New drug aims to clear hepatitis b in HIV patients
NCT ID NCT06497504
First seen Jun 27, 2026 · Last updated Jul 09, 2026 · Updated 2 times
Summary
This study tests a new drug called bepirovirsen in 153 people who have both HIV and chronic hepatitis B and are already on HIV treatment. The goal is to see if bepirovirsen can clear the hepatitis B virus from the body better than a placebo. Participants will continue their regular HIV medications throughout the study.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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153 people
The number who actually took part.
- Started
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Sep 2024
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- 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 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: 1. Documented chronic hepatitis B virus (HBV) infection and documented human immunodeficiency virus (HIV)-1 infection greater than equal to (\>=) 12 months prior to Screening. 2. Must be on uninterrupted antiretroviral therapy (ART) containing at least tenofovir disoproxil (TDF) or tenofovir alafenamide (TAF) plus lamivudine (3TC) or emtricitabine (FTC) for greater than (\>)12 months, with no planned changes to the stable regimen over the duration of the study. o Switch in ART is permitted \>=6 months prior to Screening for reasons not related to loss of HIV or HBV control (e.g., change in formulary, tolerability, side effects). 3. Documented evidence of at least 2 plasma HIV-1 ribonucleic acid (RNA) measurements less than (\<) 50 copies per milliliter (copies/mL) are required in the 12 months prior to Screening: 1 within 6 to 12 months prior to Screening and 1 within 6 months prior to Screening. 4. Plasma or serum HBV deoxyribonucleic acid (DNA) concentration must be adequately suppressed, defined as plasma or serum HBV DNA \<90 international units per milliliter (IU/mL). 5. Plasma or serum HBsAg concentration \>100 IU/mL and \<=3000 IU/mL. 6. Plasma HIV-1 RNA concentration must be undetectable, defined as plasma HIV 1 RNA \<50 copies/mL. 7. Cluster of differentiation 4 (CD4) count \>=350 cells per cubic millimeter (cells/mm\^3). 8. Alanine aminotransferase (ALT) \<=2 times upper limit of normal (ULN). Exclusion Criteria: 1. History of or suspected liver cirrhosis and/or evidence of cirrhosis. 2. Diagnosed or suspected hepatocellular carcinoma (HCC). 3. History of extrahepatic disorders possibly related to HBV immune conditions (e.g., nephrotic syndrome, any type of glomerulonephritis, polyarteritis nodosa, cryoglobulinemia, uncontrolled hypertension). 4. Coinfection with: 1. Hepatitis C virus (HCV) with positive HCV antibody and detectable HCV RNA at Screening. I. HCV treatment should have completed \>12 months prior to Screening. 2. Hepatitis D virus (HDV) defined as positive or equivocal HDV antibody regardless of HDV RNA level. 5. Clinically significant abnormalities, aside from HIV-1 infection and chronic HBV infection in medical history (e.g., moderate severe liver disease other than chronic HBV/HIV, acute coronary syndrome within 6 months of Screening, major surgery within 3 months of Screening, significant/unstable cardiac disease, uncontrolled diabetes, bleeding diathesis coagulopathy) or clinically significant physical examination findings. 6. Untreated syphilis infection (positive rapid plasma reagin \[RPR\] at Screening without clear documentation of treatment) are excluded unless they complete treatment during the Screening period and 7 days prior to randomization. 7. History of malignancy within the past 5 years with the exception of specific cancers that are cured by surgical resection (e.g., skin cancer). Participants under evaluation for possible malignancy are not eligible. 8. History of vasculitis or presence of symptoms and signs of potential vasculitis (e.g., vasculitic rash, skin ulceration, repeated blood detected in urine without identified cause), current or history of an autoimmune condition or history/presence of other diseases that may be associated with vasculitis condition (e.g., systemic lupus erythematosus, rheumatoid arthritis, relapsing polychondritis, mononeuritis multiplex). 9. Participants who in the investigator's judgment, have a significant risk of suicide or self-harm. 10. Alcohol or drug abuse/dependence 11. Currently taking, or took within 3 months of Screening, any immunosuppressing drugs (e.g., prednisone), other than a short course of therapy (\<=2 weeks) or topical/inhaled steroid use. 12. Participants to whom immunosuppressive treatment, including therapeutic doses of steroids, is contraindicated should not be considered for enrolment in the study. 13. Currently taking, or has taken within 12 months of Screening, any interferon containing therapy. 14. Participants requiring anti coagulation therapies (e.g., warfarin, Factor Xa inhibitors) or anti platelet agents (including but not limited to clopidogrel or aspirin) unless treatment can safely be discontinued throughout duration of study intervention, by the discretion of the investigator. Occasional use is permitted. 15. Treatment with an HIV-1 immunotherapeutic vaccine within 90 days of Screening. 16. Prior treatment with any oligonucleotide or small interfering ribonucleic acid (siRNA) within 12 months prior to the first dosing day. 17. Prior treatment with bepirovirsen.
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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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GSK Investigational Site
Bakersfield, California, 93301, United States
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GSK Investigational Site
San Francisco, California, 94115, United States
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GSK Investigational Site
Orlando, Florida, 32803, United States
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GSK Investigational Site
West Palm Beach, Florida, 33409, United States
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GSK Investigational Site
Baltimore, Maryland, 21287, United States
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GSK Investigational Site
Minneapolis, Minnesota, 55415, United States
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GSK Investigational Site
Hillsborough, New Jersey, 08844, United States
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GSK Investigational Site
Almagro, C1427CEA, Argentina
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GSK Investigational Site
Buenos Aires, 1023, Argentina
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GSK Investigational Site
Buenos Aires, C1181ACI, Argentina
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GSK Investigational Site
Buenos Aires, C1425AGC, Argentina
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GSK Investigational Site
La Plata, B1900AVG, Argentina
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GSK Investigational Site
Rosario, S2002KDR, Argentina
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GSK Investigational Site
Aracaju, 49060-010, Brazil
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GSK Investigational Site
Campinas, 13034-685, Brazil
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GSK Investigational Site
Curitiba, 80810-050, Brazil
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GSK Investigational Site
Manaus, 69040-000, Brazil
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GSK Investigational Site
Salvador, 40110-060, Brazil
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GSK Investigational Site
São Paulo, 04121-000, Brazil
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GSK Investigational Site
Ottawa, Ontario, K1H 8L6, Canada
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GSK Investigational Site
Toronto, Ontario, M5G 1K2, Canada
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GSK Investigational Site
Montreal, Quebec, H2L 4P9, Canada
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GSK Investigational Site
Montreal, Quebec, H4A 3J1, Canada
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GSK Investigational Site
Québec, Quebec, G1V 4G2, Canada
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GSK Investigational Site
Marseille, 13003, France
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GSK Investigational Site
Melun, 77000, France
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GSK Investigational Site
Montpellier, 34295, France
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GSK Investigational Site
Nantes, 44093, France
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GSK Investigational Site
Paris, 75012, France
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GSK Investigational Site
Paris, 75018, France
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GSK Investigational Site
Genova, 16132, Italy
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GSK Investigational Site
Milan, 20157, Italy
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GSK Investigational Site
Milan, 20162, Italy
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GSK Investigational Site
Naples, 80131, Italy
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GSK Investigational Site
Roma, 00153, Italy
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GSK Investigational Site
Sassari, 07100, Italy
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GSK Investigational Site
Durban, KwaZulu-Natal, 4052, South Africa
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GSK Investigational Site
Ekurhuleni, 1459, South Africa
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GSK Investigational Site
Johannesburg, 2092, South Africa
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GSK Investigational Site
Barcelona, 08036, Spain
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GSK Investigational Site
Córdoba, 14004, Spain
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GSK Investigational Site
Madrid, 28032, Spain
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GSK Investigational Site
Madrid, 28040, Spain
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GSK Investigational Site
Madrid, 28041, Spain
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GSK Investigational Site
Madrid, 28046, Spain
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GSK Investigational Site
Banchiau Taipei, 220, Taiwan
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GSK Investigational Site
Kaohsiung City, 813, Taiwan
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GSK Investigational Site
Bristol Avon, BS10 5NB, United Kingdom
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GSK Investigational Site
London, E1 1BB, United Kingdom
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GSK Investigational Site
London, NW3 2QG, United Kingdom
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GSK Investigational Site
London, SE5 9RS, United Kingdom
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