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 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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
150
Route of administration- Subcutaneous Injection
Route of administration- Subcutaneous Injection
Route of administration- Subcutaneous Injection
247 Garden Grove
Garden Grove, California, United States
RECRUITING242 Huntington Beach
Huntington Beach, California, United States
RECRUITING252 Long Beach
Long Beach, California, United States
RECRUITING244 Los Angeles
Los Angeles, California, United States
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
Time frame: Week 24
Percentage of participants with treatment-emergent adverse events (TEAE) as assessed by DAIDS
Frequency and severity of TEAEs and serious AEs
Time frame: 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
Time frame: 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
Time frame: 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.
Time frame: Weeks 24, 48, 96, and 120, if applicable
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250 Miami
Miami, Florida, United States
TERMINATED251, Illinois
Chicago, Illinois, United States
RECRUITING248 Lowa
Cities in Iowa, Iowa, United States
RECRUITING254 Baltimore
Baltimore, Maryland, United States
RECRUITING241, Massachusetts
Boston, Massachusetts, United States
RECRUITING245 New York
New York, New York, United States
RECRUITING...and 28 more locations