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Priya Life Science Compound trial record
Compound · clinical trials

Bulevirtide clinical trials

Also listed in trial records as Brelovitug, BJT-778, Hepcludex, Bulevirtide and Brelovitug
Source: ClinicalTrials.gov, U.S. National Library of Medicine — the 10 trials in our Germany, Italy, UK, France, Spain, Austria, Czechia, Sweden, USA, Israel, Belgium, Switzerland, Turkey, Canada, Australia, Taiwan and Netherlands registers that name Bulevirtide as an intervention. Synced 9 Nov 2026
10Current trials
5Recruiting now
5Lead sponsors
17Country registers
At a glance

Bulevirtide is named as an intervention in 10 current clinical trials in our Germany, Italy, UK, France, Spain, Austria, Czechia, Sweden, USA, Israel, Belgium, Switzerland, Turkey, Canada, Australia, Taiwan and Netherlands registers. 5 are recruiting patients now. The most common phase is Observational. The sponsor with the most trials is Mirum Pharmaceuticals, Inc (4). The most-studied condition is Chronic Hepatitis D Infection.

Where Bulevirtide is approved

All regulators →

Of the three regulators tracked here, the first to approve Bulevirtide was the EU, on 31 Jul 2020. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
22 May 2026
Hepcludex
BLA761468 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
31 Jul 2020
Hepcludex
EMA product page
First centralised authorisation
CACanada (Health Canada)
8 Aug 2025
Hepcludex
Notice of Compliance 35802
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Bulevirtide patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Bulevirtide, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

EU European Commission, orphan market exclusivity
  • Hepcludex for treatment of hepatitis delta virus infection: until 5 Aug 2032 (includes 24 months' paediatric extension). Union Register

Reproduced from the FDA Orange Book and Purple Book (checked 8 Nov 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

How Bulevirtide works

All drug targets →
  • Bile acid transporter inhibitor Inhibitor
    Target: SLC10A1 solute carrier family 10 member 1
    ✓ In ChEMBL and the Guide to Pharmacology
Diseases it has been tested for in clinical trials, by furthest phase
  • Hepatitis B virus infectionPhase 2

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL4297711, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3.1), ligand 12775, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Bulevirtide

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 1 technology appraisal of Bulevirtide. 1 is current, and 1 of it recommends it for at least some patients.

AppraisalNICE recommendationPublishedStatus
Bulevirtide for treating chronic hepatitis D
NICE TA896
Optimised7 Jun 2023Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Bulevirtide

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 1 product on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Hepcludex
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Bulevirtide

ChEMBL
CHEMBL4297711
DrugBank
DB15248
CAS number
2012558-47-1
FDA UNII
WKM56H3TLB
Wikidata
Q98139660
Wikipedia
Bulevirtide

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

Trials by status

  • Recruiting550%
  • Active, closed550%

Trials by phase

  • Observational440%
  • Phase 3330%
  • Phase 2/3220%
  • Phase 2110%
01

Clinical trials of Bulevirtide

10 trials
StudyPhaseStatusLead sponsorRegisters
A Trial Evaluating Brelovitug (BJT-778) vs Bulevirtide for the Treatment of Chronic Hepatitis Delta Infection (AZURE-2)
NCT07200908 · Chronic Hepatitis D Infection
Phase 3 Recruiting Mirum Pharmaceuticals, Inc UK, Germany, France, Spain, Italy, Sweden, Switzerland, Austria, Czechia
Study to Evaluate Switching to Brelovitug for the Treatment of CHD in Participants Receiving Bulevirtide
NCT07454837 · Chronic Hepatitis D
Phase 2/3 Recruiting Mirum Pharmaceuticals, Inc UK, Germany, France, Spain, Italy, Austria, Czechia
Study to Evaluate Efficacy, Safety and Biomarkers of Bulevirtide Treatment in Chronic Hepatitis D Patients
NCT06051045 · ClinicalTrials.gov ↗ · Chronic Hepatitis D
Observational Recruiting Karolinska University Hospital Sweden
Effectiveness and Safety of Bulevirtide (BLV) Therapy in Patients With Chronic Hepatitis Delta (CHD) in Italy (D-SHIELD)
NCT06122285 · ClinicalTrials.gov ↗ · Hepatitis D
Observational Recruiting Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico Italy
Effectiveness and Clinical Outcomes of Long-term Bulevirtide Monotherapy in Patients With HDV-related Compensated Cirrhosis
NCT06397859 · ClinicalTrials.gov ↗ · Hepatitis D
Observational Recruiting Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico Italy
A Study to Evaluate Tobevibart+Elebsiran in Participants With Chronic HDV Infection Not Virologically Suppressed With Bulevirtide
NCT07128550 · Viral Hepatitis
Phase 3 Active, closed Vir Biotechnology, Inc UK, Germany, France, Spain, Italy, Austria
A Trial Evaluating Brelovitug vs Delayed Treatment for the Treatment of Chronic Hepatitis Delta Infection (AZURE-4)
NCT07298330 · Chronic Hepatitis D Infection
Phase 3 Active, closed Mirum Pharmaceuticals, Inc USA, Belgium, Taiwan, Israel
A Trial Evaluating BJT-778 vs Delayed Treatment for the Treatment of Chronic Hepatitis Delta Infection
NCT06907290 · Chronic Hepatitis D Infection
Phase 2/3 Active, closed Mirum Pharmaceuticals, Inc USA, Turkey, Canada, Australia, Israel
A Study to Evaluate Tobevibart+Elebsiran Versus Bulevirtide in Chronic HDV Infection
NCT07142811 · Viral Hepatitis
Phase 2 Active, closed Vir Biotechnology, Inc UK, Germany, France, Spain, Netherlands, Belgium
Improvement of Portal Hypertension During Viral Suppression in Patients With Hepatitis Delta (IMPHROVE-D)
NCT04863703 · ClinicalTrials.gov ↗ · Hepatitis D, Hepatitis B, Portal Hypertension
Observational Active, closed Hannover Medical School Germany

Registers list studies that are recruiting, about to open, active but closed to enrolment, or enrolling by invitation. The UK and USA registers cover industry-sponsored studies only. Trial titles and statuses are copied from the registry as published.

02

Bulevirtide across our data

Ireland · EU · US

The same active substance in our other registers, matched by its exact name. Each entry links to the register record it comes from.

Licensed in Ireland (HPRA)

1 single-substance product containing Bulevirtide on the HPRA medicines list.

All 1 Irish product →

Supply shortages

No entry for Bulevirtide in the EMA, FDA or German BfArM shortage lists we track.

03

Conditions studied with Bulevirtide

7 conditions
Chronic Hepatitis D Infection3Hepatitis D3Chronic Hepatitis D2Viral Hepatitis2Hepatitis B1Portal Hypertension1Liver Cirrhosis1
06

Related compounds

07

Questions about Bulevirtide trials

How many clinical trials are testing Bulevirtide?

10 current trials in our Germany, Italy, UK, France, Spain, Austria, Czechia, Sweden, USA, Israel, Belgium, Switzerland, Turkey, Canada, Australia, Taiwan and Netherlands registers name Bulevirtide (also registered as BJT-778) as a drug or biological intervention, as of the registry sync on 9 November 2026. Completed and withdrawn studies are not counted.

Are Bulevirtide trials recruiting patients?

Yes. 5 of the 10 trials are recruiting: 2 with sites in Germany, 4 with sites in Italy, 2 with sites in UK, 2 with sites in France, 2 with sites in Spain, 2 with sites in Austria, 2 with sites in Czechia, 2 with sites in Sweden and 1 with sites in Switzerland. Eligibility and site contacts are on each trial's record. Only the study team can confirm whether a patient is eligible.

Who sponsors Bulevirtide clinical trials?

Mirum Pharmaceuticals, Inc (4), Vir Biotechnology, Inc (2), Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico (2) and Hannover Medical School (1), among 5 lead sponsors in total. The number in brackets is how many trials each organisation leads.

Is Bulevirtide licensed in Ireland?

Yes. The HPRA medicines list includes 1 single-substance product containing Bulevirtide, for example HEPCLUDEX 2 mg powder for solution for injection (Gilead Sciences Ireland UC). A licence does not mean a product is currently marketed or reimbursed; see each product's record.

Is there a Bulevirtide shortage?

Not in the lists we track: Bulevirtide has no entry in the EMA, FDA or German BfArM shortage registers as of their latest sync.

Where does this information come from?

Every trial, status, phase and sponsor on this page is copied from public ClinicalTrials.gov records by a daily sync. Nothing here describes how Bulevirtide works or whether it is effective, and it is not medical advice.

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How this page is built

Everything on this page is copied from public ClinicalTrials.gov registry records — it is not written from memory, and nothing here describes how Bulevirtide works or whether it is effective. Each trial links to its own record so you can check it yourself.

This page is built automatically: a daily sync job reads the registry records behind our country trial registers, collects every trial that lists Bulevirtide (or a registered synonym) as a drug or biological intervention, and tabulates the registry fields directly. Placebos and generic comparators are excluded. There is no AI drafting and no per-compound editorial pass, and the page has not been clinically reviewed. The “last verified” date above is the timestamp of that sync, not a review date. Our general editorial approach is described in our editorial standards and corrections policy. The ClinicalTrials.gov data on this page was last retrieved on 9 Nov 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.