FDA approves first antisense therapy for hepatitis B
MDSpire News
October 21, 2026
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The FDA approved bepirovirsen as the first antisense oligonucleotide therapy for chronic hepatitis B in eligible adults without cirrhosis.
Eligible adults must have received nucleos(t)ide analogue therapy for at least 6 months, have suppressed HBV DNA, and have HBsAg levels of 3,000 IU/mL or less.
Bepirovirsen is given by subcutaneous injection alongside existing antiviral therapy for up to 24 weeks and targets HBV RNA to reduce viral protein production.
In pooled phase 3 trial results, functional cure occurred in 19% of bepirovirsen recipients and 0% of placebo recipients after treatment discontinuation.
Bepirovirsen carries boxed warnings for serious liver reactions and low platelet counts, including potentially life-threatening bleeding.
This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.
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