New vaccine aims to tame chronic hepatitis b without daily pills
NCT ID NCT06513286
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a therapeutic vaccine called TherVacB in 81 adults with chronic hepatitis B who are already on antiviral medication. The vaccine is given as a series of shots to boost the immune system and lower hepatitis B virus levels. The main goals are to check safety and see if the vaccine can reduce virus markers in the blood.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- TherVacB (HEPLISAV B with or without HBcoreAg plus MVA-HBVac)
- What this could lead to
- If successful, this could lead to a treatment that helps control chronic hepatitis B without lifelong antiviral pills.
- What could go wrong
- This is an early-phase trial with only 81 participants, so safety and immune response are still being tested. The vaccine may not lower virus levels enough or could cause liver 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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 81 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Dec 2026
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 to 70 years
- 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. Ability to understand the subject information and to personally name, sign and date the informed consent to participate in the clinical trial. 2. Provided written informed consent. 3. Confirmed chronic hepatitis B virus (HBV) infection (CHB) that fulfills the following criteria: * HBsAg positive for ≥ 6 months * Anti-HBs negative * HBsAg levels 100-2000 IU/mL * HBV nucleos(t)ide analog (NUC) treatment for ≥ 6 months * HBV load \< 100 IU/ml at least twice within the last 6 months 4. Males and non-pregnant, non-lactating female with negative pregnancy test aged 18-70 years at time of informed consent. 5. Apart from CHB no other clinically significant health problems as determined during medical history and physical examination and clinical laboratory results at the screening visit. The following abnormal laboratory parameters will be permitted: * leukocyte count ≥ 2.500/µl * platelet count ≥ 150.000/µl * ALT elevation ≤ 60 U/L * AST should be ≤ 40 U/L * bilirubin should be ≤ ULN * INR should be ≤ ULN * CrCL \> 60mL/min Non-clinically significant, minor deviations of laboratory measurements can be tolerated as they will not increase the risk of the individual having an adverse outcome from participating in this clinical trial as judged by the investigator. 6. Subject may be on chronic or as needed medications if, in the opinion of the investigator, they pose no additional risk to subject safety or assessment of reactogenicity and immunogenicity and do not indicate worsening of a pre-existing medical condition. 7. Body mass index 18.5-32.0 kg/m2 and weight \>50 kg at screening. Exclusion Criteria: 1. Known liver disease other than hepatitis B 2. Advanced liver fibrosis or cirrhosis (demonstrated by ultrasound or transient elastography ≥8 kP in fasting condition) 3. WOCBP who don't agree to comply with the applicable contraceptive requirements of the protocol 4. History of hepatocellular carcinoma 5. Coinfection with Hepatitis C Virus (HCV) (RNA positive), Human Immunodeficiency Virus (HIV) or Hepatitis Delta virus (anti-Delta positive) 6. Regular alcohol intake \>30 g/d (male), \>20 g/d (female) or any other known drug addiction. 7. Donation of blood or blood products (e.g., 450 mL or more of plasma or platelets) within 60 days prior to receiving the first dose of the investigational medicinal product (IMP). 8. Receipt of any vaccine in the 2 weeks prior to first trial vaccination (4 weeks for live vaccines), during trial or planned receipt of any vaccine in the 3 weeks following last trial vaccination. Exception: Required recommended pandemic vaccines or emergency vaccines (e.g., tetanus) are allowed. 9. Previous receipt of an MVA based vaccine (e.g. as part of previous MVA studies, monkeypox or smallpox vaccination) 10. Known allergy to components of the vaccine products as referred in Table 6 (incl. hypersensitivity to yeast components, E.coli proteins or lipids, duck's or hen's egg white, penicillin, streptomycin, , kanamycin) or history of life-threatening reactions to vaccines containing one of the substances. 11. Known history of anaphylaxis to vaccination or any allergy likely to be exacerbated by any component of the trial vaccines. 12. Clinically relevant findings in ECG or significant thromboembolic events in medical history. 13. Evidence for a condition in the subject's medical history or during medical examination that might influence either the safety of the subject or the absorption, distribution, metabolism or excretion of vaccine products. 14. Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the first dose of the trial vaccine. 15. Any confirmed or suspected immunosuppressive or immunodeficient condition, cytotoxic therapy in the previous 3 years. 16. Any treatment with immunosuppressants or other immune-modifying drugs (including, but not limited to systemic corticosteroids, biologicals and Methotrexate) within the last 3 years. Exception: topical corticosteroids, e.g. occasional asthma spays or systemic corticosteroids for medical emergencies. 17. Any chronic or active neurologic disorder, including diagnosis of migraine, seizures and epilepsy. Exception: a febrile seizure as a child and occasional headaches. 18. Participation in a clinical investigation within the past 4 weeks or five times the half-life of the previously taken IMP. 19. Investigator or employee of the study site with direct involvement in the proposed study, or identified as an immediate family member (i.e., parent, natural or adopted child) of the investigator or employee with direct involvement in the proposed study. 20. Subjects who are known or suspected * not to comply with the clinical trial directives. * not to be reliable or trustworthy. * not to be capable of understanding and evaluating the information given to them as part of the formal information policy (informed consent), in particular regarding the risks and discomfort to which they would agree to be exposed.
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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
6 sites. 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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Investigational Site GUF
RECRUITINGFrankfurt, 60590, Germany
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Investigational Site LMU
RECRUITINGMunich, 81337, Germany
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Investigational Site MHH
NOT_YET_RECRUITINGHanover, 30625, Germany
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Investigational Site TUM
RECRUITINGMunich, 81675, Germany
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Investigational Site UKE
RECRUITINGHamburg, 20246, Germany
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Investigational Site Uni Leipzig
RECRUITINGLeipzig, 04103, Germany
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