A Trial Evaluating BJT-778 vs Delayed Treatment for the Treatment of Chronic Hepatitis Delta Infection
This is a Phase 2b/3 study designed to evaluate the safety and efficacy of chronic treatment with brelovitug (a. k. a BJT-778; BTG) for chronic hepatitis delta virus (HDV) infection.
The comparator in this study will be 24-weeks of delayed treatment. During the 24-weeks of delayed treatment, participants will complete the same visits and assessments as those randomized to initiate brelovitug immediately. At the completion of 24-week delayed treatment period, all participants will start treatment with brelovitug.
Study details:
Study will consist of 3 study arms. Approximately 150 participants will be randomized 2:2:1 to one of the following treatment arms:. * Arm 1: Participants randomized to Arm 1 will receive brelovitug 300 mg subcutaneously once weekly.
* Arm 2: Participants randomized to Arm 2 will receive brelovitug 900 mg subcutaneously once every 4 weeks. * Arm 3: Participants randomized to Arm 3 will attend study clinic visits and delay treatment with brelovitug. At Week 24, all participants will receive brelovitug 300 mg subcutaneously once weekly.
Eligibility criteria
Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.
Inclusion criteria
- Willing and able to provide written informed consent.
- Chronic HDV infection
- HDV RNA >500 IU/mL at Screening.
- Abnormal ALT (>upper limit of normal) at Screening.
- Willing to take or already taking HBV nucleos(t)ide therapy
Exclusion criteria
- Pregnant or nursing females.
- Unwilling to comply with contraception requirements during the study.
- Difficulty with blood collection and/or poor venous access for the purposes of phlebotomy
- Presence of other liver disease(s) (does not include HBV or HDV infection) such as non-alcoholic steatohepatitis (NASH), alcohol associated hepatitis, cholestatic liver disease, hepatocellular carcinoma.
- Clinical hepatic decompensation (i.e., ascites, encephalopathy variceal hemorrhage).
- Solid organ or bone marrow transplantation Note: other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility
Age eligible for study : NA
Healthy volunteers accepted : No
Gender eligible for study: ALL
Things to know
Study dates
Study start:
Primary completion:
Study completion finish:
Study type
TREATMENT
Phase
- PHASE2PHASE3
Study ID
NCT06907290
Intervention or treatment
DRUG: Brelovitug 300 mg
DRUG: Brelovitug 900 mg
DRUG: Delayed Treatment with Brelovitug 300mg
Conditions
- Chronic Hepatitis D Infection
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Research sites nearby
Closest Location:
101 Camperdown
Select from list below to view details:
101 Camperdown
Camperdown, Australia
104 Liverpool
Liverpool, Australia
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Who is running the clinical trial?
Bluejay Therapeutics, Inc.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
| Participant Group/Arm | Intervention/Treatment |
|---|---|
EXPERIMENTAL: Brelovitug 300mg
| Drug: Brelovitug 300 mg |
EXPERIMENTAL: Brelovitug 900mg
| Drug: Brelovitug 900 mg |
ACTIVE_COMPARATOR: Delayed Treatment with brelovitug 300mg
| Drug: Delayed Treatment with Brelovitug 300mg |
What is the study measuring?
Primary Outcome
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of participants with a composite endpoint | Achieving composite endpoint defined as virologic response (undetectable HDV RNA or decline in HDV RNA ≥2 log10 IU/mL) and ALT normalization | Week 24 |
Secondary Outcome
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of participants with treatment-emergent adverse events (TEAE) as assessed by DAIDS | Frequency and severity of TEAEs and serious AEs | Weeks 24, 48, 96, and 120, if applicable |
| Percentage of participants that achieve that achieve virologic response and ALT normalization | Change from baseline in HDV RNA and ALT normalization | Weeks 24, 48, 96, and 120, if applicable |
| Percentage of participants with a composite endpoint by treatment regimen | Compare the composite endpoint response (change from baseline HDV RNA and ALT normalization) between weekly versus every 4-week regimen of brelovitug | Weeks 24, 48, 96, and 120, if applicable |
| Percentage of participants with HDV associated liver disease progression | Determined by an independent data monitoring committee based on changes in liver stiffness, APRI, CPT/MELD score (cirrhotic), and TEAEs. | Weeks 24, 48, 96, and 120, if applicable |
References
Clinical Trials Gov: A Trial Evaluating BJT-778 vs Delayed Treatment for the Treatment of Chronic Hepatitis Delta InfectionOther trials to consider
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