Chronic Hepatitis BPhase 3NCT07797231
Clinical Trial of TQA3605 Tablet in Combination With Nucleos(t)Ide Analogues(NAs) Versus NAs Alone for the Treatment of Patients With Chronic Hepatitis B Virus Infection Who Have Undergone Treatment and Exhibit Low Viral Load or Poor Response
A Phase 3 study testing TQA3605 tablets, Entecavir dispersible tablets and Tenofovir Disoproxil Fumarate Tablets in people with Chronic Hepatitis B, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 77 sites in China.
Trial summary
This is a multicenter, randomized, double-blind, placebo-controlled Phase III study with an open-label extension. The purpose is to evaluate efficacy and safety in adult patients with chronic hepatitis B virus infection who have received at least 12 months of NAs therapy, to demonstrate that TQA3605 Tablets combined… Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Chronic Hepatitis B
- What is being tested?
- TQA3605 tablets, Entecavir dispersible tablets and Tenofovir Disoproxil Fumarate Tablets
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 930 participants
- Where
- 77 sitesChina
- Study dates
- Sep 2026to Oct 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female participants aged 18-65 years (inclusive) at screening.
- Able to communicate effectively with the investigator, understand and comply with all requirements of this study, and understand and sign the informed consent form.
- Have received continuous treatment with nucleos(t)ide analogues (entecavir, tenofovir disoproxil fumarate, tenofovir alafenamide fumarate or tenofovir amibufenamide) or NAs combination therapy for ≥ 12 months at screening, with a stable single regimen for ≥ 6 months (medication adherence > 90% in the past 12 months, with no treatment interruption exceeding 15 consecutive days).
- Etiological evidence is available at screening to confirm chronic HBV infection of more than 1 year (HBsAg positive and/or HBV DNA positive for at least 1 year).
- HBV DNA > 50 IU/mL detected by a local medical institution within 30 days prior to screening, which is reconfirmed as HBV DNA > 50 IU/mL by the central laboratory during the screening period.
- HBeAg positive as confirmed by the central laboratory at screening.
- Male trial participants with fertile female partners or female participants of childbearing potential are willing to use effective contraception from screening until 3 months after study discontinuation.
Who cannot join
- Pregnant women (positive pregnancy test) or breastfeeding women.
- Co-infection with other viruses such as HAV, HCV, HDV, HEV, HIV, or syphilis (participants with positive syphilis antibody who require treatment as judged by the investigator; Participants with positive HCV antibody and negative HCV RNA may not be excluded).
- History of liver cirrhosis; or liver histopathology obtained within 1 year prior to screening indicating Metavir ≥ S3, Scheuer ≥ S3 or Ishak ≥ S4; or FibroScan result ≥ 9.0 kPa within 6 months prior to screening; or previous endoscopy revealing esophageal and gastric varices; or suspected liver cirrhosis identified on abdominal ultrasonography at screening, such as ascites, hepatic encephalopathy, and bleeding from esophageal and gastric varices.
- History of hepatocellular carcinoma (HCC) or suspected HCC at or prior to screening (e.g., suspicious lesions on imaging, or AFP ≥ 50 ng/mL).
- History of malignant tumor within 5 years prior to screening, except for certain malignancies that are completely curable after surgical resection (e.g., basal cell carcinoma of the skin). Trial participants under evaluation for active or suspected malignant tumor at screening.
- Trial participants with other chronic liver diseases, including but not limited to autoimmune liver disease, alcoholic liver disease, Wilson's disease, metabolic dysfunction-associated steatohepatitis (MASH).
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- Clinically significant abnormal laboratory parameters at screening (abnormal values may be retested once): Hematology: white blood cell count less than 3 ×10⁹/L, neutrophil count less than 1.5 ×10⁹/L, platelet count less than 100 ×10⁹/L, or hemoglobin less than 100 g/L. Biochemistry: estimated glomerular filtration rate (eGFR) calculated using the CKD-EPI formula ≤ 60 mL/min/1.73 m²; ALT or AST greater than 3 × ULN; total bilirubin greater than 2 × ULN; albumin less than 30 g/L; total cholesterol ≥ 7.75 mmol/L; triglycerides ≥ 3.42 mmol/L; serum uric acid greater than 420 μmol/L. Coagulation: international normalized ratio (INR) greater than 1.5.4) Antinuclear antibody (ANA) greater than 1:100 (indirect immunofluorescence, IIF). If ANA = 1:100, the investigator shall assess whether there is relevant medical history or symptoms of connective tissue disease or autoimmune disease.
- Electrocardiogram showing clinically significant abnormalities at screening rendering the participant unsuitable for trial participation as judged by the investigator.
- Autoimmune diseases including but not limited to systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, sarcoidosis, psoriasis, autoimmune uveitis.
- Significant systemic or severe diseases other than liver disease, including recent (≤ 6 months prior to screening) congestive heart failure (New York Heart Association (NYHA) Functional Classification III-IV), unstable coronary artery disease, arterial revascularization, respiratory diseases, renal insufficiency, stroke, transient ischemic attack, organ transplantation, psychiatric disorders. Uncontrolled systemic diseases: poorly controlled hypertension (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg); poorly controlled diabetes (fasting plasma glucose (FPG) greater than 10 mmol/L).
- Major trauma or major surgery within 3 months prior to screening, or planned surgery during the study period.
- Received any systemic anti-tumor therapy (including radiotherapy), immunosuppressive therapy (including biological immunosuppressants), or immunomodulatory therapy within 6 months prior to screening (including oral non-biological immunomodulatory agents such as methotrexate greater than 25 mg/week, azathioprine greater than 3 mg/kg/day, or 6-mercaptopurine greater than 1.5 mg/kg/day).
- Received high-dose systemic corticosteroids within 3 months prior to screening, defined as prednisone ≥ 40 mg/day for more than 7 consecutive days or prednisone ≥ 20 mg/day for more than 14 consecutive days.
- History of drug dependence or substance abuse.
- History of excessive alcohol consumption. Excessive alcohol consumption is defined as weekly ethanol intake exceeding 210 g for males and 140 g for females over the past 12 months. Ethanol intake (g) = Volume consumed (mL) × Alcohol by volume (%) × 0.8.
- History of allergy to the investigational product or its excipients.
- Previous participation in clinical trials of hepatitis B core protein allosteric modulators (CpAMs).
- Participated in other clinical trials of investigational drugs or medical devices and received study intervention within 3 months prior to screening.
- Participants deemed inappropriate for enrollment by the investigator.
Trial locations and contacts
77 sites in 1 country. Contact the study team or a site near you to ask about taking part.
77 sites in 1 country
China77 sites
Anyang People's Hospital
Anyang, Henan, 455000
fangjie chen, Bachelor, 16637232481, iamcfj@qq.com
Bao Ji City People's Hospital (BaoJi Emergency Medical Center )
Baoji, Shaanxi, 722300
Fuchun Jing, Doctor, 18609175079, fleming7798@126.com
Beijing Ditan Hospital, Capital Medical University
Beijing, Beijing Municipality, 100000
Minghui li, doctor, 13693259096, wuhm2000@sina.com
Peking University First Hospital
Beijing, Beijing Municipality, 100010
Jinghang Xu, Doctor, 13661195941, ddcatih@sina.com
Beijing Youan Hospital,Capital Medical University
Beijing, Beijing Municipality, 100069
Bin Xu, doctor, 13716830822, xubin1016@126.com
Hepatobiliary Hospital of Jilin Province
Changchun, Jilin, 130000
shurong liu, Bachelor's Degree, 13578670535, 2813794970@qq.com
The Second Hospital of Jilin University
Changchun, Jilin, 130000
Zhenjing Jin, Doctor, 13604310429, 759844822@qq.com
The first hospital of Jilin University
Changchun, Jilin, 130400
Junqi Niu, doctor, 13756661205, junqiniu@aliyun.com
Second Xiangya Hospital of Central South University
Changsha, Hunan, 410125
Yongfang Jiang, doctor, 13875858624, jiangyongfang@csu.edu.cn
Changzhi People's Hospital
Changzhi, Shanxi, 046000
Hong WU, Master, 13038060670, x26111249@163.com
Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital
Chengdu, Sichuan, 610000
Jianmei Lin, master, 18981838263, 1483586678@qq.com
Public Health Clinical Center of Chengdu
Chengdu, Sichuan, 610066
Li Zhu, bechelor, 13730803139, 673043401@qq.com
Chifeng Hospital
Chifeng, Inner Mongolia, 024000
huidong lu, Master, 15847387386, doctorluling@163.com
The Second Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400010
peng hu, doctor, 13608338064, hp_cq@163.com
The Southwest Hospital of Amu
Chongqing, Chongqing Municipality, 400038
qing mao, doctor, 13594180020, qingmao@tmmu.edu.cn
Chongqing University Three Gorges Hospital
Chongqing, Chongqing Municipality, 404000
Guicheng Wu, Doctor, 13896208811, 13896208811@163.com
Dalian Public Health Clinical Center
Dalian, Liaoning, 116021
gongchen wang, doctor, 18004266010, 15909862690@139.com
Deyang People's Hospital
Deyang, Sichuan, 618000
Xuebing chen, Master, 13881088112, gscxb-11@163.com
Nanhai District People's Hospital of Foshan
Foshan, Guangdong, 528000
yongchun Li, doctor, 13425661266, splyc@126.com
Mengchao Hepatobiliary Hospital of Fujian Medical University
Fuzhou, Fujian, 350007
Haibing Gao, Doctor, 13159438353, gaohb605@163.com
The Third Affiliated Hospital of Sun Yat-sen University
Guangzhou, Guangdong, 510630
Liang Peng, Doctor, 13533978874, pliang@mail.sysu.edu.cn
Guizhou Provincial People's Hospital
Guiyang, Guizhou, 550002
Hong Peng, Doctor, 13885035037, penghonggz@126.com
Hainan Provincial People's Hospital
Haikou, Hainan, 570311
Jian Fu, Bachelor's Degree, 13876371288, 13876371288@163.com
The First Affiliated Hospital Zhejiang University School Of Medicine
Hangzhou, Zhejiang, 310006
Yida Yang, doctor, 13857121518, yangyida65@163.com
The Fourth Hospital of Harbin Medical University
Harbin, Heilongjiang, 150000
lei yu, doctor, 13804535357, ganranke@126.com
Harbin Medical University, The Second Affiliated Hospital
Harbin, Heilongjiang, 150001
Ming Liang, Doctor, 13936368393, lm19780816@126.com
The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, 230001
YuFeng Gao, doctor, 13956938032, aygyf@126.com
The First Affiliated Hospital of Ustc(Anhui Provincial Hospital)
Hefei, Anhui, 230001
HongLiang HE, doctor, 15956927046, 44271370@qq.com
The First Affiliated Hospital Of University Of South China
Hengyang, Hunan, 421001
Zhongtian Peng, Master, 13873488377, hncspzt@163.com
The General Hospital of Hunan University of Medicine
Huaihua, Hunan, 418000
YongZhong Li, Bachelor's Degree, 15096257715, liyz2008@163.com
Shandong Public Health Clinical Center
Jinan, Shandong, 250100
Xiaoying Li, Master, 18765870708, 18765870708@126.com
Jingzhou Central Hospital
Jingzhou, Hubei, 434036
Qin Ming Hu, Bachelor of Medicine, 18107167200, 13508610186@163.com
The First Affiliated Hospital of Kunming Medical University
Kunming, Yunnan, 650032
Jinghua Fan, Doctor, 13577093765, 429596667@qq.com
Hebei Petro China Central Hospital
Langfang, Hebei, 065000
Meili GAO, Bachelor, 13831653827, 594957495@qq.com
The First Hospital of Lanzhou University
Lanzhou, Gansu, 730000
Liting Zhang, doctor, 13993173526, Icheneye@163.com
Liaocheng People's Hospital
Liaocheng, Shandong, 252000
Fenghua Liu, Master, 13346253998, 13346253998@163.com
Lishui People's Hospital
Lishui, Zhejiang, 323000
Jiaojian Lv, bachelor, 18957091505, lslvjiaojian@163.com
Liuzhou Worker's Hospital
Liuzhou, Guangxi, 545000
Qian GUO, Master, 13978009767, 13978009767@139.com
Shanxi province fenyang hospital
Lüliang, Shanxi, 032209
YaoWu Zhang, Master, 15035899899, zyw5680@126.com
Luoyang Central Hospital(Luoyang Central Hospital Affiliated to Zhengzhou University)
Luoyang, Henan, 471000
Guotao Li, Master, 18537919499, 13837955056@139.com
Meishan People's Hospital
Meishan, Sichuan, 620000
Hui Deng, Bachelor, 13778888362, 3431281705@qq.com
Mudanjiang Kang'an Hospital
Mudanjiang, Heilongjiang, 157011
Xiqiu Zeng, master, 18645753000, mdjzengxiqiu@126.com
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Xiaoping Wu, Doctor, 13330122823, wuxiaoping2823@aliyun.com
The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 333000
shuilin Sun, Master, 13803500270, sunshuilin2280@126.com
Jiangsu Province Hospital
Nanjing, Jiangsu, 210000
Li Dong, Doctor, 13512501015, Lilid1973@sina.com
Nanjing Drum Tower Hospital
Nanjing, Jiangsu, 210008
Jie Li, doctor, 15863787910, lijier@sina.com
The Second Hospital of Ningbo
Ningbo, Zhejiang, 315010
yunsong Qian, Bachelor's degree, 13645740222, qianyuns@163.com
Puyang People's Hospital
Puyang, Henan, 457000
wenjing Dou, Master, 15839335025, 695284544@qq.com
Qingdao Municipal Hospital
Qingdao, Shandong, 266011
Yongning Xin, doctor, 18661678200, xinyongning@163.com
Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200000
Qing Xie, doctor, 13651804273, xq10403@rjh.com.cn
Shanghai East Hospital
Shanghai, Shanghai Municipality, 200120
LiHong Qu, doctor, 18916510601, 18916510601@163.com
Shanghai Pudong Hospital
Shanghai, Shanghai Municipality, 200120
Wujun Xiong, Doctor, 13916617586, xiongwujun@126.com
Shanghai Pudong New Area Gongli Hospital
Shanghai, Shanghai Municipality, 200135
Shi Yi Hai, doctor, 18918157268, 732791146@qq.com
Shanghai Sixth People's Hospital
Shanghai, Shanghai Municipality, 200233
XiaoHua Chen, doctor, 18930172758, chenxiaohua2000@163.com
The Sixth People's Hospital of Shenyang
Shenyang, Liaoning, 110002
xiaofeng wu, Master, 18502460852, wy@mail.sy.ln.cn
Shengjing Hospital of China Medical University
Shenyang, Liaoning, 110022
yang ding, doctor, 13332434847, yding0903@sina.com
Peking University Shenzhen Hospital
Shenzhen, Guangdong, 518000
Guoxin Hu, Doctor of Medicine, 13823608228, huguoxin8228@sina.com
Shijiazhuang Fifth Hospital
Shijiazhuang, Hebei, 050024
Wenfang Yuan, Bachelor, 13313019790, 413699442@qq.com
Huanwei Zheng, Doctor, 13323119317, 13323119317@163.com
The Fifth People's Hospital of Suzhou
Suzhou, Jiangsu, 215100
Chuanwu Zhu, Doctor, 13606202525, zhuchw@126.com
Shanxi Provincial People's Hospital
Taiyuan, Shanxi, 030000
Jing Feng, Doctor, 13753104039, fengjing791120@126.com
Taizhou Hospital Of Zhejiang Province
Taizhou, Zhejiang, 318000
Jiansheng Zhu, Master, 13806561595, zhujs@enzemed.com
Tianjin First Central Hospital
Tianjin, Tianjin Municipality, 300380
fengmei wang, doctor, 15522242696, wangfengmeitj@126.com
The First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang, 830063
Xiaobo lu, doctor, 159 9917 6213, Xjykdluxiaobo@126.com
The Fourth Affiliated Hospital of Xinjiang Medical University (Traditional Chinese Medical Hospital of Xinjiang Uygur Autonomous Region)
Ürümqi, Xinjiang, 830063
xiaozhong wang, Master degree, 13809950758, wxz125@sina.com
Weifang People's Hospital
Weifang, Shandong, 261000
Jianhong Chen, Master, 13864629070, Chenjh328@163.com
Ruian People's Hospital
Wenzhou, Zhejiang, 325200
Liang Hong, bachelor, 13958805550, YahoshongLiang@163.com
The First Affiliated Hospital of Wannan Medical College / Yijishan Hospital of Wannan Medical College
Wuhu, Anhui, 241001
Jianghua Yang, Doctor, 13470751925, yjhpath@163.com
Gansu Wuwei Tumour Hospital
Wuwei, Gansu, 730000
Wenhua Zhang, Bachelor, 18993531188, 925944468@qq.com
The First Affiliated Hospital of Xi'an Jiao Tong University
Xi'an, Shaanxi, 710000
Yingli He, Doctor, 18991232863, Heyingli2000@163.com
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, 710000
Shuangsuo Dang, Doctor, 13992896471, dang212@123.com
Zhongshan Hospital, Xiamen University
Xiamen, Fujian, 361004
Hongzhi Xu, Doctor, 13606000360, Xuhongzhi07@163.com
The 4'th People's Hospital of Qinghai Province
Xining, Qinghai, 810000
Hongmei Zu, doctor, 13997384855, 13997384855@163.com
Yuncheng Central Hospital
Yuncheng, Shanxi, 044000
Lijun Chang, Master of medicine, 13453938813, clj881@126.com
The Sixth People's Hospital of Zhengzhou
Zhengzhou, Henan, 450000
Guangming Li, master, 13603715881, lgm177@sina.com
The first affiliated hospital of Zhengzhou university
Zhengzhou, Henan, 450052
Juan li, Doctor, 18595825852, ananli1984@126.com
The Fifth Affiliated Hospital of Sun Yat-sen University
Zhuhai, Guangdong, 519000
Zhongsi Hong, Master, 13926931110, 13926931110@163.com
Affiliated Hospital of Zunyi Medical University
Zunyi, Guizhou, 563000
yu yi, Master, 18786912014, 823357828@qq.com
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled Phase III Trial With an Open-Label Extension to Evaluate the Efficacy and Safety of TQA3605 Tablets in Chronic Hepatitis B Virus-Infected Patients With Low-Level Viremia or Suboptimal Response After at Least 12 Months of NAs Therapy
This is a multicenter, randomized, double-blind, placebo-controlled Phase III study with an open-label extension. The purpose is to evaluate efficacy and safety in adult patients with chronic hepatitis B virus infection who have received at least 12 months of NAs therapy, to demonstrate that TQA3605 Tablets combined with oral nucleos(t)ide analogues can improve efficacy with satisfactory safety profile compared with oral nucleos(t)ide analogues alone in this population. Approximately 930 adult patients with chronic hepatitis B virus infection who have received at least 12 months of NAs therapy are planned to be enrolled in this study.
- Conditions
- Chronic Hepatitis B
- Being tested
- TQA3605 tablets Placebo, TQA3605 tablets, Entecavir dispersible tablets, Tenofovir Disoproxil Fumarate Tablets, Tenofovir Alafenamide Fumarate Tablets
- Medical subject headings
- Hepatitis B, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TQA3605 tablets PlaceboDrug
Placebo contains no active substance.
TQA3605 tabletsDrug
TQA3605 tablets are core protein allosteric modulators
Entecavir dispersible tabletsDrug
Entecavir dispersible tablets are a type of nucleoside analog antiviral drug.
Tenofovir Disoproxil Fumarate TabletsDrug
Tenofovir Disoproxil Fumarate (TDF) is a nucleoside reverse transcriptase inhibitor.
Tenofovir Alafenamide Fumarate TabletsDrug
Tenofovir Alafenamide Fumarate (TAF) is a nucleoside reverse transcriptase inhibitor.
Tenofovir Amibufenamide TabletsDrug
Tenofovir Amibufenamide (TMF) is a phosphoramidate prodrug of tenofovir and belongs to nucleos(t)ide reverse transcriptase inhibitors.
| Study group | Role | What they receive |
|---|---|---|
| TQA3605 Tablets + NAs | Experimental | TQA3605 Tablets 100 mg once daily (QD) plus NAs administered for 96 weeks. Following completion of the 96-week treatment period, participants will continue NAs therapy with an 8-week follow-up. Receives: Drug: TQA3605 tablets; Drug: Entecavir dispersible tablets; Drug: Tenofovir Disoproxil Fumarate Tablets; Drug: Tenofovir Alafenamide Fumarate Tablets; Drug: Tenofovir Amibufenamide Tablets |
| TQA3605 Tablets Placebo + NAs | Placebo comparator | TQA3605 tablets placebo, once daily, combined with NAs for 48 weeks. After the 48-week double-blind period, all trial participants received TQA3605 tablets, 100mg each time, QD, combined with NAs for another 48 weeks. After the 96-week treatment, NAs treatment was continued for an 8-week follow-up Receives: Drug: TQA3605 tablets Placebo; Drug: TQA3605 tablets; Drug: Entecavir dispersible tablets; Drug: Tenofovir Disoproxil Fumarate Tablets; Drug: Tenofovir Alafenamide Fumarate Tablets; Drug: Tenofovir Amibufenamide Tablets |
What is being measured
The primary outcome is the main question the study is designed to answer.
HBV DNA
Difference in the percentage of trial participants achieving HBV DNA less than 10 IU/mL after 48 weeks of treatment between the treatment group and the control group
Measured: 48 weeks
Secondary outcomes (9)
HBV DNA
Percentage of trial participants with HBV DNA less than 10 IU/mL at each visit (excluding Week 48)
Measured: Baseline to week 104
HBV DNA
Percentage of trial participants with HBV DNA less than 20 IU/mL at each visit
Measured: Baseline to week 104
HBsAg
Percentage of trial participants with HBsAg less than 0.05 IU/mL;
Measured: Baseline to week 104
HBeAg
Percentage of trial participants achieving HBeAg seroclearance and/or seroconversion
Measured: Baseline to week 104
Alanine aminotransferase(ALT)
ALT normalization rate over time (ALT ≤ ULN) in trial participants with ALT > ULN at baseline without administration of liver-protective and transaminase-lowering agents
Measured: Baseline to week 104
Virology breakthrough
Percentage of trial participants experiencing virologic breakthrough at each visit
Measured: Baseline to week 104
HBV markers
Actual values of HBsAg, HBeAg, HBV DNA, HBV RNA, and HBcrAg at each visit time point and their changes over time relative to baseline
Measured: Baseline to week 104
Adverse events (AE)
The incidence and severity of adverse events and serious adverse events
Measured: From screening to Week 104
Steady state minimum concentration (Cmin,ss)
Cmin,ss of TQA3605 and its metabolite
Measured: 48 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Sep 2026
- Study startSep 2026 (estimated)
- Primary completionSep 2028 (estimated)
- Study completionOct 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Hepatitis BStudies of the same condition, open and under way.
- More trials run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 930 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07797231
- Sponsor's protocol ID
- TQA3605-III-01
- Status last verified
- Jul 2026
- First submitted
- 28 Aug 2026
- Last updated
- 2 Oct 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Phase III Trial With an Open-Label Extension to Evaluate the Efficacy and Safety of TQA3605 Tablets in Chronic Hepatitis B Virus-Infected Patients With Low-Level Viremia or Suboptimal Response After at Least 12 Months of NAs Therapy
- ClinicalTrials.gov ID
- NCT07797231
- Acronym / sponsor ID
- TQA3605-III-01
- Conditions
- Chronic Hepatitis B
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 930 participants (estimated)
- Lead sponsor
- Chia Tai Tianqing Pharmaceutical Group Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Sep 2026 (estimated)
- Primary completion
- Sep 2028 (estimated)
- Study completion
- Oct 2029 (estimated)
- First posted
- 1 Sep 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, randomized, double-blind, placebo-controlled Phase III study with an open-label extension. The purpose is to evaluate efficacy and safety in adult patients with chronic hepatitis B virus infection who have received at least 12 months of NAs therapy, to demonstrate that TQA3605 Tablets combined with oral nucleos(t)ide analogues can improve efficacy with satisfactory safety profile compared with oral nucleos(t)ide analogues alone in this population. Approximately 930 adult patients with chronic hepatitis B virus infection who have received at least 12 months of NAs therapy are planned to be enrolled in this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| TQA3605 Tablets + NAs | Experimental | Drug: TQA3605 tablets, Drug: Entecavir dispersible tablets, Drug: Tenofovir Disoproxil Fumarate Tablets, Drug: Tenofovir Alafenamide Fumarate Tablets, Drug: Tenofovir Amibufenamide TabletsTQA3605 Tablets 100 mg once daily (QD) plus NAs administered for 96 weeks. Following completion of the 96-week treatment period, participants will continue NAs therapy with an 8-week follow-up. |
| TQA3605 Tablets Placebo + NAs | Placebo comparator | Drug: TQA3605 tablets Placebo, Drug: TQA3605 tablets, Drug: Entecavir dispersible tablets, Drug: Tenofovir Disoproxil Fumarate Tablets, Drug: Tenofovir Alafenamide Fumarate Tablets, Drug: Tenofovir Amibufenamide TabletsTQA3605 tablets placebo, once daily, combined with NAs for 48 weeks. After the 48-week double-blind period, all trial participants received TQA3605 tablets, 100mg each time, QD, combined with NAs for another 48 weeks. After the 96-week treatment, NAs treatment was continued for an 8-week follow-up |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Male or female participants aged 18-65 years (inclusive) at screening.
- Able to communicate effectively with the investigator, understand and comply with all requirements of this study, and understand and sign the informed consent form.
- Have received continuous treatment with nucleos(t)ide analogues (entecavir, tenofovir disoproxil fumarate, tenofovir alafenamide fumarate or tenofovir amibufenamide) or NAs combination therapy for ≥ 12 months at screening, with a stable single regimen for ≥ 6 months (medication adherence > 90% in the past 12 months, with no treatment interruption exceeding 15 consecutive days).
- Etiological evidence is available at screening to confirm chronic HBV infection of more than 1 year (HBsAg positive and/or HBV DNA positive for at least 1 year).
- HBV DNA > 50 IU/mL detected by a local medical institution within 30 days prior to screening, which is reconfirmed as HBV DNA > 50 IU/mL by the central laboratory during the screening period.
Key exclusion criteria (19 listed)
- Pregnant women (positive pregnancy test) or breastfeeding women.
- Co-infection with other viruses such as HAV, HCV, HDV, HEV, HIV, or syphilis (participants with positive syphilis antibody who require treatment as judged by the investigator; Participants with positive HCV antibody and negative HCV RNA may not be excluded).
- History of liver cirrhosis; or liver histopathology obtained within 1 year prior to screening indicating Metavir ≥ S3, Scheuer ≥ S3 or Ishak ≥ S4; or FibroScan result ≥ 9.0 kPa within 6 months prior to screening; or previous endoscopy revealing esophageal and gastric varices; or suspected liver cirrhosis identified on abdominal ultrasonography at screening, such as ascites, hepatic encephalopathy, and bleeding from esophageal and gastric varices.
- History of hepatocellular carcinoma (HCC) or suspected HCC at or prior to screening (e.g., suspicious lesions on imaging, or AFP ≥ 50 ng/mL).
- History of malignant tumor within 5 years prior to screening, except for certain malignancies that are completely curable after surgical resection (e.g., basal cell carcinoma of the skin). Trial participants under evaluation for active or suspected malignant tumor at screening.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TQA3605 tablets PlaceboPlacebo contains no active substance. | Drug | TQA3605 Tablets Placebo + NAs |
| TQA3605 tabletsTQA3605 tablets are core protein allosteric modulators | Drug | TQA3605 Tablets + NAs, TQA3605 Tablets Placebo + NAs |
| Entecavir dispersible tabletsEntecavir dispersible tablets are a type of nucleoside analog antiviral drug. | Drug | TQA3605 Tablets + NAs, TQA3605 Tablets Placebo + NAs |
| Tenofovir Disoproxil Fumarate TabletsTenofovir Disoproxil Fumarate (TDF) is a nucleoside reverse transcriptase inhibitor. | Drug | TQA3605 Tablets + NAs, TQA3605 Tablets Placebo + NAs |
| Tenofovir Alafenamide Fumarate TabletsTenofovir Alafenamide Fumarate (TAF) is a nucleoside reverse transcriptase inhibitor. | Drug | TQA3605 Tablets + NAs, TQA3605 Tablets Placebo + NAs |
| Tenofovir Amibufenamide TabletsTenofovir Amibufenamide (TMF) is a phosphoramidate prodrug of tenofovir and belongs to nucleos(t)ide reverse transcriptase inhibitors. | Drug | TQA3605 Tablets + NAs, TQA3605 Tablets Placebo + NAs |
Primary outcome
HBV DNA
Time frame: 48 weeks
Difference in the percentage of trial participants achieving HBV DNA less than 10 IU/mL after 48 weeks of treatment between the treatment group and the control group
9 secondary outcomes
HBV DNA
Time frame: Baseline to week 104
HBV DNA
Time frame: Baseline to week 104
HBsAg
Time frame: Baseline to week 104
HBeAg
Time frame: Baseline to week 104
Alanine aminotransferase(ALT)
Time frame: Baseline to week 104
Virology breakthrough
Time frame: Baseline to week 104
HBV markers
Time frame: Baseline to week 104
Adverse events (AE)
Time frame: From screening to Week 104
Steady state minimum concentration (Cmin,ss)
Time frame: 48 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Oct 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
77 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing TQA3605 tablets, Entecavir dispersible tablets and Tenofovir Disoproxil Fumarate Tablets in people with Chronic Hepatitis B, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 77 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 2 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 77 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Qing Xie, doctor (13651804273, xq10403@rjh.com.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
HBV DNA (time frame: 48 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Oct 2026.