Evidence map›Paper›PMID 39648559›Full record

Trial reportLiver international : official journal of the International Association for the Study of the Liver2025

Bulevirtide Monotherapy Is Safe and Well Tolerated in Chronic Hepatitis Delta: An Integrated Safety Analysis of Bulevirtide Clinical Trials at Week 48.

Tarik Asselah, Pietro Lampertico, Soo Aleman, Marc Bourlière, Adrian Streinu-Cercel, Pavel Bogomolov, Viacheslav Morozov, Tatiana Stepanova, Stefan Lazar, Dmitry Manuilov and 10 more

3 registry-linked trialsAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Liver international : official journal of the International Association for the Study of the Liver, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02888106 phase2completednot on this map

A Multicenter, Open-label, Randomised, Comparative, Parallel-Arm, Phase II Study to Assess Efficacy and Safety of Myrcludex B in Combination With Peginterferon Alfa-2a Versus Peginterferon Alfa-2a Alone in Patients With Chronic Viral Hepatitis B With Delta-agent

TypeinterventionalSponsorHepatera Ltd.Ran2016 to 2020Enrolled90ConditionsChronic Viral Hepatitis B With Delta-agentArmsMyrcludex B, PEG IFN alfa-2a, Tenofovir
NCT03852433 phase2completednot on this map

A Multicenter, Open-label, Randomized Phase 2b Clinical Study to Assess Efficacy and Safety of Bulevirtide in Combination With Pegylated Interferon Alfa-2a in Patients With Chronic Hepatitis Delta

TypeinterventionalSponsorGilead SciencesRan2019 to 2022Enrolled175ConditionsChronic Hepatitis DeltaArmsBulevirtide, Peginterferon Alfa-2a (PEG-IFN alfa)
NCT03852719 phase3completednot on this map

A Multicenter, Open-label, Randomized Phase 3 Clinical Study to Assess Efficacy and Safety of Bulevirtide in Patients With Chronic Hepatitis Delta

TypeinterventionalSponsorGilead SciencesRan2019 to 2024Enrolled150ConditionsChronic Hepatitis DeltaArmsBulevirtide
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. Review
  4. Review
  5. Identification of Novel TAT-I24-Related Peptides with Antiviral Activities.International journal of molecular sciences · 2025
    Article
  6. Impact of Handling Perception and Language Barriers on Virologic Response to Daily Subcutaneous Bulevirtide in Hepatitis D.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  7. Article
  8. Review
  9. HERACLIS_BLV_D: Increasing Response Rates During 2-Year Bulevirtide Real-Life Therapy in Chronic Hepatitis D.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Observational
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Tarik AsselahDepartment of Hepatology, Hôpital Beaujon, Université de Paris-Cité, INSERM UMR1149, Clichy, France.ORCID 0000-0002-0024-0595
Pietro LamperticoDivision of Gastroenterology and Hepatology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID 0000-0002-1026-7476
Soo AlemanDepartment of Infectious Diseases, Karolinska University Hospital/Karolinska Institutet, Stockholm, Sweden.
Marc BourlièreHôpital Saint Joseph, Marseille, France.
Adrian Streinu-CercelNational Institute for Infectious Diseases 'Prof. Dr. Matei Bals', Bucharest, Romania.
Pavel BogomolovM.F. Vladimirsky Moscow Regional Research and Clinical Institute, Moscow, Russian Federation.
Viacheslav MorozovLLC Medical Company 'Hepatolog', Samara, Russian Federation.
Tatiana StepanovaLimited Liability Company 'Clinic of Modern Medicine', Moscow, Russian Federation.
Stefan LazarDr. Victor Babes Foundation, Bucharest, Romania.
Dmitry ManuilovGilead Sciences Inc., Foster City, California, USA.ORCID 0009-0005-3873-096X
Renee-Claude MercierGilead Sciences Inc., Foster City, California, USA.
Steve TsengGilead Sciences Inc., Foster City, California, USA.
Lei YeGilead Sciences Inc., Foster City, California, USA.
John F FlahertyGilead Sciences Inc., Foster City, California, USA.
Anu OsinusiGilead Sciences Inc., Foster City, California, USA.
Ben L DaGilead Sciences Inc., Foster City, California, USA.
Grace M CheeGilead Sciences Inc., Foster City, California, USA.
Audrey H LauGilead Sciences Inc., Foster City, California, USA.
Maurizia R BrunettoHepatology Unit, Reference Center of the Tuscany Region for Chronic Liver Disease and Cancer, University Hospital of Pisa, Pisa, Italy.ORCID 0000-0001-8364-9152
Heiner WedemeyerClinic for Gastroenterology, Hepatology, Infectious Diseases, and Endocrinology, Hannover Medical School, Hannover, Germany.ORCID 0000-0003-2906-0480

Funding

Gilead Sciences Inc.
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe safety and tolerability of bulevirtide (BLV), a novel entry inhibitor of hepatitis delta virus, were evaluated in an integrated analysis of clinical trial results from patients with chronic hepatitis delta (CHD).

methodsWeek 48 on-treatment clinical and laboratory results from two Phase 2 trials (MYR203 [NCT02888106] and MYR204 [NCT03852433]) and one Phase 3 trial (MYR301 [NCT03852719]) were pooled (N = 269). Patients were grouped as follows: BLV 2 mg (n = 64), BLV 10 mg (n = 115), pegylated interferon-alfa (n = 39) and control (n = 51). The control group consisted of patients assigned to the delayed treatment group in Study MYR301.

resultsAdverse events (AEs) that occurred more frequently with BLV 2 mg and BLV 10 mg versus control included increased total bile acid levels (20% and 17% vs. 0%), injection-site reactions (16% and 20% vs. 0%), headache (16% and 17% vs. 0%), pruritus (11% and 10% vs. 0%) and eosinophilia (9% and 4% vs. 0%). Increases in total bile acid levels were observed with BLV without clear correlation with AEs, such as pruritus, eosinophilia or vitamin D deficiency. Grade 3 or 4 study drug-related AEs occurred in a higher proportion of patients receiving pegylated interferon-alfa (51%) than with BLV 2 or 10 mg (3% and 4%, respectively). There were no serious AEs related to BLV, and no patients discontinued BLV due to an AE. Neither hepatic decompensation nor death occurred.

conclusionsBLV monotherapy was safe and well tolerated through 48 weeks of treatment in patients with CHD.

trial registrationNCT02888106, NCT03852433 and NCT03852719.

Indexed as

Antiviral AgentsHepatitis D, ChronicAdultAgedFemaleHepatitis Delta VirusHumansInterferon-alphaMaleMiddle AgedPolyethylene GlycolsRecombinant ProteinsTreatment OutcomeAntiviral AgentsInterferon-alphapeginterferon alfa-2aPolyethylene GlycolsRecombinant Proteinsantiviral agentbulevirtidehepatitis B virushepatitis D virusHepcludexsafety

Identifiers

PMID39648559
PMCPMC11907224

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.