Autoimmune HepatitisPhase 3MERCURYNCT07598825
A Trial of Inebilizumab in Participants With Autoimmune Hepatitis
A Phase 3 study testing Inebilizumab in people with Autoimmune Hepatitis and AIH, run by Amgen at 36 sites in 8 countries.
Trial summary
The main objectives of this trial are to evaluate the safety and tolerability of inebilizumab in participants with autoimmune hepatitis (AIH) (Part 1) and to evaluate the efficacy of inebilizumab on AIH disease activity and glucocorticoid (GC) use in the management of AIH (Part 2). Read more about this study
- Who is it for?
- Ages 18 to 74 years
- Conditions the study is for
- Autoimmune Hepatitis, AIH
- What is being tested?
- Inebilizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 180 participants
- Where
- 36 sitesin 8 countries
- Study dates
- 18 Dec 2026to 11 Feb 2034
- Phase
- Phase 3
- 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 74 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed informed consent.
- Age ≥ 18 years or legal adult age within the country, whichever is older and < 75 years at the time of signing the informed consent.
- Participants must have either inadequate response to at least 9 months of SOC or are intolerant to SOC within 6 months of screening. Inadequate response to SOC treatment is defined as ALT ≥ 2 upper limit of normal (ULN) at screening after at least 9 months of SOC, including prednisone (or equivalent) > 5 mg/day and at least one conventional steroid sparing agent at guideline-concordant target or highest appropriate dose, that is azathioprine (AZA) or 6-mercaptopurine (6-MP) at appropriate weight-based dosing (typically up to 2 mg/kg/day AZA or 1 mg/kg/day 6-MP) or mycophenolate (MMF) up to 2 g/day, as judged appropriate by the investigator and documented in the medical record.
- Intolerance to SOC treatment is defined as any clinically significant adverse event related to treatment that results in discontinuation of the medication or prevents dose optimization necessary to achieve or maintain biochemical response, as determined by the Principal Investigator (PI). Intolerance applies to GCs, AZA, 6-MP, or MMF. Presence of one or more clinically significant adverse effects attributed to SOC include but not limited to side effects that, in the opinion of the investigator, compromise participant's safety or quality of life, exacerbate comorbid conditions, or render continued use medically inappropriate.
- Participants with disease activity at screening as follows: ALT ≥ 2 x ULN to ≤ 7 x ULN. ALT ULN values will be gender specific.
- Participant must have a biopsy proven definitive diagnosis of AIH according to simplified diagnostic criteria (score ≥ 7). Liver biopsy should be obtained within 90 days prior to randomization. Participants must have a mHAI score ≥ 5 in the biopsy.
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- Participant should be on:
- No increase in GC dose during the 28 days immediately preceding whichever biopsy is designated as the baseline sample-historical or screening-and the dose post biopsy must remain unchanged through the day of randomization AND
- Stable maximum tolerated doses of AZA or 6-MP for at least 12 weeks prior to screening (baseline) liver biopsy until randomization and during the entire treatment period unless dose reduction is deemed necessary for safety or tolerance reasons OR
- Stable maximum tolerated doses of MMF/mycophenolic acid (MPA) for at least 12 weeks prior to screening (baseline) liver biopsy until randomization and during the entire treatment period unless dose reduction is deemed necessary for safety or tolerance reasons.
- Participants must use protocol-specified contraception during treatment and for an additional 6 months after the last dose of trial intervention.
Who cannot join
- Diagnosis of definitive overlap autoimmune liver or rheumatologic syndrome with autoimmune hepatitis (eg, AIH + primary biliary cholangitis [PBC], AIH + primary sclerosing cholangitis [PSC], AIH related to Systemic Lupus Erythematosus, etc) where established overlap criteria are met.
- Acute liver failure (ALF) at screening (e.g., acute hepatic dysfunction with coagulopathy and any degree of encephalopathy) in the investigator's judgment.
- Participant has known history of:
- Allergy or reaction to any component of inebilizumab formulation or history of anaphylaxis to any human gamma globulin therapy.
- Allergy to or intolerance of protocol-required treatment, including medications for prophylaxis of infusion reactions (antipyretic such as paracetamol/acetaminophen or equivalent, diphenhydramine or equivalent, and methylprednisolone or equivalent).
- Active malignancy or history of malignancy that was active within the last 10 years, except as follows:
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- In situ carcinoma of the cervix treated with apparent success with curative therapy for > 12 months prior to screening
- Curatively treated breast ductal carcinoma in situ
- Cutaneous basal cell or squamous cell carcinoma treated with apparent success with curative therapy for > 12 months prior to screening
- Prostate cancer treated with radical prostatectomy or radiation therapy with curative intent > 3 years prior to screening and without known recurrence or current treatment
- Thyroid cancer for which complete surgical resection has been performed within 5 years with well-differentiated histology (papillary thyroid carcinoma or follicular thyroid carcinoma) and there is no evidence of active disease.
- Known positive test for human immunodeficiency virus (HIV) infection. Evidence of HIV infection or positive for HIV antibodies at initial screening or current acquired, common variable or inherited, primary or secondary immunodeficiency.
- Presence or history of viral hepatitis infection:
- Positive test for, or prior treatment for, hepatitis B. A positive test for hepatitis B is detection of either:
- Positive for hepatitis B surface antigen (HBsAg) OR
- anti-HBc
- Participants with a history of or current hepatitis C virus (HCV) infection, even those considered to be cured.
- Active tuberculosis (TB) or latent TB with no documented history of adequate treatment per local SOC.
- Positive test for TB during screening is defined as positive QuantiFERON® test. At screening, all participants must be tested with an interferon-γ release assay (IGRA) (QuantiFERON®).
- History of > 1 episode of herpes zoster (any grade) and/or any other definite or probable opportunistic infection in the 12 months prior to screening.
- Estimated glomerular filtration rate < 45 mL/min/1.73 m^2 using chronic kidney disease epidemiology (CKD-EPI) 2021 formula.
- Blood tests at screening that meet any of the following criteria:
- Hemoglobin < 7.5 g/dL
- Neutrophils < 1200/mm^3
- Platelets < 150 x 10^9/L
- international normalized ratio (INR) > 1.3
- cluster of differentiation 19 (CD19)+ B cells at screen < 40 cells/µL; an exclusionary value may be repeated.
- Serum albumin level < 35 g/L
- Direct bilirubin (BIL) in serum >ULN
- Total BIL ≥ 2.0 mg/dL
- ALP > 1.5 x ULN
- AST > 7 x ULN Note: Participants with baseline cytopenia (where permitted) may be enrolled if, in the Investigator's judgment, the cytopenia derives from an alternative to AIH condition (eg, medication effect, nutritional deficiency, anemia of chronic disease etc).
- Active, clinically significant infection at the time of randomization (investigational product administration may be delayed until recovery, if within screening window, otherwise participant may be rescreened).
- History or evidence of uncontrolled alcohol use disorder (AUD), defined as participants who have a history of significant alcohol consumption, ie, consumption of >2 units/day for males and >1 unit/day for females, sustained for ≥ 3 consecutive months.
- History of recurrent significant infections (eg, requiring hospitalization or IV antibiotics) within the past 12 months.
- Major surgery within 8 weeks before screening.
- Severe cardiovascular, respiratory, endocrine, gastrointestinal, hematological, neurological, psychiatric, or systemic disorder, or any other condition that, in the opinion of the Investigator, would place the participant at unacceptable risk of complications, interfere with evaluation of the Investigational product or confound the interpretation of participant safety or trial results.
- Known immunodeficiency disorder.
- Participants with moderate-to-severe metabolic dysfunction-associated steatohepatitis (MASH) on screening/baseline liver biopsy, defined by central pathology review as steatosis grade ≥ 2 with lobular inflammation ≥ 1, and hepatocellular ballooning ≥ 1.
- Participants with decompensated cirrhosis, either historical or present at screening defined by:
- Histologic cirrhosis on screening or prior liver biopsy (fibrosis stage F4 / Ishak 5-6), and
- Prior hepatic decompensation or Child-Pugh B-C.
- Child-Pugh category A at screening, without a history of prior hepatic decompensation (ascites, encephalopathy, variceal bleeding, spontaneous bacterial peritonitis [SBP], hepatorenal syndrome [HRS], acute-on-chronic liver failure, or progression to decompensated cirrhosis), is eligible.
- Participant with a history of drug-induced liver injury (DILI), regardless of offending agent.
- Receipt of any biologic B cell-depleting therapy (eg, rituximab, ocrelizumab, obinutuzumab, ofatumumab, inebilizumab, ianalumab) in the 6 months prior to screening.
- Receipt of non-depleting B cell-directed therapy (eg, belimumab), abatacept, or other biologic immunomodulatory agent within 6 months prior screening.
- Receipt of tumor necrosis factor (TNF) inhibitors (eg, infliximab, adalimumab) within 6 months prior screening.
- Receipt of immunosuppressive agents such as calcineurin inhibitors (tacrolimus, cyclosporin except eye drops), methotrexate, mammalian target of rapamycin inhibitors (eg, everolimus) within 6 weeks prior screening.
- Receipt of any investigational agent < 12 weeks or < 5 half-lives of the drug (whichever is longer) prior to screening.
- History of inability to be tapered off of GC therapy due to adrenal insufficiency or due to recurrent or prolonged systemic glucocorticoid therapy for any medical condition other than AIH (eg, severe steroid-dependent asthma) according to PI.
- All vaccines are prohibited within 4 weeks before the first dose of trial treatment.
- Participants are recommended to be administered vaccines at least 4 weeks prior to dosing in accordance with local recommendations prior to enrollment to allow for adequate immune response.
- Required regular use of medications with known hepatotoxicity.
- Current use of:
- GCs (prednisone > 20 mg/day, or equivalent dose of other GCs)
- AZA > 2 mg/kg/day
- 6-MP > 1 mg/kg/day
- MMF > 2 g/day or MPA > 1440 mg/day.
- Any concomitant immunosuppressive treatment, alone or in combination with GCs, except for AZA, 6-MP, MMF, and MPA.
- Undetectable levels of 6-thioguanine nucleotides (6-TGN) or MPA during screening unless participants are not on AZA or MMF/MPA due to intolerance per protocol.
- No new Herbal and Dietary Supplements (HDS) products for 4 weeks prior to first dose of inebilizumab.
- Currently receiving a trial intervention, or less than 30 days or 5 half-lives if known (whichever is later) since ending a trial intervention in another investigational device or drug trial.
- Unable to safely undergo a liver biopsy.
- Participant unlikely to be able to complete all protocol-required procedures, restrictions and requirements, in the judgment of the individual and investigator.
- History or evidence of any other clinically significant disorder, condition, or disease that, in the opinion of the investigator, would pose a risk to participant safety.
- Currently pregnant (confirmed with positive pregnancy test) or breastfeeding or planning to become pregnant, donate eggs, or breastfeed while on trial until an additional 6 months after the last dose of inebilizumab (if applicable) with highest teratogenic risk.
- Participants of childbearing potential with a positive pregnancy test assessed by serum pregnancy test at screening and a urine pregnancy test at Day 1 visit.
- Participant unwilling to abstain from donating blood or plasma during the trial.
- In order for participants to continue to OLP, they must:
- Have completed the randomized controlled treatment period Week 78 visit and received all doses or not discontinued investigational product for any of the following reasons:
- Anaphylaxis or a serious hypersensitivity reaction that occurred within 7 days after IV dosing and cannot be attributed to another known allergen exposure.
- Any adverse events or significant laboratory abnormality that, in the opinion of the investigator, Amgen, or Data Monitoring Committee (DMC), warrants discontinuation of dosing.
- Any life-threatening (grade 4) infection.
- Any event of sepsis or febrile neutropenia.
- Any infection listed as either a definite or probable opportunistic infection.
- Any grade 3 infusion related reactions (IRR).
- Any grade 4 serious adverse events.
- Pregnancy or a decision to become pregnant.
- Malignancy.
- Absolute neutrophil count < 800 cells/µL confirmed by repeat testing.
- Determination that the participant was ineligible for trial participation and continuation of investigational product could pose a safety risk to the participant in the judgment of the investigator or the sponsor.
- Significant noncompliance with the trial protocol, as judged by the investigator or Amgen.
- Receive dose 1 in the OLP within the window of 7 days after the randomized controlled treatment period Week 78 visit and only after the Week 78 biopsy has been completed.
- Participants who meet protocol-defined early escape criteria and discontinue the RCP may enter the OLP, provided they have not discontinued investigational product for safety-related reasons that preclude further dosing.
Trial locations and contacts
36 sites in 8 countries. Contact the study team or a site near you to ask about taking part.
36 sites in 8 countries
China17 sites, 17 recruiting
- Recruiting
Peking University First Hospital
Beijing, Beijing Municipality, 100034
- Recruiting
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050
- Recruiting
Beijing Youan Hospital, Capital Medical University
Beijing, Beijing Municipality, 100069
- Recruiting
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730
- Recruiting
The First Bethune Hospital of Jilin University
Changchun, Jilin, 130021
- Recruiting
West China Hospital Sichuan University
Chengdu, Sichuan, 610044
- Recruiting
The Second Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400010
- Recruiting
Mengchao Hepatobiliary Hospital of Fujian Medical University
Fuzhou, Fujian, 350025
- Recruiting
The Second Hospital of Anhui Medical University
Hefei, Anhui, 230601
- Recruiting
The Second Hospital of Nanjing
Nanjing, Jiangsu, 210003
- Recruiting
Nanjing Drum Tower Hospital
Nanjing, Jiangsu, 210008
- Recruiting
Renji Hospital Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, 200001
- Recruiting
The Fifth Peoples Hospital of Suzhou
Suzhou, Jiangsu, 215131
- Recruiting
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052
- Recruiting
Tianjin First Central Hospital
Tianjin, Tianjin Municipality, 300384
- Recruiting
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430022
- Recruiting
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052
United States12 sites, 11 recruiting
- Recruiting
Medical University of South Carolina
Charleston, South Carolina, 29425
- Recruiting
Methodist Cardiovascular Consultants - Dallas
Dallas, Texas, 75203
- Recruiting
Indiana University
Indianapolis, Indiana, 46202
- Recruiting
Mayo Clinic Jacksonville
Jacksonville, Florida, 32224
- Recruiting
Florida Research Institute
Largo, Florida, 33771
- Recruiting
Applied Research Center of Arkansas
Little Rock, Arkansas, 72205
- Recruiting
Floridian Clinical Research LLC
Miami Lakes, Florida, 33016
- Recruiting
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
- Recruiting
Inland Empire Liver Foundation
Rialto, California, 92377
- Recruiting
Mayo Clinic Rochester
Rochester, Minnesota, 55905
- Recruiting
American Research Corporation
San Antonio, Texas, 78215
- Terminated
Amicis Research Center
Valencia, California, 91355
Canada2 sites, 2 recruiting
- Recruiting
Centre de Recherche du Centre Hospitalier de l Universite de Montreal
Montreal, Quebec, H2X 0A9
- Recruiting
McGIll University Health Centre Glen Site
Montreal, Quebec, H4A 3J1
Belgium1 site, 1 recruiting
- Recruiting
Universitair Ziekenhuis Leuven
Leuven, 3000
Hungary1 site, 1 recruiting
- Recruiting
Obudai Egeszsegugyi Centrum Kft
Zalaegerszeg, 8900
Italy1 site, 1 recruiting
- Recruiting
IRCCS Istituto Clinico Humanitas
Rozzano, 20089
About this study
Official title: A Phase 2/3, Randomized, Double-blind, Multicenter, Placebo-controlled Study of Inebilizumab in Participants With Autoimmune Hepatitis
The main objectives of this trial are to evaluate the safety and tolerability of inebilizumab in participants with autoimmune hepatitis (AIH) (Part 1) and to evaluate the efficacy of inebilizumab on AIH disease activity and glucocorticoid (GC) use in the management of AIH (Part 2).
Read the detailed description
This study will consist of a screening period (up to 56 days), a randomized controlled treatment period (78 weeks), an optional open label period (OLP) up to 78 weeks (or until potential availability of the marketed drug) for eligible participants who complete the treatment period, and a safety follow-up (SFU) period up to 78 weeks.
The randomized controlled treatment period will be divided in 2 parts, a phase 2 dose confirmation and safety part (Part 1) and an efficacy evaluating phase 3 (Part 2). Part 1 will conclude when the last Part 1 participant has had the opportunity to complete the Week 26 visit. Part 2 will begin without pausing enrollment; the same randomization ratio and study procedures are maintained.
- Conditions
- Autoimmune Hepatitis, AIH
- Being tested
- Inebilizumab, Placebo, Standard of Care
- Keywords
- Autoimmune hepatitis, AIH, Inebilizumab, AMG 335
- Medical subject headings
- Hepatitis, Autoimmune
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
InebilizumabDrug
Also called AMG 335
Inebilizumab will be administered as an IV infusion.
PlaceboDrug
Placebo will be administered as IV infusion.
Standard of CareOther
Standard of Care
| Study group | Role | What they receive |
|---|---|---|
| Part 1: Inebilizumab | Experimental | Participants will receive inebilizumab as an intravenous (IV) infusion in addition to standard of care (SOC). Receives: Drug: Inebilizumab; Other: Standard of Care |
| Part 1: Placebo | Experimental | Participants will receive placebo as an IV infusion in addition to SOC. Receives: Drug: Placebo; Other: Standard of Care |
| Part 2: Inebilizumab | Experimental | Participants will receive Inebilizumab as an IV infusion in addition to SOC. Receives: Drug: Inebilizumab; Other: Standard of Care |
| Part 2: Placebo | Experimental | Participants will receive placebo as an IV infusion in addition to SOC. Receives: Drug: Placebo; Other: Standard of Care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Number of Participants who Experienced Treatment-emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs of Interest at Week 26
Measured: Up to Week 26
Part 2: Number of Participants who Achieved Modified Histologic Activity Index (mHAI) ≤ 3 and Stable Prednisone Dose (or equivalent) ≤ 5 mg/day at Week 78
Participants who met the two outcomes combined will be reported for this endpoint.
Measured: Week 78
Secondary outcomes (23)
Part 1: Number of Participants who Achieved Normal Alanine Aminotransferase (ALT) Levels at Week 26
Measured: Week 26
Part 1: Change from Baseline in ALT Levels at Week 26
Measured: Baseline and Week 26
Part 1: Maximum Serum Concentration (Cmax) of Inebilizumab
Measured: Up to Week 26
Part 1: Area Under the Serum Concentration-time Curve (AUC) of Inebilizumab
Measured: Up to Week 26
Part 1: Change from Baseline in Peripheral B Cell Counts at Week 26
Measured: Baseline and Week 26
Part 2: Number of Participants who Achieved Sustained Normal ALT Levels and Stable Prednisone Dose (or equivalent) ≤ 5 mg/day by Week 78
Sustained normal ALT levels is defined as achieving normal ALT levels in the 3 consecutive visits.
Participants who met the two outcomes combined will be reported for this endpoint.
Measured: Week 78
Part 2: Number of Participants who Achieved Normal ALT Levels, mHAI ≤ 3 and Stable Prednisone Dose (or equivalent) ≤ 5 mg/day at Week 78
Participants who met the three outcomes combined will be reported for this endpoint.
Measured: Week 78
Part 2: Number of Participants who Achieved Stable Prednisone Dose (or equivalent) ≤ 5 mg/day by Week 78
Measured: Week 78
Part 2: Number of Participants who Achieved Normal ALT Levels and Stable Glucocorticoid (GC) Free (0 mg) by Week 78
Participants who met the two outcomes combined will be reported for this endpoint.
Measured: Week 78
Part 2: Time to Persistently Achieve Normal ALT Levels and Stable Prednisone (or equivalent) ≤ 5 mg/day Through Week 78
Time to achieve normal ALT levels is defined as as the first occurrence of normal ALT levels in at least 2 consecutive visits through Week 78.
Participants who met the two outcomes combined will be reported for this endpoint.
Measured: Up to Week 78
Part 2: Change from Baseline in ALT Levels at Week 78
Measured: Baseline and Week 78
Part 2: Change from Baseline in Immunoglobulin G (IgG) Levels at Week 78
Measured: Baseline and Week 78
Part 2: Change from Baseline in Aspartate Aminotransferase (AST) Levels at Week 78
Measured: Baseline and Week 78
Part 2: Change from Baseline in mHAI at Week 78
Measured: Baseline and Week 78
Part 2: Number of Participants who Achieved Normal ALT and IgG Levels at Week 78
Participants who met the two outcomes combined will be reported for this endpoint.
Measured: Week 78
Part 2: Number of Participants who Achieved mHAI ≤ 3 at Week 78
Measured: Week 78
Part 2: Number of Participants who Achieved Flare-free, Stable GC-free (0 mg) Normalization of ALT by Week 78
Measured: Week 78
Part 2: Cumulative GC Dose per Participant for AIH
Measured: Up to Week 78
Part 2: Number of Participants with Anti-drug Antibodies (ADA)
Measured: Up to Week 78
Part 2: Cmax of Inebilizumab
Measured: Up to Week 78
Part 2: AUC of Inebilizumab
Measured: Up to Week 78
Part 2: Number of Participants who Experienced TEAEs, Serious TEAEs, and TEAEs of Interest
Measured: Up to Week 78
Part 2: Change from Baseline of GC Toxicity Index Score at Week 78
Measured: Baseline and Week 78
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 May 2026
- Study start18 Dec 2026 (estimated)
- Primary completion30 Jul 2031 (estimated)
- Study completion11 Feb 2034 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Autoimmune HepatitisStudies of the same condition, open and under way.
- More trials run by AmgenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 180 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07598825
- Sponsor's protocol ID
- 20240237
- Other IDs
- 2025-522393-37-00, 2025
- Acronym
- MERCURY
- Status last verified
- Nov 2026
- First submitted
- 14 May 2026
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2/3, Randomized, Double-blind, Multicenter, Placebo-controlled Study of Inebilizumab in Participants With Autoimmune Hepatitis
- ClinicalTrials.gov ID
- NCT07598825
- Acronym / sponsor ID
- MERCURY / 20240237
- Conditions
- Autoimmune Hepatitis, AIH
- Keywords
- Autoimmune hepatitis, AIH, Inebilizumab, AMG 335
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 180 participants (estimated)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- 18 Dec 2026 (estimated)
- Primary completion
- 30 Jul 2031 (estimated)
- Study completion
- 11 Feb 2034 (estimated)
- First posted
- 20 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objectives of this trial are to evaluate the safety and tolerability of inebilizumab in participants with autoimmune hepatitis (AIH) (Part 1) and to evaluate the efficacy of inebilizumab on AIH disease activity and glucocorticoid (GC) use in the management of AIH (Part 2).
Detailed description
This study will consist of a screening period (up to 56 days), a randomized controlled treatment period (78 weeks), an optional open label period (OLP) up to 78 weeks (or until potential availability of the marketed drug) for eligible participants who complete the treatment period, and a safety follow-up (SFU) period up to 78 weeks.
The randomized controlled treatment period will be divided in 2 parts, a phase 2 dose confirmation and safety part (Part 1) and an efficacy evaluating phase 3 (Part 2). Part 1 will conclude when the last Part 1 participant has had the opportunity to complete the Week 26 visit. Part 2 will begin without pausing enrollment; the same randomization ratio and study procedures are maintained.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Part 1: Inebilizumab | Experimental | Drug: Inebilizumab, Other: Standard of CareParticipants will receive inebilizumab as an intravenous (IV) infusion in addition to standard of care (SOC). |
| Part 1: Placebo | Experimental | Drug: Placebo, Other: Standard of CareParticipants will receive placebo as an IV infusion in addition to SOC. |
| Part 2: Inebilizumab | Experimental | Drug: Inebilizumab, Other: Standard of CareParticipants will receive Inebilizumab as an IV infusion in addition to SOC. |
| Part 2: Placebo | Experimental | Drug: Placebo, Other: Standard of CareParticipants will receive placebo as an IV infusion in addition to SOC. |
Who may qualify
- Ages
- 18 to 74 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Signed informed consent.
- Age ≥ 18 years or legal adult age within the country, whichever is older and < 75 years at the time of signing the informed consent.
- Participants must have either inadequate response to at least 9 months of SOC or are intolerant to SOC within 6 months of screening. Inadequate response to SOC treatment is defined as ALT ≥ 2 upper limit of normal (ULN) at screening after at least 9 months of SOC, including prednisone (or equivalent) > 5 mg/day and at least one conventional steroid sparing agent at guideline-concordant target or highest appropriate dose, that is azathioprine (AZA) or 6-mercaptopurine (6-MP) at appropriate weight-based dosing (typically up to 2 mg/kg/day AZA or 1 mg/kg/day 6-MP) or mycophenolate (MMF) up to 2 g/day, as judged appropriate by the investigator and documented in the medical record.
- Intolerance to SOC treatment is defined as any clinically significant adverse event related to treatment that results in discontinuation of the medication or prevents dose optimization necessary to achieve or maintain biochemical response, as determined by the Principal Investigator (PI). Intolerance applies to GCs, AZA, 6-MP, or MMF. Presence of one or more clinically significant adverse effects attributed to SOC include but not limited to side effects that, in the opinion of the investigator, compromise participant's safety or quality of life, exacerbate comorbid conditions, or render continued use medically inappropriate.
- Participants with disease activity at screening as follows: ALT ≥ 2 x ULN to ≤ 7 x ULN. ALT ULN values will be gender specific.
Key exclusion criteria (84 listed)
- Diagnosis of definitive overlap autoimmune liver or rheumatologic syndrome with autoimmune hepatitis (eg, AIH + primary biliary cholangitis [PBC], AIH + primary sclerosing cholangitis [PSC], AIH related to Systemic Lupus Erythematosus, etc) where established overlap criteria are met.
- Acute liver failure (ALF) at screening (e.g., acute hepatic dysfunction with coagulopathy and any degree of encephalopathy) in the investigator's judgment.
- Participant has known history of:
- Active malignancy or history of malignancy that was active within the last 10 years, except as follows:
- Known positive test for human immunodeficiency virus (HIV) infection. Evidence of HIV infection or positive for HIV antibodies at initial screening or current acquired, common variable or inherited, primary or secondary immunodeficiency.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| InebilizumabAlso: AMG 335Inebilizumab will be administered as an IV infusion. | Drug | Part 1: Inebilizumab, Part 2: Inebilizumab |
| PlaceboPlacebo will be administered as IV infusion. | Drug | Part 1: Placebo, Part 2: Placebo |
| Standard of CareStandard of Care | Other | Part 1: Inebilizumab, Part 1: Placebo, Part 2: Inebilizumab, Part 2: Placebo |
Primary outcome
Part 1: Number of Participants who Experienced Treatment-emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs of Interest at Week 26
Time frame: Up to Week 26
Part 2: Number of Participants who Achieved Modified Histologic Activity Index (mHAI) ≤ 3 and Stable Prednisone Dose (or equivalent) ≤ 5 mg/day at Week 78
Time frame: Week 78
Participants who met the two outcomes combined will be reported for this endpoint.
23 secondary outcomes
Part 1: Number of Participants who Achieved Normal Alanine Aminotransferase (ALT) Levels at Week 26
Time frame: Week 26
Part 1: Change from Baseline in ALT Levels at Week 26
Time frame: Baseline and Week 26
Part 1: Maximum Serum Concentration (Cmax) of Inebilizumab
Time frame: Up to Week 26
Part 1: Area Under the Serum Concentration-time Curve (AUC) of Inebilizumab
Time frame: Up to Week 26
Part 1: Change from Baseline in Peripheral B Cell Counts at Week 26
Time frame: Baseline and Week 26
Part 2: Number of Participants who Achieved Sustained Normal ALT Levels and Stable Prednisone Dose (or equivalent) ≤ 5 mg/day by Week 78
Time frame: Week 78
Part 2: Number of Participants who Achieved Normal ALT Levels, mHAI ≤ 3 and Stable Prednisone Dose (or equivalent) ≤ 5 mg/day at Week 78
Time frame: Week 78
Part 2: Number of Participants who Achieved Stable Prednisone Dose (or equivalent) ≤ 5 mg/day by Week 78
Time frame: Week 78
Part 2: Number of Participants who Achieved Normal ALT Levels and Stable Glucocorticoid (GC) Free (0 mg) by Week 78
Time frame: Week 78
Part 2: Time to Persistently Achieve Normal ALT Levels and Stable Prednisone (or equivalent) ≤ 5 mg/day Through Week 78
Time frame: Up to Week 78
Part 2: Change from Baseline in ALT Levels at Week 78
Time frame: Baseline and Week 78
Part 2: Change from Baseline in Immunoglobulin G (IgG) Levels at Week 78
Time frame: Baseline and Week 78
Part 2: Change from Baseline in Aspartate Aminotransferase (AST) Levels at Week 78
Time frame: Baseline and Week 78
Part 2: Change from Baseline in mHAI at Week 78
Time frame: Baseline and Week 78
Part 2: Number of Participants who Achieved Normal ALT and IgG Levels at Week 78
Time frame: Week 78
Part 2: Number of Participants who Achieved mHAI ≤ 3 at Week 78
Time frame: Week 78
Part 2: Number of Participants who Achieved Flare-free, Stable GC-free (0 mg) Normalization of ALT by Week 78
Time frame: Week 78
Part 2: Cumulative GC Dose per Participant for AIH
Time frame: Up to Week 78
Part 2: Number of Participants with Anti-drug Antibodies (ADA)
Time frame: Up to Week 78
Part 2: Cmax of Inebilizumab
Time frame: Up to Week 78
Part 2: AUC of Inebilizumab
Time frame: Up to Week 78
Part 2: Number of Participants who Experienced TEAEs, Serious TEAEs, and TEAEs of Interest
Time frame: Up to Week 78
Part 2: Change from Baseline of GC Toxicity Index Score at Week 78
Time frame: Baseline and Week 78
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
MD study director
Amgen
36 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Inebilizumab in people with Autoimmune Hepatitis and AIH, run by Amgen at 36 sites in 8 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 11 inclusion and 84 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 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 36 sites in China, United States, Canada, Belgium, France and 3 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 Amgen Call Center (866-572-6436, medinfo@amgen.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part 1: Number of Participants who Experienced Treatment-emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs of Interest at Week 26 (time frame: Up to Week 26). The study lists 2 primary outcomes in all. 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 3 Nov 2026.