Phase 3 Study to Evaluate the Efficacy and Safety of Peginterferon Lambda for 48 Weeks in Patients With Chronic HDV

NCT ID: NCT05070364

Last Updated: 2023-08-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-21

Study Completion Date

2025-01-15

Brief Summary

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The Phase 3 LIMT-2 study will evaluate the safety and efficacy of Peginterferon Lambda treatment for 48 weeks with 24 weeks follow-up compared to no treatment for 12 weeks in patients chronically infected with HDV. The primary analysis will compare the proportion of patients with HDV RNA \< LLOQ at the 24-week post-treatment visit in the Peginterferon Lambda treatment group vs the proportion of patients with HDV RNA \< LLOQ at the Week 12 visit in the no-treatment comparator group.

Detailed Description

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This is a randomized, open-label, parallel arm study that will allocate patients (2:1) with chronic HDV infection to one of two treatment groups: Peginterferon Lambda 180 mcg QW for 48 weeks with 24 weeks follow-up (Arm 1, n=100), or no treatment for 12 weeks followed by Peginterferon Lambda treatment for 48 weeks with 24 weeks of follow-up (Arm 2, n=50). All patients will receive concomitant therapy with a potent 2nd generation anti-HBV nucleos(t)ide analogue (NUC) throughout the study duration.

Data collected during Peginterferon Lambda treatment in Arm 2 will not be included in the primary analysis. The primary purpose of Arm 2 is to provide benchmark data in a parallel reference group for the expected rate of HDV RNA suppression among patients with chronic HDV infection who receive 12 weeks of anti-HBV NUC therapy alone.

Prior to randomization, all patients will enter a run-in phase with 12 weeks of anti-HBV NUC therapy, which will ensure virologic control of HBV (\< 100 IU/mL) prior to randomization and start of Peginterferon Lambda therapy.

Conditions

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Hepatitis Delta Virus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Peginterferon Lambda for 48 weeks

Peginterferon Lambda 180 mcg once weekly for 48 weeks with 24 weeks follow-up

Group Type EXPERIMENTAL

Peginterferon Lambda-1a

Intervention Type DRUG

Immunomodulator

No treatment for 12 weeks

No treatment for 12 weeks followed by Peginterferon Lambda 180 mcg once weekly for 48 weeks and 24 weeks follow-up

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Peginterferon Lambda-1a

Immunomodulator

Intervention Type DRUG

Other Intervention Names

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Lambda Peginterferon Lambda Pegylated Interferon Lambda

Eligibility Criteria

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Inclusion Criteria

* Chronic HDV infection documented by a positive HDV antibody test or a positive HDV RNA by RT PCR test for at least 6 months at Screening Visit 2
* Quantifiable HDV RNA by RT-PCR test at Screening Visit 2
* Documented confirmed suppression of HBV DNA (\< 100 IU/mL) following at least 12 weeks of anti-HBV NUC treatment with ETV or a TNF-based NUC (TDF or TAF) at Screening Visit 2
* Serum ALT \> upper limit of normal (ULN) and \< 10 × ULN.
* Patients categorized with Child-Turcotte-Pugh score of ≤ 5 with well compensated liver disease.

Exclusion Criteria

* History or current evidence of decompensated liver disease (episodes of bleeding esophageal or gastric varices, ascites and/or encephalopathy)
* Treatment with interferons (IFNs) or immunomodulators within 6 months before Screening Visit 2 or refractory to prior IFN treatment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eiger BioPharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Asian Pacific Liver Center at Coalition of Inclusive Medicine

Los Angeles, California, United States

Site Status

Keck Medical Center of USC

Los Angeles, California, United States

Site Status

Stanford Medicine Outpatient Center

Redwood City, California, United States

Site Status

Sutter Pacific Medical Foundation - California Pacific Medical Center

San Francisco, California, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

NYU Langone Health / NYU Grossman School of Medicine

New York, New York, United States

Site Status

Icahn School of Medicine - Mount Sinai Medical Center

New York, New York, United States

Site Status

University Hospital Antwerp

Edegem, Antwerp, Belgium

Site Status

CHU Brugmann

Brussels, , Belgium

Site Status

CUB Hôpital Erasme

Brussels, , Belgium

Site Status

Acibadem City Clinic Tokuda Hospital

Sofia, , Bulgaria

Site Status

Medical Center "Nov Rehabilitatsionen Centre" EOOD

Stara Zagora, , Bulgaria

Site Status

CHU Clermont-Ferrand

Clermont-Ferrand, Clermont-Ferrand Cedex, France

Site Status

Hopital Saint Eloi

Montpellier, Herault, France

Site Status

APHP, Hôpital Avicenne

Bobigny, , France

Site Status

Hôpital Beaujon

Clichy, , France

Site Status

Henri-Mondor Hospital

Créteil, , France

Site Status

CHU Grenoble-Alpes

Grenoble, , France

Site Status

CHU de Rouen

Rouen, , France

Site Status

CHU Toulouse

Toulouse, , France

Site Status

LTD,Tbilisi State Medical Univeristy and lngorokva High Medical Technology University Clinic

Tbilisi, , Georgia

Site Status

Infectious diseases, AIDS and Clinical Immunology Research Center

Tbilisi, , Georgia

Site Status

LTD Academician Nikoloz Kipshidze Central University Clinic

Tbilisi, , Georgia

Site Status

ZIM 1, Gastroenterologie, University Hospital Frankfurt

Frankfurt, , Germany

Site Status

Medizinische Hochschule Hannover

Hanover, , Germany

Site Status

Universitätsmedizin Mainz, I. Med. Klinik

Mainz, , Germany

Site Status

The Liver Diseases Center, Sheba Medical Center

Ramat Gan, Tel Hashomer, Israel

Site Status

Emek Medical Center

Afula, , Israel

Site Status

Soroka University Medical Center

Beersheba, , Israel

Site Status

Rambam Health Care Center

Haifa, , Israel

Site Status

Hadassah University Hospital - Ein Kerem

Jerusalem, , Israel

Site Status

Azienda Ospedaliero Universitaria Ospedali Riuniti di Foggia

Foggia, , Italy

Site Status

Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico

Milan, , Italy

Site Status

Azienda Ospedaliero Universitaria Pisana

Pisa, , Italy

Site Status

Institutul de Cardiologie Chisinau

Chisinau, , Moldova

Site Status

Dr. Victor Babes Foundation

Bucharest, , Romania

Site Status

Fundeni Clinical Institute

Bucharest, , Romania

Site Status

National Institute for Infectious Diseases "Matei Bals"

Bucharest, , Romania

Site Status

Spitalul de Infectioase Galati Romania

Galati, , Romania

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Universitario Fundación Alcorcón

Madrid, , Spain

Site Status

Hospital Universitario Virgen del Rocío

Seville, , Spain

Site Status

Ankara City Hospital

Ankara, , Turkey (Türkiye)

Site Status

Hacettepe University Medical Faculty

Ankara, , Turkey (Türkiye)

Site Status

Ege University Medical Faculty

Bornova, , Turkey (Türkiye)

Site Status

Dicle University, Medical Faculty

Diyarbakır, , Turkey (Türkiye)

Site Status

Istanbul Universitry-Cerrahapasa, Cerrahpasa School of Medicine

Istanbul, , Turkey (Türkiye)

Site Status

Koc University Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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United States Belgium Bulgaria France Georgia Germany Israel Italy Moldova Romania Spain Turkey (Türkiye)

Other Identifiers

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EIG-LMD-002

Identifier Type: -

Identifier Source: org_study_id

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