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Mirum’s liver infection drug lowers virus levels in late-stage study

By Thomson Reuters Sep 28, 2026 | 7:49 AM

By Sneha S K

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

• 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

• 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)