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The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics of AHB-137 subcutaneous injection in healthy participants after single and multiple doses, and evaluate the preliminary efficacy of AHB-137 in CHB participants after up to 24 weeks of treatment as a proof-of-concept.
This study is a three-part study of AHB-137, including Part Ia, Part Ib and Part IIa. Part Ia evaluates the safety, tolerability, pharmacokinetics of AHB-137 following single-ascending doses (SAD) and multiple-ascending doses (MAD) in healthy participants. Part Ib is a multiple-dose study to assess the safety, tolerability, pharmacokinetics, and initial efficacy of AHB-137 in CHB participants following weekly dosing for 4 weeks with two loading doses in the first two weeks. Part IIa is a multiple-dose study to evaluate the preliminary efficacy, safety and pharmacokinetics of AHB-137 in CHB participants following weekly dosing for 24 weeks with two loading doses in the first two weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part Ia: dosing in healthy participants | Experimental | SAD of 75 mg, 150 mg, 300 mg and 450 mg AHB-137 and MAD of 150 mg and 300 mg AHB-137 by subcutaneous injections within a month in healthy participants. |
|
| Part Ib: dosing in CHB participants | Experimental | Dose escalation cohort: MAD of 150 mg and 300 mg AHB-137 by subcutaneous injections within a month in CHB participants who are under stable NAs therapy. Dose expansion cohort: Multiple doses of 300 mg AHB-137 by subcutaneous injections within a month in CHB participants who are under stable NAs therapy. |
|
| Part IIa: proof of concept | Experimental | Multiple doses of 225 mg or 300 mg AHB-137 by subcutaneous injections within 24 weeks in CHB participants who are under stable NAs therapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AHB-137 injection | Drug | AHB-137 injection will be administered subcutaneously. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of healthy participants with TEAEs, SAEs | Up to 30 days for SAD; up to 113 days for MAD | |
| Number of healthy participants with clinically significant changes in laboratory parameters | Up to 30 days for SAD; up to 113 days for MAD | |
| Number of healthy participants with clinically significant changes in vital signs | Up to 30 days for SAD; up to 113 days for MAD | |
| Number of healthy participants with clinically significant changes in ECG | Up to 30 days for SAD; up to 113 days for MAD | |
| Number of healthy participants with ADA | Up to 30 days for SAD; up to 113 days for MAD | |
| The pharmacokinetic profile of AHB-137 in healthy participants: the Cmax of AHB-137 | Up to 30 days for SAD; up to 113 days for MAD | |
| The pharmacokinetic profile of AHB-137 in healthy participants: Tmax of AHB-137 | Up to 30 days for SAD; up to 113 days for MAD | |
| The pharmacokinetic profile of AHB-137 in healthy participants: AUC of AHB-137 | Up to 30 days for SAD; up to 113 days for MAD | |
| The pharmacokinetic profile of AHB-137 in healthy participants: t1/2 of AHB-137 | Up to 30 days for SAD; up to 113 days for MAD |
| Measure | Description | Time Frame |
|---|---|---|
| The anti-HBV efficacy of AHB-137 in CHB participants: evaluate the serum levels of HBV DNA, HBsAg, HBV RNA, HBsAb, HBeAb | Up to 113 days for Ib; Up to 72 weeks for IIa | |
| Evaluate the serum levels of sensitive HBsAg (LLOQ ≤0.005 IU/mL) and HBcrAg. | Up to 72 weeks for IIa |
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Inclusion Criteria:
Healthy participants are required to meet all the following inclusion criteria in order to be enrolled in the study (Part Ia):
CHB participants are required to meet all the following inclusion criteria in order to be enrolled in the study (Part Ib and part IIa):
Exclusion Criteria:
Healthy participants are required to not meet any of the exclusion criteria in order to be enrolled in the study (Part Ia):
CHB participants are required to not meet any of the exclusion criteria in order to be enrolled in the study (Part Ib and Part IIa):
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| Name | Affiliation | Role |
|---|---|---|
| Yanhua Ding | The First Hospital of Jilin University | Principal Investigator |
| Junqi Niu | The First Hospital of Jilin University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Affiliated Hospital of Chongqing Medical University | Chongqing | China | ||||
| Nanfang Hospital, Southern Medical University |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42176239 | Derived | Wang W, Mai J, Hou J, Xu Z, Yu X, Ren H, Liang X, Yang Y, Liu Z, Zhang H, Zhong S, Wen Y, Lu T, Cao H, Qiu X, Wang L, Zhao D, Wang M, Yang C, Cheng G, Niu J, Ding Y. Safety, pharmacokinetics and antiviral activity of AHB-137 in healthy volunteers and chronic hepatitis B patients: a phase 1a/1b study. Hepatol Int. 2026 May 23. doi: 10.1007/s12072-026-11102-7. Online ahead of print. |
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| Placebo | Drug | Placebo will be administered subcutaneously. |
|
| Number of CHB participants with TEAEs, SAEs | Up to 113 days for Ib |
| Number of CHB participants with clinically significant changes in laboratory parameters | Up to 113 days for Ib |
| Number of CHB participants with clinically significant changes in vital signs | Up to 113 days for Ib |
| Number of CHB participants with clinically significant changes in ECG | Up to 113 days for Ib |
| Proportion of participants achieving HBsAg lower than LLOQ (0.05 IU/mL) and HBV DNA lower than LLOQ at the end of treatment with AHB-137, regardless of whether HBsAg seroconversion is observed | At week 24 for IIa |
| The pharmacokinetic profile of AHB-137 in CHB participants: the Cmax of AHB-137 | up to 113 days for Ib; Up to 48 weeks for IIa |
| The pharmacokinetic profile of AHB-137 in CHB participants: Tmax of AHB-137 | up to 113 days for Ib; Up to 48 weeks for IIa |
| The pharmacokinetic profile of AHB-137 in CHB participants: AUC of AHB-137 | up to 113 days for Ib; Up to 48 weeks for IIa |
| The pharmacokinetic profile of AHB-137 in CHB participants: t1/2 of AHB-137 | up to 113 days for Ib; Up to 48 weeks for IIa |
| Number of CHB participants with ADA | Up to113 days for Ib; Up to 48 weeks for IIa |
| Number of CHB participants with TEAEs, SAEs | Up to 72 weeks for IIa |
| Number of CHB participants with clinically significant changes in laboratory parameters, ECG, and vital signs | Up to 72 weeks for IIa |
| Proportion of CHB participants achieving HBsAg lower than LLOQ and HBV DNA lower than LLOQ during or after 24-week treatment, regardless of whether HBsAg seroconversion is observed | Up to 72 weeks for IIa |
| Proportion of CHB participants meeting the discontinuation criteria for NA treatment | At 48 weeks for IIa |
| Sequencing of the Viral DNA and/or viral RNA analysis for detection of drug resistance in the target region of AHB-137 | Up to 113 days for Ib; Up to 72 weeks for IIa |
| Guangzhou |
| China |
| The First Hospital of Jilin University | Jilin City | China |
| ID | Term |
|---|---|
| D019694 | Hepatitis B, Chronic |
| ID | Term |
|---|---|
| D006509 | Hepatitis B |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D018347 | Hepadnaviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D006525 | Hepatitis, Viral, Human |
| D006521 | Hepatitis, Chronic |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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