AzTrials
AzTrials

Hepatitis DPhase 2HIDIT-IINCT00932971

HIDIT II - PegIFN-alfa2a Plus Tenofovir in Chronic Delta Hepatitis

A Phase 2 study testing PEG-IFN alfa-2a, Tenofovir in people with Hepatitis D, run by HepNet Study House, German Liverfoundation at 10 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Randomized, double blind study comparing the efficacy of pegylated interferon-alfa2a plus placebo versus pegylated interferon-alfa2a plus tenofovir for the treatment of chronic delta hepatitis. 70 Patients will be randomized 1:1 into the two groups. Treatment duration: 96 weeks. Follow-up: 24 weeks. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatitis D
What is being tested?
PEG-IFN alfa-2a, Tenofovir
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
70 participants
Where
10 sitesin 3 countries
Study dates
Jun 2009to 2 Aug 2017
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent.
  • Age > 18 years.
  • Positive HBsAg, for at least the prior 6 months, positive anti-HDV for at least 3 months and positive for HDV-RNA by PCR within the screening period.
  • Elevated serum ALT ≥ ULN but ≤ 10X ULN as determined by two abnormal values taken > 1 month apart during the 12 months before the first dose of study drug with at least one of the determinations obtained ≤ 35 days prior to the first dose.
  • A liver biopsy obtained within the past 12 months demonstrating liver disease consistent with chronic hepatitis. Patients with cirrhosis on liver biopsy must also have a liver imaging investigation to rule out hepatic carcinoma.
  • Negative urine or serum pregnancy test documented within the 24 hour period prior to the first dose of test drug.
  • Additionally, all fertile males with partners of childbearing age and females should use two reliable forms of effective contraception (combined) throughout the entire period of the study (treatment and for 4 months after treatment completion)
  • Creatinine clearance ≥ 70 mL/min

Who cannot join

  • Patients must not have received antiviral therapy for their chronic hepatitis D within the previous 6 months. Patients who are expected to need systemic antiviral therapy other than that provided by the study at any time during their participation in the study are also excluded.
  • Positive test at screening for HAV-Ag-IgM, HCV-RNA or HCV-Ag or HIV-Ag.
  • Serum concentrations of ceruloplasmin or alpha-1-antitrypsin consistent with an increased risk of metabolic liver disease.
  • Evidence of decompensated liver disease (Childs B-C).
  • History or other evidence of a medical condition associated with chronic liver disease (e.g., hemochromatosis, autoimmune hepatitis, alcoholic liver disease, toxin exposures, thalassemia).
  • Women with ongoing pregnancy or who are breast feeding.
Show all 23Show fewer
  • WBC count of < 3.000 cells/ mm3; neutrophil count < 1.500 cells/mm3or platelet count < 90.000 cells/mm3.
  • Evidence of alcohol and/or drug abuse within one year of entry.
  • Patients are excluded if any history of psychiatric disease, especially depression, or of suicidal attempts is evident.
  • History of immunologically mediated disease.
  • History or other evidence of decompensated liver disease.
  • History or other evidence of chronic pulmonary disease associated with functional limitation.
  • History of severe cardiac disease
  • Evidence of an active or suspected cancer or a history of malignancy where there is a risk of cancer to recur.
  • History of having received any systemic anti-neoplastic (including radiation) or immunomodulatory treatment (including systemic corticosteroids) ≤ 6 months prior to the first dose of study drug or the expectation that such treatment will be needed at any time during the study.
  • History of any organ transplantation with an existing functional graft
  • History of thyroid disease poorly controlled on prescribed medications. Patients with elevated thyroid stimulating hormone concentrations with elevation of antibodies to thyroid peroxidase and any clinical manifestations of thyroid disease are excluded.
  • History or evidence of severe retinopathy or clinically relevant ophthalmological disorder.
  • Inability or unwillingness to provide informed consent or abide by the requirements of the study.
  • History or other evidence of severe illness or any other conditions which would make the patient, in the opinion of the investigator, unsuitable for the study.
  • Patients with a value of alpha-fetoprotein >100 ng/mL are excluded, unless stability (less than 10% increase) has been documented over at least the previous 3 months.
  • History or evidence for any intolerance or hypersensitivity to pegylated interferon-alfa-2a, tenofovir or other substances part of the study medication.
  • Current participation in any other investigational trial and participation in another investigational trial within 3 months before the trial begins.

Trial locations and contacts

10 sites in 3 countries.

10 sites in 3 countries

Germany7 sites
  • Charité Campus Virchow-Klinikum, Med. Klinik für Gastroenterologie und Hepatologie

    Berlin, 13353

  • Friedrich-Wilhelms-Universität, Med. Klinik und Poliklinik I

    Bonn, 53105

  • Universitätsklinikum Düsseldorf, Klinik für Gastroenterologie

    Düsseldorf, 40225

  • Klinikum der J.W. Goethe-Universität

    Frankfurt, 60590

  • Universitätsklinikum Hamburg-Eppendorf, Klinik für Innere Medizin

    Hamburg, 20246

  • Medizinische Hochschule Hannover, Zentrum Innere Medizin

    Hanover, 30625

  • Medizinische Fakultät der Universität Heidelberg, Innere Medizin IV

    Heidelberg, 69120

Other trials in Germany

Romania2 sites
  • Institutul de Boli Infectioase "Prof. Dr. Matei Bals"

    Bucharest, 021105

  • Spitalul Clinic de Boli Infectioase si

    Timișoara, 300312

Other trials in Romania

Greece1 site
  • Athens University School of Medicine, Hippokration General Hospital

    Athens, 11527

Other trials in Greece

About this study

Official title: A Multicenter Randomised Study Comparing the Efficacy of PegIFN-alfa2a Plus Placebo vs. PegIFN-alfa2a Plus Tenofovir for the Treatment of Chronic Delta Hepatitis-The Hep-Net International Delta Hepatitis Interventional Trial II (HIDIT-II)

Randomized, double blind study comparing the efficacy of pegylated interferon-alfa2a plus placebo versus pegylated interferon-alfa2a plus tenofovir for the treatment of chronic delta hepatitis. 70 Patients will be randomized 1:1 into the two groups. Treatment duration: 96 weeks. Follow-up: 24 weeks. Long-term-follow-up: until week 358.

Conditions
Hepatitis D
Being tested
PEG-IFN alfa-2a, Tenofovir, PEG-IFN alfa-2a, placebo
Medical subject headings
Hepatitis D

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PEG-IFN alfa-2a, TenofovirDrug

    Also called Pegasys, Viread

    Pegylated interferon alfa-2a, 180µg once weekly, subcutaneously; Tenofovir disoproxilfumarat, 245mg, once daily, orally

  • PEG-IFN alfa-2a, placeboDrug

    Also called Pegasys

    Pegylated interferon alfa-2a, 180µg once weekly, subcutaneously; Placebo, once daily, orally

Study groups in NCT00932971
Study groupRoleWhat they receive
PEG-IFN alfa-2a plus placeboPlacebo comparatorPegylated interferon alfa-2a 180 µg once weekly (QW) subcutaneous (sc) plus placebo once daily, orally
Receives: Drug: PEG-IFN alfa-2a, placebo
PEG-IFN alfa-2a plus TenofovirActive comparatorPegylated interferon alfa-2a 180 µg once weekly (QW) subcutaneous (sc) plus Tenofovir disoproxilfumarat 245mg once daily, orally
Receives: Drug: PEG-IFN alfa-2a, Tenofovir

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Negativation of HDV-RNA at the end of therapy

    Measured: week 96

Secondary outcomes (11)
  1. Negativation of HDV-RNA at week 48 of treatment

    Measured: week 48

  2. Negativation of HDV-RNA 24 weeks after the end of treatment

    Measured: week 120

  3. Normalization of ALT levels at the end of treatment and at the end of follow-up

    Measured: week 96 and week 356

  4. HDV-RNA-levels over time

    Measured: up to week 356

  5. Suppression of HBV-DNA below 6 IU/ml using the Cobas TaqMan assay at treatment weeks 48 and 96 and 24 weeks after treatment

    Measured: week 48, week 96, week 120

  6. Liver histology at end of treatment (Ishak score for inflammation and fibrosis)

    Measured: week 96

  7. Quantitative HBsAg levels over time. Loss of HBsAg and development of anti-HBs antibodies, intrahepatic cccDNA and HBV-DNA levels over time

    Measured: up to week 356

  8. HBV- and HDV-virus-specific T cell responses during therapy and after 24 weeks of follow up if virological and biochemical efficacy has been shown

    Measured: up week 120

  9. Virological long-term outcome

    Measured: 1, 2, 3, 4 and 5 years after the end of treatment

  10. Clinical long-term outcome

    Measured: 1, 2, 3, 4 and 5 years after the end of treatment

  11. Quality of Life

    Measured: up to week 356

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jul 2009 (estimated)
  2. Study startJun 2009
  3. Primary completionAug 2017
  4. Study completion2 Aug 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00932971
Sponsor's protocol ID
Hep-Net-HIDIT-II
Other IDs
EudraCT-No.: 2008-005560-13
Acronym
HIDIT-II
Status last verified
Jan 2018
First submitted
3 Jul 2009
Last updated
29 Jan 2018
Results posted
No
Data monitoring committee
No

Publications

  • Heidrich B, Deterding K, Tillmann HL, Raupach R, Manns MP, Wedemeyer H. Virological and clinical characteristics of delta hepatitis in Central Europe. J Viral Hepat. 2009 Dec;16(12):883-94. doi: 10.1111/j.1365-2893.2009.01144.x. Epub 2009 Jun 28.

    PubMed 19566789
  • Wedemeyer H, Yurdaydin C, Dalekos GN, Erhardt A, Cakaloglu Y, Degertekin H, Gurel S, Zeuzem S, Zachou K, Bozkaya H, Koch A, Bock T, Dienes HP, Manns MP; HIDIT Study Group. Peginterferon plus adefovir versus either drug alone for hepatitis delta. N Engl J Med. 2011 Jan 27;364(4):322-31. doi: 10.1056/NEJMoa0912696.

    PubMed 21268724
  • Heidrich B, Yurdaydin C, Kabacam G, Ratsch BA, Zachou K, Bremer B, Dalekos GN, Erhardt A, Tabak F, Yalcin K, Gurel S, Zeuzem S, Cornberg M, Bock CT, Manns MP, Wedemeyer H; HIDIT-1 Study Group. Late HDV RNA relapse after peginterferon alpha-based therapy of chronic hepatitis delta. Hepatology. 2014 Jul;60(1):87-97. doi: 10.1002/hep.27102.

    PubMed 24585488
  • Yurdaydin C, Kahlhofer J, Caruntu FA, Yalcin K, Gurel S, Akarca US, Sprinzl K, Bock HH, Bockmann JH, Papatheodoridis GV, Merle U, Demir M, Hardtke S, Keskin O, Idilman R, Cornberg M, Wedemeyer H, Wranke A. Ten-Year Follow-Up After 96 Weeks Treatment With Peginterferon Plus Tenofovir in Hepatitis D (HIDIT-II): Improved Clinical Outcome After Combination Therapy. United European Gastroenterol J. 2026 Feb;14(1):e70153. doi: 10.1002/ueg2.70153. Epub 2025 Nov 29.

    PubMed 41317314
  • Hardtke S, Yurdaydin C, Caruntu FA, Curescu MG, Yalcin K, Akarca US, Gurel S, Zeuzem S, Erhardt A, Luth S, Papatheodoridis GV, Port K, Manns MP, Cornberg M, Kahlhofer J, Wedemeyer H. Frequency, Severity and Impact of Pegylated Interferon Alpha-Associated Flares in Hepatitis D Infection. J Viral Hepat. 2025 Apr;32(4):e70022. doi: 10.1111/jvh.70022.

    PubMed 40087915
  • Anastasiou OE, Caruntu FA, Curescu MG, Yalcin K, Akarca US, Gurel S, Zeuzem S, Erhardt A, Luth S, Papatheodoridis GV, Keskin O, Port K, Radu M, Celen MK, Idilman R, Heidrich B, Mederacke I, von der Leyen H, Kahlhofer J, von Karpowitz M, Hardtke S, Cornberg M, Yurdaydin C, Wedemeyer H. Five-year follow-up of 96 weeks peginterferon plus tenofovir disoproxil fumarate in hepatitis D. Liver Int. 2024 Jan;44(1):139-147. doi: 10.1111/liv.15745. Epub 2023 Oct 3.

    PubMed 37787009
  • Wedemeyer H, Yurdaydin C, Hardtke S, Caruntu FA, Curescu MG, Yalcin K, Akarca US, Gurel S, Zeuzem S, Erhardt A, Luth S, Papatheodoridis GV, Keskin O, Port K, Radu M, Celen MK, Idilman R, Weber K, Stift J, Wittkop U, Heidrich B, Mederacke I, von der Leyen H, Dienes HP, Cornberg M, Koch A, Manns MP; HIDIT-II study team. Peginterferon alfa-2a plus tenofovir disoproxil fumarate for hepatitis D (HIDIT-II): a randomised, placebo controlled, phase 2 trial. Lancet Infect Dis. 2019 Mar;19(3):275-286. doi: 10.1016/S1473-3099(18)30663-7.

    PubMed 30833068
  • Bremer B, Anastasiou OE, Ciesek S, Wedemeyer H. Automated nucleic acid isolation methods for HDV viral load quantification can lead to viral load underestimation. Antivir Ther. 2019;24(2):117-123. doi: 10.3851/IMP3281.

    PubMed 30516520

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PEG-IFN alfa-2a, Tenofovir in people with Hepatitis D, run by HepNet Study House, German Liverfoundation at 10 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Germany, Romania, Greece. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Negativation of HDV-RNA at the end of therapy (time frame: week 96). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00932971, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jan 2018.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in