Clinical trial Recruiting at 7 sites Phase 3 Interventional Ages 12 to 70

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

PhasePhase 3
Study typeInterventional
Ages12 Years to 70 Years
SexAll
Enrollment160 (estimated)
SponsorHuahui Health
Industry-sponsored
Locations7 sites (Garden Grove, California and 6 other locations)
StatusRecruiting
StartedApril 22, 2026
Main results expectedSeptember 12, 2028
Study endsJanuary 29, 2030
Registry record updatedAugust 24, 2026
Trial IDNCT07499544 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

  • 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
  • Site 302
    Karachi, Sindh, Pakistan
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Brelovitug versus bulevirtide for treating chronic hepatitis D (AZURE-2)

    This trial tests whether weekly brelovitug works better than daily bulevirtide followed by weekly brelovitug for adults with chronic hepatitis D who are on HBV nucleos(t)ide therapy.

    Recruiting at 57 sites Phase 3 Mirum Pharmaceuticals, Inc. · Graz and 56 other locations · NCT07200908

  • First-in-human test of HH160 in people with advanced solid tumors

    HH160 is being tested to see if it is safe and how it behaves in the body, to see if it has early signs of helping various advanced cancers in adults.

    Recruiting at 3 sites Phase 1 Huahui Health · Waratah, New South Wales and 2 other locations · NCT07623369

  • HH-009 for FGF19-positive advanced or unresectable liver cancer

    This trial tests HH-009 to see if it helps people with FGF19-positive advanced hepatocellular carcinoma who have progressed after initial therapy.

    Recruiting at 3 sites Phase 1/2 Huahui Health · Bengbu, Anhui and 20 other locations · NCT07547553

  • HH-006 in adults with chronic hepatitis B infection

    A not-for-profit treatment is being tested to see if HH-006 can safely help adults with chronic hepatitis B perform better over 48 weeks.

    Recruiting Phase 2 Huahui Health · Chongqing, Chongqing Municipality · NCT07519330

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.