Phase 2 Study of AHB-137 in HBeAg Negative Chronic Hepatitis B (CHB) Participants in Asia Pacific Region
ASPIRE
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
1 other identifier
interventional
84
6 countries
8
Brief 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 NAs.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Mar 2026
Typical duration for phase_2
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 19, 2026
CompletedFirst Posted
Study publicly available on registry
January 27, 2026
CompletedStudy Start
First participant enrolled
March 6, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2028
April 13, 2026
April 1, 2026
2.8 years
January 19, 2026
April 8, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (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)
24 Weeks post AHB-137 treatment
Secondary Outcomes (26)
Proportion of participants with functional cure (FC) or sustained HBV DNA response off all HBV treatment
Off-treatment follow-up (Week 48 to 96)
Proportion of participants with functional cure (FC)
Week 72
Proportion of participants with sustained HBV DNA response
From baseline through Week 72
Proportion of participants with HBsAg ≤10 IU/mL and HBV DNA < Lower Limit of Quantification (LLOQ) post AHB-137 treatment
24 weeks post AHB-137 treatment
Proportion of participants with HBsAg <100 IU/mL and HBV DNA < LLOQ
24 weeks post AHB-137 treatment and at Week 72
- +21 more secondary outcomes
Study Arms (2)
Arm A: AHB-137 + 2 LDs
EXPERIMENTALAHB-137 300 mg subcutaneous (SC) weekly for 24 weeks with 2 loading doses (LDs) on Days 4 and 11
Arm B: AHB-137 + 3 LDs
EXPERIMENTALAHB-137 300 mg SC weekly for 24 weeks with 3 LDs on Days 4, 11, and 18
Interventions
Eligibility Criteria
You may qualify if:
- 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.
- 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.
You may not qualify if:
- 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).
- 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
- +20 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (8)
St Vincents Hospital Melbourne
Fitzroy, Victoria, 3065, Australia
Queen Mary Hospital - PPDS
Hong Kong, China
New Zealand Clinical Research
Grafton, Auckland, 1010, New Zealand
National University Hospital - Singapore
Singapore, 119074, Singapore
Asan Medical Center
Seoul, 05505, South Korea
Chiayi Christian Hospital
Chiayi City, 60002, Taiwan
E-DA Hospital
Kaohsiung City, 82445, Taiwan
National Taiwan University Hospital
Taipei, 100, Taiwan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Audrey Lau, MD, PhD
AusperBio Therapeutics Inc.
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 19, 2026
First Posted
January 27, 2026
Study Start
March 6, 2026
Primary Completion (Estimated)
December 31, 2028
Study Completion (Estimated)
December 31, 2028
Last Updated
April 13, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share