Leerapun A, Coffin CS, Gadano A, Andreone P, Fujiyama S, Sevastianos V, Suzuki Y, Ratziu V, Riachi G, Stocker H, Lim TH, Asselah T, Tanaka Y, Holmes J, Liang X, Cremer J, Lukic T, Plein H, Quinn G, Tao Y, Paff M, Theodore D, Elston R; B-Well Study Group. Phase 3 Results of Bepirovirsen Treatment for Chronic Hepatitis B Virus Infection. N Engl J Med. 2026 Jun 25;394(24):2395-2406. doi: 10.1056/NEJMoa2515131. Epub 2026 May 28. PubMed 42206582 ↗

Individual participant data

Plan to share: Yes — Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk.com/en-gb/innovation/trials/data-transparency/

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or terminated asset(s) across all indications.

Access criteria: Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension may be granted, when justified, for up to 6 months.

Data sharing details ↗ · www.gsk.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05630807
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Nov 30, 2022
Start date
Dec 7, 2022
Primary completion
Nov 11, 2025
Completion
Apr 15, 2026
Last update
Jul 8, 2026

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

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 completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Bepirovirsen

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