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Hepatitis B, ChronicPhase 2ASPIRE-201NCT07370207

Phase 2 Study of AHB-137 in HBeAg Negative Chronic Hepatitis B (CHB) Participants in Asia Pacific Region

A Phase 2 study testing AHB-137 in people with Hepatitis B, Chronic, run by AusperBio Therapeutics Inc. at 10 sites in 7 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study is a randomized, open-label, multicenter phase 2 clinical trial to evaluate the efficacy and safety of AHB-137 injection in participants with HBeAg-negative CHB treated with Nucleos(t)ide Analogue (NAs). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Hepatitis B, Chronic
What is being tested?
AHB-137
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
10 sitesin 7 countries
Study dates
6 Mar 2026to 31 Dec 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants are eligible to be included in the study only if all of the following criteria apply:
  • Adults ≥18 years of age (or per local age of majority) and ≤65 years of age at Screening who are able to provide informed consent, comply with study procedures, and agree to discontinue nucleos(t)ide analog (NA) therapy if protocol-defined discontinuation criteria are met.
  • Body mass index (BMI) ≤35 kg/m².
  • Documented chronic hepatitis B virus (HBV) infection for ≥6 months prior to randomization, defined by hepatitis B surface antigen (HBsAg) positivity or detectable HBV DNA.
  • Hepatitis B e antigen (HBeAg) negative at Screening.
  • Receiving stable, approved nucleos(t)ide analog (NA) monotherapy for ≥6 months prior to randomization.
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  • HBV DNA below the lower limit of quantification (LLOQ) at Screening.
  • Hepatitis B surface antigen (HBsAg) level >100 IU/mL and ≤3,000 IU/mL at Screening.
  • Alanine aminotransferase (ALT) ≤2 × upper limit of normal (ULN) at Screening.
  • Screening electrocardiogram (ECG) without clinically significant abnormalities and with a Fridericia-corrected QT interval (QTcF) ≤450 msec for males or ≤470 msec for females.
  • Females of childbearing potential must not be breastfeeding and must have a negative serum pregnancy test at Screening and a negative urine pregnancy test prior to first dose.
  • Male and female participants of childbearing potential must agree to use protocol-specified effective contraception during the dosing period and for ≥6 months after the last dose of AHB-137.

Who cannot join

  • Participants will be excluded from the study if any of the following criteria apply:
  • Clinically significant disease other than chronic hepatitis B virus (HBV) infection, as documented in medical history or identified on physical examination, including but not limited to acute coronary syndrome within 6 months prior to Screening, significant or unstable cardiac disease, uncontrolled diabetes, bleeding diathesis or coagulopathy, or prior solid organ or bone marrow transplant
  • Concomitant clinically significant liver disease, including but not limited to viral hepatitis caused by other pathogens, hemochromatosis, Wilson's disease, primary biliary cholangitis, autoimmune liver disease, alcoholic liver disease, drug-induced liver injury, or current or prior history of clinical hepatic decompensation (e.g., ascites, encephalopathy, hepatorenal syndrome, or variceal hemorrhage).
  • Any severe infection (other than chronic HBV infection) within 1 month prior to randomization and/or requiring intravenous anti-infective therapy.
  • History of immune thrombocytopenia.
  • Current suspected liver cirrhosis and/or evidence of cirrhosis defined as liver stiffness measurement (LSM) >9 kPa by FibroScan® or equivalent imaging modality (e.g., ultrasound elastography).
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  • History of liver cirrhosis defined by liver biopsy or by LSM >12 kPa by FibroScan® or equivalent imaging modality.
  • Prior history of, current diagnosis of, or suspected hepatocellular carcinoma (HCC), or alpha-fetoprotein (AFP) ≥20 ng/mL at Screening.
  • History of extrahepatic diseases potentially associated with HBV infection, including but not limited to nephrotic syndrome, any form of glomerulonephritis, polyarteritis nodosa, cryoglobulinemia, or uncontrolled hypertension.
  • Laboratory evidence of active infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis D virus (HDV), or active syphilis. Participants with positive HCV or HDV serology and documented negative HCV RNA or HDV RNA, respectively, are eligible.
  • Abnormal laboratory values at Screening meeting any of the following criteria:
  • Serum albumin <3.5 g/dL
  • Estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m² calculated using the CKD-EPI equation (or JSN-CKDI equation for participants in Japan)
  • International normalized ratio (INR) >1.25
  • Platelet count <125 × 10⁹/L
  • Total bilirubin >1.5 × upper limit of normal (ULN). Participants with benign unconjugated hyperbilirubinemia (Gilbert's syndrome) may be enrolled if deemed eligible by the Investigator
  • Urine albumin-to-creatinine ratio (uACR) >0.3 mg/mg (300 mg/g) on two consecutive measurements following a positive or weakly positive urine protein result on routine urinalysis
  • Borderline positive or positive antineutrophil cytoplasmic antibody (ANCA) results requiring further evaluation (MPO-ANCA and PR3-ANCA). Eligibility requires review of complete medical history and confirmation of no past or current vasculitic, inflammatory, or autoimmune disease by the Sponsor or Sponsor-designated Medical Monitor
  • History of vasculitis or presence of signs or symptoms suggestive of vasculitis (e.g., vasculitic rash, skin ulceration, unexplained recurrent hematuria), or history or presence of diseases associated with vasculitis (e.g., systemic lupus erythematosus, rheumatoid arthritis, relapsing polychondritis, mononeuritis multiplex).
  • History of malignancy within 5 years prior to Screening, except for adequately treated non-melanoma skin cancer. Participants currently undergoing evaluation for potential malignancy are excluded.
  • History of hypersensitivity or allergy to any component of the investigational product (IP).
  • Major trauma or major surgery within 3 months prior to Screening, or planned surgery during the study period unless eligibility is confirmed by the Medical Monitor.
  • Current alcohol or substance abuse that, in the Investigator's judgment, may interfere with study participation or compliance.
  • Female participants who are pregnant, breastfeeding, planning pregnancy during the study, or unwilling to refrain from egg donation and/or in vitro fertilization during the study.
  • Participation in another clinical trial or receipt of any investigational product prior to first dose in this study within:
  • Five half-lives (if known) or twice the duration of biological effect (if known), whichever is longer, or
  • Six months, if neither half-life nor duration of effect is known
  • Prior treatment with antisense oligonucleotides (ASOs) or small interfering RNA (siRNA)-based therapies.
  • Any of the following prior or concomitant therapies:
  • Prolonged use of immunomodulators (e.g., corticosteroids, methotrexate), cytotoxic drugs, or biologics (e.g., monoclonal antibodies) within 6 months prior to first IP administration, except for short-term treatment (≤2 weeks) or topical/inhaled corticosteroids
  • Interferon therapy within 12 months prior to first dose
  • Vaccination within 1 month prior to Screening, except for influenza or SARS-CoV-2 (COVID-19) vaccination or booster
  • Current treatment with bulevirtide
  • Requirement for long-term regular use of anticoagulants (e.g., warfarin, factor Xa inhibitors) or antiplatelet agents (e.g., clopidogrel or regular aspirin), except for low-dose aspirin, unless the Investigator determines the medication can be safely discontinued prior to first IP administration. Participants taking low-dose aspirin must agree to discontinue use during the study if protocol-specified conditions are met.
  • Any other condition or circumstance that, in the Investigator's judgment, would make the participant unsuitable for participation in the study.

Trial locations and contacts

10 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

Toll Free-North America contact

(866) 928-7737

10 sites in 7 countries

Taiwan3 sites, 3 recruiting
  • Chiayi Christian Hospital

    Chiayi City, 60002

    Recruiting
  • E-DA Hospital

    Kaohsiung City, 82445

    Recruiting
  • National Taiwan University Hospital

    Taipei, 100

    Recruiting

Other trials in Taiwan

Japan2 sites, 2 recruiting
  • Japanese Red Cross Musashino Hospital

    Musashino, Tokyo, 180-0023

    Recruiting
  • National Center for Global Health and Medicine

    Shinjuku-Ku, Tokyo, 162-8655

    Recruiting

Other trials in Japan

Australia1 site, 1 recruiting
  • St Vincents Hospital Melbourne

    Fitzroy, Victoria, 3065

    Recruiting

Other trials in Australia

China1 site, 1 recruiting
  • Queen Mary Hospital - PPDS

    Hong Kong

    Recruiting

Other trials in China

New Zealand1 site, 1 recruiting
  • New Zealand Clinical Research

    Grafton, Auckland, 1010

    Recruiting

Other trials in New Zealand

Singapore1 site, 1 recruiting
  • National University Hospital - Singapore

    Singapore, 119074

    Recruiting

Other trials in Singapore

South Korea1 site
  • Asan Medical Center

    Seoul, 05505

    Withdrawn

Other trials in South Korea

About this study

Official title: A Phase 2 Multi-center, Randomized, Open-label Study to Assess the Efficacy and Safety of AHB-137 in Nucleos(t)Ide Analogue-treated Participants With HBeAg Negative Chronic Hepatitis B in the Asia Pacific Region

This study is a randomized, open-label, multicenter phase 2 clinical trial to evaluate the efficacy and safety of AHB-137 injection in participants with HBeAg-negative CHB treated with Nucleos(t)ide Analogue (NAs).

Being tested
AHB-137
Keywords
Hepatitis, Chronic Hepatitis, Chronic Hepatitis B, Hepatitis B, Hepatitis B, Chronic, Hepatitis B Virus, hepatitis B virus e-antigen, AHB-137, Nucleos(t)ide analog, Nucleos(t)ide analogue, Antisense Oligonucleotide, Blood-Borne Infections, Communicable Diseases, Infections, DNA Virus Infections, Virus Diseases, Hepatitis, Viral, Human, Liver Diseases, Digestive System Diseases, Chronic Disease
Medical subject headings
Hepatitis B, Chronic, Hepatitis, Hepatitis, Chronic, Hepatitis B, Blood-Borne Infections, Communicable Diseases, Infections, DNA Virus Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AHB-137Drug

    Subcutaneous injection

Study groups in NCT07370207
Study groupRoleWhat they receive
Arm A: AHB-137 + 2 LDsExperimentalAHB-137 300 mg subcutaneous (SC) weekly for 24 weeks with 2 loading doses (LDs) on Days 4 and 11
Receives: Drug: AHB-137
Arm B: AHB-137 + 3 LDsExperimentalAHB-137 300 mg SC weekly for 24 weeks with 3 LDs on Days 4, 11, and 18
Receives: Drug: AHB-137

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of participants with sustained response post AHB-137 treatment

    Sustained response defined as hepatitis B surface antigen (HBsAg) level below the limit of detection (LOD, 0.05 international units [IU]/mL) and HBV deoxyribonucleic acid (DNA) below the lower limit of quantification (LLOQ)

    Measured: 24 Weeks post AHB-137 treatment

Secondary outcomes (26)
  1. Proportion of participants with functional cure (FC) or sustained HBV DNA response off all HBV treatment

    Measured: Off-treatment follow-up (Week 48 to 96)

  2. Proportion of participants with functional cure (FC)

    Measured: Week 72

  3. Proportion of participants with sustained HBV DNA response

    Measured: From baseline through Week 72

  4. Proportion of participants with HBsAg ≤10 IU/mL and HBV DNA < Lower Limit of Quantification (LLOQ) post AHB-137 treatment

    Measured: 24 weeks post AHB-137 treatment

  5. Proportion of participants with HBsAg <100 IU/mL and HBV DNA < LLOQ

    Measured: 24 weeks post AHB-137 treatment and at Week 72

  6. Proportion of participants with complete response (CR)

    Measured: From baseline through end of study (Week 96)

  7. Proportion of participants with HBsAg < or ≥ LOD (0.05 IU/mL) and/or HBV DNA < or ≥ LLOQ

    Measured: From baseline through end of study (Week 96)

  8. Proportion of participants with ultrasensitive HBsAg < LOD (0.005 IU/mL)

    Measured: From baseline through end of study (Week 96)

  9. Proportion of participants with HBsAg ≤ 10 IU/mL and < 100 IU/mL

    Measured: From baseline through end of study (Week 96)

  10. Proportion of participants that meet nucleos(t)ide analog (NA) discontinuation criteria

    Measured: Week 48

  11. Categorical change from baseline in serum hepatitis B surface antigen (HBsAg) levels, defined as reductions of ≥0.5, ≥1.0, ≥1.5, ≥2.0, or ≥3.0 log₁₀ IU/mL, assessed at each scheduled study visit

    Measured: From baseline through end of study (Week 96), assessed at each scheduled visit

  12. Proportion of participants with anti-HBs seroconversion (with hepatitis B surface antibody [HBsAb] > 10 IU/L)

    Measured: Weeks 24, 48, and 72

  13. Quantitative hepatitis B virologic and serologic markers over time

    Actual values and change from baseline over time in quantitative hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAb), hepatitis B virus (HBV) DNA, HBV ribonucleic acid (RNA), hepatitis B core-related antigen (HBcrAg), hepatitis B e antibody (HBeAb), and hepatitis B e antigen (HBeAg), summarized descriptively.

    Measured: From baseline through end of study (Week 96)

  14. Proportion of participants who experience virologic relapse

    Measured: From baseline through Week 72

  15. Time from nucleos(t)ide analog (NA) therapy discontinuation to virologic relapse

    Measured: From NA therapy discontinuation (Week 48) through end of follow-up (Week 96)

  16. Change from baseline in alanine aminotransferase (ALT)

    Measured: From baseline through end of study (Week 96)

  17. Proportion of participants with baseline ALT above the upper limit of normal (ULN) who achieve ALT normalization

    Measured: From baseline through end of study (Week 96)

  18. Proportion of patients with drug-resistant mutations

    Measured: From baseline through end of study (Week 96)

  19. Proportion of participants with treatment-emergent adverse events (TEAEs)

    Proportion of participants who experience treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and adverse events leading to discontinuation of study treatment.

    Measured: From first dose (Day 1) through end of study (Week 96)

  20. Proportion of participants with detectable anti-drug antibody (ADA) to AHB-137 and corresponding ADA titers

    Measured: From baseline through end of study (Week 96)

  21. Area under the plasma concentration-time curve (AUC) of AHB-137

    Measured: From first dose (Day 1) through end of pharmacokinetic sampling (Week 48)

  22. Concentration at the end of the dosing interval (Ct) of AHB-137

    Measured: From first dose (Day 1) through end of pharmacokinetic sampling (Week 48)

  23. Maximum observed plasma concentration (Cmax) of AHB-137

    Measured: From first dose (Day 1) through end of pharmacokinetic sampling (Week 48)

  24. Time to maximum observed plasma concentration (Tmax) of AHB-137

    Measured: From first dose (Day 1) through end of pharmacokinetic sampling (Week 48)

  25. Apparent plasma clearance (CL/F) of AHB-137

    Measured: From first dose (Day 1) through end of pharmacokinetic sampling (Week 48)

  26. Population Pharmacokinetic and Exposure-Response Analyses of AHB-137

    Population pharmacokinetic modeling of AHB-137, including covariate analysis and assessment of exposure-response relationships for pharmacodynamic, efficacy, and safety endpoints.

    Measured: From first dose (Day 1) through end of study (Week 96)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jan 2026
  2. Study start6 Mar 2026
  3. Primary completion31 Dec 2028 (estimated)
  4. Study completion31 Dec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
84 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07370207
Sponsor's protocol ID
AB-10-8011
Acronym
ASPIRE-201
Status last verified
Oct 2026
First submitted
19 Jan 2026
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AHB-137 in people with Hepatitis B, Chronic, run by AusperBio Therapeutics Inc. at 10 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 35 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Taiwan, Japan, Australia, China, New Zealand and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Debbie Liao ((650) 650-2877, ausperbioclinicaltrials@ausperbio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of participants with sustained response post AHB-137 treatment (time frame: 24 Weeks post AHB-137 treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Oct 2026.

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ASPIRE-201 Clinical Trial NCT07370207 | AzTrials