D-SOLVE Cohorts (Cohort a and B)

NCT ID: NCT06160635

Last Updated: 2025-03-12

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

RECRUITING

Total Enrollment

750 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-02-22

Study Completion Date

2026-09-30

Brief Summary

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Hepatitis D is by far the most severe form of chronic viral hepatitis, frequently leading to liver failure, hepatocellular carcinoma and death. Hepatitis D is caused by coinfection Hepatitis D is caused by co-infection with hepatitis B virus (HBV) and hepatitis D virus (HDV).

This multicenter cohort should enable a comprehensive and unbiased biomarker screening of well-defined HDV-infected patients, followed by mechanistic studies to determine the functional role of distinct molecules. Patient surveillance strategies and antiviral treatment approaches could be personalized which should reduce clinical and social disease burden, improve quality of life and save direct and indirect costs caused by HDV infection.

Detailed Description

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The D-SOLVE consortium ("Understanding the individual host response against Hepatitis D Virus to develop a personalized approach for the management of hepatitis D"), aims for an unbiased screening of a large multicenter cohort of well-defined HDV-infected patients to better understand individual factors determining the outcome of infection and to identify subjects benefitting from currently available treatments.

The D-SOLVE cohorts will be collected retrospectively as well as prospectively with clinical and virological data and biomaterial for the biomarker analysis. The aim of the cohorts is as following:

Cohort A: To define the demographic, clinical, virological, and immunological features of a large cross-sectional cohort of 750 untreated and treated HDV patients at 4 EU centers. To compare these features among patients with different origin, gender, disease severity and treatment. To collect biological material to generate translational studies, aimed to better understand pathogenesis, natural history and treatment response.

Cohort B: To identify histological and immunological features that are associated with fibrosis progression and clinical complications in patients with chronic HDV infection.

The D-SOLVE consortium has received funding from the Horizon 2020 EU Horizon Call "Personalised medicine and infectious diseases: understanding the individual host response to viruses (e.g. SARS-CoV-2)" of the European Union (grant agreement No 101057917). The consortium is coordinated by Hannover Medical School (MHH) and the Centre for Individualised Infection Medicine (CiiM). Other partners are:

* Helmholtz-Zentrum für Infektionsforschung (HZI), Germany
* Institut national de la santé et de la recherche médicale (INSERM)
* Karolinska Institutet (KI), Sweden
* Karolinska University Hospital / Region Stockholm (KUH), Sweden
* Policlinico of Milan (PFM), Italy
* National Institute for Infectious Diseases "Prof Dr Matei Balș" (INBIMB), Romania
* Helmholtz-Zentrum für Informationssicherheit (CISPA), Germany

The Cohorts and the biomarker screening are part of the EU-funded D-SOLVE Consortium.

Conditions

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HDV HDV Infection Chronic Liver Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Cohort A

Cohort A: Patients chronically infected with HDV. Patients with and without cirrhosis and with and without viremia will be included.

No interventions assigned to this group

Cohort B

Cohort B: Patients chronically infected with HDV and with available historical liver biopsies (5-20 years old biopsies) and clinical follow-up data or current patients willing to receive a core biopsy or fine-needle liver-cell aspirate (FNA). Patients with and without cirrhosis and with and without viremia will be included.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Anti-HDV positive
* ≥18 years old
* Sex: m/f/d
* Informed consent for prospective procedures

Exclusion Criteria

* Anti-HDV negative
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Karolinska University Hospital

OTHER

Sponsor Role collaborator

Karolinska Institutet

OTHER

Sponsor Role collaborator

Helmholtz Centre for Infection Research

OTHER

Sponsor Role collaborator

Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico

OTHER

Sponsor Role collaborator

National Institute of Infectious Diseases Matei Bals

UNKNOWN

Sponsor Role collaborator

Hannover Medical School

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Markus Cornberg

Role: PRINCIPAL_INVESTIGATOR

Hannover Medical School

Locations

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Hannover Medical School, Department of Gastroenterology, Hepatology, Infectious Disease and Endocrinology

Hanover, , Germany

Site Status RECRUITING

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (University of Milan)

Milan, , Italy

Site Status NOT_YET_RECRUITING

Institutul de Boli Infectioase "Prof. Dr. Matei Bals"

Bucharest, , Romania

Site Status RECRUITING

Karolinska University Hospital and Karolinska Institutet

Stockholm, , Sweden

Site Status RECRUITING

Countries

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Germany Italy Romania Sweden

Central Contacts

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Petra Dörge

Role: CONTACT

+495115326057

Julia Kahlhöfer

Role: CONTACT

Facility Contacts

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Heiner Wedemeyer

Role: primary

Pietro Lampertico

Role: primary

Florin Alexandru Caruntu, Dr.

Role: primary

Soo Aleman

Role: primary

Other Identifiers

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HDV750

Identifier Type: -

Identifier Source: org_study_id

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