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Not yet recruitingNCT07777250Updated Aug 28, 2026

Targeting ANKRD11 Reverses HBV-Specific CD8+ T Cell Dysfunction and Tolerance

An observational study in Chronic Hepatitis B, sponsored by Beijing Municipal Administration of Hospitals. Not yet recruiting. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by Beijing Municipal Administration of Hospitals · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
40
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Achieving a functional cure for chronic hepatitis B (CHB) is largely hindered by the irreversible functional exhaustion and immune tolerance of hepatitis B virus (HBV)-specific CD8 positive T (CD8+ T) cells. In investigators previous studies, an in vivo Clustered Regularly Interspaced Short Palindromic Repeat(CRISPR) screen identified ANKRD11 for the first time as an "epigenetic brake" on CD8+ T-cell effector function. Loss of ANKRD11 markedly enhanced the expansion, effector function, and viral clearance capacity of HBV-specific T cells. Based on these findings, investigators hypothesize that ANKRD11 regulates the epigenetic program of T-cell exhaustion by restricting the activity of AP-1 family transcription factors, and that targeting ANKRD11 can reverse T-cell dysfunction and overcome immune tolerance.

This project will: (1) elucidate the epigenetic mechanisms by which ANKRD11 regulates T-cell exhaustion using conditional knockout mouse models and multi-omics approaches; (2) evaluate how ANKRD11 deficiency reshapes the differentiation trajectory and antiviral function of HBV-specific T cells in models of chronic HBV infection; and (3) develop a combinatorial gene-editing strategy integrating "release of the brake" with "stepping on the accelerator" to generate enhanced T Cell Receptor-T cell Therapy(TCR-T) cells and evaluate their efficacy and safety in humanized mouse models. The study is expected to define a novel mechanism by which ANKRD11 regulates T-cell exhaustion, establish an enhanced TCR-T therapeutic strategy, and provide a potential approach toward achieving a functional cure for chronic HBV infection.

Read the detailed description

The human participant component of this study is limited to prospective collection of peripheral blood samples from patients with chronic hepatitis B and healthy volunteers for preclinical laboratory investigations. No therapeutic intervention is assigned to human participants. The major experimental components of the overall research project are conducted in vitro and in animal models.

02

Conditions studied

  • Chronic Hepatitis B

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Keywords

  • Chronic Hepatitis B
  • CD8+ T Cell Exhaustion
  • ANKRD11
  • Epigenetic Regulation
  • TCR-T Cell Therapy
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

HLA-A11+ healthy donors or patients with chronic HBV infection providing peripheral blood for isolation of CD8+ T cells; Presence of acute infection or other conditions that may substantially affect T-cell function; Inability to provide an adequate peripheral blood sample or insufficient viable CD8+ T cells for laboratory analyses.

Inclusion criteria

  • (1) Inclusion criteria for healthy donors: Age 18-60 years; Voluntary participation in this study and signing a written informed consent form; HLA-A11 positive; Generally in good health condition; No infection with hepatitis B virus, hepatitis C virus, HIV, syphilis, etc.; No severe liver, kidney, heart, lung, or blood system diseases; No recent immunosuppressive agents, cell therapy, or other treatments that may significantly affect immune function. (2) Inclusion criteria for chronic HBV patients: Age 18-65 years; Voluntary participation in this study and signing a written informed consent form; HLA-A11 positive; Meeting the diagnostic criteria for chronic HBV infection or chronic hepatitis B; HBsAg positive for ≥6 months; Able to provide basic clinical data, including HBsAg, HBeAg, HBV DNA, ALT, AST, etc.

Exclusion criteria

Exclusion Criteria:

(1) Exclusion criteria for healthy donors: HLA-A11 negative; having concurrent infections such as HBV, HCV, HIV, syphilis, etc.; having autoimmune diseases, malignant tumors or severe chronic diseases; having recently used glucocorticoids, immunosuppressants, biological agents or undergone cell therapy; pregnant or lactating women; having obvious anemia, abnormal coagulation function or conditions unsuitable for blood collection; researchers consider them unsuitable to participate in this study. (2) Exclusion criteria for chronic HBV patients: HLA-A11 negative; having concurrent infections such as HCV, HDV, HIV or syphilis; having other clear liver diseases such as autoimmune liver disease, alcoholic liver disease, drug-induced liver injury, genetic metabolic liver disease, etc.; having liver cell carcinoma or other malignant tumors; having decompensated liver cirrhosis or severe liver failure; having severe heart, lung, kidney or blood system diseases; pregnant or lactating women; having recently received systemic immunosuppressants, biological agents or cell therapy; having severe anemia, abnormal coagulation function or other conditions unsuitable for blood collection; researchers consider them unsuitable to participate in this study.

04

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
40 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Peripheral Blood Donors

    HLA-A11+ healthy donors or patients with chronic HBV infection will provide peripheral blood for isolation of CD8+ T cells. No study intervention will be assigned or administered to the participants. The isolated CD8+ T cells will be used for ex vivo TCR-T cell generation and subsequent functional evaluation.

05

What researchers measure

Primary outcomes

  1. Antigen-Specific Cytotoxic Activity of HBV-Specific TCR-T Cells

    Antigen-specific cytotoxic activity of HBV-specific TCR-T cells will be assessed using HBc141-151 peptide-loaded T2-A11 target cells at effector-to-target ratios of 1:1, 2.5:1, 5:1, and 10:1 by LDH release assay and flow cytometry-based cytotoxicity assay.

    Time frame: After 4 hours of co-culture

06

Study locations

No study locations are listed for this record.

07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07777250
Lead sponsor
Beijing Municipal Administration of Hospitals
Responsible party
Minghui Li (Professor of Medicine, Beijing Ditan Hospital) — Principal investigator
First posted
Aug 20, 2026
Start date
Dec 2026 (estimated)
Primary completion
Jun 2028 (estimated)
Completion
Aug 2028 (estimated)
Last update
Aug 28, 2026

Study contacts

Minghui Li
Contact
wuhm2000@sina.com
010-84322078

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 not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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