ClinicalTrials.gg
RecruitingNCT07573943Updated Sep 1, 2026

ASC22 Combined With Peg-IFNa in Achieving Functional Cure in Patients With Chronic Hepatitis B Virus Infection

A Phase 4 interventional study of Anti-PD-L1 antibody (ASC22) and Nucleotide analogs in Chronic Hepatitis b, sponsored by The Second Affiliated Hospital of Chongqing Medical University. Recruiting at 1 site in China. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-09-01.

Sponsored by The Second Affiliated Hospital of Chongqing Medical University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 11 months after the study started (first participant enrolled May 2024, registered Apr 2026).
  • Started May 2024; still recruiting 2 years 5 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
120
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Exploring the safety and efficacy of the therapy combining immune checkpoint inhibitors (anti-PD-L1 monoclonal antibody, ASC22) and pegylated interferon alfa (Peg-IFNα) in patients with CHB. Exploring new combination therapeutic schemes for hepatitis B cure, and raising the overall clinical cure rate to more than 50% without screening specific advantageous groups.

02

Conditions studied

  • Chronic Hepatitis b

Browse trials for

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 120 is above the median of 100 across 659 interventional studies indexed under Hepatitis B, Chronic.

Browse Hepatitis B, Chronic studies →

Lead sponsor

The Second Affiliated Hospital of Chongqing Medical University is the lead sponsor of 102 studies on the registry; 32 are open to participants now.

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

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. Sign the form before inclusion and be able to complete the study according to the study requirements
  2. From inclusion to 30 days after the last administration of the study drug, male subjects or female subjects of childbearing age are willing to voluntarily take effective measures
  3. 18-60 years old. The weight of male subjects is not less than 45 kg, and the weight of female subjects is not less than 40 kg. (BMI) is within the range of 18-32 kg/m2
  4. Serum \<100 IU/mL
  5. HBV DNA\<20 IU/mL
  6. HBeAg-negative

Exclusion criteria

Exclusion Criteria:

  1. A history of allergy, or who are suspected by the researcher to be allergic to the active ingredient of the drug under study or its
  2. Use of inhibitors, inducers or substrates of within 28 days before enrollment
  3. Systematical use of , immunomodulators (thymosin) and cytotoxic drugs within 6 months before enrollment, or vaccination of within 1 month before enrollment
  4. Acute infection within 2 weeks before enrollment which requires intravenous antibiotic treatment, or existing infection which requires anti-infection treatment when enrollment
  5. acute and chronic liver disease not caused by infection (judged by reseachers)
  6. Confirmed or suspected decompensated cirrhosis, including but not limited to: hepatic encephalopathy, hepatorenal syndrome, bleeding from esophageal varices, splenomegaly, ascites, etc, or evidence of progressive liver fibrosis
  7. Primary liver cancer, or alpha-fetoprotein (AFP) is greater than 50 ug/L or imaging suggests the possibility of malignant liver lesions, or other malignant tumors or a history of other malignant tumors within 5 years before enrollment (except that the malignant tumors have been completely relieved after treatment and patients have not received additional medical or surgical intervention within 3 years before screening)
  8. A history of pathological fracture or osteoporosis
  9. Gastrointestinal dysfunction or gastrointestinal diseases that might affect the absorption of oral drugs, such as severe gastric ulcer, erosive gastritis, partial gastrectomy, and persistent gastrointestinal symptoms (such as nausea, vomiting, or diarrhea) >2 grades
  10. Serious diseases of circulatory, respiratory, urinary, blood, metabolic, immune, mental, neurological, renal and other systems
  11. Major trauma or major surgery within 3 months before enrollment, or planned surgery during the study period
  12. Blood donation/loss ≥ 400 mL within 3 months before enrollment, or given a blood transfusion within 3 months before enrollment, or blood donation/loss ≥ 200 mL within 1 month before enrollment
  13. count\<90 × 10\^9/L, white blood cell count\<3.0 × 10\^9/L, \<1.3 × 10\^9/L, total serum >2 × , albumin\<30 g/L, ≤ 60 mL/min (calculated by formula), or of prothrombin time (INR)>1.5 (unless receiving stable anticoagulant therapy)
  14. antibody (+), antigen/antibody (+), or treponema pallidum antibody (+) and RPR test (+)
  15. A history of continuous alcohol abuse within 3 years before enrollment (average daily alcohol consumption exceeds 20 gram)
  16. A history of drug dependence or drug abuse within 1 year before enrollment
  17. Those who have participated in clinical trials of other drugs or medical devices and taken investigational drugs or used medical devices within 3 months before enrollment
  18. Female in suckling period or pregnancy test (+) during screening
  19. Subjects who are considered by the researcher to have other factors that are not suitable for the study
Terms in these criteria, in plain language(19)

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.

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.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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.

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (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.

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.

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.

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.

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.

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 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Cohort 1

    Nucleotide analogs combined with anti-PD-L1 antibody (ASC22). Drug: Anti-PD-L1 antibody Once two weeks, 1mg/kg, subcutaneous injection for the first 24 weeks Drug: Nucleotide analogs Once/day, 1 capsule/time, oral

    Drug: Anti-PD-L1 antibody (ASC22) · Drug: Nucleotide analogs

  • Experimental
    Cohort 2

    Anti-PD-L1 antibody/pegylated interferon alfa (Peg-IFNα) combined with nucleotide analogs Drug: Anti-PD-L1 antibody Once two weeks, 1mg/kg, subcutaneous injection for the first 24 weeks Drug: Peg-IFNα Once/week, 180μg/time, subcutaneous injection for the second 24 weeks Drug: nucleotide analogs Once/day, 1 capsule/time, oral

    Drug: Anti-PD-L1 antibody (ASC22) · Drug: Nucleotide analogs · Drug: Peg-IFNα

  • Experimental
    Cohort 3

    Nucleotide analogs Drug: nucleotide analogs Once/day, 1 capsule/time, oral

    Drug: Nucleotide analogs

Interventions

  • Once two weeks, 1mg/kg, subcutaneous injection

  • Once/day, 1 capsule/time, oral

    Also known as: Entecavir, Tenofovir disoproxil fumarate, Tenofovir alafenamide fumarate

  • Once/week, 180μg/time, subcutaneous injection

06

What researchers measure

Primary outcomes

  1. Serum Hepatitis B surface antigen (HBsAg) level

    Serum HBsAg level

    Time frame: Baseline

  2. Serum HBsAg

    Serum HBsAg level

    Time frame: 24 weeks after the treatment

  3. Serum HBsAg

    Serum HBsAg level

    Time frame: 48 weeks after the treatment

  4. Serum HBsAg

    Serum HBsAg level

    Time frame: 24 weeks after the end of treatment

  5. Serum HBV DNA

    Serum HBV DNA level

    Time frame: Baseline

  6. Serum HBV DNA

    Serum HBV DNA level

    Time frame: 24 weeks after the treatment

  7. Serum HBV DNA

    Serum HBV DNA level

    Time frame: 48 weeks after the treatment

  8. Serum HBV DNA

    Serum HBV DNA level

    Time frame: 24 weeks after the end of treatment

  9. Serum alanine aminotransferase (ALT)

    Serum ALT level

    Time frame: Baseline

  10. Serum alanine aminotransferase (ALT)

    Serum ALT level

    Time frame: 24 weeks after the treatment

  11. Serum alanine aminotransferase (ALT)

    Serum ALT level

    Time frame: 48 weeks after the treatment

  12. Serum alanine aminotransferase (ALT)

    Serum ALT level

    Time frame: 24 weeks after the end of treatment

Other outcomes

  1. Other HBV markers: Hepatitis B surface antibody (HBsAb), Hepatitis B e antigen (HBeAg), Hepatitis B e antibody (HBeAb), and Hepatitis B core antibody (HBcAb).

    Levels of other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

    Time frame: Baseline

  2. Other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

    Levels of other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

    Time frame: 24 weeks after the treatment

  3. Other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

    Levels of other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

    Time frame: 48 weeks after the treatment

  4. Other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

    Levels of other HBV markers (HBsAb, HBeAg, HBeAb, and HBcAb)

    Time frame: 24 weeks after the end of treatment

  5. Immune response of T, B, NK and myeloid cells

    Frequencies and functions of T, B, NK and myeloid cells (tested by flowcytometry/FluoroSpot/ELISPOT)

    Time frame: Baseline

  6. Immune response of T, B, NK and myeloid cells

    Frequencies and functions of T, B, NK and myeloid cells (tested by flowcytometry/FluoroSpot/ELISPOT)

    Time frame: 24 weeks after the treatment

  7. Immune response of T, B, NK and myeloid cells

    Frequencies and functions of T, B, NK and myeloid cells (tested by flowcytometry/FluoroSpot/ELISPOT)

    Time frame: 48 weeks after the treatment

  8. Immune response of T, B, NK and myeloid cells

    Frequencies and functions of T, B, NK and myeloid cells (tested by flowcytometry/FluoroSpot/ELISPOT)

    Time frame: 24 weeks after the end of treatment

  9. Virus and host genome

    Detect virus and host genome (focusing on HBV genotype, resistant mutation) using peripheral blood by sequencing

    Time frame: Baseline

07

Study locations

1 of 1 sites recruiting
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

Started May 2024 (actual). Primary completion is estimated for Dec 2026, 31 months after the start.

Of 46 non-industry phase 4 interventional studies under Hepatitis B, Chronic, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 40 and three quarters within 83. This study's planned 31 months is below that.

Counting every sponsor, half of 63 studies reached it within 43 months; a quarter within 30 and three quarters within 64.

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

Registered
Apr 29, 2026
First posted
May 7, 2026
StartActual
May 21, 2024
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Sep 1, 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.
No changes since tracking began. The registry record was last updated on Sep 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07573943
Responsible party
Sponsor
First posted
May 7, 2026
Start date
May 21, 2024
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Sep 1, 2026

Study contacts

Dachuan Cai, MD
Contact
cqmucdc@cqmu.edu.cn
+86 18323409779
Min Chen, PhD
Contact
mchen@hospital.cqmu.edu.cn
+86 17338600343
Hong Ren, MM
study director · The Second Affiliated Hospital of Chongqing Medical University

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

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.

Studies of the drug tested here: Envafolimab

Start the discussion