ClinicalTrials.gg
RecruitingNCT07499544Updated Aug 24, 2026

A Phase III Study to Evaluate the Efficacy and Safety of Libevitug in Participants With Chronic HDV Infection (D-clear Study)

A Phase 3 interventional study of Libevitug 20 mg/kg and Libevitug 10 mg/kg in Chronic Hepatitis D Infection, sponsored by Huahui Health. Recruiting at 7 sites in 3 countries. Open to participants aged 12 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by Huahui Health · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 6 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
160
Allocation
Randomized
Ages
12 Years to 70 Years
Sex
All
01

Study summary

This is an international, multicenter, randomized, controlled, open-label Phase III trial. It will evaluate the efficacy and safety of libevitug in participants with chronic HDV infection.

02

Conditions studied

  • Chronic Hepatitis D Infection

Browse trials for

Keywords

  • Hepatitis Delta Virus (HDV)
  • Viral hepatitis
03

In context

Hepatitis D

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

This study's planned enrollment of 160 is above the median of 80 across 30 interventional studies indexed under Hepatitis D.

Browse Hepatitis D studies →

Lead sponsor

Huahui Health is the lead sponsor of 18 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
12 Years to 70 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

  • Willing to sign written ;
  • Chronic HDV history with at least 6 months;
  • HDV RNA ≥500 IU/mL at screening;
  • >1ULN and \<10×;
  • Able to communicate well and comply with protocol.

Exclusion criteria

Exclusion Criteria:

  • Concomitant decompensated cirrhosis;
  • Previous or current HCC or suspicion for HCC;
  • Participants with history of alcoholic liver disease, nonalcoholic steatohepatitis or other chronic liver diseases not caused by HDV/;
  • Participants with active infection, or infection;
  • Alcohol abuse or drug addiction within 1 year;
  • Participants have participated in other clinical trial within 1 month;
  • Pregnant, lactating women.
Terms in these criteria, in plain language(7)

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.

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.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

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 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
160 participants (estimated)

Study arms

  • Experimental
    Libevitug 20 mg/kg

    Participants will receive libevitug at a dose of 20 mg/kg Q2W via intravenous infusion for 96 weeks

    Drug: Libevitug 20 mg/kg

  • Experimental
    Libevitug 10 mg/kg

    Participants will receive libevitug at a dose of 10 mg/kg Q2W via intravenous infusion for 96 weeks

    Drug: Libevitug 10 mg/kg

  • Active comparator
    Control group/delayed treatment with libevitug 20 mg/kg

    Participants will be observed as comparator for 48 weeks, then to receive libevitug 20 mg/kg for 48 weeks

    Other: Delayed treatment with libevitug

Interventions

  • DrugLibevitug 20 mg/kg

    Drug page: Libevitug

    Route of administration: intravenous infusion

  • DrugLibevitug 10 mg/kg

    Drug page: Libevitug

    Route of administration: intravenous infusion

  • OtherDelayed treatment with libevitug

    Route of administration: intravenous infusion

06

What researchers measure

Primary outcomes

  1. Proportion of participants with HDV RNA below LLOQ with TND or a decrease of ≥ 2 log10 from baseline, and ALT normalization at Week 48 of the treatment period

    Proportion of participants with HDV RNA below Lower Limit of Quantification (LLOQ) with target not detected (TND) or a decrease of ≥ 2 log10 from baseline, and ALT normalization at Week 48 of the treatment period

    Time frame: Week 48

Secondary outcomes

  1. Proportion of participants with HDV RNA below LLOQ or a decrease of ≥ 2 log10 from baseline, and ALT normalization

    Time frame: up to week 96

  2. Proportion of participants with HDV RNA below LLOQ or a decrease of ≥ 2 log10 from baseline

    Time frame: up to week 96

  3. Proportion of participants with plasma HDV RNA achieving HDV RNA < LLOQ

    Time frame: up to week 96

  4. Proportion of participants with ALT normalization

    Time frame: up to week 96

  5. Change from baseline in liver stiffness measurement (LSM)

    Time frame: up to week 96

  6. Change from baseline in plasma HDV RNA levels at different time points

    Time frame: up to week 96

  7. Change from baseline in Model for End-Stage Liver Disease (MELD) score at different time points

    Time frame: up to week 96

  8. Change from baseline in Child-Pugh score at different time points during the treatment period, extended treatment period and follow-up period. (A higher Child-Pugh score indicates poorer liver function, more severe disease, and a worse prognosis)

    Time frame: up to week 96

  9. Liver related clinical events

    Time frame: up to week 120

  10. Percentage of participants with treatment-emergent adverse events (TEAEs)

    Time frame: up to week 120

  11. Ctrough,ss

    Steady-state trough concentration of libevitug

    Time frame: up to week 96

Other outcomes

  1. HDV and HBV genotyping

    Time frame: baseline

  2. Change from baseline in quality of life assessed with questionnaire (Hepatitis B quality of life instrument (HBQoL) Version 1.0 and Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) version 4.0 ) at all postbaseline assessments

    Time frame: up to week 120

07

Study locations

7 of 7 sites recruiting
  • Site 201
    Garden Grove, California 92844, United States
    Recruiting
  • Site 101
    Changchun, Jilin 130033, China
    Recruiting
  • Site 104
    Kashgar, Xinjiang Uygur Autonomous Region 844000, China
    Recruiting
  • Site 103
    Ürümqi, Xinjiang Uygur Autonomous Region 830000, China
    Recruiting
  • Site 303
    Rawalpindi, Punjab Province, Pakistan
    Recruiting
  • Site 301
    Karachi, Sindh 74800, Pakistan
    Recruiting
  • Site 302
    Karachi, Sindh 75600, Pakistan
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2026 (actual). Primary completion is estimated for Sep 2028, 28 months after the start.

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

Registered
Mar 24, 2026
First posted
Mar 30, 2026
StartActual
Apr 22, 2026
Primary completionEst.
Sep 12, 2028
CompletionEst.
Jan 29, 2030
Last update
Aug 24, 2026
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 Aug 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07499544
Lead sponsor
Huahui Health
Responsible party
Sponsor
First posted
Mar 30, 2026
Start date
Apr 22, 2026
Primary completion
Sep 12, 2028 (estimated)
Completion
Jan 29, 2030 (estimated)
Last update
Aug 24, 2026

Study contacts

Jiaying Wen PM
Contact
wenjiaying@hhhbio.com
+86 13552466248

Oversight

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

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