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Molecule

Bepirovirsen

Also known as bepirovirsen sodium
Available on requestCold chain
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Bepirovirsen is a prescription medicine indicated in combination with nucleos(t)ide analog reverse transcriptase inhibitor (NrtI) therapy for treatment of chronic hepatitis B virus (HBV) infection in adult patients without cirrhosis, among other approved uses. MedsAcross supplies Bepirovirsen for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

US FDA first approval
20 October 2026
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Subcutaneous
Dosage forms
Injection
Identifiers
UNII Z87O6SM01NCAS 1403787-62-1Q124134669

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

HIBSAGO is indicated in combination with nucleos(t)ide analog reverse transcriptase inhibitor (NrtI) therapy for treatment of chronic hepatitis B virus (HBV) infection in adult patients without cirrhosis: • who have been on NrtI therapy for at least 6 months and have suppressed HBV deoxyribonucleic acid (DNA), and • who have HBV surface antigen (HBsAg) levels less than or equal to 3,000 IU/mL as determined by an FDA-authorized test.

Source: US FDA prescribing information

Dosing overview

• Refer to the full prescribing information for additional important dosage information. • HIBSAGO is administered by subcutaneous injection and must be used in combination with NrtI therapy. • Weeks 1 and 2: The recommended dosage of HIBSAGO is 300 mg (administered as two 150 mg subcutaneous injections) twice a week allowing 3 or 4 days between each dose. • Weeks 3 to 24: The recommended dosage of HIBSAGO is 300 mg (administered as two 150 mg subcutaneous injections) once a week on the same day each week. • Laboratory tests must be measured prior to, during, and following discontinuation of treatment. • Dosage modification is recommended in patients experiencing elevated liver laboratory values, platelet count reductions or eGFR decline.

Source: US FDA prescribing information

Contraindications

HIBSAGO is contraindicated in patients: • with acute hepatic impairment, or cirrhosis who have mild, moderate, or severe hepatic impairment (Child-Pugh Class A, B, or C). • with a platelet count below 100 x 10 9 /L prior to initiation of treatment. • Patients with acute hepatic impairment, or cirrhosis who have mild, moderate, or severe hepatic impairment (Child-Pugh Class A, B or C). • Patients with platelet count below 100 x 10 9 /L prior to initiation of treatment

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (on-treatment hepatic flares and thrombocytopenia): On-Treatment Hepatic Flares HIBSAGO may cause on-treatment hepatic flares with increases in ALT of >20-40x ULN associated with decline in HBsAg. Some cases were associated with hyperbilirubinemia. Most occurred in the first 12 weeks of treatment and resolved when treatment was interrupted or permanently discontinued. • Worsening renal function has been observed with HIBSAGO. Evaluating eGFR and urine albumin‑creatinine ratio (uACR) prior to treatment and monitoring eGFR during treatment is necessary for appropriate dosing. • Serious inflammatory and immune adverse reactions have occurred. If signs and symptoms suggestive of vasculitis/immune-associated events occur, and no alternative cause is identified, permanently discontinue treatment with HIBSAGO.

Source: US FDA prescribing information

Side effects

The following adverse reactions are described in more detail in the Warnings and Precautions section of the labeling: • On-Treatment Hepatic Flares. • Thrombocytopenia. • Worsening Renal Function. • Inflammatory and Immune Effects. • Serious Adverse Reaction with Improper Administration. The most common adverse reactions (incidence ≥10%) are injection site reactions, pyrexia, fatigue, and headache.

Source: US FDA prescribing information

Interactions

• Monitor patients for signs of bleeding and thrombocytopenia if HIBSAGO is taken concomitantly with anticoagulants, antiplatelets or drugs that decrease platelet count. • Monitor patients for signs of worsening renal function during concomitant administration of HIBSAGO with drugs that may impair renal function. • Concomitant administration of HIBSAGO and peginterferon alfa-2a is not recommended.

Source: US FDA prescribing information

Storage

Prior to Dispensing: Store in a refrigerator at 36°F to 46°F (2°C to 8°C). Do not freeze. Following Dispensing: Store HIBSAGO at room temperature up to 86°F (30°C) for 12 weeks. Do not freeze. Store in the original carton to protect from light. Do not shake. Do not shake.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Bepirovirsen, sorted by availability.

MedicineManufacturerRegisterAvailability
Hibsago 150 mg/1 mL injectionSubcutaneous Cold chainGlaxoSmithKlineUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 20 October 2026Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Bepirovirsen available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Bepirovirsen and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Bepirovirsen have?

The catalogue lists 1 brand names for Bepirovirsen, including Hibsago.

Is Bepirovirsen approved by the US FDA?

Yes. The US FDA first approved Bepirovirsen on 20 October 2026, according to Drugs@FDA.

Does Bepirovirsen need cold chain shipping?

At least one listed presentation of Bepirovirsen must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

References

  1. Hibsago prescribing information (GlaxoSmithKline). U.S. National Library of Medicine, DailyMed. Retrieved 20 October 2026

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