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Safety and Antiviral Activity of a Monoclonal Hepatitis B Antibody: a Phase 1b, Open-label Trial in Individuals With Chronic Hepatitis D Infection (the SAMBA-D Study)

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

Hepatitis D virus (HDV) is a major global health issue, with an estimated 12 million people living with the infection worldwide. HDV infection requires the presence of hepatitis B virus (HBV), as it relies on hepatitis B virus for replication within the liver cells. Treatment options for HDV are limited and cannot cure the infection. The combination of concurrent HBV and HDV increases the risk of developing severe liver disease, including cirrhosis and liver cancer. This risk would significantly decrease if HDV is eliminated or reduced. Consequently, there is a need for the development of new treatment options. Colleagues at Rockefeller University in New York have identified the antibody HepB mAb19, which effectively reduces the amount of circulating HBV antigens. Since HDV depends on HBV to replicate, we will test this antibody as a potential treatment for HDV. The trial design is a phase 1b open-label aiming at including 15 study participants with chronic hepatitis D infection. All study participants will receive two or three dosis of the antibody, HepB mAB19, and will be followed for 60 weeks after the first HepB mAb19 infusion. This study will evaluate the safety and pharmacokinetics of this antibody, as well as its potential effects on viral levels of HDV RNA and antiviral immune responses in individuals living with chronic HDV infection.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
View:

• HDV infection confirmed by positive anti-HDV antibody and detectable HDV RNA

• HBs antibody negative during screening period

• Both HBeAg positive and negative participants are included

• Ability and willingness to provide informed consent

• Participants who can become pregnant must agree to use two methods of contraception:

• Participants who can impregnate a partner and who are engaging in sexual activity that could lead to pregnancy must agree to use condoms 10 days prior to study entry and during study follow up to avoid impregnating a partner who can get pregnant.

Locations
Other Locations
Denmark
Aarhus University Hospital
RECRUITING
Aarhus
Germany
Charité - Universitätsmedizin Berlin
NOT_YET_RECRUITING
Berlin
Contact Information
Primary
Ole Schmeltz Søgaard, MD, PhD, professor
olesoega@rm.dk
+45 24 77 79 95
Backup
Henriette Vendelbo Graversen, MD
henrgv@rm.dk
+45 51 49 25 95
Time Frame
Start Date: 2026-04-23
Estimated Completion Date: 2028-04-01
Participants
Target number of participants: 15
Treatments
Experimental: Opel label
All participants will be included in this study arm
Sponsors
Collaborators: Charite University, Berlin, Germany
Leads: Aarhus University Hospital

This content was sourced from clinicaltrials.gov