ALG-000184

Clinical trials are investigating ALG-000184 in adults with chronic hepatitis B. The main study compares ALG-000184 with tenofovir disoproxil fumarate to see how well they lower hepatitis B virus levels and how safe they are. The trial includes both HBeAg-positive and HBeAg-negative untreated adults.

Table of contents

Trial overview

The available study of ALG-000184 is a Phase 2 interventional trial in adults with chronic hepatitis B virus infection.[1] The trial is titled B-SUPREME and is designed to evaluate both efficacy and safety by comparing ALG-000184 with tenofovir disoproxil fumarate.[1]

This study is focused on people who have not yet been treated and includes both HBeAg-positive and HBeAg-negative adults.[1] The goal is to see how well treatment lowers HBV DNA, which is the amount of hepatitis B virus in the blood.[1]

Who can participate

The trial is for untreated adult subjects with chronic hepatitis B.[1] It includes two groups: people who are HBeAg-positive and people who are HBeAg-negative.[1]

HBeAg is a hepatitis B marker used to describe how active the infection is.[1] The study is split into Part 1 for HBeAg-positive participants and Part 2 for HBeAg-negative participants.[1]

What the study measures

The main endpoint, or main result the researchers measure, is whether plasma HBV DNA is below the study limit at Week 48.[1] For Part 1, the target is plasma HBV DNA < LLOQ (10 IU/mL, TD or TND), and for Part 2, the target is plasma HBV DNA < LLOQ (10 IU/mL, TND).[1]

LLOQ means the lower limit of quantification, which is the lowest level a test can measure reliably.[1] TD means target detected, and TND means target not detected; both are ways of describing whether virus is still found in the sample.[1]

Study design and comparators

This is an interventional study, which means participants receive a study treatment so researchers can compare outcomes.[1] The study compares ALG-000184 with tenofovir disoproxil fumarate, using placebo forms of the study drug and the comparator to support the comparison.[1]

The brief study summary says the purpose is to assess and compare monotherapy with ALG-000184 versus TDF in both HBeAg-positive and HBeAg-negative subjects, based on plasma HBV DNA levels.[1] Monotherapy means treatment with one main medicine at a time.[1]

Trial status and size

The study status is Authorised, which means it has official approval to run.[1] The planned enrollment is 195 participants, so the study aims to include 195 people in total.[1]

At this stage, the trial data show one main study for ALG-000184 in chronic hepatitis B.[1] The key focus is whether the treatment can reduce virus levels in the blood by Week 48 in both HBeAg-positive and HBeAg-negative adults.[1]

Trial ID Phase Condition studied Status Enrollment
2025-521178-33-00 Phase 2 Chronic hepatitis B virus infection Authorised 195

Ongoing Clinical Trials on ALG-000184

  • Study comparing ALG-000184 with tenofovir disoproxil in untreated adults with chronic hepatitis B virus infection

    Recruiting

    2 1 1
    Bulgaria France Italy Romania Spain

Glossary

  • Chronic hepatitis B: A long-lasting infection caused by the hepatitis B virus. It can stay in the body for a long time and affect the liver.
  • HBV DNA: The amount of hepatitis B virus genetic material in the blood. It is used to measure how active the infection is.
  • HBeAg-positive: A test result showing a hepatitis B marker called HBeAg is present. It often means the virus is more active.
  • HBeAg-negative: A test result showing HBeAg is not present. People with this result can still have chronic hepatitis B.
  • Phase 2: A stage of clinical research that checks how well a treatment works and continues to evaluate safety.
  • Interventional study: A study where participants receive a treatment or comparison treatment so researchers can measure the effects.
  • Placebo: A look-alike treatment with no active study drug. It helps researchers compare results fairly.
  • Tenofovir disoproxil fumarate: A standard treatment used as a comparison in this study.
  • Plasma: The liquid part of blood where virus levels can be measured.
  • Week 48: The time point 48 weeks after the start of the study when the main result is checked.

References

  1. https://clinicaltrials.gov/study/2025-521178-33-00