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CompletedNCT05827146Updated Apr 24, 2024

Study of Hepalatide in Chronic Hepatitis D(CHD) Patients

A Phase 2 interventional study of Hepalatide and Hepalatide Placebo in Chronic Hepatitis D Infection, sponsored by Shanghai HEP Pharmaceutical Co., Ltd.. Completed at 3 sites in 2 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-04-24.

Sponsored by Shanghai HEP Pharmaceutical Co., Ltd. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
23
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

A phase 2a clinical Study of Hepalatide for Injection in Subjects with Chronic Hepatitis D

Read the detailed description

This is a four-arm parallel-group, randomized, placebo-controlled, double-blind, multicenter Phase IIa clinical trial. The CHD subjects who meet the eligibility criteria will be randomly assigned 1:1:1:1 to receive either the placebo or investigational drug (2.1 mg, 4.2 mg, or 6.3 mg), with 6 subjects per group . The placebo or the corresponding dose of the investigational drug will be given for 4 consecutive weeks, followed by a 4-week follow-up period. Subjects will be given entecavir for the treatment of hepatitis B infection during and after the end of the trial.

02

Conditions studied

  • Chronic Hepatitis D Infection

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Keywords

  • chronic hepatitis D
  • hepalatide
  • hepatitis D virus
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 23 is below the median of 46 across 30 interventional studies indexed under Hepatitis D, Chronic.

Browse Hepatitis D, Chronic studies →

Lead sponsor

Shanghai HEP Pharmaceutical Co., Ltd. is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female, 18-65 years old (both inclusive);
  • (+) and/or HBV DNA (+) for at least 6 months (clinically diagnosed as "chronic hepatitis B");
  • HDV-antibody (IgG/IgM) (+) and HDV RNA (+);
  • 1× \<\<10×ULN;
  • Patients with hepatitis B eligible to receive treatment with NAs according to current guidelines for the diagnosis and treatment of hepatitis B;
  • Patients who do not plan a pregnancy within two years (women who are not pregnant or lactating) and agree to take effective measures throughout the treatment period and within 3 months after the last dose;
  • Patients who did not participate in any other clinical trials within 3 months;
  • Patients with good compliance with the study protocol;
  • Patients who understand and agree to sign an form.

Exclusion criteria

Exclusion Criteria:

  • Decompensated liver disease: Direct > 1.2× , > 1.2× ULN, and serum albumin \< 35 g/L;
  • Patients with abnormal results of routine hematology test: White blood cell count (WBC) \< 3×109/L, \< 1.5×109/L and count \< 60×109/L;
  • Severely decompensated hepatic fiborosis or decompensated cirrhosis: Definitely diagnosed decompensated cirrhosis by imaging examinations such as a Color Doppler ultrasound and CT of the abdomen or clinically diagnosed decompensated cirrhosis by the investigator, or a Metavir fibrosis score of 4 on a liver sample, or a score > 7 for liver function assessment;
  • Patients who have any of the following conditions:

    1. A history of decompensated liver disease (ascites, jaundice, hepatic encephalopathy, variceal bleeding);
    2. A history of serious cardiovascular disease (including unstable or uncontrolled cardiovascular disease within 6 months);
    3. Serious mental illness or a history of serious mental illness;
    4. A history of organ transplantation;
    5. Uncontrolled epilepsy, mental illness, or poorly controlled diabetes or hypertension;
    6. disease, immune-related extrahepatic manifestations (vasculitis, purpura, arteritis nodosa, peripheral neuropathy, and glomerulonephritis), thyroid disease, malignant tumor, and receiving therapy;
    7. Underlying diseases such as severe infection, heart failure, , and other severe diseases;
    8. A history of alcohol or drug abuse.
  • \< 60 mL/min;
  • HAV//HEV/ co-infection;
  • Resistance to or poor response to Entecavir;
  • An allergic reaction to Entecavir;
  • Patients who have used interferon within 3 months before the screening period;
  • Previously received L47 or Bulevirtide;
  • Women who have a positive pregnancy test;
  • Patients who have other significantly abnormal results of laboratory or auxiliary tests and are unsuitable for this trial.
Terms in these criteria, in plain language(17)

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
23 participants (actual)

Study arms

  • Experimental
    Hepalatide 2.1mg

    2.1 mg/day subcutaneously (s.c.) for 4 week

    Drug: Hepalatide

  • Experimental
    Hepalatide 4.2mg

    4.2 mg/day subcutaneously (s.c.) for 4 week

    Drug: Hepalatide

  • Experimental
    Hepalatide 6.3mg

    6.3 mg/day subcutaneously (s.c.) for 4 week

    Drug: Hepalatide

  • Placebo comparator
    Placebo 2.1mg/4.2mg/6.3mg

    Placebo 2.1 mg/4.2mg/6.3mg, once a day subcutaneously (s.c.) for 4 week

    Drug: Hepalatide Placebo

Interventions

  • Either the placebo or hepalatide (2.1 mg, 4.2 mg, or 6.3 mg) will be given for 4 consecutive weeks. s.c., once daily.

    Also known as: L47

  • DrugHepalatide Placebo

    Either the placebo or hepalatide (2.1 mg, 4.2 mg, or 6.3 mg) will be given for 4 consecutive weeks. s.c., once daily.

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Hepatitis D Virus(HDV) RNA level

    HDV RNA level at week4

    Time frame: Week 4

Secondary outcomes

  1. Change in Alanine transaminase(ALT) from baseline

    Changes in ALT values at Week 4 compared to baseline

    Time frame: Week 4

  2. Change in HDV RNA from baseline

    Changes in HDV RNA levels at Week 4 compared to baseline

    Time frame: Week 4

Other outcomes

  1. ALT level

    ALT level at Week 4

    Time frame: Week 4

  2. Number of Participants With ALT normalization

    Number of Participants With Normal ALT at Week 4

    Time frame: Week 4

07

Study locations

3 sites
  • The first affiliated hospital of Xinjiang Medical University
    Urumqi, Xinjiang, China
  • The first hospital of Jilin University
    Changchun, China
  • the National cancer center of Mongolia
    Ulaanbaatar, Mongolia
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 Apr 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05827146
Lead sponsor
Shanghai HEP Pharmaceutical Co., Ltd.
Responsible party
Sponsor
First posted
Apr 24, 2023
Start date
Oct 7, 2023
Primary completion
Jan 30, 2024
Completion
Feb 1, 2024
Last update
Apr 24, 2024

Study contacts

Junqi Niu
principal investigator · The First Hospital of Jilin University

Oversight

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

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This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Hepalatide

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