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RecruitingChronic Hepatitis D Infection

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

Eligible age

18–99 yrs

Accepts

All genders

Locations

6 states

Healthy volunteers

No

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About this study

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.

Sponsor: Mirum Pharmaceuticals, Inc.

You may qualify if…

  • 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.

You may not qualify if…

  • 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.

Where it's recruiting

California

Davis · Sacramento · San Francisco

Colorado

Denver

Nevada

Las Vegas

Ohio

Cleveland

Texas

Mansfield

Utah

Salt Lake City

Source: ClinicalTrials.gov · NCT07298330 · last updated 2026-03-02