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Liver DiseaseJuly 2023Summary reviewed July 2026

What the MYR 301 Trial Found — Bulevirtide for Hepatitis D

Researchers tested bulevirtide, an injection given daily, in people with chronic hepatitis D (a liver virus that makes hepatitis B worse). After 48 weeks, nearly half of patients who got the treatment saw their virus levels drop significantly and their liver inflammation markers return to normal.

What the trial was testing

The MYR 301 enrolled 150 patients with liver disease. The study was sponsored by Gilead Sciences and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was a large trial designed to confirm whether the treatment works well enough for wider use. Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

45-48% of patients had major virus reductions and normal liver inflammation markers, compared to just 2% without treatment.

The New England journal of medicine · 2023 · NCT03852719

These findings — that had big drops in virus levels and normal liver markers vs. 2% without treatment — were published in the The New England journal of medicine and represent the headline result of the study.

Researchers tracked outcomes across 150 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with liver disease, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

Bulevirtide was FDA-approved in 2024 for chronic hepatitis D in adults. If you have hepatitis D, ask your doctor whether this treatment is right for you. The drug is given as a daily injection under the skin.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.

Open liver disease trials

RecruitingObservational study

Expanded Studies on the SCAPIS Stockholm Reexamination Cohort

The Swedish CArdioPulmonary bioImage Study (SCAPIS) is a unique, large-scale national research initiative involving 30,000 randomly selected individuals aged 50-64, recruited between 2014 and 2018. The study is a collaborative effort among six university hospitals across Sweden. A follow-up study, SCAPIS 2, is conducted for half of the original participants. In Stockholm, 2,500 individuals will be re-examined at Danderyd University Hospital and Karolinska Institutet. SCAPIS 2 includes a core set of examinations involving blood sampling, questionnaires, and imaging. In addition to these, complementary local investigations are conducted to enable more detailed research questions. This protocol describes the additional studies conducted in the Stockholm cohort. All complementary assessments aim to identify risk factors for current and future lung, liver, and cardiovascular diseases.: EXTENDED SAMPLING: Saliva and Blood Samples with Blood Cell Isolation. EXTENDED QUESTIONNAIRES: Dyspnea, Sleep, Respiratory Infections, and Dental Health. EXTENDED IMAGING AND PHYSIOLOGICAL MEASUREMENTS Cardiac Ultrasound and Abdominal Aortic Measurements. Liver Elastography. Vascular Stiffness by cuff-based pulse wave analysis and Photoplethysmography (PPG). Valvular and Vascular Calcification by CT imaging.

Stockholm, Sweden
RecruitingInterventional study

Three Types of Nucleotide/Nucleoside Analogues Treatment in HBV Related ACLF

This study is to investigate the clinical efficacy of three types of nucleotide/nucleoside analogues in treatment of HBV-related acute-on-chronic liver failure.

Guangzhou, Guangdong, China