ClinicalTrials.gg
Not yet recruitingNCT07797231Updated Oct 2, 2026

Clinical Trial of TQA3605 Tablet in Combination With Nucleos(t)Ide Analogues(NAs) Versus NAs Alone for the Treatment of Patients With Chronic Hepatitis B Virus Infection Who Have Undergone Treatment and Exhibit Low Viral Load or Poor Response

A Phase 3 interventional study of TQA3605 tablets Placebo and TQA3605 tablets in Chronic Hepatitis B, sponsored by Chia Tai Tianqing Pharmaceutical Group Co., Ltd.. Not yet recruiting at 77 sites in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. (part of Sino Biopharmaceutical Limited) · Phase 3, Interventional, and Treatment

Updated Oct 2, 20263 sites added2 sites removedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
930
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a multicenter, randomized, double-blind, placebo-controlled Phase III study with an open-label extension. The purpose is to evaluate efficacy and safety in adult patients with chronic hepatitis B virus infection who have received at least 12 months of NAs therapy, to demonstrate that TQA3605 Tablets combined with oral nucleos(t)ide analogues can improve efficacy with satisfactory safety profile compared with oral nucleos(t)ide analogues alone in this population. Approximately 930 adult patients with chronic hepatitis B virus infection who have received at least 12 months of NAs therapy are planned to be enrolled in this study.

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

Browse Hepatitis B, Chronic studies →

Lead sponsor

Chia Tai Tianqing Pharmaceutical Group Co., Ltd. is the lead sponsor of 320 studies on the registry; 76 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

  • Male or female participants aged 18-65 years (inclusive) at screening.
  • Able to communicate effectively with the investigator, understand and comply with all requirements of this study, and understand and sign the form.
  • Have received continuous treatment with nucleos(t)ide analogues (entecavir, tenofovir disoproxil fumarate, tenofovir alafenamide fumarate or tenofovir amibufenamide) or NAs combination therapy for ≥ 12 months at screening, with a stable single regimen for ≥ 6 months (medication adherence > 90% in the past 12 months, with no treatment interruption exceeding 15 consecutive days).
  • Etiological evidence is available at screening to confirm chronic infection of more than 1 year (HBsAg positive and/or HBV DNA positive for at least 1 year).
  • HBV DNA > 50 IU/mL detected by a local medical institution within 30 days prior to screening, which is reconfirmed as HBV DNA > 50 IU/mL by the central laboratory during the screening period.
  • HBeAg positive as confirmed by the central laboratory at screening.
  • Male trial participants with fertile female partners or female participants of are willing to use effective from screening until 3 months after study discontinuation.

Exclusion criteria

Exclusion Criteria:

  • Pregnant women (positive pregnancy test) or breastfeeding women.
  • Co-infection with other viruses such as HAV, , HDV, HEV, , or syphilis (participants with positive syphilis antibody who require treatment as judged by the investigator; Participants with positive HCV antibody and negative HCV RNA may not be excluded).
  • History of liver cirrhosis; or liver histopathology obtained within 1 year prior to screening indicating Metavir ≥ S3, Scheuer ≥ S3 or Ishak ≥ S4; or FibroScan result ≥ 9.0 kPa within 6 months prior to screening; or previous endoscopy revealing esophageal and gastric varices; or suspected liver cirrhosis identified on abdominal ultrasonography at screening, such as ascites, hepatic encephalopathy, and bleeding from esophageal and gastric varices.
  • History of hepatocellular carcinoma (HCC) or suspected HCC at or prior to screening (e.g., suspicious lesions on imaging, or AFP ≥ 50 ng/mL).
  • History of malignant tumor within 5 years prior to screening, except for certain that are completely curable after surgical resection (e.g., basal cell carcinoma of the skin). Trial participants under evaluation for active or suspected malignant tumor at screening.
  • Trial participants with other chronic liver diseases, including but not limited to liver disease, alcoholic liver disease, Wilson's disease, metabolic dysfunction-associated steatohepatitis (MASH).
  • abnormal laboratory parameters at screening (abnormal values may be retested once): Hematology: white blood cell count less than 3 ×10⁹/L, less than 1.5 ×10⁹/L, count less than 100 ×10⁹/L, or less than 100 g/L. Biochemistry: estimated (eGFR) calculated using the CKD-EPI formula ≤ 60 mL/min/1.73 m²; or AST greater than 3 × ; total greater than 2 × ULN; albumin less than 30 g/L; total cholesterol ≥ 7.75 mmol/L; triglycerides ≥ 3.42 mmol/L; serum uric acid greater than 420 μmol/L. Coagulation: (INR) greater than 1.5.4) Antinuclear antibody (ANA) greater than 1:100 (indirect immunofluorescence, IIF). If ANA = 1:100, the investigator shall assess whether there is relevant medical history or symptoms of connective tissue disease or autoimmune disease.
  • showing clinically significant abnormalities at screening rendering the participant unsuitable for trial participation as judged by the investigator.
  • Autoimmune diseases including but not limited to systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, sarcoidosis, psoriasis, autoimmune uveitis.
  • Significant systemic or severe diseases other than liver disease, including recent (≤ 6 months prior to screening) congestive heart failure ( (NYHA) Functional Classification III-IV), unstable coronary artery disease, arterial revascularization, respiratory diseases, renal insufficiency, stroke, , organ transplantation, psychiatric disorders. Uncontrolled systemic diseases: poorly controlled hypertension (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg); poorly controlled diabetes (fasting plasma glucose (FPG) greater than 10 mmol/L).
  • Major trauma or major surgery within 3 months prior to screening, or planned surgery during the study period.
  • Received any systemic anti-tumor therapy (including radiotherapy), therapy (including biological immunosuppressants), or immunomodulatory therapy within 6 months prior to screening (including oral non-biological immunomodulatory agents such as methotrexate greater than 25 mg/week, azathioprine greater than 3 mg/kg/day, or 6-mercaptopurine greater than 1.5 mg/kg/day).
  • Received high-dose systemic within 3 months prior to screening, defined as prednisone ≥ 40 mg/day for more than 7 consecutive days or prednisone ≥ 20 mg/day for more than 14 consecutive days.
  • History of drug dependence or substance abuse.
  • History of excessive alcohol consumption. Excessive alcohol consumption is defined as weekly ethanol intake exceeding 210 g for males and 140 g for females over the past 12 months. Ethanol intake (g) = Volume consumed (mL) × Alcohol by volume (%) × 0.8.
  • History of allergy to the product or its .
  • Previous participation in clinical trials of core protein allosteric modulators (CpAMs).
  • Participated in other clinical trials of investigational drugs or medical devices and received study intervention within 3 months prior to screening.
  • Participants deemed inappropriate for enrollment by the investigator.
Terms in these criteria, in plain language(24)

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.

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.

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.

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.

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.

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

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.

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

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.

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.

Excipients

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

05

Study design

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

Study arms

  • Experimental
    TQA3605 Tablets + NAs

    TQA3605 Tablets 100 mg once daily (QD) plus NAs administered for 96 weeks. Following completion of the 96-week treatment period, participants will continue NAs therapy with an 8-week follow-up.

    Drug: TQA3605 tablets · Drug: Entecavir dispersible tablets · Drug: Tenofovir Disoproxil Fumarate Tablets · Drug: Tenofovir Alafenamide Fumarate Tablets · Drug: Tenofovir Amibufenamide Tablets

  • Placebo comparator
    TQA3605 Tablets Placebo + NAs

    TQA3605 tablets placebo, once daily, combined with NAs for 48 weeks. After the 48-week double-blind period, all trial participants received TQA3605 tablets, 100mg each time, QD, combined with NAs for another 48 weeks. After the 96-week treatment, NAs treatment was continued for an 8-week follow-up

    Drug: TQA3605 tablets Placebo · Drug: TQA3605 tablets · Drug: Entecavir dispersible tablets · Drug: Tenofovir Disoproxil Fumarate Tablets · Drug: Tenofovir Alafenamide Fumarate Tablets · Drug: Tenofovir Amibufenamide Tablets

Interventions

  • DrugTQA3605 tablets Placebo

    Placebo contains no active substance.

  • TQA3605 tablets are core protein allosteric modulators

  • Entecavir dispersible tablets are a type of nucleoside analog antiviral drug.

  • Tenofovir Disoproxil Fumarate (TDF) is a nucleoside reverse transcriptase inhibitor.

  • Tenofovir Alafenamide Fumarate (TAF) is a nucleoside reverse transcriptase inhibitor.

  • DrugTenofovir Amibufenamide Tablets

    Tenofovir Amibufenamide (TMF) is a phosphoramidate prodrug of tenofovir and belongs to nucleos(t)ide reverse transcriptase inhibitors.

06

What researchers measure

Primary outcomes

  1. HBV DNA

    Difference in the percentage of trial participants achieving HBV DNA less than 10 IU/mL after 48 weeks of treatment between the treatment group and the control group

    Time frame: 48 weeks

Secondary outcomes

  1. HBV DNA

    Percentage of trial participants with HBV DNA less than 10 IU/mL at each visit (excluding Week 48)

    Time frame: Baseline to week 104

  2. HBV DNA

    Percentage of trial participants with HBV DNA less than 20 IU/mL at each visit

    Time frame: Baseline to week 104

  3. HBsAg

    Percentage of trial participants with HBsAg less than 0.05 IU/mL;

    Time frame: Baseline to week 104

  4. HBeAg

    Percentage of trial participants achieving HBeAg seroclearance and/or seroconversion

    Time frame: Baseline to week 104

  5. Alanine aminotransferase(ALT)

    ALT normalization rate over time (ALT ≤ ULN) in trial participants with ALT \> ULN at baseline without administration of liver-protective and transaminase-lowering agents

    Time frame: Baseline to week 104

  6. Virology breakthrough

    Percentage of trial participants experiencing virologic breakthrough at each visit

    Time frame: Baseline to week 104

  7. HBV markers

    Actual values of HBsAg, HBeAg, HBV DNA, HBV RNA, and HBcrAg at each visit time point and their changes over time relative to baseline

    Time frame: Baseline to week 104

  8. Adverse events (AE)

    The incidence and severity of adverse events and serious adverse events

    Time frame: From screening to Week 104

  9. Steady state minimum concentration (Cmin,ss)

    Cmin,ss of TQA3605 and its metabolite

    Time frame: 48 weeks

07

Study locations

77 sites
08

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

Start is estimated for Sep 2026; primary completion for Sep 2028, 24 months later.

Of 24 phase 3 interventional studies under Hepatitis B, Chronic, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 47. This study's planned 24 months is below that.

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

Registered
Aug 28, 2026
First posted
Sep 1, 2026
StartEst.
Sep 2026
Primary completionEst.
Sep 2028
CompletionEst.
Oct 2029
Last update
Oct 2, 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
3 sites added, 2 sites removed
Show 3 added (3 China)
  • Chongqing University Three Gorges Hospital · Chongqing, China
  • Changzhi People's Hospital · Changzhi, China
  • Shanxi province fenyang hospital · Lüliang, China
Show 2 removed
  • Chongqing University Three Gorges Hospita · Chongqing, China
  • Shanxi province fenyang hospita · Lüliang, China
Oct 2, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Jingzhou Central Hospital · Jingzhou, ChinaContact •••7200→•••7200
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    3 sites added, 2 sites removed
    Show 3 added (3 China)
    • Chongqing University Three Gorges Hospital · Chongqing, China
    • Changzhi People's Hospital · Changzhi, China
    • Shanxi province fenyang hospital · Lüliang, China
    Show 2 removed
    • Chongqing University Three Gorges Hospita · Chongqing, China
    • Shanxi province fenyang hospita · Lüliang, China
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Jingzhou Central Hospital · Jingzhou, ChinaContact •••7200→•••7200

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 ↗

09

Registry details

Key details

Study ID
NCT07797231
Responsible party
Sponsor
First posted
Sep 1, 2026
Start date
Sep 2026 (estimated)
Primary completion
Sep 2028 (estimated)
Completion
Oct 2029 (estimated)
Last update
Oct 2, 2026

Study contacts

Qing Xie, doctor
Contact
xq10403@rjh.com.cn
13651804273
Junqi Niu, Doctor
Contact
junqiniu@aliyun.com
13756661205

Oversight

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

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Discussion

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