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Not yet recruitingNCT07908459B-EnsureUpdated Nov 2, 2026

B-Ensure: Long-term Follow-up Study to Evaluate Durability of Treatment Response in Previous Bepirovirsen Study Participants

A Phase 4 interventional study of Bepirovirsen in Hepatitis B, sponsored by GlaxoSmithKline. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Primary conditionHepatitis B, ChronicRegistry: Hepatitis BReclassifiedWhy we changed it
Registry
Hepatitis B — the first condition term the registry derived for this study.
ClinicalTrials.gg
Hepatitis B, Chronic
Why
  1. The study's title name Hepatitis B, Chronic, a narrower term within Hepatitis B.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by GlaxoSmithKline · Phase 4, Interventional, and Treatment

Updated Nov 2, 2026Newly registeredGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
303
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This multi-country, longitudinal follow-up study will enrol adults with chronic hepatitis B (CHB) who previously participated in the Phase III B-Well-1 ((202009: NCT05630807) or B-Well-2 (219288: NCT05630820) studies, received 24 weeks of Bepirovirsen treatment, and achieved hepatitis B surface antigen (HBsAg) levels less than or equal to (\<=) 100 International units per millilitres (IU/mL) at Week 72 without achieving functional cure. No investigational treatment will be administered in this study. Participants will be followed approximately every 6 months for up to 4 years, and retrospective data will be collected from Week 72 of the parent study until enrolment. The study aims to evaluate the long-term durability of HBsAg suppression and disease-related outcomes. The study will end at the last visit of the last participant globally (Month 48). The primary objective of the study is to describe the long-term durability of HBsAg reduction in participants who achieved HBsAg levels ≤100 IU/mL at Week 72 following 24 weeks of Bepirovirsen treatment.

02

Conditions studied

  • Hepatitis B

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Keywords

  • Bepirovirsen
  • Chronic hepatitis B (CHB)
  • Hepatitis B surface antigen (HBsAg)
  • Hepatitis B virus deoxyribonucleic acid (HBV DNA)
  • Long-term follow-up
  • Durability of response
  • Healthcare resource utilization (HCRU)
  • Hepatitis B Quality of Life Questionnaire (HBQoL)
03

In context

Hepatitis B, Chronic Reclassified

895 studies on the registry are indexed under Hepatitis B, Chronic; 151 are open to participants now.

This study's planned enrollment of 303 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.

Compared within Hepatitis B, Chronic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Hepatitis B. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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 received bepirovirsen and completed the Week 72 visit (or had a last available observation) in the B-Well trials.
  • Had \<=100 IU/mL at Week 72 of the B-Well trials.
  • Were not enrolled in the B-Sure study.
  • Provide and are willing to participate in long-term follow-up (B-Ensure).

Exclusion criteria

Exclusion Criteria:

  • Participants who, at the time of enrollment into this study, are participating in another interventional clinical study evaluating treatment for , or who have participated in such a study after completing treatment with bepirovirsen and prior to enrollment in this study.
  • Any condition which, in the opinion of the investigator or Medical Monitor, contraindicates their participation in this study.
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
303 participants (estimated)

Study arms

  • Experimental
    Participants Who Received Bepirovirsen in B-Well

    Participants who received Bepirovirsen in B-Well studies (202009: NCT05630807) or B-Well-2 (219288: NCT05630820) will be enrolled in the study. No study intervention will be administered in this study.

    Drug: Bepirovirsen

Interventions

  • No study medication will be administered in this study. Eligible participants who received bepirovirsen in the parent studies will be included.

06

What researchers measure

Primary outcomes

  1. Time From B-Well Week 72 to Confirmed Loss of Response

    Confirmed loss of response is defined as HBsAg greater than (\>)100 IU/mL at two consecutive assessments.

    Time frame: From B-Well Week 72 assessment up to Month 48

Secondary outcomes

  1. Absolute HBsAg Value at Each Follow-up Assessment

    Time frame: From B-Well Week 72 assessment up to Month 48

  2. Change From Week 72 in HBsAg Level at Each Follow-up Assessment

    Time frame: From B-Well Week 72 assessment up to Month 48

  3. Proportion of Participants Maintaining or Achieving Predefined HBsAg Thresholds

    Thresholds of interest include HBsAg \<= 100 IU/mL, HBsAg \<= 10 IU/mL, or HBsAg Loss. HBsAg loss is defined as HBsAg less than (\<) lower limit of quantification (LLOQ) at 2 sequential visits.

    Time frame: From B-Well Week 72 assessment up to Month 48

  4. Proportion of Participants Who Achieve Functional Cure

    Functional cure is defined as sustained suppression (24 weeks or longer) of hepatitis B virus (HBV) deoxyribonucleic acid (DNA) (\<LLOQ) off all HBV treatment and loss of HBsAg (HBsAg \< LLOQ at 2 sequential visits) with or without hepatitis B surface antibody (HBsAb) after a finite duration of therapy.

    Time frame: From B-Well Week 72 assessment up to Month 48

  5. Number of Participants with Clinical Relapse

    Clinical relapse is defined as HBsAg \>= Lower limit of Quantification (LLOQ) and HBV Deoxyribonucleic Acid (DNA) \>2000 IU/mL and Alanine Aminotransferase (ALT) \>2x Upper Limit of Normal (ULN) at 2 sequential visits.

    Time frame: From B-Well Week 72 assessment up to Month 48

  6. Change From Week 72 Baseline in Hepatitis B Quality of Life Questionnaire (HBQoL) Score

    HBQoL has been designed to assess quality of life in participants with hepatitis B. It consists of 31 items and 6 domains: psychological well-being, anticipation anxiety, vitality, stigma, transmissibility and vulnerability. Response options range from 1 to 5 with higher scores indicating more severe impact of hepatitis B.

    Time frame: From B-Well Week 72 assessment up to Month 48

  7. Number of Participants with Healthcare Resource Utilization (HCRU)

    HCRU includes hospitalizations, emergency department visits, outpatient visits, specialist consultations, and liver-related interventions

    Time frame: From B-Well Week 72 assessment up to Month 48

  8. Number of Participants with Hepatic Disease Progression Outcomes

    Hepatic disease progression outcomes will include cirrhosis, hepatic decompensation, HCC, liver transplantation, liver-related mortality, all-cause mortality.

    Time frame: From B-Well Week 72 assessment up to Month 48

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/gsk-patient-level-data-sharing-july2025.pdf

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 asset(s) with development terminated 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-studyregister.com

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

Start is estimated for Dec 2026; primary completion for Dec 2030, 48 months later.

Of 63 phase 4 interventional studies under Hepatitis B, Chronic, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 64. This study's planned 48 months is above that.

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

Registered
Oct 26, 2026
First posted
Nov 2, 2026
StartEst.
Dec 3, 2026
Primary completionEst.
Dec 3, 2030
CompletionEst.
Dec 3, 2030
Last update
Nov 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.
Registered
First appeared on the registry. No changes since
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    First appeared on the registry

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
NCT07908459
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Nov 2, 2026
Start date
Dec 3, 2026 (estimated)
Primary completion
Dec 3, 2030 (estimated)
Completion
Dec 3, 2030 (estimated)
Last update
Nov 2, 2026

Study contacts

US GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
877-379-3718
EU GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
+44 (0) 20 89904466
GSK Clinical Trials
study director · GlaxoSmithKline

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

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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.

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Studies of the drug tested here: Bepirovirsen

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