New hope for hepatitis delta: phase 3 trial of brelovitug launches
NCT ID NCT07298330
First seen Jun 26, 2026 · Last updated Jun 30, 2026 · Updated 3 times
Summary
This Phase 3 trial tests a drug called brelovitug (BJT-778) in 80 people with chronic hepatitis delta, a serious liver infection. Participants receive either brelovitug or delayed treatment to see if the drug can lower virus levels and improve liver enzyme counts. The study is recruiting now and aims to find a safer, more effective way to manage this disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Brelovitug (also called BJT-778), a drug given as a shot under the skin
- What this could lead to
- If it works, this could offer a new treatment option to control hepatitis delta virus and reduce liver damage, potentially preventing progression to cirrhosis or liver failure.
- What could go wrong
- This is still an early Phase 3 trial with only 80 participants, so results may not apply to everyone. The drug may cause side effects, and it is not a cure—patients may need ongoing treatment.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Jan 2026
- Expected to finish
-
Jan 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 99 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Willing and able to provide written informed consent 2. Chronic HDV infection 3. HDV RNA \>500 IU/mL at Screening 4. ALT \>ULN at Screening 5. Willing to take or already taking HBV nucleos(t)ide therapy. Exclusion Criteria: 1. Pregnant or nursing females 2. Unwilling to comply with contraception requirements during the study 3. Difficulty with blood collection and/or poor venous access for the purposes of phlebotomy 4. Clinical hepatic decompensation (i.e., ascites, encephalopathy variceal hemorrhage). 5. Solid organ or bone marrow transplantation 6. Presence of other liver disease(s) (non-HBV/HDV), such as metabolic dysfunction-associated steatohepatitis (MASH), alcohol associated hepatitis, cholestatic liver disease, hepatocellular carcinoma. Note - Other protocol-defined Inclusion/Exclusion criteria apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Acibadem City Clinic University Multiprofile Hospital for Active Treatment Tokuda
Sofia, 1407, Bulgaria
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Aga Khan University & Hospital
Karachi, Karachi, 74800, Pakistan
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Alliance Clinical, Las Vegas
Las Vegas, Nevada, 89019, United States
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Central Hospital of Southern Pest National Institute of Hematology and Infectious Diseases
Budapest, H-1097, Hungary
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Denver Health Medical Center
Denver, Colorado, 80204, United States
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Diakori LLC
Tbilisi, 0159, Georgia
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E-Da Hospital
Kaohsiung City, 82445, Taiwan
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Erasme Hospital
Brussels, Belgium
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Fejer County St. Gyorgy University Teaching Hospital
Székesfehérvár, H-8000, Hungary
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HaEmek Medical Center
Haifa, 3296043, Israel
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Hospital Service LTD
Kutaisi, 4608, Georgia
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JSC T. Tsertsvadze Infectious Diseases, AIDS and Clinical Immunology Research Center
Tbilisi, 0159, Georgia
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Kaiser Permanente Medical Center
Sacramento, California, 95661, United States
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Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807377, Taiwan
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LTD Academician Vakhtang Bochorishvili Clinic
Tbilisi, 0160, Georgia
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Limited Liability Company "Medical Center Health and Rehabilitation "100 Percent Life"
Poltava, 36000, Ukraine
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National Taiwan University Hospital
Taipei, 100225, Taiwan
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Prime Clinical Research Inc
Mansfield, Texas, 76063, United States
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Public Non-Profit Enterprise "Central City Hospital" of Rivne City Council
Rivne, 33018, Ukraine
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Quest Clinical Research
San Francisco, California, 94115, United States
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Research Institute of Virology of the Republic of Uzbekistan
Tashkent, 100194, Uzbekistan
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Soroka University Medical Center
Beersheba, 8410101, Israel
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University Hospital Antwerp (UZA)
Edegem, Belgium
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University Hospital Center Sart-Tilman
Liège, Belgium
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University of California, Davis
Davis, California, 95616, United States
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University of Utah
Salt Lake City, Utah, 84132, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a daily pill tame hepatitis d?
- New combo therapy aims to clear hepatitis b and d in 20-patient trial
- New antibody could tame dual hepatitis b and d infection
- New hope for hepatitis d: libevitug enters final testing phase
- Liver drug bulevirtide tested in people with liver problems
- New drug bulevirtide tracked in real-world hepatitis d patients