A Study Evaluating the Efficacy and Safety of ALG-000184 Compared With Tenofovir Disoproxil Fumarate in Untreated HBeAg-Positive and HBeAg- Negative Adult Subjects With Chronic Hepatitis B (B-SUPREME)

NCT ID: NCT06963710

Last Updated: 2025-11-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-15

Study Completion Date

2028-08-31

Brief Summary

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This is a Phase 2 study to evaluate efficacy and safety of 48 weeks of oral once daily monotherapy with ALG-000184 versus tenofovir disproxil fumarate (TDF) for chronic HBV infection.

Detailed Description

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This is a randomized, double-blind, active-controlled, multicenter Phase 2 study to evaluate the efficacy and safety of 48 weeks of oral (PO) once daily (QD) monotherapy with ALG-000184 versus TDF in treatment naive (TN) or currently not treated (CNT) HBeAg-positive and HBeAg-negative subjects with chronic HBV infection (inclusive of chronic infection and/or chronic hepatitis).

A total of approximately 200 eligible subjects will be enrolled across 2 study parts. Part 1 will be an evaluation of HBeAg-positive subjects with chronic HBV infection and Part 2 will be an evaluation of HBeAg-negative subjects with chronic HBV infection. Each study part will consist of a main study and an exploratory liver biopsy sub-study.

Following the 48-week double-blind dosing period (Week 48), all participating subjects (in Parts 1 and 2) will be allowed to roll over into a 48 week (i.e., Week 48-96) open-label treatment extension period where they will all receive ALG-000184 monotherapy.

Conditions

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Chronic Hepatitis B Infection

Keywords

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Capsid Assembly Modulators CAMs CHB HBV Chronic Hepatitis B Hepatitis B Infection Hepatitis B

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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ALG-000184

Orally for 48 weeks followed by open-label treatment with ALG-000184 for 48 weeks.

Group Type EXPERIMENTAL

ALG-000184

Intervention Type DRUG

300 mg tablet

TDF

Orally for 48 weeks followed by open-label treatment with ALG-000184 for 48 weeks.

Group Type ACTIVE_COMPARATOR

TDF

Intervention Type DRUG

300 mg tablet

Interventions

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ALG-000184

300 mg tablet

Intervention Type DRUG

TDF

300 mg tablet

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female between 18 and 65 years of age, with body mass index (BMI) of 18.0 to 35.0 kg/m2.
2. HBeAg-positive and anti-HBeAg (HBeAb) negative (Part 1); or HBeAg-negative (Part 2).
3. HBsAg ≥100 IU/mL.
4. HBV DNA ≥20,000 IU/mL.
5. A history of a clinical diagnosis of chronic HBV infection AND an ALT values of ≤8×ULN during screening.
6. Must have the following chronic hepatitis B virus infection treatment status at screening:

1. Have never received treatment with HBV antiviral medicines (NA, interferon) or investigational anti-HBV agents including a CAM \[i.e., Treatment Naïve (TN) subjects\], OR
2. Have not been on treatment with approved (NA, interferon) or investigational HBV antiviral medicines (e.g., antisense oligonucleotides or small interfering RNAs) within 6 months or 5 half-lives (whichever is longer) prior to randomization (i.e., Currently Not Treated (CNT) subjects).

Exclusion Criteria

1. Co-infection with hepatitis A, C, D, E or HIV or any evidence of clinically significant liver disease of non-HBV etiology.
2. Positive for anti-HBs antibodies.
3. History or current evidence of cirrhosis.
4. Liver fibrosis that is classified as Metavir Score ≥F3 liver disease.
5. History of, or current evidence of, hepatic decompensation.
6. Evidence of hepatocellular carcinoma (HCC) on a liver ultrasound.
7. Having received an investigational medicinal product or device within 4 weeks (or 5 half-lives, whichever is longer) before the planned first dose of study drug
8. Exclusionary screening laboratory values include:

1. Aspartate aminotransferase (AST) \>8×ULN,
2. Bilirubin (total, direct) \>1.2×ULN (unless Gilbert's syndrome is suspected)
3. International Normalization Ratio (INR) \>1.2×ULN
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aligos Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Aligos Investigational Site

Chandler, Arizona, United States

Site Status RECRUITING

Aligos Investigational Site

Coronado, California, United States

Site Status RECRUITING

Aligos Investigational Site

Garden Grove, California, United States

Site Status RECRUITING

Aligos Investigational Site

Los Angeles, California, United States

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Aligos Investigational Site

Pasadena, California, United States

Site Status RECRUITING

Aligos Investigational Site

Rialto, California, United States

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San Francisco, California, United States

Site Status RECRUITING

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San Jose, California, United States

Site Status RECRUITING

Aligos Investigational Site

Miami, Florida, United States

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Miami, Florida, United States

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Aligos Investigational Site

Marrero, Louisiana, United States

Site Status RECRUITING

Aligos Investigational Site

Baltimore, Maryland, United States

Site Status RECRUITING

Aligos Investigational Site

Chevy Chase, Maryland, United States

Site Status RECRUITING

Aligos Investigational Site

Manhasset, New York, United States

Site Status RECRUITING

Aligos Investigational Site

New York, New York, United States

Site Status RECRUITING

Aligos Investigational Site

Ottawa, , Canada

Site Status RECRUITING

Aligos Investigational Site

Toronto, , Canada

Site Status RECRUITING

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Vancouver, , Canada

Site Status RECRUITING

Aligos Investigational Sites

Beijing, , China

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Chengdu, , China

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Chongqing, , China

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Guangzhou, , China

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Nanjing, , China

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Shanghai, , China

Site Status RECRUITING

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Hong Kong, , Hong Kong

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Chisinau, , Moldova

Site Status RECRUITING

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Auckland, , New Zealand

Site Status RECRUITING

Aligos Investigational Site

Ansan, , South Korea

Site Status RECRUITING

Aligos Investigational Site

Busan, , South Korea

Site Status RECRUITING

Aligos Investigational Sites

Seoul, , South Korea

Site Status RECRUITING

Aligos Investigational Site

Ulsan, , South Korea

Site Status RECRUITING

Aligos Investigational Site

Yangsan, , South Korea

Site Status RECRUITING

Aligos Investigational Site

Chiayi City, , Taiwan

Site Status RECRUITING

Aligos Investigational Site

Kaohsiung City, , Taiwan

Site Status RECRUITING

Aligos Investigational Site

Taichung, , Taiwan

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Aligos Investigational Site

Tainan City, , Taiwan

Site Status RECRUITING

Aligos Investigational Site

Taipei, , Taiwan

Site Status RECRUITING

Aligos Investigational Site

Glasgow, , United Kingdom

Site Status RECRUITING

Aligos Investigational Site

Leicester, , United Kingdom

Site Status RECRUITING

Aligos Investigational Sites

London, , United Kingdom

Site Status RECRUITING

Countries

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United States Canada China Hong Kong Moldova New Zealand South Korea Taiwan United Kingdom

Central Contacts

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Aligos Therapeutics

Role: CONTACT

Phone: (800) 466-6059

Email: [email protected]

Facility Contacts

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Aligos Investigational Site

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Other Identifiers

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ALG-000184-202

Identifier Type: -

Identifier Source: org_study_id