Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 79

Methylene Blue treatment for chronic Hepatitis B infection

Official title: Methylene Blue Treatment of Chronic Hepatitis B Virus Infection: a Pilot Study

Run by Fondazione Epatocentro Ticino · NCT06887036 · Data updated 2026-11-12

This study tests if Methylene Blue can help adults with chronic Hepatitis B lower their virus levels enough to stop taking antiviral medication.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 79 Years
SexAll
Enrollment10 (estimated)
SponsorFondazione Epatocentro Ticino
Academic / other
Locations1 site (Lugano, Canton Ticino)
StatusRecruiting
StartedSeptember 1, 2025
Main results expectedMay 31, 2027
Study endsMay 31, 2027
Registry record updatedAugust 21, 2026
Trial IDNCT06887036 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 80 with microbiologically confirmed chronic Hepatitis B infection and specific HBsAg and HBV DNA levels.

Probably not a fit

Patients with HBeAg positivity, significant liver disease, or those currently on nucleos(-t)ide treatment may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the use of Methylene Blue (MB) as a treatment for chronic Hepatitis B Virus (HBV) infection. The study aims to determine if MB can effectively reduce HBsAg levels, potentially allowing patients to stop antiviral treatment. Participants will be monitored for their HBV DNA levels and HBsAg levels over time to assess the treatment's efficacy. The trial includes adults aged 18 to 80 with confirmed chronic HBV infection who meet specific eligibility criteria.

Why it matters

Potential benefit: If successful, this treatment could enable patients to achieve HBsAg negativity and discontinue lifelong antiviral therapy.

How similar studies have gone: While the use of Methylene Blue in this context is novel, previous studies have shown promise in reducing viral loads in other infections.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Signed informed consent
* Age ≥ 18 and \< 80 years
* Microbiologically confirmed chronic Hepatitis B Virus infection (according to the old terminology "inactive HBV carrier")
* HBsAg levels within 20-15'000 IU/ml measured at the at least twice at 6-18 months apart
* HBV DNA PCR levels within 1'000-20'000 IU/ml measured at least twice at 6-18 months apart
* Negative pregnancy test in women of child-bearing age

Exclusion Criteria:

* Documented refusal to participate in the study
* Known G-6-Phophatase deficiency
* Treatment with a serotoninergic drug
* Ongoing treatment with a nucleos(-t)ide treatment
* Clinically relevant concomitant liver disease
* GPT \> 2xULN
* Fibroscan of \> 8.0 KPa obtained ≤ 12 months before Visit 0/Screening
* HBeAg positivity
* Anti HDV antibody positivity
* Breastfeeding women

Where it's running

  • Epatocentro Ticino
    Lugano, Canton Ticino, Switzerland
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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    Recruiting at 21 sites Fondazione Epatocentro Ticino · Lugano, Canton Ticino and 20 other locations · NCT03146936

  • Swiss Primary Biliary Cholangitis Cohort

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    Recruiting at 13 sites Fondazione Epatocentro Ticino · Lugano, Canton Ticino and 12 other locations · NCT03146910

  • Swiss autoimmune hepatitis cohort

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    Recruiting at 20 sites Fondazione Epatocentro Ticino · Lugano, Canton Ticino and 19 other locations · NCT03146884

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.