Immune changes over time in people with chronic hepatitis B
Official title: Immune Dynamics in the Natural History of Chronic HBV Infection
Run by Nanfang Hospital, Southern Medical University · NCT07137247 · Data updated 2026-11-12
This project will follow untreated people aged 1–80 with chronic hepatitis B every six months to see if changes in HBV-specific immunity and age are linked to how the infection progresses.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 1 Year to 80 Years |
| Sex | All |
| Enrollment | 5000 (estimated) |
| Sponsor | Nanfang Hospital, Southern Medical University Academic / other |
| Locations | 1 site (Guangzhou, Guangdong) |
| Status | Recruiting |
| Started | February 1, 2024 |
| Main results expected | December 1, 2040 |
| Study ends | December 1, 2041 |
| Registry record updated | September 30, 2025 |
| Trial ID | NCT07137247 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Untreated people aged 1–80 with a clinical diagnosis of chronic hepatitis B who have not received antiviral therapy in the past six months and can attend follow-ups at the study site.
✕Probably not a fit
People currently on antiviral therapy, those with concurrent HCV or HIV infection, significant liver comorbidities, systemic immune or coagulation disorders, or other severe underlying illnesses are unlikely to qualify or benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational cohort will enroll untreated patients aged 1–80 with chronic HBV infection and collect routine clinical, serological, and virological data at baseline and every six months. Peripheral blood samples will be taken at follow-up visits to measure HBV-specific humoral and cellular immune responses and characterize the broader immune environment. Investigators will compare immune cell generation, proliferation, and survival across patients at different immune-status stages to identify mechanisms of immune dysfunction. The protocol uses routine clinic visits with no extra mandatory procedures beyond venipuncture and chart review.
Why it matters
Potential benefit: If successful, the work could identify immune markers and age-related patterns that help time or design therapies aimed at achieving a functional cure for hepatitis B.
How similar studies have gone: Previous observational cohorts have described HBV-specific immune exhaustion and age-related immune differences, but clear causal links to long-term natural history and pathways to functional cure remain limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged 1-80 years, either male or female. * Patients diagnosed with chronic hepatitis B virus infection in accordance with the "Guidelines for the Prevention and Treatment of Chronic Hepatitis B" (2019 edition). * No antiviral treatment (including nucleoside analogs and interferons, etc.) within the past six months. Exclusion Criteria: • Concurrent Infections and Liver Diseases: Exclusion of patients with concurrent HCV or HIV infection, alcoholic fatty liver disease, non-alcoholic fatty liver disease, autoimmune liver diseases. • Immune and Coagulation System Disorders: Exclusion of patients with immune system diseases such as hyperthyroidism, coagulation system disorders such as diabetes mellitus or idiopathic thrombocytopenic purpura. * Severe Underlying Diseases. Exclusion of patients with severe underlying diseases that affect the body's immune status. * Other Unsuitable Conditions: Exclusion of patients whom the investigator deems to have other conditions that make them unsuitable for enrollment.
Where it's running
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Nanfang Hospital, Southern Medical University
Guangzhou, Guangdong, China Recruiting
Study contacts
- Study coordinator: Yongyin Li, Dr.
- Email: yongyinli@foxmail.com
- Phone: +8613826039505
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.