Effectiveness and Safety of Bulevirtide (BLV) Therapy in Patients With Chronic Hepatitis Delta (CHD) in Italy (D-SHIELD)
D-SHIELD
1 other identifier
observational
100
1 country
1
Brief Summary
Multicenter pharmacological observational prospective, no-profit, study. This study was designed to get a "real-life" snapshot across several Italian Hepatology centers. All HDV patients are followed up according to EASL 2017 guidelines. This allows uniformity on the indication for antiviral treatment and management of that antiviral therapy. No off-label medications are used. All data are retrievable from the patient's medical record. In addition, clinical and biochemical data from patients at month 0, 1, 2, 4, 6 and 12 of treatment, and otherwise within the study period, will be collected longitudinally. The primary objective of the study is to describe the virological response to BLV in all patients starting BLV therapy for CHD, defined as a \>2 Log decline in HDV-RNA or undetectable HDV-RNA (using the Robogene 2.0 quantitative kit, LLQ \<6 IU/ml) at month 12 of therapy. HDV patients who will start therapy with BLV 2 mg/day from May 2023, according to AIFA guidelines, will be consecutively enrolled.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started May 2023
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2023
CompletedFirst Submitted
Initial submission to the registry
October 30, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2023
CompletedFirst Posted
Study publicly available on registry
November 8, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2025
CompletedJanuary 10, 2025
January 1, 2025
6 months
October 30, 2023
January 8, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Describe the virological response to BLV in all patients starting BLV therapy for CHD
Percentage of patients with undetectable HDV RNA
Month 6
Describe the virological response to BLV in all patients starting BLV therapy for CHD
Percentage of patients with ≥ 2 log IU/ml decline of HDV RNA
Month 12
Secondary Outcomes (22)
Evaluation of the proportion of patients with virological response, defined as a >2 Log decline in HDV-RNA
Month 6
Evaluation of the proportion of patients with virological response, defined as a >2 Log decline in HDV-RNA
Month 12
Evaluation of the proportion of patients with virological response, defined as undetectable HDV-RNA
Month 6
Evaluation of the proportion of patients with virological response, defined as undetectable HDV-RNA
Month 12
Evaluation of the percentage of patients with >2 Log decrease in HDV-RNA along with normalization of ALT
Month 6
- +17 more secondary outcomes
Study Arms (1)
Hepatis Delta
Bulevirtide (BLV) at a dose of 2 mg/day subcutaneously
Interventions
Eligibility Criteria
All patients with CHD (quantifiable HDV-RNA) who will start treatment with BLV 2 mg/day during the study period at the S.C. Gastroenterology and Hepatology (Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico) and at participating centers, and who met the inclusion criteria and none of the exclusion criteria.
You may qualify if:
- years of age or older
- Chronic hepatitis delta
- Compensated cirrhosis HDV related
- Patients who will start therapy with BLV 2 mg/day from May 2023
You may not qualify if:
- HDV-related decompensated cirrhosis (CPT ≥7)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Division of Gastroenterology and Hepatology, Milan, Italy.
Milan, MI, 20122, Italy
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 30, 2023
First Posted
November 8, 2023
Study Start
May 1, 2023
Primary Completion
November 1, 2023
Study Completion
December 31, 2025
Last Updated
January 10, 2025
Record last verified: 2025-01