Recruiting
Phase 1

HepB MAb19

Sponsor:

Rockefeller University

Code:

NCT05856890

Conditions

Hepatitis b Virus

Hepatitis B

Eligibility Criteria

Sex: All

Age: 18 - 70

Healthy Volunteers: Not accepted

Interventions

HepB mAb19

Sterile Saline

Study Details

Brief summary:

This is a first-in-human, placebo-controlled, single dose, dose-escalation phase 1 study to evaluate the safety, pharmacokinetics and antiviral activity of a highly potent neutralizing anti-HBV monoclonal antibody (mAb), HepB mAb19, which targets the S-protein in individuals with chronic hepatitis B (CHB) on nucleos(t)ide analog therapy (NRTI).

Conditions

Hepatitis b Virus

Hepatitis B

Study ID

NCT05856890

Start date

Aug 7, 2023

Status verified date

Jan, 2026

Completion date

Mar 30, 2028

Anticipated

Primary completion date

Dec 1, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 70

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Age 18 to 70;
  • HBV infection confirmed by positive HBsAg for >/= 6 months;
  • On HBV-active nucleos(t)ide therapy for >/= 6 months without change in NRTI in the previous 3 months;
  • The following laboratory values within 49 days from study entry (day 0):
  • HBV DNA below lower limit of quantification;
  • HBsAg > 10 IU/mL;
  • HBs antibody negative;
  • Ability and willingness to provide informed consent;
  • For participants who can become pregnant (i.e., participants who have not been post-menopausal for at least 24 consecutive months, who have had menses within the preceding 24 months, or who have not undergone surgical sterilization, specifically hysterectomy and/or bilateral oophorectomy or bilateral salpingectomy), negative serum or urine pregnancy test at screening and on day 0 (study entry).
  • Participants who can become pregnant must agree to use two methods of contraception.
  • Partner sterilization with documentation of azoospermia prior to the participant's entry into the study, and this partner is the sole partner for that participant. The documentation of partner sterility can come from the site personnel's review of medical records or medical history interview provided by the participant or the partner. Self-reported documentation of reproductive potential should be entered in the source documents.
  • Participants who can impregnate a partner and who are engaging in sexual activity that could lead to pregnancy must agree to use condoms from 10 days prior to study entry and during study follow up to avoid impregnating a partner who can get pregnant.

Exclusion Criteria:

\- Clinical symptoms, imaging studies or liver histology suggestive of advanced fibrosis (exclude fibrosis grade 3 and 4 by FibroScan (Fibroscan®< 9 kpa) within 12 months from entry or done at the pre-infusion visit.

Note: If FibroScan results from within 12 months are not available, imaging will be performed at the pre-infusion visit.

  • Presence of a LI-RADS4 or 5 liver lesion on imaging within 12 months from entry or done at pre-infusion visit, if prior results not available.
  • Alpha fetoprotein > 20 ng/ml Note: AFP above normal but < 20 is acceptable for entry if earlier AFP levels (older than 6 months) are within normal range and imaging is negative in last 3 months).
  • HIV-1, HCV or hepatitis delta virus infection within 12 months from entry or done at screen, if prior results not available.
  • History of hematopoietic stem cell transplant or solid organ transplant;
  • Any confirmed significant allergic reactions (urticaria or anaphylaxis) against any drug, monoclonal antibody or vaccine, or multiple drug allergies (non-active hay fever is acceptable);
  • History of cardiovascular disease (e.g., cardiac insufficiency, coronary artery disease, cardiomyopathy, congestive heart failure, family history of congenital long QT syndrome, family history of sudden death);
  • History or presence of clinically significant ECG abnormalities based on the average of the triplicate ECG recordings (e.g., QT corrected for heart rate using the Fridericia's correction factor \[QTcF\] > 450 ms for males and QTcF > 470 ms for females);
  • History of systemic corticosteroids, immunosuppressive anti-cancer, systemic interferons or interleukins within the last 6 months;
  • History of chronic liver disease from another cause, immune complex disease, or autoimmune diseases that in the opinion of the investigator would preclude participation.
  • Any significant acute infection (e.g. influenza, COVID-19) or any other clinically significant illness within 2 weeks prior to Day 0.
  • Laboratory abnormalities in the parameters listed below:
  • Absolute neutrophil count < 1,000 /mm3
  • Hemoglobin < 10 gm/dL
  • Platelet count < 150,000 /mm3
  • ALT > 2.0 x ULN
  • AST > 2.0 x ULN
  • Total bilirubin > 1.5 ULN (except individuals with known Gilbert's)
  • Albumin < 3.5 gm/dL
  • Calculated creatinine clearance < 70 mL/min (using the Cockcroft Gault formula).
  • INR >/= 1.2
  • Pregnancy or lactation;
  • Any vaccination within 14 days prior to IP administration;
  • Receipt of anti-HBV mAb therapy of any kind in the past (including HBIG);
  • Participation in another clinical study of an investigational product currently or within past 12 weeks, or expected participation during this study.

Study Design

Enrollment

37 participants

Anticipated

Allocation

Randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Group 1a: HepB mAb19 1 mg/kg, IV

Single intravenous infusion of HepB mAb19, dosed at 1 mg/kg.

experimental: Group 2a: HepB mAb19 3 mg/kg, IV

Single intravenous infusion of HepB mAb19, dosed at 3 mg/kg.

experimental: Group 3a: HepB mAb19 10 mg/kg, IV

Single intravenous infusion of HepB mAb19, dosed at 10 mg/kg.

experimental: Group 4a: HepB mAb19 30 mg/kg, IV

Single intravenous infusion of HepB mAb19, dosed at 30 mg/kg.

experimental: Group 5: Maximum tolerated dose, IV

Single intravenous infusion of HepB mAb19, dosed at the MTD

placebo comparator: Group 1b: Placebo 1 mg/kg, IV

Single intravenous infusion of placebo - normal saline, dosed at 1 mg/kg.

placebo comparator: Group 2b: Placebo 3 mg/kg, IV

Single intravenous infusion of placebo - normal saline, dosed at 3 mg/kg.

placebo comparator: Group 3b: Placebo 10 mg/kg, IV

Single intravenous infusion of placebo - normal saline, dosed at 10 mg/kg.

placebo comparator: Group 4b: Placebo 30 mg/kg, IV

Single intravenous infusion of placebo - normal saline, dosed at 30 mg/kg.

Interventions

HepB mAb19

HepB mAb19 is a human mAb of IgG1kappa isotype that specifically binds to the "a" determinant of the extracellular loop of the HBV surface antigen (HBsAg).

Sterile Saline

Placebo will be normal sterile saline (NaCl 0.9%).

Primary outcome measure

  • Rate and severity of solicited adverse events that are Grade 2 or above within 2 weeks after administration. [ Time Frame: 2 weeks ]
  • Rate and severity of treatment-emerging unsolicited adverse events that are Grade 2 or above (including confirmed laboratory abnormalities) within 2, 12, 24 and 48 weeks after administration. [ Time Frame: 48 weeks ]
  • Rate and severity of participants with serious adverse events (SAEs) throughout the study period that are considered related to investigational product and the duration of those SAEs. [ Time Frame: 48 weeks ]
  • Rate and severity of participants with potential immune complex disease (ICD) throughout the study period following investigational product (IP) administration. [ Time Frame: 48 weeks ]
  • Changes in AST within 2,12, 24 and 48 weeks after administration. [ Time Frame: 48 weeks ]
  • Changes in ALT within 2,12, 24 and 48 weeks after administration [ Time Frame: 48 weeks ]
  • Changes in alkaline phosphatase within 2,12, 24 and 48 weeks after administration [ Time Frame: 48 weeks ]
  • Changes in bilirubin within 2,12, 24 and 48 weeks after administration [ Time Frame: 48 weeks ]
  • Changes in albumin within 2,12, 24 and 48 weeks after administration [ Time Frame: 48 weeks ]
  • Elimination half-life of HepB mAb19 [ Time Frame: 48 weeks ]
  • Clearance (CL/F) of HepB mAb19 [ Time Frame: 48 weeks ]
  • Volume of Distribution (Vz/F) of HepB mAb19 [ Time Frame: 48 weeks ]
  • Area under the curve (AUC) of HepB mAb19 [ Time Frame: 48 weeks ]
  • Decay Curve of HepB mAb19 [ Time Frame: 48 weeks ]

Central Contacts and Locations

Central contacts

Locations

NYU Langone Health

Recruiting

New York, New York, United States, 10016

Contacts

The Rockefeller University

Recruiting

New York, New York, United States, 10065

Contacts

Principal Investigator:

Marina Caskey, MD

More Information

Sponsor

Rockefeller University

Last update posted

Feb 2, 2026

Last verified

Jan, 2026

Keywords

  • monoclonal antibody
  • HBV
  • HepB mAb19

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Rockefeller University on 2026-02-02.