Long-term treatment with Bulevirtide for patients with Hepatitis D-related cirrhosis

Effectiveness and Clinical Outcomes of Long-term Bulevirtide Monotherapy in Patients With HDV-related Compensated Cirrhosis (SAVE-D Study)

Observational Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico · NCT06397859

This study is testing if a medication called Bulevirtide can help people with Hepatitis D-related cirrhosis improve their health over a long period of time.

Quick facts

Study typeObservational
Enrollment266 (estimated)
Ages18 Years and up
SexAll
SponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico Academic / other
Locations1 site (Milan)
Trial IDNCT06397859 on ClinicalTrials.gov

What this trial studies

This observational study aims to evaluate the effectiveness and clinical outcomes of Bulevirtide monotherapy in patients with HDV-related compensated cirrhosis. It will enroll consecutive patients starting treatment with Bulevirtide 2 mg/day from September 2019 to December 2025, assessing both retrospective and prospective data. The primary endpoint is the rate of virological response, defined as at least a 2 Log decline or undetectable HDV RNA compared to baseline, measured at week 96 of treatment.

Who should consider this trial

Good fit: Ideal candidates for this study are adults aged 18 and older with HDV-related compensated cirrhosis who have started Bulevirtide treatment.

Not a fit: Patients with decompensated cirrhosis or chronic hepatitis without evidence of cirrhosis will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide a new effective treatment option for patients suffering from Hepatitis D-related compensated cirrhosis.

How similar studies have performed: While this approach is relatively novel, there is ongoing interest in the effectiveness of Bulevirtide for treating Hepatitis D, suggesting potential for success.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age≥18 years
* HDV-related compensated cirrhosis defined by positivity of HDV RNA for at least 6 months and clinical or laboratory or histological diagnosis of cirrhosis
* Started treatment with BLV monotherapy between September 1st 2019 and 2025

Exclusion Criteria:

* Chronic hepatitis without any evidence of cirrhosis
* Decompensated cirrhosis
* PegIFN alpha therapy

Where this trial is running

Milan

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Hepatitis D
Last reviewed 2026-06-13 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.