New drug targets hepatitis b inside the liver – small study begins
NCT ID NCT06154278
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This pilot study tests a drug called Imdusiran (AB-729) in 10 people with chronic hepatitis B. Participants receive four injections over 24 weeks and undergo two liver biopsies to measure how the drug works inside the liver and how it affects the virus. The goal is to understand the drug's action and its potential to control the infection.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Imdusiran (AB-729)
- What this could lead to
- If successful, this could point toward a way to control or reduce hepatitis B virus activity in the liver, potentially lowering the need for lifelong medication.
- What could go wrong
- This is a very small pilot study with only 10 participants, so results may not apply to everyone. It is also early-stage, and the drug may not work as hoped or could cause side effects.
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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About 10 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2024
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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. Provision of signed and dated informed consent form 2. Stated willingness to comply with all study procedures and availability for the duration of the study 3. Male or female, over 18 years of age on the date of screening 4. In good general health as evidenced by medical history 5. Documented evidence of chronic hepatitis B infection (HBsAg positive at screening and for at least more than 6 months prior to screening) 6. For females of reproductive potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test at baseline prior to study drug administration 7. Male and female subjects of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception 8. Have been on commercially available HBV oral antiviral treatment(s) for at least 6 months and willing to continue through the final study visit. 9. HBV Deoxyribonucleic acid (DNA) ≤ 20 IU/mL for 6 or more months prior to Screening. 10. Hepatitis B surface antigen titer ≥ 100 IU/mL. 11. Liver imaging without liver mass suggestive of hepatocellular carcinoma within 12 months of day 0 AND Alpha fetoprotein \<10 ng/mL within 3 months of screening. Exclusion Criteria: 1. Known co-infection with any of the following: 1. Human immunodeficiency virus (HIV) 2. Hepatitis C virus (HCV), unless subjects are HCV Ab positive, but have a documented history of completing HCV treatment and/or negative HCV RNA 3. Hepatitis D virus (HDV) 2. Any known preexisting medical or psychiatric condition that could interfere with the subject's ability to provide informed consent or participate in study conduct, or that may confound study 3. History of cirrhosis at any time, or evidence of decompensated liver disease including, but not limited to, a history or presence of clinical ascites, bleeding esophageal varices, hepatorenal syndrome, liver transplantation and/or hepatic encephalopathy. 4. Liver ultrasound or other imaging with findings suggestive of hepatocellular carcinoma (HCC) at any time. 5. Clinically unstable medical condition ≤2 weeks prior to the first dose of study treatment. 6. Clinical diagnosis of substance abuse with alcohol, narcotics, or cocaine within the past 12 months except for those subjects monitored in an opioid substitution maintenance program. 7. Malignancy within 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection (e.g. basal cell skin cancer). Subjects under evaluation for possible malignancy are not eligible. 8. Extensive bridging fibrosis or cirrhosis as defined clinically, by imaging or by the following: a. Metavir ≥ 3 or Ishak fibrosis score ≥ 4 by a liver biopsy within 3 years of screening, or, in the absence of an appropriate liver biopsy, either: i. Screening FibroTest score \>0.48 and APRI \>1, or ii. FibroScan with a result \>9 kPa within 12 months of screening * If liver biopsy is available, the liver biopsy result supersedes (i) and (ii). 9. Subjects meeting any of the following laboratory parameters at screening: 1. Alanine aminotransferase (ALT) \>3x Upper Limit of Normal (ULN) 2. Direct bilirubin (if total bilirubin elevated) \>1.5 × ULN of the laboratory reference range. 3. Prothrombin (PT) or Activated Partial Thromboplastin Clotting Time (APTT) over the upper limit of normal. 4. Platelet count \<100,000/microliters 5. Estimated glomerular filtration rate, calculated by the chronic kidney disease epidemiology collaboration formula: \<60 mL/min/1.73 m2 10. Significant cardiovascular, pulmonary, or neurological disease in the opinion of the investigator. 11. Participation in any investigational drug, vaccine, or device study within 30 days before study treatment administration, or 90 days for a biologic study, or at any time during participation in the study. 12. Pregnancy or lactation 13. Believed by the Study Investigator to be inappropriate for study participation for any reason not otherwise listed
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Institute of Human Virology, University of Maryland School of Medicine
RECRUITINGBaltimore, Maryland, 21201, United States
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