Bepirovirsen shows promise as treatment for Chronic Hepatitis B Infection in trials
China: Bepirovirsen at a dose of 300 mg per week sustained clearance of hepatitis B virus (HBV) DNA and surface antigen (HBsAg) in 9 to 10% of patients with chronic HBV infection, according to findings from a phase 2b trial.
The findings were presented at the annual Liver Meeting by the American Association for the Study of Liver Diseases and simultaneously in the NEJM (New England Journal of Medicine).
Bepirovirsen is an antisense RNA-based therapy that targets all HBV messenger RNAs and acts to reduce levels of viral proteins. Man-Fung Yuen, Queen Mary Hospital, Hong Kong, China, and colleagues conducted a phase 2b, randomized, investigator-unblinded trial comprising patients with chronic hepatitis B virus infection who received or did not receive nucleoside or nucleotide analogue therapy.
The patients were randomly assigned in a ratio of 3:3:3:1 to receive weekly subcutaneous injections of bepirovirsen at 300 mg dose for 24 weeks (group 1), bepirovirsen at 300 mg dose for 12 weeks, then 150 mg for 12 weeks (group 2), bepirovirsen at 300 mg dose for 12 weeks then a placebo for 12 weeks (group 3) or placebo for 12 weeks then bepirovirsen at a 300 mg dose for 12 weeks (group 4). Loading doses of bepirovirsen were given to patients in groups 1, 2, and 3.
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