Aligos Therapeutics (ALGS) wins FDA Fast Track as HBV trial advances
Rhea-AI Filing Summary
Aligos Therapeutics filed an update highlighting interim Phase 2 data and a key regulatory milestone for its hepatitis B drug candidate pevifoscorvir sodium. An independent safety board reviewed early results from the B-SUPREME study and recommended continuing the trial while increasing the sample size in the HBeAg- cohort to strengthen statistical power, noting that futility criteria were not met. The company remains blinded to individual patient data. Enrollment has reached 74 participants in the HBeAg- cohort and 103 in the HBeAg+ cohort, with about 200 patients planned overall, and topline data targeted for 2027. The FDA has granted Fast Track Designation to pevifoscorvir sodium, based on Phase 1 data showing it was well tolerated with promising reductions in multiple viral markers, potentially supporting a faster and more interactive regulatory review path for this chronic hepatitis B program.
Positive
- FDA Fast Track Designation granted for pevifoscorvir sodium in chronic hepatitis B, potentially enabling more frequent FDA interactions and access to expedited review pathways.
- Phase 2 B-SUPREME trial continues after interim review, with the DSMB recommending increasing the HBeAg- cohort sample size rather than stopping the study for futility.
Negative
- None.
Insights
Fast Track status and a positive DSMB review modestly de-risk Aligos’s HBV program.
The update shows pevifoscorvir sodium is progressing through the Phase 2 B-SUPREME trial, with a safety board recommending continuation and a larger HBeAg- cohort. This suggests the data did not trigger a futility stop, while still aiming for stronger statistical power.
The FDA Fast Track Designation, supported by 96-week Phase 1 data, can allow more frequent FDA interactions and eligibility for tools like Rolling Review or Accelerated Approval if criteria are met. This often helps streamline late-stage planning for serious diseases with unmet needs.
Operationally, Aligos expects to complete HBeAg- enrollment and run a second interim analysis in the second half of 2026, with topline data anticipated in 2027. Future outcomes will depend on whether Phase 2 confirms the sustained reductions in HBV DNA and other viral markers seen in earlier studies.