Hepatitis DNCT05451082
Registry-based Study in Patients With Hepatitis D Virus (HDV) Infection in China
An observational study of Hepatitis D, run by Lai Wei at 1 site in China.
Trial summary
This is a retrospective, prospective, noninterventive, multicenter registry study. Patients diagnosed with HDV infection (based on positive HDV RNA) were included in this study and were followed up for at least 5 years to evaluate their disease progression and clinical outcomes (including death, liver transplantation… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hepatitis D
- How many people
- 1,000 participants
- Where
- 1 siteChina
- Study dates
- Jul 2022to Dec 2028
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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
Study population: HDV-infected individuals with a positive HDV RNA test result
Who may be able to join
- Adults aged 18 or above, both sex;
- Evidence of a positive test for HDV RNA can be provided on or before the enrollment date;
- Able to sign written informed consent.
Who cannot join
None listed.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site
Bejing Tsinghua Changgung Hospital
Beijing, Beijing Municipality, 100015
Lai Wei, MD, (+86)10 5611 8881, weilai@mail.tsinghua.edu.cn
Feng Xue, (+86)18810799293, xuef21@mails.tsinghua.edu.cn
About this study
This is a retrospective, prospective, noninterventive, multicenter registry study. Patients diagnosed with HDV infection (based on positive HDV RNA) were included in this study and were followed up for at least 5 years to evaluate their disease progression and clinical outcomes (including death, liver transplantation, hepatocellular carcinoma [hcc], liver decompensation, and cirrhosis) during the 5-year follow-up period. All patients were followed up at least once a year after they were included in the study.
It was in 2016 HDV infection first reported in China. Since January 1, 2016, all patients diagnosed with HDV infection can be enrolled in this study and evidence confirming the diagnosis (including but not limited to HDV RNA test reports and medical records, etc.) must be delivered. The main test results (including serum HDV RNA, ALT, and tests to determine the presence of liver cirrhosis, decompensation of liver function, and liver cancer such as B-ultrasound and FibroScan) of these patients each year from diagnosis to enrollment should be collected and filled in the case report form (CRF).
Follow-up data of patients with serum anti-HDV positive and HDV RNA negative can be recorded and followed up on this platform, with informed consent of the patients is required. Patients whose serum HBV RNA turn positive during the follow-up period will be included in the follow-up cohort of the study.
- Conditions
- Hepatitis D
- Keywords
- hepatitis D virus
- Medical subject headings
- Hepatitis D
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Single Group Assignment | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
The incidence of death of patients infected with HDV during 5-year follow-up
HDV means hepatitis D virus
Measured: 5 years
The incidence of liver transplantation of patients infected with HDV during 5-year follow-up
HDV means hepaitis D virus
Measured: 5 years
The incidence of hepatocellular carcinoma of patients infected with HDV during 5-year follow-up
HDV means hepaitis D virus
Measured: 5 years
The incidence of liver decompensation of patients infected with HDV during 5-year follow-up
liver decompensation means ascites, variceal bleeding, or hepatic encephalopathy
Measured: 5 years
The incidence of cirrhosis of patients infected with HDV during 5-year follow-up
Patients who developed cirrhosis in the absence of cirrhosis at baseline by liver biopsy or noninvasive testing
Measured: 5 years
Secondary outcomes (20)
Demographic characteristics of HDV-infected individuals using baseline data
Demographic characteristics: age, sex, height, weight, nationality, main residence, economic level.
Measured: 1 year
Epidemiological characteristics of HDV-infected individuals using baseline data
Risk factors for infection/possible route of infection, HDV genotype
Measured: 1 year
Serum HDV RNA levels of patients infected with HDV
HDV means hepaitis D virus
Measured: 5 years
Serum HBV DNA levels of patients infected with HDV
HBV means hepaitis B virus, HDV means hepaitis D virus
Measured: 5 years
HBsAg concentration levels of patients infected with HDV
HBsAg means Hepatitis B surface antigen,HDV means hepaitis D virus
Measured: 5 years
Serum alanine aminotransferase concentration levels of patients infected with HDV
HDV means hepaitis D virus
Measured: 5 years
Serum total bilirubin concentration levels of patients infected with HDV
HDV means hepaitis D virus
Measured: 5 years
Serum albumin levels concentration levels of patients infected with HDV
HDV means hepaitis D virus
Measured: 5 years
Child-Pugh scores of patients infected with HDV
The Child-Pugh classification is a universal scoring system of the degree of liver failure in patients with cirrhosis. Variables measured by this system include ascites, encephalopathy, serum albumin, bilirubin, and prothrombin time. Traditionally, the Child-Pugh class (A, B, or C) has been used as a predictive index for operative mortality rate in adult patients undergoing portosystemic shunting procedures. The estimated 1- and 5-year survival rates are 95% and 75% for patients with Child-Pugh class B, and 85% and 50% for patients with Child-Pugh class C.
Measured: 5 years
The incidence of death of chronic HDV-infected patients with persistently normal ALT
HDV means hepaitis D virus, ALT means alanine aminotransferase
Measured: 5 years
The incidence of liver transplantation of chronic HDV-infected patients with persistently normal ALT
HDV means hepaitis D virus, ALT means alanine aminotransferase
Measured: 5 years
The incidence of hepatocellular carcinoma (HCC) of chronic HDV-infected patients with persistently normal ALT
HDV means hepaitis D virus, ALT means alanine aminotransferase
Measured: 5 years
The incidence of liver decompensation of chronic HDV-infected patients with persistently normal ALT
HDV means hepaitis D virus, ALT means alanine aminotransferase
Measured: 5 years
The incidence of cirrhosis of chronic HDV-infected patients with persistently normal ALT
HDV means hepaitis D virus, ALT means alanine aminotransferase
Measured: 5 years
The proportion of patients with HDV RNA negative conversion of patients receiving antiviral therapies
HDV RNA negative conversion means HDV RNA< lower limit of quantification(LLOQ)
Measured: 5 years
The proportion of patients with a >2lg IU/mL HDV RNA decline of patients receiving antiviral therapies
The proportion of patients with a HDV RNA decrease of greater than 2log IU/mL
Measured: 5 years
Changes in serum HDV RNA during treatment and after discontinuation
HDV means hepatitis D virus
Measured: 5 years
The proportion of patients with ALT normalization of patients receiving antiviral therapies
ALT means alanine aminotransferase,ALT normalization means ALT <ULN
Measured: 5 years
Combined response rate of patients with antiviral therapy
Combined response means HDV RNA <LLOQ and ALT<ULN
Measured: 5 years
Number of patients with abnormal laboratory values and/or adverse events that are related to antiviral treatment
Number of patients with adverse events, sever adverse events, abnormal laboratory parameters, and drug combinations
Measured: 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jul 2022
- Study startJul 2022 (estimated)
- Primary completionJun 2028 (estimated)
- Study completionDec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Hepatitis DStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Lai Wei
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Lai Wei, Beijing Tsinghua Chang Gung Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05451082
- Sponsor's protocol ID
- 22201-4-02
- Status last verified
- Jul 2022
- First submitted
- 26 Jun 2022
- Last updated
- 11 Jul 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Lok AS, Negro F, Asselah T, Farci P, Rizzetto M. Endpoints and New Options for Treatment of Chronic Hepatitis D. Hepatology. 2021 Dec;74(6):3479-3485. doi: 10.1002/hep.32082. Epub 2021 Sep 16. No abstract available.
PubMed 34331781Rizzetto M, Hamid S, Negro F. The changing context of hepatitis D. J Hepatol. 2021 May;74(5):1200-1211. doi: 10.1016/j.jhep.2021.01.014. Epub 2021 Jan 20.
PubMed 33484770
Study at a glance
From the registry record, last updated by the sponsor on 11 Jul 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Registry-based Study in Patients With Hepatitis D Virus (HDV) Infection in China
- ClinicalTrials.gov ID
- NCT05451082
- Acronym / sponsor ID
- 22201-4-02
- Conditions
- Hepatitis D
- Keywords
- hepatitis D virus
- Study type
- Observational
- Recruitment status
- Not yet recruiting
- Enrolment
- 1,000 participants (estimated)
- Lead sponsor
- Lai WeiUniversity, hospital or other
- Study start
- Jul 2022 (estimated)
- Primary completion
- Jun 2028 (estimated)
- Study completion
- Dec 2028 (estimated)
- First posted
- 11 Jul 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a retrospective, prospective, noninterventive, multicenter registry study. Patients diagnosed with HDV infection (based on positive HDV RNA) were included in this study and were followed up for at least 5 years to evaluate their disease progression and clinical outcomes (including death, liver transplantation, hepatocellular carcinoma [hcc], liver decompensation, and cirrhosis) during the 5-year follow-up period. All patients were followed up at least once a year after they were included in the study.
It was in 2016 HDV infection first reported in China. Since January 1, 2016, all patients diagnosed with HDV infection can be enrolled in this study and evidence confirming the diagnosis (including but not limited to HDV RNA test reports and medical records, etc.) must be delivered. The main test results (including serum HDV RNA, ALT, and tests to determine the presence of liver cirrhosis, decompensation of liver function, and liver cancer such as B-ultrasound and FibroScan) of these patients each year from diagnosis to enrollment should be collected and filled in the case report form (CRF).
Follow-up data of patients with serum anti-HDV positive and HDV RNA negative can be recorded and followed up on this platform, with informed consent of the patients is required. Patients whose serum HBV RNA turn positive during the follow-up period will be included in the follow-up cohort of the study.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Single Group Assignment | – | – |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- HDV-infected individuals with a positive HDV RNA test result
Key inclusion criteria (3 listed)
- Adults aged 18 or above, both sex;
- Evidence of a positive test for HDV RNA can be provided on or before the enrollment date;
- Able to sign written informed consent.
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
The incidence of death of patients infected with HDV during 5-year follow-up
Time frame: 5 years
HDV means hepatitis D virus
The incidence of liver transplantation of patients infected with HDV during 5-year follow-up
Time frame: 5 years
HDV means hepaitis D virus
The incidence of hepatocellular carcinoma of patients infected with HDV during 5-year follow-up
Time frame: 5 years
HDV means hepaitis D virus
The incidence of liver decompensation of patients infected with HDV during 5-year follow-up
Time frame: 5 years
liver decompensation means ascites, variceal bleeding, or hepatic encephalopathy
The incidence of cirrhosis of patients infected with HDV during 5-year follow-up
Time frame: 5 years
Patients who developed cirrhosis in the absence of cirrhosis at baseline by liver biopsy or noninvasive testing
20 secondary outcomes
Demographic characteristics of HDV-infected individuals using baseline data
Time frame: 1 year
Epidemiological characteristics of HDV-infected individuals using baseline data
Time frame: 1 year
Serum HDV RNA levels of patients infected with HDV
Time frame: 5 years
Serum HBV DNA levels of patients infected with HDV
Time frame: 5 years
HBsAg concentration levels of patients infected with HDV
Time frame: 5 years
Serum alanine aminotransferase concentration levels of patients infected with HDV
Time frame: 5 years
Serum total bilirubin concentration levels of patients infected with HDV
Time frame: 5 years
Serum albumin levels concentration levels of patients infected with HDV
Time frame: 5 years
Child-Pugh scores of patients infected with HDV
Time frame: 5 years
The incidence of death of chronic HDV-infected patients with persistently normal ALT
Time frame: 5 years
The incidence of liver transplantation of chronic HDV-infected patients with persistently normal ALT
Time frame: 5 years
The incidence of hepatocellular carcinoma (HCC) of chronic HDV-infected patients with persistently normal ALT
Time frame: 5 years
The incidence of liver decompensation of chronic HDV-infected patients with persistently normal ALT
Time frame: 5 years
The incidence of cirrhosis of chronic HDV-infected patients with persistently normal ALT
Time frame: 5 years
The proportion of patients with HDV RNA negative conversion of patients receiving antiviral therapies
Time frame: 5 years
The proportion of patients with a >2lg IU/mL HDV RNA decline of patients receiving antiviral therapies
Time frame: 5 years
Changes in serum HDV RNA during treatment and after discontinuation
Time frame: 5 years
The proportion of patients with ALT normalization of patients receiving antiviral therapies
Time frame: 5 years
Combined response rate of patients with antiviral therapy
Time frame: 5 years
Number of patients with abnormal laboratory values and/or adverse events that are related to antiviral treatment
Time frame: 5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jul 2022.
- Background: PubMed 34331781Lok AS, Negro F, Asselah T, Farci P, Rizzetto M. Endpoints and New Options for Treatment of Chronic Hepatitis D. Hepatology. 2021 Dec;74(6):3479-3485. doi: 10.1002/hep.32082. Epub 2021 Sep 16. No abstract available.
- Background: PubMed 33484770Rizzetto M, Hamid S, Negro F. The changing context of hepatitis D. J Hepatol. 2021 May;74(5):1200-1211. doi: 10.1016/j.jhep.2021.01.014. Epub 2021 Jan 20.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Hepatitis D, run by Lai Wei at 1 site in China.
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 3 inclusion and 0 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: opening soon, as of the sponsor's last update on 11 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Lai Wei, MD (+86-10 5611 8881, weilai@mail.tsinghua.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The incidence of death of patients infected with HDV during 5-year follow-up (time frame: 5 years). The study lists 5 primary outcomes in all. 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 NCT05451082, which also lists 2 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 11 Jul 2022.