New drug combo aims to tame rare liver virus

NCT ID NCT05461170

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This phase 2 trial tests two experimental drugs, Elebsiran and Tobevibart, in 95 adults with chronic hepatitis D, a serious liver infection. Participants receive the drugs as injections along with a standard oral antiviral. The goal is to see if the combination can lower virus levels and improve liver health. The study is active but no longer recruiting.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Elebsiran (VIR-2218) and Tobevibart (VIR-3434) injections, plus oral NRTI
What this could lead to
If successful, this could lead to a new treatment option that controls hepatitis D virus and reduces liver damage, potentially preventing long-term complications.
What could go wrong
This is an early-phase trial with only 95 people, so results may not apply to everyone. The drugs may not work as hoped, and side effects are still being studied.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Investigative Site

    Sofia, 1407, Bulgaria

  • Investigative Site

    Sofia, 1431, Bulgaria

  • Investigative Site

    Stara Zagora, 6003, Bulgaria

  • Investigative Site

    Clichy, 92110, France

  • Investigative Site

    Pessac, 33600, France

  • Investigative Site

    Rennes, 35000, France

  • Investigative Site

    Toulouse, 31000, France

  • Investigative Site

    Frankfurt, 60596, Germany

  • Investigative Site

    Hanover, 30625, Germany

  • Investigative Site

    Tübingen, 72076, Germany

  • Investigative Site

    Milan, 20122, Italy

  • Investigative Site

    Pisa, 56124, Italy

  • Investigative Site

    Chisinau, MD-2025, Moldova

  • Investigative Site

    Rotterdam, 3015 GD, Netherlands

  • Investigative Site

    Auckland, 1010, New Zealand

  • Investigative Site

    Bucharest, 021105, Romania

  • Investigative Site

    Birmingham, B15 2TT, United Kingdom

  • Investigative Site

    London, E1 1RF, United Kingdom

  • Investigative Site

    London, SE5 9RS, United Kingdom

  • Investigative Site

    Manchester, M8 5RB, United Kingdom

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