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Gilead’s drug wins first-ever US approval for deadly liver infection

By Thomson Reuters May 22, 2026 | 1:06 PM

May 22 (Reuters) – Gilead Sciences said on Friday that its experimental drug for a rare and deadly liver infection that had no approved treatment has won U.S. approval.

Shares ​of the company were up over 2% in ‌afternoon trading.

The U.S. Food and Drug Administration approved the drug, Hepcludex, to treat chronic hepatitis delta virus, or HDV, a liver disease that affects only people already infected with hepatitis B and can lead to scarring, cancer, ‌organ ​failure and death.

In the United States, an ⁠estimated 40,000 to 80,000 ⁠people are living with the disease, according to the company.

“Today’s approval fills a critical gap in care for patients with chronic HDV infection, who until now have had no FDA-approved ​therapies available,” said Wendy Carter, acting director of the Office of Infectious Diseases in FDA’s Center for Drug Evaluation and ⁠Research.

The approval was based on a ⁠late-stage trial, in which about 48% of patients ​who received the treatment showed a meaningful improvement after 48 weeks, ​compared with 2% of those whose treatment was delayed. ‌The virus became undetectable in patients the longer they remained on Hepcludex, the trial showed.

Hepcludex, given as a once-daily injection, works by blocking the virus from entering liver cells, slowing the spread ⁠of infection.

The health regulator approved the drug through its accelerated approval pathway, which is designed to fast-track treatments for serious diseases with few ⁠or no alternatives.

Gilead ‌has committed to a longer-term study to confirm ⁠the drug’s full clinical benefit.

The drug carries ​the FDA’s ‌most serious warning, called a boxed warning, ​alerting that ⁠stopping treatment can trigger severe, potentially life-threatening flare-ups of both hepatitis D and hepatitis B, particularly in patients with advanced liver scarring.

A different dose of the drug was granted full approval in Europe in 2023.

(Reporting by Kamal Choudhury in Bengaluru; Editing by Vijay Kishore ​and Shinjini Ganguli)