Table 1.
Agent & Mode of Action | Drug(s) | Delivery | Phase of Development | Change In: | |
---|---|---|---|---|---|
HBV DNA | HBsAg | ||||
Nucleos(t)ideAnalogs (NA) | TDF, TAF ETV | Oral | Approved | +++ | + |
Interferons | PEG-IFNα | Subcutaneous injection | Approved | ++ | ++ |
Capsid assembly modulator (CAM) | Vebicorvir (H0731) †, JNJ-6379 †, EDP-514, RG7907, ABI-H3733, ALG-000184, AB-836 | Oral | I & II | +++ | + |
Small interfering RNA (siRNA) | JNJ-3989 (ARO-HBV), VIR-2218 ^, AB-729, RG6346 | Subcutaneous injection | II | ++ | ++ |
Antisense oligonucleotide (ASO) | GSK 3228836, GSK 3389404 | Subcutaneous injection | II | ++ | +++ |
Nucleic acid polymer (NAP) | REP-2139 †† REP-2165 †† ALG-10133 | Intravenous infusion or subcutaneous injection | II | +++ | +++ |
ETV, entecavir; HBsAg, hepatitis B surface antigen; HBV, hepatitis B virus; PEG-IFN, pegylated interferon; TAF, tenofovir alafenamide; TDF, tenofovir disoproxil fumarate. + Minimal: <1 log10 IU/mL decline at nadir within approximately 6 months; ++ Moderate: 1–2 log10 IU/mL decline at nadir within approximately 6 months; +++ Significant: >2 log10 IU/mL decline at nadir within approximately 6 months; † Significant suppression of HBV DNA seen when CAMs are combined with NA; †† Significant suppression of HBV DNA and HBsAg when NAPs are combined with PEG-IFN + NA; ^ Significant suppression of HBV DNA and HBsAg when VIR2218 is combined with PEG-IFN.