Vir Biotechnology’s Phase 2 Data Show 66% of CHD Patients Achieve Undetectable HDV RNA with Tobevibart and Elebsiran


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Vir Biotechnology’s Phase 2 Data Show 66% of CHD Patients Achieve Undetectable HDV RNA with Tobevibart and Elebsiran

Majority of Patients Achieve Key Viral Suppression Endpoint at 48 Weeks

Vir Biotechnology (NASDAQ: VIR) announced that 66% of participants with chronic hepatitis delta (CHD) achieved undetectable hepatitis delta virus (HDV) RNA after 48 weeks of treatment with a monthly combination of two investigational drugs: tobevibart and elebsiran. This data, coming from the company’s Phase 2 SOLSTICE trial, was presented at the AASLD The Liver Meeting and simultaneously published in the New England Journal of Medicine.

Favorable Safety and Additional Biomarker Improvements Reported

The combination therapy also normalized liver enzymes in more than half of patients and demonstrated reductions in hepatitis B surface antigen (HBsAg)—a marker essential for viral replication. Notably, no participants experienced grade 3 or higher treatment-related adverse events, and no one discontinued therapy due to safety concerns. The most common side effects were mild to moderate and temporary.

Endpoint Results at Week 48
Patients with Undetectable HDV RNA 66% (21/32)
ALT Normalization 56% (18/32)
Reduction of HBsAg to <10 IU/mL 90% (~29/32)
Treatment-Related Discontinuations 0
Grade 3 or Higher Adverse Events 0

Potential Breakthrough for an Unmet Medical Need in CHD

Chronic hepatitis delta is recognized as the most severe form of chronic viral hepatitis, often leading to rapid progression to cirrhosis, liver failure, or liver-related death. Currently, there are no approved treatments in the United States, and available options are very limited elsewhere. Against this backdrop, the combination of tobevibart and elebsiran, which target the virus at different stages of its lifecycle, is seen as a potential new hope for patients facing a lack of options.

This significant unmet need has already attracted regulatory attention. The program has received Breakthrough Therapy and Fast Track designations from the FDA, along with PRIME and orphan drug status from the European Medicines Agency (EMA).

Next Steps: Phase 3 ECLIPSE Program Underway, Data Expected 2027

Vir’s ECLIPSE program, which is evaluating the same drug combination in larger and more rigorous Phase 3 clinical trials, is now fully underway. Topline results are expected in the first quarter of 2027. These trials include comparisons to both standard of care and deferred treatment groups and aim to provide the key data needed for global regulatory submissions.

What Does This Mean for Patients and Investors?

The results from the SOLSTICE Phase 2 trial are promising—not just for their efficacy, but for the apparent safety of monthly dosing in a population with high unmet medical needs. While these findings mark an important milestone, final answers will await results from ongoing Phase 3 trials. The attention from global regulators suggests there is genuine momentum and urgency to address chronic hepatitis delta, making this a key area to watch as further data emerge in the coming years.


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