Trial to Evaluate the Efficacy, Safety and Pharmacokinetics of RBD1016 in Participants With Chronic Hepatitis D

Last updated: June 25, 2025
Sponsor: Ribocure Pharmaceuticals AB
Overall Status: Active - Not Recruiting

Phase

2

Condition

Hepatitis

Liver Disorders

Treatment

Placebo

RBD1016

Clinical Study ID

NCT06649266
RC04T001
  • Ages 18-65
  • All Genders

Study Summary

The goal of this clinical trial is to learn if drug RBD1016 works to treat chronic hepatitis D virus infection in adults. It will also learn about the safety of drug RBD1016. The main questions it aims to answer are:

Does drug RBD106 reduce the HDV RNA levels? What medical problems may participants experience when taking drug RBD1016? Researchers will compare drug RBD1016 to a placebo to see if drug RBD1016 works to treat chronic hepatitis D.

Participants will:

Receive drug RBD1016 or a placebo several times throughout the trial. Visit the clinic once every 4-6 weeks for checkups and tests.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Willing and able to give written informed consent for participation in the trial.

  2. Male or female participant aged 18 to 65 years, inclusive.

  3. Body mass index (BMI) ≥ 18 and ≤ 35 kg/m2 at the time of the screening visit.

  4. Documented evidence of HDV infection in medical history, i.e., HDV antibodies (HDVAb) and/or HDV RNA positive test results within at least 6 months prior toscreening.

  5. Documented evidence of HBV infection in medical history, i.e., HBsAg and/or HBV DNApositive test results within at least 6 months prior to screening.

  6. Documented absence of liver cirrhosis, defined as an LSM ≥ 10 kPa measured onFibroScan® elastography at screening.

Exclusion

Exclusion Criteria:

  1. Laboratory results at screening as follows, or any clinically significant laboratoryparameter outliers that may interfere with the evaluation of efficacy and/or safetyin the trial, at the discretion of the Investigator:
  • α-fetoprotein (AFP) > 50 µg/L.

  • Albumin concentration < 3.0 g/dL.

  • International normalized ratio (INR) > 1.5.

  • Platelet count < 90 × 109/L.

  • Direct bilirubin > 2 × ULN, Gilbert syndrome excluded.

  • Creatinine concentration > 1.5 × ULN.

  • Creatinine clearance < 60 mL/min, according to the Cockcroft-Gaultequation.

  1. Positive result at screening for hepatitis C virus (HCV) and/or humanimmunodeficiency virus (HIV) and/or prior diagnosis of syphilis, acute hepatitis Aand/or acute hepatitis E.

  2. Prior diagnosis of other liver diseases of non-HBV or non-HDV aetiology, includingautoimmune liver disease (e.g., autoimmune hepatitis, primary biliary cholangitis orprimary sclerosing cholangitis), inherited metabolic liver disease (e.g.,haemochromatosis, Wilson's disease, familial intrahepatic cholestasis), drug-inducedliver disease and/or non alcoholic steatohepatitis (NASH) assessed as moderate orabove, at the discretion of the Investigator.

  3. Prior or current diagnosis of liver cirrhosis.

  4. History of or active hepatic decompensation, e.g., ascites, variceal bleeding orhepatic encephalopathy, at the discretion of the Investigator.

  5. History of organ transplantation, previous or concurrent HCC or imaging findingsuggesting malignant liver lesions, at the discretion of the Investigator.

  6. Signs of liver malignancy in abdominal ultrasound at screening.

Study Design

Total Participants: 14
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 2
Study Start date:
August 21, 2024
Estimated Completion Date:
November 30, 2026

Study Description

This is a multicentre, randomised, partly blinded, placebo-controlled clinical trial to evaluate the efficacy, safety and pharmacokinetics (PK) of RBD1016 subcutaneous injections in participants with chronic HDV infection.

There will be 2 treatment groups - an active group (n=10) and a deferred active group (n=5), with participants allocated randomly. In the active group, participants will receive RBD1016. In the deferred active group, participants will receive 4 doses of placebo followed by deferred treatment with doses of RBD1016.

Both groups will be on a stable nucleoside analogue (NA) treatment course during the trial. All participants will be blinded to the trial treatment for the 16 weeks after the first dose. Then, investigators and other clinic staff will be unblinded, i.e., they will know which treatment the participants receive at all times.

Connect with a study center

  • Infektionskliniken, Danderyds sjukhus

    Stockholm, 18288
    Sweden

    Site Not Available

  • Medicinsk enhet för Infektionssjukdomar, Karolinska Universitetssjukhuset Huddinge

    Stockholm, 14186
    Sweden

    Site Not Available

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