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New hepatitis b pill shows promise in early human trial
NCT ID NCT04536337
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-stage trial tests an experimental oral drug called ALG-000184 in healthy volunteers and people with chronic hepatitis B. The main goals are to check safety, how the body processes the drug, and whether it can lower hepatitis B virus levels. Participants take the drug daily for up to 12 weeks, sometimes combined with a standard treatment. Results will help decide if larger studies are warranted.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ALG-000184 (an experimental oral drug)
- What this could lead to
- If successful, this could point toward a new treatment option for chronic hepatitis B, potentially reducing virus levels and improving disease control.
- What could go wrong
- This is an early Phase 1 trial focused on safety, so it's too soon to know if ALG-000184 will work. The drug may cause side effects or fail to reduce the virus effectively.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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165 people
The number who actually took part.
- Started
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Oct 2020
- Finished
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Jun 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria for All Subjects: 1. Female subjects must have a negative serum pregnancy test at screening 2. Subjects must have a 12-lead electrocardiogram (ECG) that meets the protocol criteria Inclusion Criteria for Healthy Volunteers: In addition to inclusion criteria 1-2, the following inclusion criteria also apply to HV's (Parts 1 and 2) 3. Male or female between 18 and 55 years of age, extremes included. 4. Subjects must have a body mass index (BMI; weight in kg divided by the square of height in meters) of 18.0 to 32.0 kg/m2, extremes included. CHB Subjects: In addition to inclusion criteria 1-4, the following inclusion criteria also apply to CHB subjects: All of the Following criteria apply to Part 3 at screening: 5 .Subjects must be 18 to 65 years of age, extremes included. 6.CHB subjects must have a BMI of 18.0 to 35.0 kg/m2, extremes included. 7.CHB subjects who at screening, have not received treatment with an approved or investigational medicine, or have never received treatment with HBV antiviral medicines All of the following criteria apply to Part 4 Cohorts A \& B, unless otherwise specified, at Screening: 8.Subjects must be 18 to 65 years of age, extremes included. 9.Subjects must have a BMI of 18.0 to 35.0 kg/m2, extremes included 10.Subjects must be HBeAg positive (HBeAg ≥LLOQ and HBeAb negative) 11.Subjects enrolled in Part 4 Cohort A and B must have a history of Chronic Hepatitis B 12\. Subjects must have ALT and AST must have ≤1.2×ULN or ≤5×ULN All of the following criteria apply to Part 5 at Screening 13.Subjects must be 18 to 65 years of age, extremes included. 14\. Subjects have a BMI of 17.0 to 35.0 kg/m2, extremes included 15.Subjects could belong to any of the following treatment categories: treatment naïve (TN), currently not treated (CNT) , virologically suppressed. Exclusion Criteria Exclusion Criteria for All Subjects: 1. Subjects with any previous or current illness that, in the opinion of the investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject, or pose an additional risk in administering study drug to the subject, or that could prevent, limit, or confound the protocol specified assessments or study results' interpretation 2. Subjects with a past history of cardiac arrhythmias, risk factors for Torsade de Pointes syndrome (e.g., hypokalemia, family history of long QT syndrome, or history of clinical evidence at screening of significant or unstable cardiac disease etc. 3. Subjects with a history of clinically significant drug allergy 4. Subject with a current history of clinically significant (as determined by investigator) skin disease requiring intermittent or chronic treatment 5. Excessive use of alcohol, defined as regular consumption of ≥14 standard drinks/week for women and ≥21 standard drinks/week for men 6. Subjects with Hepatitis A, B, C, D, E or HIV-1/HIV-2 infection or acute infections such as SARS- CoV-2 infection Exclusion Criteria for Healthy Volunteers (Parts 1 and 2): In addition to exclusion criteria 1-6, the following exclusion criteria also apply to HV's (Parts 1 and 2) 7. Unwilling to abstain from alcohol use for 48 hours prior to start of dosing through end of study follow up. 8. Positive alcohol or cotinine test at screening and Day -1. 9. Subjects with renal dysfunction (e.g., estimated creatinine clearance \<90 mL/min/1.73 m2at screening, calculated by the Chronic Kidney Disease Epidemiology Collaboration \[CKD-EPI\] formula). Exclusion Criteria for CHB Subjects (Parts 3, 4, and 5): All exclusion criteria listed above for healthy volunteers apply also to CHB subjects, except for exclusion Criteria 9 (requirement relative to cotinine).All the following exclusion criteria apply to Parts 3, 4, and 5, unless otherwise specified. 10. Subjects who are positive for anti-HBs antibodies. 11. For HBeAg-positive subjects, they should be negative for anti-HBe antibodies (Parts 4 and 5) 12. Subject with any history or current evidence of hepatic decompensation such as: variceal bleeding, spontaneous bacterial peritonitis, ascites, hepatic encephalopathy, or active jaundice (within the last year). 13. History or current evidence of cirrhosis. 14. Subjects with liver fibrosis that is classified as Metavir Score ≥F3 liver disease 15. Subjects with signs of hepatocellular carcinoma
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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ACS
Auckland, New Zealand
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CAP Research
Quatre Bornes, Mauritius, 72218, Mauritius
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Nanfang Hospital of Southern Medical University
Guangzhou, Guangdong, China
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PMSI Republican Clinical Hospital "T. Mosneaga", ARENSIA Exploratory Medicine Phase I Unit
Chisinau, Moldova
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Prince of Wales
Shatin, Hong Kong
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Queen Mary Hospital
Hong Kong, Hong Kong
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Saint Vincent's Hospital Melbourne
Fitzroy, Victoria, 3065, Australia
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The First Hospital of Jilin University
Changchun, Jilin, 130021, China
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The Second Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400016, China
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Western Health
Footscray, Victoria, 3011, Australia
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Other studies related to the condition(s) this trial covers.
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