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GSK (NYSE: GSK) posts strong phase III data for bepirovirsen in chronic hepatitis B

Filing Impact
(Low)
Filing Sentiment
(Neutral)
Form Type
6-K

Rhea-AI Filing Summary

GSK plc reports that its two pivotal phase III trials, B-Well 1 and B-Well 2, for bepirovirsen in chronic hepatitis B met their primary endpoint and all ranked endpoints. Bepirovirsen, an investigational antisense oligonucleotide, achieved a statistically significant and clinically meaningful functional cure rate, with higher cure rates when added to standard nucleos(t)ide analogue therapy compared with standard of care alone, and an acceptable safety and tolerability profile.

Chronic hepatitis B affects more than 250 million people worldwide and accounts for about 56% of liver cancer cases, while current therapies typically deliver only around a 1% functional cure rate. GSK plans global regulatory filings for bepirovirsen from Q1 2026 and indicates the therapy could become the first finite, six‑month treatment option for chronic hepatitis B and a backbone for future sequential treatment strategies if approved.

Positive

  • Phase III success in major indication: B-Well 1 and B-Well 2 met primary and all ranked endpoints, with bepirovirsen delivering statistically significant, clinically meaningful functional cure rates in chronic hepatitis B.
  • Potential first-in-class finite therapy: If approved, bepirovirsen could become the first finite, six‑month treatment option for chronic hepatitis B and a backbone for future sequential regimens.
  • Clear regulatory path: GSK plans global regulatory filings for bepirovirsen from Q1 2026, advancing a late-stage asset in a disease affecting more than 250 million people worldwide.

Negative

  • None.

Insights

GSK’s bepirovirsen hits phase III endpoints in chronic hepatitis B, supporting global filings from Q1 2026.

GSK reports that phase III B-Well 1 and B-Well 2 trials of bepirovirsen in chronic hepatitis B met their primary endpoint and all ranked endpoints. The drug showed a statistically significant and clinically meaningful functional cure rate when combined with nucleos(t)ide analogue standard of care versus standard of care alone, with even greater effect in patients with baseline HBsAg ≤1000 IU/ml. Safety and tolerability were described as acceptable and consistent with prior studies.

Chronic hepatitis B affects more than 250 million people worldwide, is the leading cause of liver cancer, and current treatments typically achieve only about a 1% functional cure rate. Against this backdrop, a finite, six‑month regimen with higher functional cure rates could represent a step-change in disease management if regulators ultimately approve it. GSK plans global regulatory submissions from Q1 2026, and full data will be presented at a scientific congress and in a peer‑reviewed journal.

If approved, bepirovirsen could become a first-in-class finite therapeutic option for chronic hepatitis B and potentially serve as a backbone for future sequential treatment strategies. Actual commercial and clinical impact will depend on the detailed efficacy and safety data, comparative performance versus emerging competitors, and regulatory decisions across major markets as those are disclosed.

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
Form 6-K
 
REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16
UNDER THE SECURITIES EXCHANGE ACT OF 1934
 
 
 
For the month of January 2026
 
Commission File Number 001-15170
 
 
GSK plc
(Translation of registrant's name into English)
 
 
79 New Oxford Street, London, WC1A 1DG
(Address of principal executive office)
 
 
 
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
 
Form 20-F . . . .X. . . . Form 40-F . . . . . . . .
 
 
 
 
 Issued: 7 January 2026, London UK
 
GSK announces positive results from B-Well 1 and B-Well 2 phase III trials for bepirovirsen, a potential first-in-class treatment for chronic hepatitis B
 
●    Primary endpoint met in both trials
●    Bepirovirsen demonstrated a statistically significant and clinically meaningful functional cure rate
●    Chronic hepatitis B (CHB) accounts for ~56% of liver cancer cases[1] and affects more than 250 million people worldwide[2]
●    Global regulatory filings planned from Q1 2026
 
 
 
GSK plc (LSE/NYSE: GSK) today announced positive results from its two pivotal phase III trials, B-Well 1 [NCT05630807] and B-Well 2 [NCT 05630820], evaluating bepirovirsen, an investigational antisense oligonucleotide (ASO) for the treatment of chronic hepatitis B (CHB) in over 1,800 patients from 29 countries.
 
CHB is a major health challenge affecting over 250 million people worldwide and is the leading cause of liver cancer. The current standard of care - nucleos(t)ide analogues - often requires lifelong therapy and the functional cure rates remain low, typically only 1%.[3] Functional cure for CHB is when the virus can no longer be detected in the blood, as measured by the sustained loss of hepatitis B surface antigen - a viral protein that signals ongoing infection - and undetectable hepatitis B virus DNA for at least 24 weeks after a finite course of treatment. This allows the immune system to control the infection without further medication.  Functional cure is associated with significant reduction in the risk of long-term liver complications, including liver cancer, as well as all -cause mortality.[4][5]
 
The B-Well trials met their primary endpoint, and bepirovirsen demonstrated a statistically significant and clinically meaningful functional cure rate. Functional cure rates were significantly higher with bepirovirsen plus standard of care compared with standard of care alone. Results were statistically significant across all ranked endpoints, including in patients with baseline surface antigen (HBsAg) <=1000 IU/ml where an even greater effect was demonstrated.  The trials demonstrated an acceptable safety and tolerability profile consistent with what was reported in other studies. 

Tony Wood, Chief Scientific Officer, GSK, said:
"Bepirovirsen has the potential to transform treatment goals for people living with CHB by achieving significant functional cure rates - a first for the disease. CHB affects more than 250 million people and leads to approximately 56% of liver cancer cases worldwide. Today's result supports our plans to progress bepirovirsen as a treatment and also continue its development as a backbone in future sequential therapies. We're pleased by this major advance in our expanding hepatology pipeline, aimed to transform outcomes in liver disease."
 
Full results will be submitted for presentation at an upcoming scientific congress, published in a peer-reviewed journal and used to support regulatory submissions to health authorities worldwide. If approved, bepirovirsen has the potential to become the first finite, six-month therapeutic option for CHB and to serve as a backbone for future sequential treatment strategies.

Clinical trial programme
B-Well 1 and B-Well 2 trials are global multi-centre, randomised, double-blind, placebo-controlled trials conducted in 29 countries. They assessed the efficacy, safety, pharmacokinetic profile, and the durability of functional cure in nucleos(t)ide analogue (NA)-treated participants with CHB and baseline surface antigen (HBsAg) ≤3000 IU/ml. The primary endpoint assessed the proportion of participants achieving functional cure in patients with baseline surface antigen (HBsAg) ≤3000 IU/ml. A key ranked secondary endpoint evaluated functional cure in participants with baseline HBsAg ≤1000 IU/ml. Functional cure is defined as hepatitis B surface antigen (HBsAg) loss and undetectable HBV DNA for at least 24 weeks after a finite course of treatment.

About chronic hepatitis B
Hepatitis B is a viral infection that can cause both acute and chronic liver disease. Chronic hepatitis B occurs when the immune system is unable to clear the virus, resulting in long-lasting infection that affects more than 250 million people worldwide. The disease causes approximately 1.1 million deaths each year[6], and accounts for approximately 56% of liver cancer cases globally. Many patients often require lifelong antiviral therapy for viral suppression; making functional cure a critical goal in disease management.

About bepirovirsen
Bepirovirsen is a triple action investigational antisense oligonucleotide (ASO), designed to recognise and orchestrate the destruction of the genetic components (i.e. RNA) of the hepatitis B virus that can lead to chronic disease, potentially allowing a person's immune system to regain control. Bepirovirsen inhibits the replication of viral DNA in the body, suppresses the level of hepatitis B surface antigen (HBsAg) in the blood, and stimulates the immune system to increase the chances of a durable and sustained response.
 
GSK licensed bepirovirsen from Ionis and collaborated with them on its development. Bepirovirsen has been recognised by global regulatory authorities for its innovation and potential to address significant unmet need in hepatitis B, with Fast Track designation from the US FDA, Breakthrough Therapy designation in China and SENKU designation in Japan.
 
About GSK
GSK is a global biopharma company with a purpose to unite science, technology, and talent to get ahead of disease together. Find out more at gsk.com.
 
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Cautionary statement regarding forward-looking statements
GSK cautions investors that any forward-looking statements or projections made by GSK, including those made in this announcement, are subject to risks and uncertainties that may cause actual results to differ materially from those projected. Such factors include, but are not limited to, those described in the "Risk Factors" section in GSK's Annual Report on Form 20-F for 2024, and GSK's Q3 Results for 2025.

Registered in England & Wales:
No. 3888792
 
Registered Office:
79 New Oxford Street
London
WC1A 1DG
 
 
 
 
                                                                          
 1 Rumgay H et al . Global burden of primary liver cancer in 2020 and predictions to 2040. J Hepatol. 2022;77:1598-1606. doi: 10.1016/j.jhep.2022.08.021
[2] WHO, Global hepatitis report 2024. Available at: https://www.who.int/publications/i/item/9789240091672 (last accessed: January 2026)
[3] Slaets, L. et al. "Systematic review with meta-analysis: hepatitis B surface antigen decline and seroclearance in chronic hepatitis B patients on nucleos(t)ide analogues or pegylated interferon therapy" in GastroHep 2, 106-116 (2020)
[4] Drysdale M et al. GHS 2025. Oral presentation. Slides available upon request.
[5] EASL, "Clinical Practice Guidelines on the management of hepatitis B virus infection" in Journal of Hepatology
Volume 83, Issue 2, August 2025, Pages 502-583. Available at: https://www.sciencedirect.com/science/article/pii/S0168827825001746 (last accessed: January 2026)
[6] WHO. Global hepatitis report 2024. Available at: https://www.who.int/publications/i/item/9789240091672 (last accessed: January 2026)
 
 
 
SIGNATURES
 
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorised.
 
GSK plc
 
(Registrant)
 
 
Date: January 07, 2026
 
 
 
 
By:/s/ VICTORIA WHYTE
--------------------------
 
 
 
Victoria Whyte
 
Authorised Signatory for and on
 
behalf of GSK plc

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FAQ

What did GSK (GSK) announce about bepirovirsen in chronic hepatitis B?

GSK announced positive phase III results from the B-Well 1 and B-Well 2 trials, where bepirovirsen plus standard of care achieved statistically significant and clinically meaningful functional cure rates in chronic hepatitis B compared with standard of care alone.

How significant is chronic hepatitis B according to GSKs 6-K filing?

The filing states that chronic hepatitis B affects more than 250 million people worldwide, causes approximately 1.1 million deaths each year, and accounts for about 56% of liver cancer cases globally.

What is meant by a 'functional cure' in GSKs bepirovirsen trials?

Functional cure is defined as loss of hepatitis B surface antigen (HBsAg) and undetectable hepatitis B virus DNA for at least 24 weeks after a finite course of treatment, indicating the virus is no longer detected in the blood.

What is the current standard of care for chronic hepatitis B mentioned by GSK?

The filing describes nucleos(t)ide analogue therapy as the current standard of care, often requiring lifelong treatment and typically achieving only about a 1% functional cure rate.

When does GSK plan to seek regulatory approval for bepirovirsen?

GSK states that global regulatory filings for bepirovirsen in chronic hepatitis B are planned from Q1 2026.

How could bepirovirsen change chronic hepatitis B treatment if approved?

According to the filing, bepirovirsen has the potential to become the first finite, six‑month therapeutic option for chronic hepatitis B and to serve as a backbone for future sequential treatment strategies.

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