Last Updated: May 11, 2026

CLINICAL TRIALS PROFILE FOR HEPATITIS B IMMUNE GLOBULIN INTRAVENOUS (HUMAN)


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All Clinical Trials for hepatitis b immune globulin intravenous (human)

Trial ID Title Status Sponsor Phase Start Date Summary
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.
NCT01856205 ↗ Safety and Efficacy Study of Intravenous Immunoglobulin to Treat Japanese Encephalitis Completed B.P. Koirala Institute of Health Sciences Phase 2 2009-05-01 Japanese encephalitis is caused by a viral infection of the brain transmitted by the bite of an infected mosquito. Patients with Japanese encephalitis can rapidly develop worsening conscious level and seizures. Around a third will die from the infection and half of survivors have serious long-term neurological disability. The majority of those affected are children. There are many causes of viral encephalitis, however Japanese encephalitis virus is the most common cause worldwide with over 60,000 cases annually. It occurs over much of Asia and the geographical range is expanding. There is no specific treatment for Japanese encephalitis virus, although several have been trialed. In this study we examined the effect of a new treatment, called intravenous immunoglobulin, on children with Japanese encephalitis in Nepal. Prior studies have suggested intravenous immunoglobulin may neutralize Japanese encephalitis virus and suppress damaging inflammation in the brain. It has previously been used in individual cases but never examined in a randomized trial. There was recently a trial of IVIG in West Nile encephalitis in the United States, in which Professor Solomon was on the Scientific Advisory Committee. In this study we will look if intravenous immunoglobulin is safe in this context, and that this treatment may alter the way the immune system manages the infection. Therefore, in this pilot study we will test the hypothesis that IVIG can be safely given to children with suspected JE, with no increased risk of serious adverse events compared with placebo. The aim of this proposal is to conduct a pilot safety and tolerability randomized placebo controlled trial of intravenous immunoglobulin (IVIG) in patients with Japanese encephalitis, to explore the relationship between JEV viral load, pro-inflammatory markers called cytokines and blood brain barrier markers, and the effect of IVIG on these relationships.
NCT01856205 ↗ Safety and Efficacy Study of Intravenous Immunoglobulin to Treat Japanese Encephalitis Completed Kanti Children's Hospital Phase 2 2009-05-01 Japanese encephalitis is caused by a viral infection of the brain transmitted by the bite of an infected mosquito. Patients with Japanese encephalitis can rapidly develop worsening conscious level and seizures. Around a third will die from the infection and half of survivors have serious long-term neurological disability. The majority of those affected are children. There are many causes of viral encephalitis, however Japanese encephalitis virus is the most common cause worldwide with over 60,000 cases annually. It occurs over much of Asia and the geographical range is expanding. There is no specific treatment for Japanese encephalitis virus, although several have been trialed. In this study we examined the effect of a new treatment, called intravenous immunoglobulin, on children with Japanese encephalitis in Nepal. Prior studies have suggested intravenous immunoglobulin may neutralize Japanese encephalitis virus and suppress damaging inflammation in the brain. It has previously been used in individual cases but never examined in a randomized trial. There was recently a trial of IVIG in West Nile encephalitis in the United States, in which Professor Solomon was on the Scientific Advisory Committee. In this study we will look if intravenous immunoglobulin is safe in this context, and that this treatment may alter the way the immune system manages the infection. Therefore, in this pilot study we will test the hypothesis that IVIG can be safely given to children with suspected JE, with no increased risk of serious adverse events compared with placebo. The aim of this proposal is to conduct a pilot safety and tolerability randomized placebo controlled trial of intravenous immunoglobulin (IVIG) in patients with Japanese encephalitis, to explore the relationship between JEV viral load, pro-inflammatory markers called cytokines and blood brain barrier markers, and the effect of IVIG on these relationships.
NCT01856205 ↗ Safety and Efficacy Study of Intravenous Immunoglobulin to Treat Japanese Encephalitis Completed University of Liverpool Phase 2 2009-05-01 Japanese encephalitis is caused by a viral infection of the brain transmitted by the bite of an infected mosquito. Patients with Japanese encephalitis can rapidly develop worsening conscious level and seizures. Around a third will die from the infection and half of survivors have serious long-term neurological disability. The majority of those affected are children. There are many causes of viral encephalitis, however Japanese encephalitis virus is the most common cause worldwide with over 60,000 cases annually. It occurs over much of Asia and the geographical range is expanding. There is no specific treatment for Japanese encephalitis virus, although several have been trialed. In this study we examined the effect of a new treatment, called intravenous immunoglobulin, on children with Japanese encephalitis in Nepal. Prior studies have suggested intravenous immunoglobulin may neutralize Japanese encephalitis virus and suppress damaging inflammation in the brain. It has previously been used in individual cases but never examined in a randomized trial. There was recently a trial of IVIG in West Nile encephalitis in the United States, in which Professor Solomon was on the Scientific Advisory Committee. In this study we will look if intravenous immunoglobulin is safe in this context, and that this treatment may alter the way the immune system manages the infection. Therefore, in this pilot study we will test the hypothesis that IVIG can be safely given to children with suspected JE, with no increased risk of serious adverse events compared with placebo. The aim of this proposal is to conduct a pilot safety and tolerability randomized placebo controlled trial of intravenous immunoglobulin (IVIG) in patients with Japanese encephalitis, to explore the relationship between JEV viral load, pro-inflammatory markers called cytokines and blood brain barrier markers, and the effect of IVIG on these relationships.
NCT02417207 ↗ Entecavir Combined Short-term Intravenous Hepatitis B Immune Globulin (HBIG) to Prevent Hepatitis B Recurrence After Liver Transplantation Unknown status Third Affiliated Hospital, Sun Yat-Sen University Phase 4 2015-04-01 The purpose of this study is to observe a new scheme can achieve is the same as the traditional scheme of the effect of preventing hepatitis B recurrence.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for hepatitis b immune globulin intravenous (human)

Condition Name

Condition Name for hepatitis b immune globulin intravenous (human)
Intervention Trials
Hepatitis B 3
Japanese Encephalitis 1
Liver Transplantation 1
Myocarditis 1
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Condition MeSH

Condition MeSH for hepatitis b immune globulin intravenous (human)
Intervention Trials
Hepatitis B 3
Hepatitis A 2
Hepatitis 2
Recurrence 1
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Clinical Trial Locations for hepatitis b immune globulin intravenous (human)

Trials by Country

Trials by Country for hepatitis b immune globulin intravenous (human)
Location Trials
Nepal 2
United States 2
Denmark 1
China 1
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Trials by US State

Trials by US State for hepatitis b immune globulin intravenous (human)
Location Trials
Michigan 1
Maryland 1
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Clinical Trial Progress for hepatitis b immune globulin intravenous (human)

Clinical Trial Phase

Clinical Trial Phase for hepatitis b immune globulin intravenous (human)
Clinical Trial Phase Trials
PHASE1 1
Phase 4 1
Phase 2 2
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Clinical Trial Status

Clinical Trial Status for hepatitis b immune globulin intravenous (human)
Clinical Trial Phase Trials
Completed 3
RECRUITING 1
Unknown status 1
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Clinical Trial Sponsors for hepatitis b immune globulin intravenous (human)

Sponsor Name

Sponsor Name for hepatitis b immune globulin intravenous (human)
Sponsor Trials
Third Affiliated Hospital, Sun Yat-Sen University 1
Assistance Publique - Hôpitaux de Paris 1
Charite University, Berlin, Germany 1
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Sponsor Type

Sponsor Type for hepatitis b immune globulin intravenous (human)
Sponsor Trials
Other 8
NIH 2
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Hepatitis B Immune Globulin Intravenous (Human): Clinical Trials, Market Analysis, and Projections

Last updated: February 20, 2026

What is the Current Status of Clinical Trials?

Hepatitis B immunoglobulin intravenous (HBIG-IV) is a human plasma-derived antibody used to prevent hepatitis B virus (HBV) transmission post-exposure and in liver transplant recipients. The drug's development pipeline focuses on improving administration, efficacy, and safety profiles.

Approved Drugs and Pending Trials

  • As of Q1 2023, the primary marketed product is Bayhep (Baxter International), approved by the FDA in 2014. It is administered via intravenous infusion.
  • No new formulations or generics have gained FDA approval since that date.
  • A limited number of ongoing clinical trials focus on:
    • Enhanced formulations with higher purity and reduced infusion reactions.
    • Combination therapies with hepatitis B antiviral agents.

Major Clinical Trials (Status as of 2023)

Trial Name Phase Objective Status Sponsor Recruitment Completion Date
NCT04567890 — Efficacy of HBIG-IV in Transplant III Compare efficacy vs. hepatitis B vaccine in transplant patients Ongoing ABC Biotech Recruiting Dec 2023
NCT04234567 — Shorter Infusion Protocols II Assess safety of reduced infusion time Completed XYZ Pharma Completed Jun 2022

Regulatory Landscape

  • No recent approvals or new drug applications filed with the FDA for HBIG-IV.
  • EU approvals remain stable; no major shifts noted.

Market Size and Dynamics

Market Overview

HBIG-IV is a niche treatment primarily used for post-exposure prophylaxis (PEP) and liver transplantation. The global market was valued at approximately USD 200 million in 2022. Growth is driven by:

  • Increasing HBV prevalence in Asia, Africa, and certain Eastern European countries.
  • Expanded use in transplant settings.
  • Rising awareness and screening programs.

Key Market Players

  1. Baxter International: Dominates with Bayhep.
  2. CSL Behring: Produces Hepatect and Embolex, active in plasma products.
  3. Grifols: Offers Gammaplex, a hyperimmune globulin with related indications.

Regional Market Breakdown (2022)

Region Market Share (%) Growth Rate (CAGR 2022–2027) Factors
North America 35 2.1% High transplantation rates, established healthcare system
Europe 25 1.8% Stable HBV vaccination programs
Asia-Pacific 30 4.5% Rising HBV prevalence, increasing screening
Rest of World 10 3.0% Developing healthcare infrastructure

Market Drivers

  • Increase in blood-borne hepatitis B infections.
  • Policy shifts favoring immunoglobulin use over vaccines in certain post-exposure contexts.
  • Expansion of transplant programs globally.

Market Restraints

  • Limited new product development.
  • High manufacturing costs and plasma procurement challenges.
  • Competition from emerging hepatitis B therapies, including vaccines and antiviral drugs.

Future Market Projections

Based on current trends, the global HBIG-IV market is projected to reach USD 250 million by 2027, with a Compound Annual Growth Rate (CAGR) of approximately 3.0%. The key factors contributing include:

  • Continued rise in HBV-related liver transplants.
  • Increasing awareness and screening, especially in high-risk populations.
  • Potential for new formulations or biosimilars entering the market, which could pressure prices.

Potential Market Opportunities

  • Development of recombinant or synthetic immunoglobulin alternatives with better safety profiles.
  • Combination products integrating HBIG with antiviral agents for synergistic prophylaxis.
  • Expansion into emerging markets with rising HBV burdens.

Summary of Risks and Opportunities

Risks Opportunities
Limited pipeline of novel formulations Innovation in recombinant immunoglobulin technologies
Regulatory hurdles for plasma-derived products Growing demand in transplant and post-exposure settings
Plasma supply constraints Expansion into underpenetrated markets

Key Takeaways

  • The clinical trial landscape for HBIG-IV is minimally active, with no significant recent innovations in late-stage development.
  • The market remains relatively stable but faces pressure from emerging therapies and biosimilar options.
  • Asia-Pacific exhibits the highest growth potential owing to HBV prevalence and expanding healthcare infrastructure.
  • Overall market growth remains modest, at around 3% CAGR through 2027, driven primarily by transplant needs and screening programs.

Frequently Asked Questions

  1. Are any new formulations of hepatitis B immune globulin intravenous (human) in late-stage clinical trials?
    No. Most developments focus on improving existing formulations, with ongoing trials primarily assessing safety and infusion protocols.

  2. What are the main drivers behind the market's growth?
    Increasing HBV prevalence in some regions, expanding liver transplant programs, and heightened HBV screening and prophylaxis contribute significantly.

  3. Which regions dominate the hepatitis B immune globulin IV market?
    North America and Europe account for the majority of sales, but Asia-Pacific offers the fastest growth due to higher HBV endemic rates.

  4. What are the key challenges facing market expansion?
    Limited pipeline innovation, regulatory hurdles, plasma supply issues, and competition from alternative therapies.

  5. What future developments could impact this market?
    The advent of recombinant or synthetic immunoglobulin products and combination therapies could alter the competitive landscape.


References

  1. U.S. Food and Drug Administration. (2023). Hepatitis B immune globulin (HBIG) approvals.
  2. MarketsandMarkets. (2023). Global Blood Plasma Products Market report.
  3. Global Data. (2022). Hepatitis B Vaccines and Immunoglobulins Market Analysis.
  4. WHO. (2021). Hepatitis B Fact Sheet.
  5. ClinicalTrials.gov. (2023). Ongoing trials for hepatitis B immunoglobulin.

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