Treatment of Patients with Chronic Hepatitis B with Hepatitis B Immunoglobulins

Last updated: March 5, 2025
Sponsor: Hannover Medical School
Overall Status: Active - Recruiting

Phase

2

Condition

Hepatitis

Hepatitis B

Liver Disorders

Treatment

Human hepatitis B Immunoglobulin (Hepatect®CP/Zutectra®)

Clinical Study ID

NCT05345990
HBIGforcure
2021-005362-18
  • Ages > 18
  • All Genders

Study Summary

This is an open-label, single arm (two cohorts), single-center, phase II pilot-study to provide preliminary evidence whether hepatitis B immunoglobulins (HBIG) are efficacious and can be safely used in patients with chronic Hepatitis B Virus (HBV) infection.

A total of 20 patients (male or female adults aged ≥ 18 years) will be enrolled in the study and receive hepatitis B immunoglobulins Hepatect®CP and Zutectra®.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Subjects must meet all of the following inclusion criteria to be eligible for participation in this study:

  1. Willing and able to provide written informed consent

  2. Male or female, age ≥ 18 years

  3. Confirmation of chronic HBV infection documented by: positive HBsAg at least 12 months before screening

  4. Cohort A: NA treatment for at least 12 months before screening. HBV-DNA should bebelow the lower limit of detection at screening. HBsAg positive and <100 IU/ml.HBeAg negative.

  5. Cohort B: Untreated with NAs for at least 12 months before screening. HBV-DNA < 2000IU/ml. HBsAg positive and < 100 IU/ml. HBeAg-negative.

  6. Subject has not been treated with any investigational drug or device within 42 daysbefore the screening visit or within 5 half-lives for investigational drugs,whichever is longer.

  7. Transient Elastography (FibroScan) < 7.5 kPa at screening.

  8. ALT levels < 1.5 times of upper the limit of normal at screening for both cohorts

  9. Body mass idex (BMI) > 18kg/m²

  10. A negative serum pregnancy test is required for female subjects (unless surgicallysterile or women > 54 years of age with cessation for > 24 months of previouslyoccurring menses). Complete abstinence from intercourse. Periodic abstinence (e.g.,calendar, ovulation, symptothermal, postovulation methods) is not permitted. OrConsistent and correct use of 1 of the following methods of birth control listedbelow, in addition to a male partner who correctly uses a condom, from the date ofScreening until the end of FU:

  • intrauterine device (IUD) with a failure rate of < 1% per year

  • bilateral tubal sterilization

  • vasectomy in male partner

  • hormone-containing contraceptive:

  • combined (estrogen and progestogen containing) hormonal contraceptionassociated with inhibition of ovulation:

  • oral

  • intravaginal

  • transdermal

  • progestogen-only hormonal contraception associated with inhibition ofovulation:

  • oral

  • injectable

  • implantable

  1. Subject must be able to comply with the dosing instructions for study drugadministration and be able to complete the study schedule of assessments

Exclusion

Exclusion Criteria:

Subjects who meet any of the following exclusion criteria are not to be enrolled in this study:

  1. Clinically significant illness (other than hepatitis B) or any other major medicaldisorder that, in the opinion of the investigator, may interfere with subjecttreatment, assessment or compliance with the protocol. Subjects currently underevaluation for a potentially clinically significant illness (other than hepatitis B)are also excluded.

  2. Co-infection with hepatitis C virus (defined as HCV RNA positive. HCV RNAnegative/anti-HCV-positive patients can be included) or co-infection with HIV.

  3. Clinical hepatic decompensation (i.e. clinical ascites, encephalopathy or varicealhemorrhage).

  4. Psychiatric hospitalization, suicide attempt, and/or a period of disability as aresult of their psychiatric illness within the last 2 years. Subjects withpsychiatric illness that is well-controlled on a stable treatment regimen for atleast 12 months prior to screening or has not required medication in the last 12months may be included.

  5. Significant drug allergy (such as anaphylaxis or hepatotoxicity).

  6. Pregnant or nursing female or male with pregnant female partner

  7. Clinically relevant drug or alcohol abuse within 12 months of screening includingany uncontrolled drug use within 6 months of screening. A positive drug screen willexclude subjects unless it can be explained by a prescribed medication. Theinvestigator must approve medication, the diagnosis and prescription. Uncontrolledusers of intravenous drugs will not be permitted to enroll in the study.

  8. live-attenuated virus vaccinations such as: measles, mumps, rubella and varicella 4weeks before and up to three months after administration of hepatitis Bimmunoglobulins. If not required by an emergency situation, passive or activeimmunizations or administration of plasma preparations or of other immunoglobulinsis not allowed during the study

  9. A recent SARS-COV2 infection in the last 4 weeks prior to screening

Study Design

Total Participants: 20
Treatment Group(s): 1
Primary Treatment: Human hepatitis B Immunoglobulin (Hepatect®CP/Zutectra®)
Phase: 2
Study Start date:
August 15, 2022
Estimated Completion Date:
May 31, 2025

Connect with a study center

  • Hannover Medical School, Department for Gastroenterology, Hepatology and Endocrinology

    Hannover, Lower Saxony 30625
    Germany

    Active - Recruiting

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