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

RECRUITINGPhase 3Sponsored by Mirum Pharmaceuticals, Inc.
Actively Recruiting
PhasePhase 3
SponsorMirum Pharmaceuticals, Inc.
Started2026-01-14
Est. completion2026-08
Eligibility
Age18 Years – 99 Years
Healthy vol.Accepted
Locations8 sites

Summary

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.

Eligibility

Age: 18 Years – 99 YearsHealthy volunteers accepted
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.

Note - Other protocol-defined Inclusion/Exclusion criteria apply.

Conditions2

Chronic Hepatitis D InfectionLiver Disease

Locations8 sites

University of California, Davis
Davis, California, 95616
Kaiser Permanente Medical Center
Sacramento, California, 95661
Quest Clinical Research
San Francisco, California, 94115
Denver Health Medical Center
Denver, Colorado, 80204
Alliance Clinical, Las Vegas
Las Vegas, Nevada, 89019

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Trial data from ClinicalTrials.gov. Trial status and eligibility can change — verify directly with the study contact or on ClinicalTrials.gov.

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