Effectiveness and Safety of Bulevirtide (BLV) Therapy in Patients With Chronic Hepatitis Delta (CHD) in Italy (D-SHIELD)

ConditionHepatitis D
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico

About this trial

Multicenter pharmacological observational prospective, no-profit, study.

This study was designed to get a "real-life" snapshot across several Italian Hepatology centers. All HDV patients are followed up according to EASL 2017 guidelines. This allows uniformity on the indication for antiviral treatment and management of that antiviral therapy. No off-label medications are used. All data are retrievable from the patient's medical record. In addition, clinical and biochemical data from patients at month 0, 1, 2, 4, 6 and 12 of treatment, and otherwise within the study period, will be collected longitudinally.

The primary objective of the study is to describe the virological response to BLV in all patients starting BLV therapy for CHD, defined as a \>2 Log decline in HDV-RNA or undetectable HDV-RNA (using the Robogene 2.0 quantitative kit, LLQ \<6 IU/ml) at month 12 of therapy.

HDV patients who will start therapy with BLV 2 mg/day from May 2023, according to AIFA guidelines, will be consecutively enrolled.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 years of age or older

Chronic hepatitis delta

Compensated cirrhosis HDV related

Patients who will start therapy with BLV 2 mg/day from May 2023

Disqualifiers

HDV-related decompensated cirrhosis (CPT ≥7)

Trial population

All patients with CHD (quantifiable HDV-RNA) who will start treatment with BLV 2 mg/day during the study period at the S.C. Gastroenterology and Hepatology (Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico) and at participating centers, and who met the inclusion criteria and none of the exclusion criteria.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Bulevirtide

    Drug

    dose of 2 mg/day subcutaneously

Treatment groups

100 Participants
are divided into 1 treatment group
Group A: Hepatis Delta1 intervention

Trial outcomes

Primary outcomes

1

Describe the virological response to BLV in all patients starting BLV therapy for CHD

Percentage of patients with undetectable HDV RNA

Time frame
Month 6
2

Describe the virological response to BLV in all patients starting BLV therapy for CHD

Percentage of patients with ≥ 2 log IU/ml decline of HDV RNA

Time frame
Month 12

Secondary outcomes

1

Evaluation of the proportion of patients with virological response, defined as a >2 Log decline in HDV-RNA

Proportion of patients with virological response, defined as a \>2 Log decline in HDV-RNA

Time frame
Month 6
2

Evaluation of the proportion of patients with virological response, defined as a >2 Log decline in HDV-RNA

Proportion of patients with virological response, defined as a \>2 Log decline in HDV-RNA

Time frame
Month 12
3

Evaluation of the proportion of patients with virological response, defined as undetectable HDV-RNA

Proportion of patients with virological response, defined as undetectable HDV-RNA

Time frame
Month 6
4

Evaluation of the proportion of patients with virological response, defined as undetectable HDV-RNA

Proportion of patients with virological response, defined as undetectable HDV-RNA

Time frame
Month 12

Other outcomes

Sponsors and contacts

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