ClinicalTrials.gg
AvailableNCT07922733BTG-EAPUpdated Nov 6, 2026

EXPANDED-ACCESS PROGRAM FOR THE TREATMENT OF CHRONIC HEPATITIS D WITH BRELOVITUG

An expanded access record providing Brelovitug in Chronic Hepatitis, Delta Virus, sponsored by Mirum Pharmaceuticals, Inc.. Available at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Primary conditionHepatitis D, ChronicRegistry: Hepatitis, ChronicReclassifiedWhy we changed it
Registry
Hepatitis, Chronic — the first condition term the registry derived for this study.
ClinicalTrials.gg
Hepatitis D, Chronic
Why
  1. The study's title name Hepatitis D, Chronic, a narrower term within Hepatitis, Chronic.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Mirum Pharmaceuticals, Inc. · Expanded access

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Study type
Expanded access
Access type
Treatment IND/protocol
Ages
18 Years and older
Sex
All
01

Study summary

Brelovitug is designed to target or bind to a key protein on the surface of hepatitis D and hepatitis B viruses, known as the hepatitis B surface antigen (HBsAg). By targeting this protein, brelovitug may help neutralize virus particles and support their removal from the bloodstream.

The aim of this expanded-access program (EAP) is to make brelovitug available to patients with Chronic Hepatitis D (CHD) who are in medical need, cannot benefit from any other comparable authorized treatment, and cannot participate in any available clinical trial.

Read the detailed description

This expanded access program provides brelovitug at no cost to eligible adults with chronic hepatitis D who have no comparable approved treatment option, cannot tolerate or continue approved therapy, or are not candidates for approved therapy based on the treating physician's clinical judgment.

Patients must be unable or ineligible to participate in an available brelovitug clinical trial. All patients must meet the following criteria to be considered eligible for program entry:

  1. Informed consent and assent provided, as applicable per Institutional Review Board (IRB) / Ethic Committee (EC), and willing to comply with the procedures and assessments.
  2. Medical diagnosis of Chronic Hepatitis Delta with confirmatory hepatitis delta virus (HDV) antibody and RNA
  3. On stable nucleos(t)ide therapy for Chronic Hepatitis B for duration of EAP and after EAP at direction of treating physician.
  4. Patients aged ≥18 years for whom, in the judgment of the treating physician, treatment with brelovitug is clinically appropriate based on efficacy, safety, or other relevant clinical considerations.

    • Patients who are intolerant, non-compliant, ineligible or who discontinue a currently approved therapy; or patients who are not candidates for a currently approved therapy in the clinical judgment of the treating physician.
02

Conditions studied

  • Chronic Hepatitis, Delta Virus

Browse trials for

Keywords

  • CHD
  • Hepatitis D virus
  • Chronic Hepatitis D
  • Hepatitis D infection
  • HDV
03

In context

Hepatitis D, Chronic Reclassified

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

Browse Hepatitis D, Chronic studies →

Lead sponsor

Mirum Pharmaceuticals, Inc. is the lead sponsor of 40 studies on the registry; 7 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 11 (92%) have results posted.

Compared within Hepatitis D, Chronic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Hepatitis, Chronic. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All

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

  • and assent provided, as applicable per Institutional Review Board (IRB) / Ethic Committee (EC), and willing to comply with the procedures and assessments.
  • Medical diagnosis of Chronic Hepatitis Delta with confirmatory HDV antibody and RNA
  • On stable nucleos(t)ide therapy for Chronic for duration of EAP and after EAP at direction of treating physician.
  • Patients aged ≥18 years for whom, in the judgment of the treating physician, treatment with brelovitug is clinically appropriate based on efficacy, safety, or other relevant clinical considerations.

    • Patients who are intolerant, non-compliant, ineligible or who discontinue a currently approved therapy; or patients who are not candidates for a currently approved therapy in the clinical judgment of the treating physician.

Exclusion criteria

Exclusion Criteria:

  • Eligible and access to any ongoing CHD clinical trials designed to establish safety and efficacy.
  • Pregnant, intends to become pregnant or lactating females.
  • Known to brelovitug or any of its .
  • Any medical condition, comorbidity, laboratory abnormality, or other clinical circumstance that, in the judgment of the treating physician and/or Sponsor's Medical Reviewer, would place the patient at an unacceptable risk from treatment with brelovitug or result in an unfavorable benefit-risk assessment. Such conditions may include, but are not limited to, clinically significant cardiovascular, hepatic, gastrointestinal, pulmonary, neurologic, infectious, or renal disease.
  • Current or prior hepatic decompensation (ascites, hepatic encephalopathy, variceal hemorrhage, etc) or Child-Turcotte-Pugh (CTP) Class B or C cirrhosis.

    • Clinically significant liver disease attributable to an etiology other than or HDV that, in the judgment of the treating physician and/or Sponsor's Medical Reviewer, would result in an unfavorable benefit-risk assessment for treatment with brelovitug. Patients with compensated cirrhosis up to CPT A6 may be considered on a case-by-case basis following review and approval by the Sponsor's Medical Reviewer, provided the potential benefits of treatment are considered to justify the potential risks.
    • Presence of any disease, condition, concomitant therapy, or other clinical circumstance that is known or reasonably expected to significantly alter the absorption, distribution, metabolism, or excretion of brelovitug, or otherwise adversely affect its safety or intended pharmacologic activity, and that, in the judgment of the treating physician and/or Sponsor's Medical Reviewer, would make treatment with brelovitug clinically inappropriate.
Terms in these criteria, in plain language(5)

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

05

Access details

Study type
Expanded access
Access type
Treatment IND/protocol

Available treatment

  • BiologicalBrelovitug

    Brelovitug (BJT-778) is an investigational, fully human monoclonal antibody targeting hepatitis B surface antigen (HBsAg). Eligible patients with chronic hepatitis D (CHD) will receive brelovitug 300 mg administered as a single subcutaneous injection once weekly in the abdomen, upper arm, or thigh. Treatment may be self-administered by appropriately trained patients or administered by healthcare professionals. Treatment will continue as long as the patient derives clinical benefit, as determined by the treating physician, or until treatment discontinuation criteria are met.

    Also known as: BJT-778

06

Where to request access

1 of 1 sites recruiting
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
    Available
    • Pierre M. Gholam · Contact216-844-8500
07

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

08

Registry details

Key details

Study ID
NCT07922733
Responsible party
Sponsor
First posted
Nov 6, 2026
Last update
Nov 6, 2026

Study contacts

Mirum Pharmaceuticals
Contact
medinfo@mirumpharma.com
1 855 676 4968
View the source record on ClinicalTrials.gov ↗

Requesting access

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