A Trial Evaluating Brelovitug vs Delayed Treatment for the Treatment of Chronic Hepatitis Delta Infection (AZURE-4)

NCT ID: NCT07298330

Last Updated: 2025-12-23

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-31

Study Completion Date

2029-01-31

Brief Summary

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This is a Phase 3, global, randomized, open-label, multicenter trial designed to evaluate the safety and efficacy of chronic treatment with brelovitug (BJT-778) for chronic hepatitis delta virus (HDV) infection. The objective of this study is to test the safety and effectiveness of brelovitug compared to delayed treatment.

Detailed Description

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The study consists of 3 study arms. Approximately 80 participants will be randomized 2:1:1 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 brelovitug 900 mg subcutaneously once every 4 weeks for 96 weeks.

Arm 3: Participants will attend study clinic visits and delay treatment with brelovitug for 12 weeks. At Week 12, participants will receive brelovitug 300 mg subcutaneously once weekly for 96 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 300 mg

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

Brelovitug 900 mg

Participants will receive treatment with brelovitug 900 mg once every 4 weeks with a loading dose at Week 2 for 96 weeks

Group Type EXPERIMENTAL

Brelovitug 900 mg

Intervention Type DRUG

Route of administration- Subcutaneous Injection

Delayed treatment with brelovitug 300 mg

Participants will have 12 weeks of delayed treatment followed by brelovitug 300 mg once weekly for 96 weeks

Group Type ACTIVE_COMPARATOR

Delayed Treatment with Brelovitug 300mg

Intervention Type DRUG

Route of administration- Subcutaneous Injection

Interventions

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Brelovitug 300 mg

Route of administration- Subcutaneous Injection

Intervention Type DRUG

Brelovitug 900 mg

Route of administration- Subcutaneous Injection

Intervention Type DRUG

Delayed Treatment with Brelovitug 300mg

Route of administration- Subcutaneous Injection

Intervention Type DRUG

Other Intervention Names

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BJT-778 BTG BJT-778 BTG BJT-778 BTG

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 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.
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

Locations

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University of California, Davis

Davis, California, United States

Site Status RECRUITING

Quest Clinical Research

San Francisco, California, United States

Site Status RECRUITING

Alliance Clinical, Las Vegas

Las Vegas, Nevada, United States

Site Status RECRUITING

Prime Clinical Research Inc

Mansfield, Texas, United States

Site Status RECRUITING

Hospital Service LTD

Kutaisi, , Georgia

Site Status RECRUITING

Diakori LLC

Tbilisi, , Georgia

Site Status RECRUITING

JSC T. Tsertsvadze Infectious Diseases, AIDS and Clinical Immunology Research Center

Tbilisi, , Georgia

Site Status RECRUITING

LTD Academician Vakhtang Bochorishvili Clinic

Tbilisi, , Georgia

Site Status RECRUITING

Soroka University Medical Center

Beersheba, , Israel

Site Status RECRUITING

Aga Khan University & Hospital

Karachi, Karachi, Pakistan

Site Status RECRUITING

Countries

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United States Georgia Israel Pakistan

Central Contacts

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Bluejay Clinical Trials Information

Role: CONTACT

Phone: 6509125231

Email: [email protected]

Bluejay Therapeutics Study Director

Role: CONTACT

Other Identifiers

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2025-522105-38-00

Identifier Type: CTIS

Identifier Source: secondary_id

BJT-778-304

Identifier Type: -

Identifier Source: org_study_id