Libevitug for chronic HDV infection: a big, international phase 3 study
Official title: A Multicenter, Randomized, Controlled, Open-label, Phase III Study to Assess Efficacy and Safety of Libevitug Injection in Participants With Chronic Hepatitis Delta Virus Infection (D-clear Study)
Run by Huahui Health · NCT07499544 · Data updated 2026-11-12
This phase 3 study tests Libevitug in people with chronic HDV infection to see if it works and is safe.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 12 Years to 70 Years |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | Huahui Health Industry-sponsored |
| Locations | 7 sites (Garden Grove, California and 6 other locations) |
| Status | Recruiting |
| Started | April 22, 2026 |
| Main results expected | September 12, 2028 |
| Study ends | January 29, 2030 |
| Registry record updated | August 24, 2026 |
| Trial ID | NCT07499544 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with a history of chronic HDV infection for at least 6 months, HDV RNA ≥500 IU/mL, and ALT elevations between 1×ULN and 10×ULN who can sign informed consent and follow the protocol.
✕Probably not a fit
Patients with decompensated liver disease, active hepatocellular carcinoma, significant other liver diseases, or co-infections like HIV or hepatitis C may not benefit and be excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an international, multicenter, randomized, open-label phase 3 trial evaluating Libevitug at two dosing levels in adults with chronic HDV infection. Participants will be assigned to Libevitug 20 mg/kg, Libevitug 10 mg/kg, or delayed treatment to assess efficacy and safety over time. Key eligibility includes confirmed HDV RNA, liver enzymes above normal but not excessively high, and ability to comply with the protocol. Exclusions include decompensated cirrhosis, active hepatocellular carcinoma or significant liver diseases not caused by HDV, and active infections such as HIV or hepatitis C. The study is led by Huahui Health with sites in the United States and China.
Why it matters
Potential benefit: If successful, Libevitug could offer a new treatment option that reduces virus activity and improves liver outcomes for people with chronic HDV infection.
How similar studies have gone: HDV-targeted therapies have shown potential in earlier-phase studies, but this specific phase 3 approach is novel in its dosing and open-label design.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Willing to sign written informed consent; * Chronic HDV history with at least 6 months; * HDV RNA ≥500 IU/mL at screening; * ALT \>1ULN and \<10×ULN; * Able to communicate well and comply with protocol. Exclusion Criteria: * Concomitant decompensated cirrhosis; * Previous or current HCC or suspicion for HCC; * Participants with history of alcoholic liver disease, nonalcoholic steatohepatitis or other clinically significant chronic liver diseases not caused by HDV/HBV; * Participants with active hepatitis C infection, or HIV infection; * Alcohol abuse or drug addiction within 1 year; * Participants have participated in other clinical trial within 1 month; * Pregnant, lactating women.
Where it's running
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Site 201
Garden Grove, California, United States Recruiting -
Site 101
Changchun, Jilin, China Recruiting -
Site 104
Kashgar, Xinjiang Uygur Autonomous Region, China Recruiting -
Site 103
Ürümqi, Xinjiang Uygur Autonomous Region, China Recruiting -
Site 303
Rawalpindi, Punjab Province, Pakistan Recruiting -
Site 301
Karachi, Sindh, Pakistan Recruiting
Show 1 more location
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Site 302
Karachi, Sindh, Pakistan Recruiting
Study contacts
- Study coordinator: Jiaying Wen PM
- Email: wenjiaying@hhhbio.com
- Phone: +86 13552466248
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.