A Trial Evaluating Brelovitug (BJT-778) vs Bulevirtide for the Treatment of Chronic Hepatitis Delta Infection (AZURE-2)

NCT ID: NCT07200908

Last Updated: 2025-12-22

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

Clinical Phase

PHASE3

Total Enrollment

172 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-27

Study Completion Date

2029-09-30

Brief Summary

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This is a Phase 3, global, randomized, open-label, multicenter, trial evaluating brelovitug (BJT-778) vs bulevirtide for the treatment of chronic hepatitis delta infection (CHD). The main goal of this study is to test the effectiveness of brelovitug compared to bulevirtide as a long-term treatment in patients with chronic HDV infection.

Detailed Description

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Study consists of 2 arms. Approximately 172 participants will be randomized 3:1 to one of the following treatment arms:

Arm 1: Participants will receive brelovitug 300 mg subcutaneously once weekly for 96 weeks.

Arm 2: Participants will receive bulevirtide 2 mg subcutaneously once daily for 48 weeks, followed by brelovitug 300 mg subcutaneously once weekly for the next 48 weeks.

Conditions

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Chronic Hepatitis D Infection

Keywords

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Hepatitis Delta virus, HDV, Hepatitis D infection; Hepatitis D 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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Brelovitug

Participants will receive treatment with brelovitug 300 mg once weekly for 96 weeks

Group Type EXPERIMENTAL

Brelovitug 300 mg

Intervention Type DRUG

Route of administration- Subcutaneous Injection

Bulevirtide for 48 weeks followed by brelovitug for 48 weeks

Participants will receive bulevirtide 2 mg subcutaneously once daily for 48 weeks, followed by brelovitug 300 mg subcutaneously once weekly for the next 48 weeks.

Group Type ACTIVE_COMPARATOR

Bulevirtide 2 mg and Brelovitug - 300 mg

Intervention Type DRUG

Route of Administration- Subcutaneous Injection

Interventions

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Brelovitug 300 mg

Route of administration- Subcutaneous Injection

Intervention Type DRUG

Bulevirtide 2 mg and Brelovitug - 300 mg

Route of Administration- Subcutaneous Injection

Intervention Type DRUG

Other Intervention Names

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BJT-778 BTG Hepcludex

Eligibility Criteria

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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 neucleos(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 nonalcoholic steatohepatitis (NASH), alcohol associated hepatitis, cholestatic liver disease, hepatocellular carcinoma.
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bluejay Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bluejay Therapeutics

Role: STUDY_DIRECTOR

Bluejay Therapeutics

Locations

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Medical University of Graz

Graz, , Austria

Site Status RECRUITING

Fakultni Nemocnice Brno

Brno, Brno, Czechia

Site Status RECRUITING

Fakultni Nemocnice Hradec Kralove

Hradec Králové, Hradec Králové, Czechia

Site Status RECRUITING

Institute For Clinical And Experimental Medicine

Prague, Prague, Czechia

Site Status RECRUITING

Klin Med s.r.o.

Prague, Prague, Czechia

Site Status RECRUITING

Goethe University Frankfurt

Frankfurt, Frankfurt, Germany

Site Status RECRUITING

Rostock University Medical Center

Rostock, Rostock, Germany

Site Status RECRUITING

National Institute Of Infectious Diseases

Bucharest, Bucharest, Romania

Site Status RECRUITING

Spitalul Clinic De Boli Infectioase Si Tropicale Dr. Victor Babes

Bucharest, Bucharest, Romania

Site Status RECRUITING

Centrul Medical Unirea S.R.L

Iași, Lasi, Romania

Site Status RECRUITING

Hospital Universitario Torrecardenas

Almería, Almeria, Spain

Site Status RECRUITING

Hospital Universitari Vall D Hebron

Barcelona, Barcelona, Spain

Site Status RECRUITING

Queen Elizabeth Hospital Birmingham

Birmingham, Birmingham, United Kingdom

Site Status RECRUITING

Chelsea and Westminster Hospital NHS Foundation Trust

London, London, United Kingdom

Site Status RECRUITING

Hull University Teaching Hospitals

Cottingham, , United Kingdom

Site Status RECRUITING

Barts Health NHS Trust

London, , United Kingdom

Site Status RECRUITING

King's College Hospital NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

Countries

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Austria Czechia Germany Romania Spain United Kingdom

Central Contacts

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Bluejay Clinical Trials Information

Role: CONTACT

Phone: +16509125231

Email: [email protected]

Other Identifiers

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2024-517167-23-00

Identifier Type: CTIS

Identifier Source: secondary_id

BJT-778-302

Identifier Type: -

Identifier Source: org_study_id