ClinicalTrials.gg
Not yet recruitingNCT07935148HBV-MultiOmicsUpdated Nov 13, 2026

Integrated Multi-Omics Analysis of Treatment-Naive Patients With Chronic HBV Infection

An observational study in Hepatitis B, Chronic, sponsored by Beijing Municipal Administration of Hospitals. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Beijing Municipal Administration of Hospitals · Observational

Updated Nov 13, 2026Newly registeredGo to Updates ↓

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Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
1,000
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 375 studies in Hepatitis B, Chronic with a site in China — 89 open to participants now, 110 under way, 7 of them phase 3. Hepatitis B, Chronic · China.

Planned enrollment
37th of 99
1,000 · median 500
Started
2026
with 26 others
Observational
99 of 375
34 open now
Primary completion
2027-08
later than 72 of 109 live
Registered
375th of 375
by date

Among the 375 studies in Hepatitis B, Chronic with a site in China, this one is the 37th largest by planned enrollment of the 99 observational ones that give a count, is one of 27 that started in 2026, is one of 99 observational ones, reaches primary completion later than 72 of the 109 other live ones, and was the 375th registered.

Hepatitis B, Chronic

896 studies on the registry are indexed under Hepatitis B, Chronic; 153 are open to participants now.

Browse Hepatitis B, Chronic studies →

Open to participants now

89 of the 375 studies in Hepatitis B, Chronic with a site in China are open now. Recruiting first, the newest first:

84 more — sign in →

All 89 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 97 Hepatitis B, Chronic studies recruiting now, 33 (34%) set no upper age limit and 59 (61%) stop at 75 or younger; 11 take children under 18; 13 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 375 studies in Hepatitis B, Chronic with a site in China, or all of them as a file.
02

Study summary

This is a single-center, cross-sectional, observational study involving approximately 1,000 treatment-naive patients with chronic hepatitis B virus (HBV) infection at Beijing Ditan Hospital, Capital Medical University.

The study aims to investigate the relationship between HBV genetic characteristics, host molecular profiles, and clinical features of chronic HBV infection. Clinical and laboratory information, including liver function tests, HBV DNA levels, hepatitis B surface antigen (HBsAg) levels, and liver fibrosis assessments, will be collected from eligible participants.

Existing clinical data and stored serum samples will be used when authorized and approved by the Ethics Committee. Newly enrolled participants will contribute residual serum samples obtained after routine clinical testing. No additional blood collection or experimental treatment will be required for this study.

HBV whole-genome sequencing data will be analyzed to characterize viral genotypes, mutations, and viral diversity. In approximately 300 selected participants, serum metabolomics, quantitative proteomics, and immune-related factors will also be examined.

By integrating viral, metabolic, protein, immune, and clinical data, this study aims to identify molecular features and potential biomarkers associated with liver inflammation, early liver fibrosis, viral replication, and HBsAg expression. The findings may help improve understanding of differences among patients with chronic HBV infection and provide a basis for future research on risk assessment and disease management.

Read the detailed description

Study Design This is a single-center, prospective, cross-sectional, observational, and non-interventional study conducted at Beijing Ditan Hospital, Capital Medical University. Approximately 1,000 treatment-naive patients with chronic HBV infection will be included, consisting of approximately 400 eligible existing cases and 600 prospectively enrolled participants.

Study Population Eligible participants will have persistent hepatitis B surface antigen (HBsAg) positivity for more than six months and a diagnosis of chronic HBV infection. Participants must not have received nucleos(t)ide analogues, interferon, or other specified treatments that may significantly affect the study-related indicators before the observation time point.

Patients with other viral hepatitis infections, autoimmune liver disease, alcoholic liver disease, advanced cirrhosis, or hepatocellular carcinoma will be excluded.

Data and Sample Collection Demographic characteristics, clinical history, liver biochemical parameters, liver fibrosis assessment results, and HBV-related virological indicators will be collected from medical records and study databases.

Existing clinical data and stored serum samples will be used only after verification of their original consent and authorization for secondary use, subject to ethics approval. For prospectively enrolled participants, residual serum samples from routine clinical testing will be collected. No additional research-related blood collection will be performed, and routine clinical management will not be altered.

Multi-Omics Analysis HBV whole-genome sequencing data will be used to characterize viral genotypes, subtypes, mutations, and quasispecies diversity. Existing authorized sequencing data will be prioritized, with supplementary sequencing performed when necessary.

Approximately 300 representative participants will be selected according to HBV genotype, HBeAg status, ALT levels, and liver fibrosis status for host multi-omics analyses, including:

  1. Untargeted serum metabolomics using ultra-high-performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS).
  2. Quantitative proteomics using tandem mass tag (TMT)-based technology.
  3. Multiplex immune factor analysis to measure inflammatory, anti-inflammatory, and chemokine-related molecules.

Statistical Analysis Statistical analyses will be performed using R software. Group comparisons, correlation analyses, multivariable regression, pathway enrichment, and integrated multi-omics analyses will be conducted. Machine learning methods, including LASSO regression and random forest or XGBoost when appropriate, will be explored to identify relevant molecular features and develop models for clinical phenotypes such as elevated ALT and early liver fibrosis.

Study Objectives The primary objective is to investigate associations between HBV genomic characteristics, host multi-omics profiles, and clinical phenotypes. The study also aims to identify potential biomarkers associated with liver inflammation, early fibrosis, viral replication, and HBsAg expression.

This is an observational study. No investigational drugs, medical devices, or therapeutic interventions will be administered. The study is not designed to establish causal relationships or directly evaluate long-term clinical outcomes.

03

Conditions studied

  • Hepatitis B, Chronic

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Keywords

  • Chronic Hepatitis B
  • HBV Infection
  • Treatment-Naive
  • Multi-Omics
  • Metabolomics
  • Proteomics
  • Immunomics
  • HBV Whole-Genome Sequencing
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population consists of approximately 1,000 treatment-naive patients with chronic hepatitis B virus (HBV) infection at Beijing Ditan Hospital, Capital Medical University. The study includes approximately 400 eligible existing cases and 600 prospectively enrolled participants. Participants represent different clinical phases of chronic HBV infection. Approximately 300 representative participants will be selected according to HBV genotype, HBeAg status, ALT levels, and liver fibrosis status for multi-omics analyses. Both male and female participants are eligible. No healthy volunteers will be included.

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

  • Persistent surface antigen (HBsAg) positivity for more than 6 months.
  • Diagnosis of chronic hepatitis B virus (HBV) infection.
  • No previous treatment with nucleos(t)ide analogues or interferon before the study observation time point.
  • No previous use of immunomodulatory agents or hepatoprotective and anti-inflammatory medications that may significantly affect the study-related indicators before the observation time point.
  • Availability of demographic, clinical biochemical, and virological data required for the study.
  • Availability of stored serum samples that can be accurately matched with clinical data and meet the quality requirements for subsequent analyses.
  • For existing cases, reuse of clinical data and samples must comply with the ethics committee's approval and applicable requirements. Prospectively enrolled participants must provide written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Coinfection with other viral hepatitis infections, including hepatitis A, C, or E.
  • Concurrent liver disease.
  • Alcohol-associated liver disease.
  • Advanced liver cirrhosis.
  • Hepatocellular carcinoma.
  • Incomplete clinical records, virological data, or stored serum samples that do not meet the requirements for the planned analyses.
Terms in these criteria, in plain language(3)

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.

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.

05

Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
1,000 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Serum ALT Level by HBV Genomic Characteristic Group

    HBV genotypes, subgenotypes, genomic mutations, and quasispecies heterogeneity will be characterized using HBV whole-genome sequencing data. Serum alanine aminotransferase (ALT) levels will be obtained from routine clinical laboratory records and expressed in units per liter (U/L). The association between HBV genomic characteristics and serum ALT levels will be evaluated using appropriate statistical methods.

    Time frame: Baseline

Secondary outcomes

  1. APRI Score by HBV Genomic Characteristic Group

    The Aspartate Aminotransferase-to-Platelet Ratio Index (APRI) will be calculated using serum AST levels and platelet counts obtained from routine clinical laboratory records. APRI is a dimensionless index. HBV genomic characteristics will be determined using HBV whole-genome sequencing data. APRI values will be compared across prespecified HBV genomic characteristic groups.

    Time frame: Baseline

  2. FIB-4 Index by HBV Genomic Characteristic Group

    The Fibrosis-4 (FIB-4) index will be calculated using age, serum AST, serum ALT, and platelet count obtained from clinical records. FIB-4 is a dimensionless index. HBV genomic characteristics will be determined using HBV whole-genome sequencing data. FIB-4 values will be compared across prespecified HBV genomic characteristic groups.

    Time frame: Baseline

  3. Liver Stiffness Measurement by HBV Genomic Characteristic Group

    Liver stiffness measurement (LSM) will be obtained from available clinical liver elastography records and expressed in kilopascals (kPa). HBV genomic characteristics will be determined using HBV whole-genome sequencing data. LSM values will be compared across prespecified HBV genomic characteristic groups.

    Time frame: Baseline

  4. Serum HBV DNA Level by HBV Genomic Characteristic Group

    Serum HBV DNA levels will be obtained from routine clinical virological testing and expressed in international units per milliliter (IU/mL). HBV genomic characteristics, including genotypes, genomic mutations, and quasispecies features, will be determined using HBV whole-genome sequencing data. Serum HBV DNA levels will be compared across prespecified HBV genomic characteristic groups.

    Time frame: Baseline

  5. Quantitative HBsAg Level by HBV Genomic Characteristic Group

    Serum quantitative hepatitis B surface antigen (HBsAg) levels will be obtained from routine clinical laboratory records and expressed in international units per milliliter (IU/mL). HBV genomic characteristics will be determined using HBV whole-genome sequencing data. Quantitative HBsAg levels will be compared across prespecified HBV genomic characteristic groups.

    Time frame: Baseline

  6. Serum Metabolomic Profiles

    Untargeted serum metabolomic profiling will be performed in approximately 300 selected participants using ultra-high-performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). Metabolites, including lipids, amino acids, bile acids, carbohydrates, and organic acids, will be profiled. The primary data output will consist of normalized relative metabolite abundance values (arbitrary units). Metabolomic profiles will be compared across prespecified clinical and virological subgroups.

    Time frame: Baseline

  7. Serum Quantitative Proteomic Profiles

    Serum quantitative proteomic profiling will be performed in selected participants using tandem mass tag (TMT)-based quantitative proteomics. Protein expression profiles, including inflammation-related proteins and fibrosis-related proteins, will be characterized. Protein abundance will be expressed as normalized relative quantitative values derived from TMT reporter ion intensities (arbitrary units). Differential protein expression across prespecified clinical and virological subgroups will be evaluated.

    Time frame: Baseline

  8. Serum Immune-Related Factor Profiles

    Serum immune-related factors will be quantified in selected participants using a multiplex bead-based assay (Luminex technology). The panel includes tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), interleukin-2 (IL-2), interferon-gamma (IFN-γ), interleukin-10 (IL-10), CXCL8, and IP-10 (CXCL10). Factor concentrations will be determined using standard calibration curves and expressed in picograms per milliliter (pg/mL), subject to assay quantification limits. Differences in immune factor concentrations across prespecified clinical and virological subgroups will be evaluated.

    Time frame: Baseline

07

Study locations

1 site
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 reached

Start is estimated for Nov 2026; primary completion for Aug 2027, 9 months later.

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

Registered
Oct 31, 2026
First posted
Nov 13, 2026
StartEst.
Nov 1, 2026
Primary completionEst.
Aug 31, 2027
CompletionEst.
Oct 1, 2028
Last update
Nov 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.
Registered
First appeared on the registry. No changes since
Nov 13, 2026
Show all 1 update
  1. Nov 13, 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
NCT07935148
Lead sponsor
Beijing Municipal Administration of Hospitals
Responsible party
Minghui Li (Head of Department, Beijing Municipal Administration of Hospitals) — Principal investigator
First posted
Nov 13, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Aug 31, 2027 (estimated)
Completion
Oct 1, 2028 (estimated)
Last update
Nov 13, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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