ACT201 Injection in Participants With Chronic Hepatitis B (CHB) on Nucleos(t)Ide Analog Therapy - Phase Ib

November 4, 2026 updated by: Xiamen Amoytop Biotech Co., Ltd.

A Multicenter, Randomized, Open-label Phase Ib Clinical Trial to Evaluate the Safety and Efficacy of ACT201 Injection in Participants With Chronic Hepatitis B (CHB) Receiving Nucleos(t)Ide Analog Therapy

This is a multicenter, randomized, open-label, parallel-controlled Phase Ib clinical trial. It aims to evaluate the safety and preliminary efficacy of ACT201 Injection combined with standard therapy (PegIFNα, NA) in participants with chronic hepatitis B who are receiving NA treatment. A total of 40 participants with chronic hepatitis B will be enrolled. Eligible participants should have stable NA treatment, HBV DNA < 100 IU/mL, negative HBeAg, and HBsAg ≤ 100 IU/mL. They will be randomized into four treatment groups at a 1:1:1:1 ratio.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

40

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Beijing, China
        • Beijing Ditan Hospital, Capital Medical University
        • Contact:
          • Minghui Li
      • Wuhan, China
        • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
        • Contact:
          • Qin Ning
      • Xi'an, China
        • The Second Affiliated Hospital of Xi'an Jiaotong University
        • Contact:
          • Shuangsuo Dang
      • Xiamen, China
        • The First Affiliated Hospital of Xiamen University
        • Contact:
          • Xiulan Xue

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Voluntarily participate in this trial and sign the informed consent form;
  • Aged 18 to 65 years (inclusive), male or female;
  • Body mass index (BMI) ranging from 18 to 32 kg/m² (inclusive);
  • HBsAg-positive or HBV DNA-positive for at least 6 months, or with prior liver biopsy results consistent with chronic HBV infection, or HBsAg-positive and anti-HBc IgM-negative at screening;
  • Receiving stable nucleos(t)ide analogue (NA) therapy at screening;
  • Meeting the specified requirements for HBsAg, HBeAg, HBV DNA and liver function parameters;
  • Willing to use effective contraception with no plan to conceive, donate sperm or donate ova.

Exclusion Criteria:

  • Subjects who have sustained major trauma or undergone major surgery recently, or have a planned surgery;
  • Subjects with uncontrolled, clinically significant abnormalities or other severe illnesses in addition to chronic HBV infection;
  • Subjects with a history of other liver diseases;
  • Subjects with a history of liver cirrhosis;
  • Subjects with imaging findings suggestive of a suspected malignant hepatic lesion;
  • Subjects with prior or current manifestations of hepatic decompensation;
  • Subjects with a history of extrahepatic diseases potentially associated with HBV immune status;
  • Subjects with other diseases associated with vasculitis;
  • Subjects with infections (other than HBV) requiring systemic antiviral or antibacterial therapy at screening;
  • Subjects with a history of malignancy;
  • Subjects with prior solid organ or bone marrow transplantation;
  • Subjects with current or past history of severe psychiatric disorders;
  • Subjects with severe retinopathy or other severe ophthalmologic diseases;
  • Subjects who have received prohibited study drugs previously or currently;
  • Subjects with concomitant hematological diseases;
  • Subjects with abnormal laboratory findings;
  • Subjects with abnormal QTcF interval;
  • Subjects with a history of allergy;
  • Subjects who are breastfeeding or have a positive serum pregnancy test at screening;
  • Subjects participating in another clinical trial, or those who have not completed the washout period specified in the protocol prior to this trial;
  • Any other condition that, in the opinion of the investigator, renders the subject unsuitable for participation in this trial.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group 2

Subcutaneous injection per assigned dose group; treatment duration shall follow the study protocol.

Other Names:
  • Standard of care(PegIFNα-2b Injection)
Experimental: Group 1

Subcutaneous injection per assigned dose group; treatment duration shall follow the study protocol.

Other Names:
  • Standard of care(PegIFNα-2b Injection)
Experimental: Group 3

Subcutaneous injection per assigned dose group; treatment duration shall follow the study protocol.

Other Names:
  • Standard of care(PegIFNα-2b Injection)
Experimental: Group 4

Subcutaneous injection per assigned dose group; treatment duration shall follow the study protocol.

Other Names:
  • Standard of care(PegIFNα-2b Injection)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Safety: number of participants with adverse event (AE), serious adverse events (SAE) and clinically significant examination results. Assessments include vital signs, physical examinations, laboratory tests, and 12-lead electrocardiograms (ECGs).
Time Frame: throughout the full study period,an average of 38 weeks
throughout the full study period,an average of 38 weeks

Secondary Outcome Measures

Outcome Measure
Time Frame
HBsAg, HBsAb and HBV DNA levels and changes from baseline
Time Frame: throughout the full study period,an average of 38 weeks
throughout the full study period,an average of 38 weeks
HBsAg seroclearance rate
Time Frame: throughout the full study period,an average of 38 weeks
throughout the full study period,an average of 38 weeks
HBsAg seroconversion rate
Time Frame: throughout the full study period,an average of 38 weeks
throughout the full study period,an average of 38 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Principal Investigator: Xiulan Xue, The First Affiliated Hospital of Xiamen University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

November 20, 2026

Primary Completion (Estimated)

February 1, 2027

Study Completion (Estimated)

December 1, 2027

Study Registration Dates

First Submitted

November 4, 2026

First Submitted That Met QC Criteria

November 4, 2026

First Posted (Actual)

November 10, 2026

Study Record Updates

Last Update Posted (Actual)

November 10, 2026

Last Update Submitted That Met QC Criteria

November 4, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • ACT201-4-1-005

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.