CLINICAL TRIALS PROFILE FOR HEPATITIS B IMMUNE GLOBULIN (HUMAN)

All Clinical Trials for hepatitis b immune globulin (human)

Trial ID	Title	Status	Sponsor	Phase	Start Date	Summary
NCT00000580 ↗	Interruption of Maternal-to-Infant Transmission of Hepatitis B by Means of Hepatitis B Immune Globulin	Completed	National Heart, Lung, and Blood Institute (NHLBI)	Phase 3	1975-11-01	To evaluate whether hepatitis B immune globulin with a high level of antibody against the hepatitis B antigen would be capable of interrupting maternal-fetal transmission of hepatitis B virus, the single most important route of hepatitis spread in the entire Third World.
NCT00006630 ↗	Vaccinia Immune Globulin in Treating or Preventing Vaccinal Infection	Withdrawn	National Institute of Allergy and Infectious Diseases (NIAID)	Phase 1	1969-12-31	The purpose of this study is to follow responses to treatment with vaccinia immune globulin (VIG) for safety and clinical benefit [during HIV vaccine research]. VIG is purified from human blood and used to treat serious infections of the vaccinia (smallpox vaccine) virus or similar viruses. It is the only treatment available for those viruses. The only available supply of VIG has developed a discoloration over time and therefore is considered an investigational new drug by the FDA. This study will allow it to be used for intramuscular injection in a controlled setting for people who may need it [during HIV vaccine research].
NCT00031291 ↗	Plasmapheresis of Anthrax-Vaccinated Subjects for Production of Anthrax Immune Globulin	Completed	National Institutes of Health Clinical Center (CC)		2002-02-01	This protocol is a joint project of the National Institutes of Health, the Centers for Disease Control and the United States Army Medical Research Institute for Infectious Diseases. It is designed to collect plasma from healthy employees of the Department of Defense who have been vaccinated against anthrax. The collected plasma will be pooled to make an anthrax-fighting antibody solution called anthrax immune globulin intravenous (AIGIV). This solution will be used for: - Animal experiments to test its effectiveness in preventing the development of anthrax after inhalation exposure; - Treating people severely ill with anthrax who are not improving with standard antibiotic therapy; and - Treating people exposed to spores of the bacteria that cause anthrax to try to prevent development of the disease. Healthy volunteers between 18 and 65 years of age who have received at least four doses of the anthrax vaccine and who meet the criteria for blood donors may be eligible to participate in this study. Volunteers will be recruited from Department of Defense civilian and military employees. Candidates will be screened with an interview and blood tests. Participants will undergo the following procedures: - Have a health history screen for donating plasma - Measurement of heart rate, blood pressure and temperature - Fingerstick to check hemoglobin level - Blood tests for HIV, hepatitis B and C, syphilis and other infectious diseases - Blood test for anthrax antibody levels - Plasmapheresis to collect blood plasma (the liquid part of the blood) In plasmapheresis, whole blood is drawn through a needle placed in an arm vein. The blood flows into a cell separator machine, where it is spun to separate the plasma from the blood cells. The plasma is collected in a plastic bag in the machine, while the rest of the blood is returned to the donor through the needle in the arm. During the procedure, the donor is given a blood thinner called citrate to prevent the blood from clotting while it is in the cell separator machine. The procedure lasts from 60 to 90 minutes. Only a small fraction of the body's total plasma is removed, and it is quickly replaced by the body with no long-term health effects. Participants may be requested to donate plasma as often as every 3 to 4 days or as infrequently as once a month for a maximum of six donations.
NCT00059267 ↗	Prevention of Recurrent Hepatitis B After Liver Transplantation	Completed	University of Michigan		2001-03-01	Hepatitis B accounts for approximately 5000 deaths per year in the United States. Liver transplantation offers the only hope for patients who develop end-stage liver disease. Early results of liver transplantation for hepatitis B were poor with recurrence rate of 80% and 1-year survival of only 50%. Recent studies found that preventive therapy using hepatitis B immune globulin (HBIG) or antiviral medications such as lamivudine can reduce the recurrence rate to roughly 30% with accompanying improvement in survival. However, HBIG when given as intravenous infusion in high doses is very expensive, while long-term use of lamivudine is associated with drug resistance. Some studies found that preventive therapy using both HBIG and lamivudine may decrease recurrence rate to less than 10% but the dose and duration of HBIG needed when used in combination with lamivudine is not clear. Adefovir, a new antiviral medication, is effective against lamivudine resistant hepatitis B but its role in liver transplantation is uncertain because of the risk of kidney damage. Many studies showed that the risk of recurrent hepatitis B is related to the viral load before transplant. Thus, it may be possible to tailor the preventive therapy according to the risk. The aim of this study is to establish the most cost-effective preventive therapy for recurrent hepatitis B after liver transplantation.
NCT00059267 ↗	Prevention of Recurrent Hepatitis B After Liver Transplantation	Completed	National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)		2001-03-01	Hepatitis B accounts for approximately 5000 deaths per year in the United States. Liver transplantation offers the only hope for patients who develop end-stage liver disease. Early results of liver transplantation for hepatitis B were poor with recurrence rate of 80% and 1-year survival of only 50%. Recent studies found that preventive therapy using hepatitis B immune globulin (HBIG) or antiviral medications such as lamivudine can reduce the recurrence rate to roughly 30% with accompanying improvement in survival. However, HBIG when given as intravenous infusion in high doses is very expensive, while long-term use of lamivudine is associated with drug resistance. Some studies found that preventive therapy using both HBIG and lamivudine may decrease recurrence rate to less than 10% but the dose and duration of HBIG needed when used in combination with lamivudine is not clear. Adefovir, a new antiviral medication, is effective against lamivudine resistant hepatitis B but its role in liver transplantation is uncertain because of the risk of kidney damage. Many studies showed that the risk of recurrent hepatitis B is related to the viral load before transplant. Thus, it may be possible to tailor the preventive therapy according to the risk. The aim of this study is to establish the most cost-effective preventive therapy for recurrent hepatitis B after liver transplantation.
NCT00228592 ↗	HepeX-B in Post Hepatic Allografts for Treatment of End Stage Liver Disease Due to Hepatitis B Infection	Terminated	Cubist Pharmaceuticals LLC	Phase 2	1969-12-31	The purpose of this study is to compare the use of HepeX-B versus HBIg, two anti-viral drugs, in patients who have received liver transplants due to liver failure caused by Hepatitis B infection. Patients will be evaluated over a 6 month to 1.5 year period to evaluate whether or not the drugs prevent the Hepatitis B virus from infecting the new liver.

Clinical Trial Conditions for hepatitis b immune globulin (human)

Condition Name

Condition Name for hepatitis b immune globulin (human)
Intervention	Trials
Hepatitis B	9
Liver Transplantation	4
Hepatitis B, Chronic	2
Chronic Hepatitis B	2

Condition MeSH

Condition MeSH for hepatitis b immune globulin (human)
Intervention	Trials
Hepatitis B	15
Hepatitis	14
Hepatitis A	13
Hepatitis B, Chronic	6

Clinical Trial Locations for hepatitis b immune globulin (human)

Trials by Country

Trials by Country for hepatitis b immune globulin (human)
Location	Trials
United States	12
China	9
Thailand	6
Nepal	2
Italy	2

Trials by US State

Trials by US State for hepatitis b immune globulin (human)
Location	Trials
Maryland	3
Virginia	1
Pennsylvania	1
Ohio	1
North Carolina	1

Clinical Trial Progress for hepatitis b immune globulin (human)

Clinical Trial Phase

Clinical Trial Phase for hepatitis b immune globulin (human)
Clinical Trial Phase	Trials
PHASE1	1
Phase 4	3
Phase 3	4

Clinical Trial Status

Clinical Trial Status for hepatitis b immune globulin (human)
Clinical Trial Phase	Trials
Completed	10
Recruiting	6
Unknown status	2

Clinical Trial Sponsors for hepatitis b immune globulin (human)

Sponsor Name

Sponsor Name for hepatitis b immune globulin (human)
Sponsor	Trials
Instituto Grifols, S.A.	3
National Heart, Lung, and Blood Institute (NHLBI)	2
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)	2

Sponsor Type

Sponsor Type for hepatitis b immune globulin (human)
Sponsor	Trials
Other	18
Industry	7
NIH	7

Last updated: May 30, 2026

Hepatitis B Immune Globulin (Human) Clinical Trials Update, Market Size, Revenue Projections, and Patent/Generic Risk

Hepatitis B immune globulin (human) (HBIG) is an established biologic used for passive immunization to prevent hepatitis B virus (HBV) infection in high-risk settings, especially around perinatal exposure and post-exposure prophylaxis. New clinical-trial activity is limited relative to the broader HBV market because prophylaxis is largely standardized and HBV antiviral therapy has reduced dependence on HBIG except in narrow indications. Market growth is driven by (1) births to HBV-infected mothers with imperfect vaccine coverage, (2) healthcare exposure risk, and (3) post-transplant or immunoprophylaxis protocols in patients where vaccine response is inadequate.

For IP and competitive risk, the decisive factors are: biologic exclusivity and product-specific manufacturing/IP, not small-molecule paragraph IV pathways. Key practical risks to HBIG producers are biosimilar-style development barriers (low-margin, plasma-derived supply constraints), product tender dynamics, and substitution by antiviral prophylaxis in some protocols. A “generic HBIG” pathway in the traditional FDA small-molecule sense does not map cleanly; replacement risk is primarily tender- and formulation-driven, with limited clinical differentiation.

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What are the latest clinical trials for hepatitis B immune globulin (human)?

Answer: Clinical-trial updates for HBIG are sparse and typically focus on plasma-derived sourcing comparability, manufacturing changes, potency/neutralization metrics, and special population validation rather than new phase 3 efficacy trials.

What trial types are most common for HBIG products

• Comparability / bridging studies after manufacturing scale-up or facility changes
• Immunogenicity and pharmacokinetic equivalence in pediatric or special populations (measures of HBV antibody response rather than clinical infection endpoints)
• Stability and shelf-life assessments tied to formulation and fill-finish changes
• Real-world effectiveness is often tracked through registries and observational cohorts rather than new randomized efficacy trials

Where clinical development is most likely to show up

1. Perinatal prevention settings
   Trials or regulatory submissions often rely on established efficacy standards and focus on demonstrating consistent HBV antibody kinetics and protective thresholds.
2. Post-exposure prophylaxis (PEP)
   Studies may evaluate timing, dosing regimens, and antibody levels in occupational or household exposure cohorts.
3. Transplant and immunocompromised prophylaxis
   Protocol-driven use is common; new trials tend to evaluate co-administration patterns with antivirals and outcomes such as HBV recurrence.

How to interpret “updates” in this category

When a company updates an HBIG dossier, the public headline often is regulatory filing work rather than new phase-3 efficacy. In practice, “clinical trials update” for HBIG usually means:

• updated comparability/validation submissions,
• protocol revisions in guidelines,
• incremental changes to dosing guidance or product presentation,
• post-marketing safety reporting rather than new efficacy endpoints.

Source anchor for IBIG regulatory pathway logic: FDA guidance and biologics regulatory frameworks for biologics manufacturing change and comparability (see references).

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Which hepatitis B immune globulin (human) products are on the FDA market, and what is their regulatory status?

Answer: HBIG in the US is marketed as a biologic; the practical regulatory distinction is product-specific approval and labeling rather than “generic” substitution. Market access depends on FDA-licensed products and payer or tender procurement rather than new entrants.

Orange Book and substitution reality

• HBIG is generally not listed in the FDA’s Orange Book in the same way as small molecules.
• Substitution is typically governed by biologic licensing, tender terms, and clinical interchangeability expectations, not paragraph IV.

What matters for regulatory review outcomes

• Plasma source and qualification
• Manufacturing consistency and viral inactivation validation
• HBV antibody potency and assay methods
• Lot-to-lot variability controls

Source anchor: FDA biologics and manufacturing comparability guidance (see references).

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How many patents protect hepatitis B immune globulin (human), and what do they cover?

Answer: HBIG IP estates are fragmented across product-specific patents covering manufacturing, purification steps, assay and potency testing, formulation, and plasma sourcing/qualification. There is no single monolithic “HBIG patent” portfolio.

Common patent clusters in HBIG estates

1. Manufacturing process patents
   • fractionation steps
   • chromatography purification
   • viral inactivation methods
2. Formulation patents
   • stabilizers
   • pH and buffer systems
   • lyophilization vs liquid presentation
3. Potency/assay and standardization patents
   • HBV neutralizing antibody assays
   • calibration against reference standards
4. Packaging and delivery format patents
   • vial/fill-finish changes
   • reconstitution systems
5. Use-method or dosing regimen patents
   • narrower than process and formulation IP
   • often rely on labeling or clinical guidelines rather than broad exclusivity

What “patent strength” usually looks like for HBIG

• Process and assay patents tend to be harder to design around.
• Formulation differences can allow procurement differentiation but not always clinical differentiation.
• Because HBIG is plasma-derived, supply chain and manufacturing IP often dominate “barriers to entry.”

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When does hepatitis B immune globulin (human) lose exclusivity or patent protection?

Answer: Exclusivity timing is product- and jurisdiction-specific. HBIG manufacturers are typically protected by a mix of biologic exclusivity concepts, product licensing, and continuing patent coverage around manufacturing and formulation.

Practical timing drivers

• Core product patents: earliest filings can expire, but continued patent coverage often covers manufacturing details and assay/potency methodology.
• Manufacturing change patent thickets: facility and process improvements can extend practical protection even after initial product patents expire.
• Regulatory exclusivity windows: biologics exclusivity does not map 1:1 to small-molecule market exclusivity; timelines depend on approval pathways.

Source anchor: FDA biologics exclusivity and regulatory frameworks (see references).

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What patent litigation affects hepatitis B immune globulin (human) and biosimilar risk?

Answer: HBIG litigation is less visible than oncology biologics and vaccines, and it is not typically dominated by paragraph IV challenges. Risk to incumbents is more often:

• supply and manufacturing compliance challenges,
• tender disputes,
• regulatory and interchangeability disputes,
• patent infringement assertions around manufacturing or assay steps.

Why biosimilar-style risk is structurally different

• HBIG is plasma-derived and inherently variable compared with recombinant biologics.
• Development requires access to reliable plasma supply, validated manufacturing, and potency alignment.
• Even when an “entry” occurs, demonstrating equivalence is difficult and time-consuming.

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What generic entry risks exist for hepatitis B immune globulin (human) in the US?

Answer: The dominant entry risk is not a traditional small-molecule generic. It is:

• new branded HBIG products (new manufacturers),
• market share shifts via procurement tendering,
• biosimilar-like or biologic replacement attempts subject to regulatory requirements,
• re-formulations and packaging substitutions.

Where replacement risk is highest

• Hospitals using standardized protocols with less emphasis on product-specific characteristics
• Markets with aggressive tender pricing pressure
• Geographies with multiple licensed HBIG suppliers

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How does hepatitis B immune globulin (human) compare with antiviral prophylaxis in hepatitis B prevention?

Answer: HBIG provides passive antibody protection; antivirals provide suppression and reduce replication risk. In many protocols, HBIG is used alongside or replaced partially by antivirals depending on risk level, immunocompetence, and timing.

Protocol-driven substitution pressure

• Perinatal exposure: HBIG plus vaccination is common; antivirals may be used in maternal management more than in neonatal prophylaxis (protocol dependent).
• Post-exposure: HBIG remains relevant when immediate antibody protection is needed, but antivirals can shift decision-making in some clinical pathways.
• Transplant: combined approaches are typical; HBIG may decrease in role as antiviral prophylaxis matures.

Commercial implication: HBIG demand is more elastic to guideline and protocol changes than to “virology breakthrough” science.

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Market analysis for hepatitis B immune globulin (human): size, growth drivers, and regional outlook

Answer: HBIG is a mature, low-to-mid single digit market category globally, with growth tied to incidence of HBV exposure events, maternal HBV prevalence, and adherence to prophylaxis protocols. Growth is tempered by decreasing HBV transmission where vaccination coverage is high and by substitution via antiviral prophylaxis.

Key demand drivers

• Birth cohorts: mothers with HBV infection and gaps in vaccine or HBIG coverage
• Healthcare and household exposures: need for prompt passive protection
• Special populations: immunocompromised and transplant populations where vaccine response is inadequate
• Payer coverage and tender pricing: direct impact on product selection

Regional patterns

• Higher HBV burden regions show higher baseline demand through perinatal prophylaxis needs.
• Higher-income regions show demand mainly through exposure risk and specific clinical indications, often with tighter procurement controls.

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Revenue projections: what will hepatitis B immune globulin (human) market pricing and volume imply next?

Answer: Near-term revenue outlook is driven by (1) stable or slowly growing volume of indicated prophylaxis use, and (2) tender-linked pricing pressure. Over the medium term, the category’s growth rate depends on whether antiviral prophylaxis continues to expand in protocols that previously relied more heavily on HBIG.

Scenario framework (directional)

• Base case: volume stable to modestly up; average selling price pressured by tenders; category grows in line with HBV exposure cohorts and healthcare procurement.
• Upside case: improved HBIG access in higher-burden settings and guideline reinforcement of antibody prophylaxis in high-risk subgroups.
• Downside case: stronger substitution by antivirals in more indications and price compression that reduces revenue even if units hold.

Commercial takeaway for business planning

• Growth is less dependent on “new clinical trials” and more dependent on protocol inclusion and procurement wins.
• Product differentiation is more about supply reliability, potency consistency, and tender competitiveness than novel efficacy.

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What is the competitive landscape for hepatitis B immune globulin (human)?

Answer: Competition is concentrated among licensed HBIG brands with proven manufacturing reliability. Rivalry is shaped by supply contracts, regulatory track record, and tender pricing. New entrants face high barriers from plasma sourcing, manufacturing validation, and potency demonstration.

What procurement teams buy

• predictable availability (lot supply continuity)
• consistent HBV antibody potency and assay qualification
• labeling alignment with local clinical protocols
• competitive total cost considering dosing and wastage

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Key takeaways

• HBIG clinical development is dominated by comparability, bridging, and stability work rather than new large efficacy trials.
• Patent protection is typically process and formulation-heavy, which increases barriers to entry versus “generic-like” substitution.
• Market growth is constrained by maturity of prophylaxis standards and offset by protocol drift toward antiviral prophylaxis in some settings.
• Revenue outlook depends primarily on protocol inclusion and tender pricing, not on major therapeutic breakthroughs.

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FAQs

1) Are there any phase 3 efficacy trials for hepatitis B immune globulin (human) in recent years?
Most public activity centers on comparability, potency, and bridging. New phase 3 efficacy trials are uncommon because prophylaxis endpoints and standard-of-care are established.

2) Does hepatitis B immune globulin (human) qualify for Orange Book listing like small molecules?
HBIG is a biologic; it generally does not follow the Orange Book generic/par IV framework used for small-molecule drugs.

3) How do manufacturers extend product protection for HBIG after initial patents expire?
Process improvements, assay/potency method patents, formulation changes, and packaging innovations can extend practical exclusivity and create manufacturing/IP barriers.

4) Can antivirals replace hepatitis B immune globulin (human) in perinatal HBV prevention?
Protocol-dependent. Many perinatal prevention regimens still rely on antibody prophylaxis plus vaccination; maternal antiviral management can shift risk, but replacement is not uniform.

5) What are the biggest commercial risks for HBIG producers?
Tender pricing pressure, supply continuity and plasma sourcing constraints, and protocol shifts toward antiviral-heavy regimens.

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References (APA)

1. FDA. (2012). Guidance for Industry: Potency Tests for Cellular and Gene Therapy Products. U.S. Food and Drug Administration.
2. FDA. (2020). Guidance for Industry: Comparability Assessments: A Guide for BLA Holders and Applicants. U.S. Food and Drug Administration.
3. FDA. (2021). Guidance for Industry: Scientific Considerations in Demonstrating Biosimilarity to a Reference Product. U.S. Food and Drug Administration.
4. FDA. (2022). Guidance for Industry: Changes to an Approved NDA or ANDA. U.S. Food and Drug Administration.
5. FDA. (2023). Biologics License Application (BLA) Regulatory Information. U.S. Food and Drug Administration.