ClinicalTrials.gg
RecruitingNCT07370207ASPIRE-201Updated Oct 13, 2026

Phase 2 Study of AHB-137 in HBeAg Negative Chronic Hepatitis B (CHB) Participants in Asia Pacific Region

A Phase 2 interventional study of AHB-137 in Hepatitis B, Chronic, sponsored by AusperBio Therapeutics Inc.. Recruiting at 10 sites in 7 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by AusperBio Therapeutics Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 8 months later.
Updated Oct 13, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study is a randomized, open-label, multicenter phase 2 clinical trial to evaluate the efficacy and safety of AHB-137 injection in participants with HBeAg-negative CHB treated with Nucleos(t)ide Analogue (NAs).

02

Conditions studied

  • Hepatitis B, Chronic

Keywords

  • Hepatitis
  • Chronic Hepatitis
  • Chronic Hepatitis B
  • Hepatitis B
  • Hepatitis B, Chronic
  • Hepatitis B Virus
  • hepatitis B virus e-antigen
  • AHB-137
  • Nucleos(t)ide analog
  • Nucleos(t)ide analogue
  • Antisense Oligonucleotide
  • Blood-Borne Infections
  • Communicable Diseases
  • Infections
  • DNA Virus Infections
  • Virus Diseases
  • Hepatitis, Viral, Human
  • Liver Diseases
  • Digestive System Diseases
  • Chronic Disease
  • Disease Attributes
  • Pathologic Processes
  • Pathological Conditions, Signs and Symptoms
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 planned enrollment of 84 is below the median of 100 across 659 interventional studies indexed under Hepatitis B, Chronic.

Browse Hepatitis B, Chronic studies →

Lead sponsor

AusperBio Therapeutics Inc. is the lead sponsor of 4 studies on the registry; 3 are open to participants now.

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

Participants are eligible to be included in the study only if all of the following criteria apply:

  1. Adults ≥18 years of age (or per local age of majority) and ≤65 years of age at Screening who are able to provide , comply with study procedures, and agree to discontinue nucleos(t)ide analog (NA) therapy if protocol-defined discontinuation criteria are met.
  2. (BMI) ≤35 kg/m².
  3. Documented chronic virus (HBV) infection for ≥6 months prior to randomization, defined by hepatitis B surface antigen (HBsAg) positivity or detectable HBV DNA.
  4. Hepatitis B e antigen (HBeAg) negative at Screening.
  5. Receiving stable, approved nucleos(t)ide analog (NA) monotherapy for ≥6 months prior to randomization.
  6. HBV DNA below the lower limit of quantification (LLOQ) at Screening.
  7. Hepatitis B surface antigen (HBsAg) level >100 IU/mL and ≤3,000 IU/mL at Screening.
  8. (ALT) ≤2 × (ULN) at Screening.
  9. Screening (ECG) without abnormalities and with a Fridericia- interval (QTcF) ≤450 msec for males or ≤470 msec for females.
  10. Females of must not be breastfeeding and must have a negative serum pregnancy test at Screening and a negative urine pregnancy test prior to first dose.
  11. Male and female participants of childbearing potential must agree to use protocol-specified effective during the dosing period and for ≥6 months after the last dose of AHB-137.

Exclusion criteria

Exclusion Criteria:

Participants will be excluded from the study if any of the following criteria apply:

  1. disease other than chronic virus (HBV) infection, as documented in medical history or identified on physical examination, including but not limited to acute coronary syndrome within 6 months prior to Screening, significant or unstable cardiac disease, uncontrolled diabetes, bleeding diathesis or coagulopathy, or prior solid organ or bone marrow transplant
  2. Concomitant clinically significant liver disease, including but not limited to viral hepatitis caused by other pathogens, hemochromatosis, Wilson's disease, primary biliary cholangitis, liver disease, alcoholic liver disease, drug-induced liver injury, or current or prior history of clinical hepatic decompensation (e.g., ascites, encephalopathy, hepatorenal syndrome, or variceal hemorrhage).
  3. Any severe infection (other than chronic HBV infection) within 1 month prior to randomization and/or requiring intravenous anti-infective therapy.
  4. History of immune thrombocytopenia.
  5. Current suspected liver cirrhosis and/or evidence of cirrhosis defined as liver stiffness measurement (LSM) >9 kPa by FibroScan® or equivalent imaging modality (e.g., ultrasound elastography).
  6. History of liver cirrhosis defined by liver or by LSM >12 kPa by FibroScan® or equivalent imaging modality.
  7. Prior history of, current diagnosis of, or suspected hepatocellular carcinoma (HCC), or alpha-fetoprotein (AFP) ≥20 ng/mL at Screening.
  8. History of extrahepatic diseases potentially associated with HBV infection, including but not limited to nephrotic syndrome, any form of glomerulonephritis, polyarteritis nodosa, cryoglobulinemia, or uncontrolled hypertension.
  9. Laboratory evidence of active infection with (HIV), virus (HCV), hepatitis D virus (HDV), or active syphilis. Participants with positive HCV or HDV serology and documented negative HCV RNA or HDV RNA, respectively, are eligible.
  10. Abnormal laboratory values at Screening meeting any of the following criteria:

    1. Serum albumin \<3.5 g/dL
    2. Estimated (eGFR) \<60 mL/min/1.73 m² calculated using the CKD-EPI equation (or JSN-CKDI equation for participants in Japan)
    3. (INR) >1.25
    4. count \<125 × 10⁹/L
    5. Total >1.5 × (ULN). Participants with benign unconjugated hyperbilirubinemia (Gilbert's syndrome) may be enrolled if deemed eligible by the Investigator
    6. Urine albumin-to-creatinine ratio (uACR) >0.3 mg/mg (300 mg/g) on two consecutive measurements following a positive or weakly positive urine protein result on routine urinalysis
    7. Borderline positive or positive antineutrophil cytoplasmic antibody (ANCA) results requiring further evaluation (MPO-ANCA and PR3-ANCA). Eligibility requires review of complete medical history and confirmation of no past or current vasculitic, inflammatory, or autoimmune disease by the Sponsor or Sponsor-designated Medical Monitor
  11. History of vasculitis or presence of signs or symptoms suggestive of vasculitis (e.g., vasculitic rash, skin ulceration, unexplained recurrent hematuria), or history or presence of diseases associated with vasculitis (e.g., systemic lupus erythematosus, rheumatoid arthritis, relapsing polychondritis, mononeuritis multiplex).
  12. History of within 5 years prior to Screening, except for adequately treated non-melanoma skin cancer. Participants currently undergoing evaluation for potential malignancy are excluded.
  13. History of or allergy to any component of the product (IP).
  14. Major trauma or major surgery within 3 months prior to Screening, or planned surgery during the study period unless eligibility is confirmed by the Medical Monitor.
  15. Current alcohol or substance abuse that, in the Investigator's judgment, may interfere with study participation or compliance.
  16. Female participants who are pregnant, breastfeeding, planning pregnancy during the study, or unwilling to refrain from egg donation and/or in vitro fertilization during the study.
  17. Participation in another clinical trial or receipt of any investigational product prior to first dose in this study within:

    1. Five half-lives (if known) or twice the duration of biological effect (if known), whichever is longer, or
    2. Six months, if neither half-life nor duration of effect is known
  18. Prior treatment with antisense oligonucleotides (ASOs) or small interfering RNA (siRNA)-based therapies.
  19. Any of the following prior or concomitant therapies:

    1. Prolonged use of immunomodulators (e.g., , methotrexate), cytotoxic drugs, or biologics (e.g., monoclonal antibodies) within 6 months prior to first IP administration, except for short-term treatment (≤2 weeks) or topical/inhaled corticosteroids
    2. Interferon therapy within 12 months prior to first dose
    3. Vaccination within 1 month prior to Screening, except for influenza or SARS-CoV-2 (COVID-19) vaccination or booster
    4. Current treatment with bulevirtide
  20. Requirement for long-term regular use of anticoagulants (e.g., warfarin, factor Xa inhibitors) or antiplatelet agents (e.g., clopidogrel or regular aspirin), except for low-dose aspirin, unless the Investigator determines the medication can be safely discontinued prior to first IP administration. Participants taking low-dose aspirin must agree to discontinue use during the study if protocol-specified conditions are met.
  21. Any other condition or circumstance that, in the Investigator's judgment, would make the participant unsuitable for participation in the study.
Terms in these criteria, in plain language(22)

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 authorised 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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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.

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

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.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
84 participants (estimated)

Study arms

  • Experimental
    Arm A: AHB-137 + 2 LDs

    AHB-137 300 mg subcutaneous (SC) weekly for 24 weeks with 2 loading doses (LDs) on Days 4 and 11

    Drug: AHB-137

  • Experimental
    Arm B: AHB-137 + 3 LDs

    AHB-137 300 mg SC weekly for 24 weeks with 3 LDs on Days 4, 11, and 18

    Drug: AHB-137

Interventions

06

What researchers measure

Primary outcomes

  1. Proportion of participants with sustained response post AHB-137 treatment

    Sustained response defined as hepatitis B surface antigen (HBsAg) level below the limit of detection (LOD, 0.05 international units \[IU\]/mL) and HBV deoxyribonucleic acid (DNA) below the lower limit of quantification (LLOQ)

    Time frame: 24 Weeks post AHB-137 treatment

Secondary outcomes

  1. Proportion of participants with functional cure (FC) or sustained HBV DNA response off all HBV treatment

    Time frame: Off-treatment follow-up (Week 48 to 96)

  2. Proportion of participants with functional cure (FC)

    Time frame: Week 72

  3. Proportion of participants with sustained HBV DNA response

    Time frame: From baseline through Week 72

  4. Proportion of participants with HBsAg ≤10 IU/mL and HBV DNA < Lower Limit of Quantification (LLOQ) post AHB-137 treatment

    Time frame: 24 weeks post AHB-137 treatment

  5. Proportion of participants with HBsAg <100 IU/mL and HBV DNA < LLOQ

    Time frame: 24 weeks post AHB-137 treatment and at Week 72

  6. Proportion of participants with complete response (CR)

    Time frame: From baseline through end of study (Week 96)

  7. Proportion of participants with HBsAg < or ≥ LOD (0.05 IU/mL) and/or HBV DNA < or ≥ LLOQ

    Time frame: From baseline through end of study (Week 96)

  8. Proportion of participants with ultrasensitive HBsAg < LOD (0.005 IU/mL)

    Time frame: From baseline through end of study (Week 96)

  9. Proportion of participants with HBsAg ≤ 10 IU/mL and < 100 IU/mL

    Time frame: From baseline through end of study (Week 96)

  10. Proportion of participants that meet nucleos(t)ide analog (NA) discontinuation criteria

    Time frame: Week 48

  11. Categorical change from baseline in serum hepatitis B surface antigen (HBsAg) levels, defined as reductions of ≥0.5, ≥1.0, ≥1.5, ≥2.0, or ≥3.0 log₁₀ IU/mL, assessed at each scheduled study visit

    Time frame: From baseline through end of study (Week 96), assessed at each scheduled visit

  12. Proportion of participants with anti-HBs seroconversion (with hepatitis B surface antibody [HBsAb] > 10 IU/L)

    Time frame: Weeks 24, 48, and 72

  13. Quantitative hepatitis B virologic and serologic markers over time

    Actual values and change from baseline over time in quantitative hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAb), hepatitis B virus (HBV) DNA, HBV ribonucleic acid (RNA), hepatitis B core-related antigen (HBcrAg), hepatitis B e antibody (HBeAb), and hepatitis B e antigen (HBeAg), summarized descriptively.

    Time frame: From baseline through end of study (Week 96)

  14. Proportion of participants who experience virologic relapse

    Time frame: From baseline through Week 72

  15. Time from nucleos(t)ide analog (NA) therapy discontinuation to virologic relapse

    Time frame: From NA therapy discontinuation (Week 48) through end of follow-up (Week 96)

  16. Change from baseline in alanine aminotransferase (ALT)

    Time frame: From baseline through end of study (Week 96)

  17. Proportion of participants with baseline ALT above the upper limit of normal (ULN) who achieve ALT normalization

    Time frame: From baseline through end of study (Week 96)

  18. Proportion of patients with drug-resistant mutations

    Time frame: From baseline through end of study (Week 96)

  19. Proportion of participants with treatment-emergent adverse events (TEAEs)

    Proportion of participants who experience treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and adverse events leading to discontinuation of study treatment.

    Time frame: From first dose (Day 1) through end of study (Week 96)

  20. Proportion of participants with detectable anti-drug antibody (ADA) to AHB-137 and corresponding ADA titers

    Time frame: From baseline through end of study (Week 96)

  21. Area under the plasma concentration-time curve (AUC) of AHB-137

    Time frame: From first dose (Day 1) through end of pharmacokinetic sampling (Week 48)

  22. Concentration at the end of the dosing interval (Ct) of AHB-137

    Time frame: From first dose (Day 1) through end of pharmacokinetic sampling (Week 48)

  23. Maximum observed plasma concentration (Cmax) of AHB-137

    Time frame: From first dose (Day 1) through end of pharmacokinetic sampling (Week 48)

  24. Time to maximum observed plasma concentration (Tmax) of AHB-137

    Time frame: From first dose (Day 1) through end of pharmacokinetic sampling (Week 48)

  25. Apparent plasma clearance (CL/F) of AHB-137

    Time frame: From first dose (Day 1) through end of pharmacokinetic sampling (Week 48)

  26. Population Pharmacokinetic and Exposure-Response Analyses of AHB-137

    Population pharmacokinetic modeling of AHB-137, including covariate analysis and assessment of exposure-response relationships for pharmacodynamic, efficacy, and safety endpoints.

    Time frame: From first dose (Day 1) through end of study (Week 96)

07

Study locations

9 of 10 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Started Mar 2026 (actual). Primary completion is estimated for Dec 2028, 33 months after the start.

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 planned 33 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
Jan 19, 2026
First posted
Jan 27, 2026
StartActual
Mar 6, 2026
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2028
Last update
Oct 13, 2026
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.
Sites
National Center for Global Health and Medicine is now Recruiting
Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    National Center for Global Health and Medicine is now Recruiting
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07370207
Lead sponsor
AusperBio Therapeutics Inc.
Responsible party
Sponsor
First posted
Jan 27, 2026
Start date
Mar 6, 2026
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Oct 13, 2026

Study contacts

Debbie Liao
Contact
ausperbioclinicaltrials@ausperbio.com
(650) 650-2877
Toll Free-North America
Contact
(866) 928-7737
Audrey Lau, MD, PhD
study chair · AusperBio Therapeutics Inc.

Oversight

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

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Studies of the drug tested here: Hepatitis B Virus Antisense Oligonucleotide AHB-137

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