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28th Sep, 2026 12:00 AM
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Mirum's Liver Infection Drug Lowers Virus Levels in Late-stage Study

Sept 28 (Reuters) - Mirum Pharmaceuticals on Monday said its experimental hepatitis drug reduced levels of the ⁠virus in patients, meeting the main goal of a late-stage study.

Here are some key details:

• Mirum was testing ⁠brelovitug, an experimental monoclonal antibody that binds to the hepatitis B surface antigen, a protein ⁠found on the surface of the ‌virus

• The company was testing the treatment for chronic hepatitis delta virus, a liver infection that affects people already infected with hepatitis B

Article Key Points
  • Brelovitug met primary endpoint in chronic hepatitis delta virus.
  • 24 wks: 56% (300 mg) and 45% (900 mg) achieved HDV↓ + normal LFTs.
  • Delayed-treatment group: 0% achieved virologic/biochemical response.
  • Drug was well tolerated; safety consistent with prior data.
  • FDA submission planned 1H 2027; only approved therapy is Hepcludex.
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• The disease, which the company estimates affects about 230,000 people in the US and Europe, can cause severe ‌symptoms that can lead to liver damage and, in some cases, death

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• ​At ‌24 weeks, 56% of patients given ‌300 milligrams of brelovitug and 45% of those given 900 milligrams showed reduced hepatitis D virus levels ⁠and normal liver enzyme levels, compared with 0% ‌in the delayed-treatment group, ⁠the company said

• The company ​expects the drug to generate peak ‌sales of at least $1 billion

• The only FDA-approved treatment for the condition is Gilead's Hepcludex

• "Brelovitug has a better benefit/risk profile," said RBC Capital Markets analyst Lisa ​Walter, adding that the latest results position it as ‌the ‌best-in-class treatment option

• The drug was well tolerated across dose groups, with a safety ‌profile consistent with ​previously reported data, Mirum said

• Full results from the study will be presented at an upcoming medical congress, with the company expecting to submit ⁠a marketing application for the drug to the US FDA ‌in the first half of 2027.

(Reporting by Sneha S K in Bengaluru; Editing ​by Jonathan Ananda and Diti Pujara)

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