Bepirovirsen

Bepirovirsen
CAS 1403787-62-1
NA SALT 1403787-62-1
| Formula | C230H309N88O115P19S19 |
|---|---|
| Molar mass | 7344.14 g·mol−1 |
FDA 2026, APPROVALS 2026, Hibsago, hepatitis B
To treat chronic hepatitis B virus infection in certain adults without cirrhosis, in combination with existing antiviral therapy
Bepirovirsen (sold as Hibsago) is a first-in-class antisense oligonucleotide injection developed by GSK and Ionis Pharmaceuticals to treat chronic hepatitis B (CHB). It acts as a potential functional cure by targeting viral RNA, reducing surface antigen levels, and stimulating the immune system.
What It Does & How It Works
- Mechanism of Action: A non-GalNAc-conjugated antisense oligonucleotide that recognizes and destroys hepatitis B virus RNA, lowers viral protein production, and activates immune responses.
- Functional Cure Definition: Achieves sustained HBV DNA suppression and undetectable hepatitis B surface antigen (HBsAg) for at least 24 weeks after stopping all treatments.
- Clinical Trial Results: In the Phase 3 B-Well 1 and B-Well 2 trials, 19% to 24% of eligible patients achieved a functional cure and safely discontinued existing antiviral medications.
Regulatory Status & Approvals
- United States: Approved by the FDA in October 2026 for use in certain adults without cirrhosis who have been on antiviral therapy for at least six months and have HBsAg levels of 3,000 IU/mL or less. It features a boxed warning for potential serious liver reactions and low platelet counts.
- Japan: Approved as the first functional cure option for chronic hepatitis B under the brand name Hibsago.
- Other Designations: Granted Breakthrough Therapy and Priority Review designations in China and SENKU designation in Japan.
Bepirovirsen, sold under the brand name Hibsago, is an antisense oligonucleotide gapmer developed to treat hepatitis B infection.[1]
PAT
WO2012145697
PAT
WO2024214041A1
https://patents.google.com/patent/WO2024214041A1/en
Bepirovirsen is an ASO currently in clinical evaluation for treating Chronic HBV infections. It is compound ISIS No. 505358 as disclosed in WO2012/145697. Bepirovirsen has 20 linked nucleosides and has a nucleobase sequence of 5′-GCAGAGGTGAAGCGAAGTGC- 3′ (SEQ ID NO: 1), and it includes: a gap segment consisting of ten linked deoxynucleosides, a 5′ wing segment consisting of 5 linked nucleosides, and a 3′ wing segment consisting of 5 linked nucleosides, wherein the gap segment is positioned between the 5′ wing segment and the 3′ wing segment, wherein each nucleoside of each wing segment includes a 2′-O-methoxyethyl sugar, wherein each intemucleoside linkage is a phosphorothioate linkage, and wherein each cytosine is a 5 -methylcytosine. The CAS Registry Number of bepirovirsen is 1403787-62-1.
AHB-137 is an unconjugated ASO that is believed to have the same nucleobase sequence as bepirovirsen. AHB-137 is developed by Ausper Biopharma Co., Ltd. and is currently investigated in clinical studies for treating HBV infections. See WO2023/131098; Qiu, X. et al., “AHB-137, a novel and potent hepatitis B virus antisense oligonucleotide with a favorable preclinical pharmacokinetics and safety profile,” EASL 2023, Abstract No. SAT-178 (concluding that “the novel HBV ASO AHB-137 has demonstrated a favorable preclinical pharmacokinetics and safety profile”); Wu, X. et al., “AHB-137, a novel hepatitis B virus antisense oligonucleotide with substantially enhanced in vitro and in vivo antiviral activity,” EASL 2023, Abstract No. SAT-173 (concluding that “AHB-137 has more potent activity in reducing serum HBsAg than BPV [bepirovirsen] across multiple in vitro and in vivo HBV models, by reducing intrahepatic HBV RNA and HBsAg”).
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References
Mak, Lung-Yi; Hui, Rex Wan-Hin; Fung, James; Seto, Wai-Kay; Yuen, Man-Fung (2 November 2023). “Bepirovirsen (GSK3228836) in chronic hepatitis B infection: an evaluation of phase II progress”. Expert Opinion on Investigational Drugs. 32 (11): 971–983. doi:10.1080/13543784.2023.2277389. PMID 37902953. S2CID 264672407.
| Clinical data | |
|---|---|
| Trade names | Hibsago |
| Other names | GSK3228836 |
| Identifiers | |
| IUPAC name | |
| CAS Number | 1403787-62-1 |
| UNII | Z87O6SM01N |
| ChEMBL | ChEMBL4650468 |
| Chemical and physical data | |
| Formula | C230H309N88O115P19S19 |
| Molar mass | 7344.14 g·mol−1 |
| SMILES | |
| InChI | |
///////////////bepirovirsen, anax labs, FDA 2026, APPROVALS 2026, Hibsago, hepatitis B
#bepirovirsen, #anax labs, #FDA 2026, #APPROVALS 2026, #Hibsago, #hepatitis B
Tarvicopan


Tarvicopan
CAS2378381-06-5
MW C24H22N2O4 MW 402.4 g/mol
2-[2-[[7-[2-(aminomethyl)-4-pyridinyl]-2-methyl-1-benzofuran-5-yl]methoxy]phenyl]acetic acid
- 2-[[7-[2-(Aminomethyl)-4-pyridinyl]-2-methyl-5-benzofuranyl]methoxy]benzeneacetic acid
- Benzeneacetic acid, 2-[[7-[2-(aminomethyl)-4-pyridinyl]-2-methyl-5-benzofuranyl]methoxy]-
- [2-({7-[2-(aminomethyl)pyridin-4-yl]-2-methyl-1-benzofuran-5-yl}methoxy)phenyl]acetic acid
- 2-[2-[[7-[2-(aminomethyl)-4-pyridinyl]-2-methyl-1-benzofuran-5-yl]methoxy]phenyl]acetic acid
[2-({7-[2-(aminomethyl)pyridin-4-yl]-2-methyl-1-benzofuran-5-yl}methoxy)phenyl]acetic acid
complement factor D inhibitor, MWL2DF9UJJ
Tarvicopan is an investigational small-molecule compound that acts as an inhibitor of complement factor D.
Mechanism and Clinical Context
- Complement Factor D Inhibitor: It specifically targets factor D, a rate-limiting enzyme in the alternative pathway of the complement system. The complement system is a crucial part of the innate immune response, but its overactivation is linked to several autoimmune and inflammatory diseases.
PAT
PAT
WO2019195720
https://patentscope.wipo.int/search/en/detail.jsf?docId=WO2019195720&_cid=P11-MV8WTL-54517-1
Scheme-112


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References
////////tarvicopan, anax labs, complement factor D inhibitor, MWL2DF9UJJ
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Suraxavir marboxil


Suraxavir marboxil
CAS 2364589-86-4
MFC29H25F2N3O7S MW597.6 g/mol
[(3R)-2-[(11S)-7,8-difluoro-6,11-dihydrobenzo[c][1]benzothiepin-11-yl]-9,12-dioxospiro[5-oxa-1,2,8-triazatricyclo[8.4.0.03,8]tetradeca-10,13-diene-6,1′-cyclopropane]-11-yl]oxymethyl methyl carbonate
[(3R)-2-[(11S)-7,8-difluoro-6,11-dihydrobenzo[c][1]benzothiepin-11-yl]-9,12-dioxospiro[5-oxa-1,2,8-triazatricyclo[8.4.0.03,8]tetradeca-10,13-diene-6,1′-cyclopropane]-11-yl]oxymethyl methyl carbonate
({(12’aR)-12′-[(11S)-7,8-difluoro-6,11-dihydrodibenzo[b,e]thiepin-11-yl]-6′,8′-dioxo-6′,8′,12′,12’a-tetrahydro-1’H,4’H-spiro[cyclopropane-1,3′-[1,4]oxazino[3,4-c]pyrido[2,1-f][1,2,4]triazin]-7′-yl}oxy)methyl methylcarbonate
antiviral, GP 681, Jiangxi Qingfeng Pharmaceutical, influenza A, INFLUENZA B, Cap-dependent endonuclease-IN-3, A72V8WPZ9F
Suraxavir marboxil (GP681) is an oral antiviral prodrug developed by Jiangxi Qingfeng Pharmaceutical for treating acute, uncomplicated influenza A and B virus infections.
Key Details
- Mechanism of Action: It converts into its active metabolite, GP1707D07, which acts as a cap-dependent endonuclease (CEN) inhibitor by targeting the polymerase acidic (PA) protein subunit of the influenza virus RNA polymerase. This stops viral gene transcription and replication.
- Administration: Designed as a single-dose oral therapy (typically evaluated at 40 mg).
- Efficacy: In phase 3 clinical trials, a single dose administered within 48 hours of symptom onset reduced the median time to symptom alleviation to 42.0 hours (compared to 63.0 hours for placebo) and rapidly lowered viral load.
- Safety Profile: Adverse events are mostly mild to moderate and comparable to placebo, with low rates of acquired resistance (such as I38T PA variants).
- OriginatorJiangxi Qingfeng Pharmaceutical
- ClassAntivirals; Carbonates; Cyclopropanes; Dibenzothiepins; Ethers; Fluorobenzenes; Ketones; Morpholines; Pyridones; Small molecules; Spiro compounds; Triazines
- Mechanism of ActionRNA-dependent RNA polymerase inhibitors
- RegisteredInfluenza virus infections
- 28 Nov 2025Capital Medical University initiates enrolment in a phase III trial for Influenza virus infections (In children, In adults, In the elderly) in China (PO) (NCT07236814)
- 01 Aug 2025Jiangxi Kerui Pharmaceutical plans a phase III trial for Influenza virus infections (In Children) in August 2025 (PO, suspension) (NCT07113392)
- 31 Mar 2025Chemical structure information added.
PAT
US20230144122
https://patentscope.wipo.int/search/en/detail.jsf?docId=US397715831&_cid=P20-MV61ZK-74389-1




PAT
US20190367517
https://patentscope.wipo.int/search/en/detail.jsf?docId=US278278529&_cid=P20-MV6251-78985-1
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References
///////////suraxavir marboxil, anax labs, antiviral, GP 681, Jiangxi Qingfeng Pharmaceutical, influenza A, INFLUENZA B, Cap-dependent endonuclease-IN-3, A72V8WPZ9F
#suraxavir marboxil, #anax labs, #antiviral, #GP 681, #Jiangxi Qingfeng Pharmaceutical, #influenza A, #INFLUENZA B, #Cap-dependent endonuclease-IN-3, #A72V8WPZ9F
DRUG APPROVALS BY DR ANTHONY MELVIN CRASTO









