ClinicalTrials.gg
CompletedNCT05723068HDV DescribeUpdated Feb 5, 2025

Burden of Hepatitis D Virus (HDV) Infection in Italy

An observational study in Chronic Hepatitis D, sponsored by University of Turin, Italy. Completed at 36 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-05.

Sponsored by University of Turin, Italy · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
515
Ages
18 Years and older
Sex
All
01

Study summary

The circulation of the Hepatitis D Virus (HDV) has considerably diminished in Italy, secondary to the control of the Hepatitis B Virus (HBV) with vaccination; this has led to the perception that HDV is vanishing and has reduced attention to the diagnosis of Hepatitis D. However, migratory fluxes from HDV endemic areas, fostered by labour-forces globalization, are increasingly reconstituting the reservoir of HDV in the country and hepatitis D has not yet vanished in native Italians but will remain an important medical issue for several years to come. As the epidemiologic and clinical features of HDV infection in migrant communities are largely unknown and the features of native Italians with long standing HDV infections have not been updated, this project intends to establish the contemporary epidemiological and medical context of HDV in immigrants in Italy and to determine the clinical characteristics and needs of the residual cohort of native HDV Italians, through the analysis of all HDV cases recruited in 12 months in a coordinated network of 35 Italian medical centers. The data will provide an appraisal of the burden of hepatitis D in the country and of its impact on the National Health System. They will present the paradigm of the current trend of HDV infection in high-income countries in the world.

02

Conditions studied

  • Chronic Hepatitis D

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03

In context

Hepatitis D, Chronic

43 studies on the registry are indexed under Hepatitis D, Chronic; 9 are open to participants now.

This study's enrollment of 515 is above the median of 285 across 10 observational studies indexed under Hepatitis D, Chronic.

Browse Hepatitis D, Chronic studies →

Lead sponsor

University of Turin, Italy is the lead sponsor of 214 studies on the registry; 35 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients will be recruited in a Country-wide coordinated network of national medical centers. The network will include hepatology, infectious disease and internal medicine centers that historically care for patients with viral liver disease, located in the 12 major regions of Italy.

Eligibility criteria

Inclusion Criteria:

  • -positive subjects
  • 18 years or older
  • anti-HD-positive
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
515 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Patients with chronic hepatitis D
06

What researchers measure

Primary outcomes

  1. Demographic characteristics of HDV-infected patients

    Demographic characteristics: age, sex, height, weight, nationality. HDV means hepatitis D virus

    Time frame: 1 year

  2. Epidemiologic characteristics of HDV-infected patients

    Risk factors for infection. HDV means hepatitis D virus

    Time frame: 1 year

  3. Serum alanine aminotransferase concentration values in HDV-infected patients

    HDV means hepatitis D virus

    Time frame: 1 year

  4. Blood platelet count in HDV-infected patients

    HDV means hepatitis D virus

    Time frame: 1 year

  5. Serum albumin concentration values in HDV-infected patients

    HDV means hepatitis D virus

    Time frame: 1 year

  6. Serum total bilirubin concentration values in HDV-infected patients

    HDV means hepatitis D virus

    Time frame: 1 year

  7. Serum anti-liver-kidney microsomal antibodies titer in HDV-infected patients

    HDV means hepatitis D virus

    Time frame: 1 year

  8. Proportion of patients with detectable HDV RNA among seropositive anti-HDV patients

    HDV means hepatitis D virus

    Time frame: 1 year

  9. Serum HDV RNA levels in HDV-infected patients

    HDV means hepatitis D virus

    Time frame: 1 year

  10. Proportion of HDV genotypes among patients with detectable HDV RNA

    HDV means hepatitis D virus

    Time frame: 1 year

  11. Proportion of patients with detectable HBV DNA among seropositive anti-HDV

    HBV means hepatitis B virus. HDV means hepatitis D virus

    Time frame: 1 year

  12. Serum HBV DNA levels in HDV-infected patients

    HBV means hepatitis B virus. HDV means hepatitis D virus

    Time frame: 1 year

  13. Proportion of HBV genotypes among patients with detectable HBV DNA

    HBV means hepatitis B virus

    Time frame: 1 year

  14. HBsAg concentration levels in HDV-infected patients

    HBsAg means hepatitis B surface antigen. HDV means hepatitis D virus

    Time frame: 1 year

  15. HBcrAg concentration levels in HDV-infected patients

    HBcrAg means hepatitis B core-related antigen. HDV means hepatitis D virus

    Time frame: 1 year

  16. Proportion of patients with liver cirrhosis among seropositive anti-HDV

    HDV means hepatitis D virus

    Time frame: 1 year

  17. Liver stiffness values in HDV-infected patients

    HDV means hepatitis D virus

    Time frame: 1 year

  18. Proportion of patients with hepatocellular carcinoma among seropositive anti-HDV

    HDV means hepatitis D virus

    Time frame: 1 year

  19. Proportion of patients treated with antiviral therapy among seropositive anti-HDV

    HDV means hepatitis D virus

    Time frame: 1 year

07

Study locations

36 sites
  • Università degli Studi di Bari Aldo Moro
    Bari, Italy
  • Gastroenterology Hepatology and Transplantation, ASST Bergamo
    Bergamo, Italy
  • Malattie Infettive, ASST Bergamo
    Bergamo, Italy
  • Dipartimento di Scienze Mediche e Chirurgiche, Università degli Studi di Bologna
    Bologna, Italy
  • Dipartimento di Scienze Cliniche e Sperimentali, Università degli Studi di Brescia
    Brescia, Italy
  • UOC Malattie Infettive e Tropicali, A.O. S Anna e S Sebastiano
    Caserta, Italy
  • UOS Epatologia "G. Rodolico-San Marco"
    Catania, Italy
  • UOC Medicina Interna Ospedaliera, Policlinico "Mater Domini"
    Catanzaro, Italy
  • Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi di Foggia
    Foggia, Italy
  • S.C. Malattie Infettive, E.O. Ospedali Galliera
    Genova, Italy
  • UOC Malattie Infettive, Ospedale Paolo Borsellino di Marsala
    Marsala, Italy
  • A.O.U. Policlinico G. Martino di Messina, Università di Messina
    Messina, Italy
  • Dipartimento di Malattie Infettive e Centro Epatopatie, ASST Grande Ospedale Metropolitano Niguarda
    Milano, Italy
  • Dipartimento di Malattie Infettive, ASST Fatebenefratelli - Ospedale Luigi Sacco
    Milano, Italy
  • UOC Gastroenterologia e Epatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano
    Milano, Italy
  • UOC di Medicina Interna Metabolica, AOU di Modena e Università di Modena e Reggio
    Modena, Italy
  • Dipartimento di Malattie Infettive, Ospedale D. Cotugno
    Napoli, Italy
  • Dipartimento di Medicina di Precisione, Università della Campania "Luigi Vanvitelli"
    Napoli, Italy
  • Dipartimento di Medicina e Chirurgia, Università degli Studi di Napoli Federico II
    Napoli, Italy
  • Dipartimento di Medicina Interna, Università della Campania "Luigi Vanvitelli"
    Napoli, Italy
  • Dipartimento di Medicina Traslazionale, Università del Piemonte Orientale
    Novara, Italy
  • UOC Malattie Infettive e Tropicali, Azienda Ospedale-Università di Padova
    Padova, Italy
  • Dipartimento di Promozione della Salute, Materno-Infantile di Medicina Interna e Specialistica di Eccellenza "G. D'Alessandro", Università degli Studi di Palermo
    Palermo, Italy
  • UOC di Malattie Infettive, Università di Parma
    Parma, Italy
  • Dipartimento di Medicina Clinica e Sperimentale, Università di Pisa
    Pisa, Italy
  • UOC Malattie Infettive, Grande Ospedale Metropolitano "Bianchi - Melacrino - Morelli"
    Reggio Calabria, Italy
  • Malattie Infettive Roma 2
    Roma, Italy
  • Ospedale S. Andrea
    Roma, Italy
  • Policlinico Gemelli
    Roma, Italy
  • UOC Malattie Infettive Epatologia, IRCCS Lazzaro Spallanzani
    Roma, Italy
  • Unità di Gastroenterologia ed Endoscopia Digestiva, IRCCS Casa Sollievo della Sofferenza
    San Giovanni Rotondo, Italy
  • UOC Malattie Infettive
    Siracusa, Italy
  • Clinica Universitaria Malattie Infettive, Ospedale Amedeo di Savoia
    Torino, Italy
  • Unit of Gastroenterology, University of Turin
    Torino, Italy
  • Unità di Epatologia e Trapianti di Fegato, Università degli Studi di Udine
    Udine, Italy
  • UO Malattie Infettive, Azienda Ospedaliera Universitaria Integrata Verona
    Verona, Italy
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05723068
Collaborators
Gilead Sciences
Responsible party
Sponsor
First posted
Feb 10, 2023
Start date
Aug 24, 2022
Primary completion
Jun 30, 2024
Completion
Dec 31, 2024
Last update
Feb 5, 2025

Study contacts

Mario Rizzetto, MD
principal investigator · University of Turin, Italy

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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