ClinicalTrials.gg
CompletedNCT05962307HEP4DiUpdated Jul 27, 2023

Efficacy and Safety of Bulevirtide (BLV) Therapy in HDV Chronic Hepatitis (CHD) in Italy

An observational study in Hepatitis D, sponsored by Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-07-27.

Sponsored by Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
50
Ages
18 Years and older
Sex
All
01

Study summary

Spontaneous, pharmacological observational, no-profit, retrospective, multi-center.

This study was designed to get a "real-life" snapshot across several Italian Hepatology centers. All HDV patients are followed up according to EASL 2017 guidelines. This allows uniformity on the indication for antiviral treatment and management of that antiviral therapy. No off-label medications are used. All data are retrievable from the patient's medical record. In addition, clinical and biochemical data from patients at month 0, 1, 2, 4, 6 and 12 of treatment, and otherwise within the study period, will be collected retrospectively/longitudinally.

The primary objective of the study is to describe the virological response to BLV in all patients starting BLV therapy, defined as a >2 Log decline in HDV-RNA or undetectable HDV-RNA (using the Robogene 2.0 quantitative kit, LLQ \<6 IU/ml) at month 12 of therapy.

All patients with active HDV chronic hepatopathy (quantifiable HDV-RNA) who initiated treatment with BLV 2 mg/day during the study period at the S.C. Gastroenterology and Hepatology (Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico) and at participating centers, and who met the inclusion criteria and none of the exclusion criteria.

02

Conditions studied

  • Hepatitis D

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03

In context

Hepatitis D

63 studies on the registry are indexed under Hepatitis D; 21 are open to participants now.

This study's enrollment of 50 is below the median of 326 across 29 observational studies indexed under Hepatitis D.

Browse Hepatitis D studies →

Lead sponsor

Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico is the lead sponsor of 233 studies on the registry; 77 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All patients with active HDV chronic hepatopathy (quantifiable HDV-RNA) who initiated treatment with BLV 2 mg/day during the study period at the S.C. Gastroenterology and Hepatology (Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico) and at participating centers, and who met the inclusion criteria and none of the exclusion criteria.

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

  • 18 years of age or older
  • Chronic hepatitis delta
  • Compensated cirrhosis HDV related
  • Bulevertide 2 mg/day within December 15, 2020, to December 31, 2022

Exclusion criteria

Exclusion Criteria:

  • HDV-related decompensated cirrhosis (CPT ≥7)
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
50 participants (actual)
Patient registry
No

Groups and cohorts

  • Hepatis Delta

    Bulevirtide (BLV) at a dose of 2 mg/day subcutaneously

    Drug: Bulevirtide

Interventions

06

What researchers measure

Primary outcomes

  1. Describe the virological response to BLV in all patients starting BLV therapy

    percentage of patients with undetectable HDV RNA.

    Time frame: Month 12

  2. Describe the virological response to BLV in all patients starting BLV therapy

    percentage of patients with ≥ 2 log IU/ml decline of HDV RNA at month 12 of BLV therapy, compared to baseline.

    Time frame: Month 12

Secondary outcomes

  1. Evaluation of the percentage of patients with >2 Log decrease in HDV-RNA along with normalization of ALT, at the twelfth month of treatment

    Percentage of patients with \>2 Log decrease in HDV-RNA along with normalization of ALT

    Time frame: Month 12

  2. Evaluation of the percentage of patients with normal ALT, at the twelfth month of treatment

    Percentage of patients with normal ALT at 12 months of BLV treatment

    Time frame: Month 12

  3. Evaluation of the percentage of patients with clinical response, i.e., the percentage of patients who remain free of liver complications, such as HCC or decompensation, at the end of the first year of treatment

    Percentage of patients who remain free of liver complications (de novo HCC or onset of decompensation)

    Time frame: Month 12

  4. Evaluation of treatment safety

    Occurrence change in serum bile acid levels (µmol/L)

    Time frame: Month 12

07

Study locations

1 site
  • Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Division of Gastroenterology and Hepatology, Milan, Italy.
    Milan, MI 20122, Italy
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2023 to primary completion in Apr 2023, 0 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 21, 2023
First posted
Jul 27, 2023
StartActual
Apr 1, 2023
Primary completionActual
Apr 30, 2023
CompletionActual
May 31, 2023
Last update
Jul 27, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05962307
Responsible party
Sponsor
First posted
Jul 27, 2023
Start date
Apr 1, 2023
Primary completion
Apr 30, 2023
Completion
May 31, 2023
Last update
Jul 27, 2023

Oversight

Data monitoring committee
No
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 Mar 2023. You cannot join it, but the record below documents what was studied.

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