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Japan clears GSK (NYSE: GSK) functional hepatitis B cure after phase III success

(Neutral)
(Neutral)
Form Type
6-K

Rhea-AI Filing Summary

GSK plc (GSK) reports that Japan’s Ministry of Health, Labour and Welfare has granted the first global approval for Hibsago (bepirovirsen), an antisense oligonucleotide, as a functional cure for chronic hepatitis B in adults meeting specific viral and prior-treatment criteria. This is described as the first and only functional cure treatment for chronic hepatitis B approved in Japan, where nearly one million people live with the disease and it contributes to about 4,000 deaths annually. The approval was accelerated by SENKU designation, which recognises innovative medicines with high unmet medical need, and is supported by phase III B-Well data showing a 19% functional cure rate versus 0% on placebo, with an acceptable safety profile. GSK is pursuing additional regulatory submissions for bepirovirsen globally, including in the US.

Positive

  • First global approval of Hibsago (bepirovirsen) in Japan as a functional cure for chronic hepatitis B, and the first and only such treatment approved in that market, potentially strengthening GSK’s hepatology franchise.
  • Phase III B-Well trials showed a 19% functional cure rate with bepirovirsen versus 0% on placebo in adults with ≤3000 IU/ml HBsAg, indicating clinically meaningful efficacy over current standard of care.
  • In participants with baseline HBsAg ≤1000 IU/ml, bepirovirsen achieved a 26% functional cure rate, in a subgroup representing about 45% of diagnosed chronic hepatitis B cases globally, supporting broader clinical relevance.
  • The approval benefited from SENKU designation and bepirovirsen also holds Fast Track and Breakthrough designations in the US and Priority Review in China, underscoring recognised innovation and unmet-need focus.

Negative

  • None.

Filing Explained

Hibsago is approved in Japan only for adults with at least six months of prior therapy and specified viral levels.

GSK reports that Japan’s Ministry of Health, Labour and Welfare has approved Hibsago (bepirovirsen), but only for adults who received at least six months of prior nucleos(t)ide analogue therapy and meet specified HBsAg and HBV DNA limits. The immediate change is regulatory approval for that defined patient population in Japan, not evidence of approval in other countries.

The filing defines a functional cure as hepatitis B surface antigen and viral DNA remaining undetectable for at least 24 weeks after all treatment stops, indicating control without medication.

In pooled phase III results, the functional-cure rate was 26% among participants with HBsAg at or below 1,000 IU/ml, versus 0% for placebo. Exploratory week-72 data showed HBsAg at or below 100 IU/ml in 49% of recipients across the overall study population.

Functional cure rate (overall ≤3000 IU/ml HBsAg) 19% 233 of 1,220 bepirovirsen recipients vs 0 of 614 on placebo in B-Well phase III trials
Functional cure rate (≤1000 IU/ml HBsAg subgroup) 26% 200 of 768 bepirovirsen recipients vs 0 of 393 on placebo in B-Well phase III trials
HBsAg reduction to ≤100 IU/ml (overall population) 49% 598 of 1,220 bepirovirsen recipients at week 72 visit
HBsAg reduction to ≤100 IU/ml (≤1000 IU/ml subgroup) 62% 476 of 768 bepirovirsen recipients at week 72 visit
Chronic hepatitis B prevalence in Japan nearly one million people People living with chronic hepatitis B in Japan
Annual deaths from chronic hepatitis B in Japan around 4,000 deaths Deaths attributed to chronic hepatitis B each year in Japan
Global chronic hepatitis B prevalence more than 240 million people Worldwide population affected by chronic hepatitis B
Global annual deaths from hepatitis B approximately 1.1 million deaths Annual deaths due to hepatitis B worldwide
functional cure medical
"approved Hibsago (bepirovirsen) as a functional cure for chronic hepatitis B"
A functional cure is a medical outcome in which a chronic disease is controlled so effectively that symptoms and progression are halted without completely removing the underlying cause; think of silencing a smoke alarm and removing the visible fire while some embers remain. For investors, a functional cure can change a treatment’s commercial value and market demand by reducing the need for continuous therapy, altering pricing, reimbursement and long-term revenue expectations for companies developing or selling the therapy.
antisense oligonucleotide medical
"Hibsago (bepirovirsen), an antisense oligonucleotide (ASO), as a functional cure"
An antisense oligonucleotide is a small piece of synthetic genetic material designed to attach to specific molecules in the body’s cells, effectively blocking or modifying how genes are expressed. This technology is important because it can be used to develop targeted treatments for certain diseases, which may influence the value of biotech companies and the broader healthcare sector. Its development reflects advances in personalized medicine and gene-based therapies.
SENKU designation regulatory
"Approval accelerated by SENKU designation, granted to innovative medicines"
Breakthrough Therapy regulatory
"with Fast Track and Breakthrough Designations from the US FDA"
A breakthrough therapy is a regulatory designation granted to an experimental drug or treatment when early clinical evidence indicates it could offer a substantial improvement over existing options for a serious or life‑threatening condition. For investors it matters because the label brings faster, more intensive interaction with regulators and can shorten development and review time—like a VIP fast‑track toward potential approval, reducing time and risk before a product can reach the market.
Priority Review designation regulatory
"Breakthrough Therapy and Priority Review designation in China"

FAQ

What did GSK (GSK) announce regarding Hibsago (bepirovirsen) in Japan?

GSK announced that Japan’s Ministry of Health, Labour and Welfare approved Hibsago (bepirovirsen) as a functional cure for chronic hepatitis B in certain adults. This is the first global approval for bepirovirsen and the first and only functional cure treatment for chronic hepatitis B approved in Japan.

Who is eligible for Hibsago treatment under the Japanese approval for GSK (GSK)?

Hibsago is approved for adults with chronic hepatitis B who have received at least 6 months of nucleos(t)ide analogue therapy and whose HBs antigen level is ≤3000 IU/mL and HBV DNA is <90 IU/mL when starting treatment.

What efficacy did GSK (GSK) report from the B-Well phase III trials of bepirovirsen?

Pooled B-Well data showed a 19% functional cure response (233 of 1,220) with 6 months of bepirovirsen in adults with ≤3000 IU/ml HBsAg, versus 0 of 614 on placebo, meeting the primary endpoint with p<0.001 in both trials.

How effective was bepirovirsen in the ≤1000 IU/ml HBsAg subgroup cited by GSK (GSK)?

In participants with baseline HBsAg ≤1000 IU/ml, bepirovirsen achieved a 26% functional cure rate (200 of 768) versus 0 of 393 on placebo, with p<0.001 in both trials. This subgroup represents about 45% of diagnosed chronic hepatitis B cases globally.

What safety profile did GSK (GSK) report for bepirovirsen in the B-Well trials?

GSK states that the B-Well trials showed an acceptable safety and tolerability profile consistent with other bepirovirsen studies. The most frequent adverse events were injection site erythema, local pain, and a temporary increase in a liver enzyme level.

How large is the chronic hepatitis B burden mentioned by GSK (GSK)?

Chronic hepatitis B affects more than 240 million people worldwide and causes about 1.1 million deaths annually. In Japan, nearly one million people live with chronic hepatitis B, contributing to around 4,000 deaths each year.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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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 August 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 . . . . . . . .
 
 
 
24th August 2026, London UK
 
Hibsago (bepirovirsen) approved in Japan as first and only functional cure for chronic hepatitis B
 
 
●     First global approval for Hibsago
●     Chronic hepatitis B affects nearly one million people in Japan[1] with nationwide efforts for screening and treatment[2]
●     Approval accelerated by SENKU designation, granted to innovative medicines with potential to address high unmet medical need[3]
 
 
GSK plc (LSE/NYSE: GSK) today announced that Japan's Ministry of Health, Labour and Welfare (MHLW) has approved Hibsago (bepirovirsen), an antisense oligonucleotide (ASO), as a functional cure for chronic hepatitis B (CHB) virus infection in adult patients who have received at least 6 months of prior nucleos(t)ide analogue therapy and meet pre-defined viral markersi. This is the first global approval for bepirovirsen, and the first and only functional cure treatment for CHB approved in Japan.
 
CHB is a major public health challenge and a leading cause of liver cancer globally.[4] In Japan, nearly one million people live with the disease and it contributes to around 4,000 deaths annually.1 The Japanese government has demonstrated strong commitment to tackling CHB including through nationwide screening and treatment programmes.2
 
Tony Wood, Chief Scientific Officer, GSK, said: "For the first time, a treatment approved for functional cure is available to people living with chronic hepatitis B in Japan with Hibsago. After 6-months of treatment with Hibsago, patients could be freed from life-long therapy[5] and reduce their risk of long-term liver complications. This is a major advance for CHB management and our innovative hepatology portfolio, and we look forward to further regulatory decisions in other countries."
 
Approval in Japan was supported by results from the B-Well phase III trials showing unprecedented functional cure rates of 19% in adults with ≤3000 IU/ml HBsAg, compared to current standard of care alone which typically only achieves a 1% functional cure rate after one year of treatment.[6] Functional cure occurs when the hepatitis B virus DNA and viral protein - HBsAg - are undetectable for at least 24 weeks after stopping all treatment. This indicates the disease is controlled by the immune system without medication. A loss in HBsAg is associated with up to an 89% reduction in risk of liver cancer and a 62% reduction in risk of all-cause mortality.[7] 
 
This approval was accelerated by SENKU designation, granted to innovative medicines with potential to address high unmet medical need.3
 
GSK continues to advance regulatory submissions for bepirovirsen across multiple geographies with decisions, including the US, expected in the coming months. Development of bepirovirsen in future sequential treatment strategies is also ongoing.
 
Results from the B-Well phase III trials
Pooled data from the B-Well phase III trials showed that 6-month treatment with bepirovirsen achieved a statistically significant and clinically meaningful 19% functional cure response rate (233 of 1,220 vs. 0 of 614 in the placebo group; p<0.001 in both trials) in the overall study population (adults with ≤3000 IU/ml HBsAg level), meeting the primary endpoint. In a key secondary endpoint, a functional cure rate of 26% (200 of 768 vs. 0 of 393 in the placebo group; p<0.001 in both trials) was achieved in participants with ≤1000 IU/ml HBsAg level, a group that represents approximately 45% of diagnosed CHB cases globally.[8] 
 
Separately, exploratory analyses showed bepirovirsen reduced HBsAg to ≤100 IU/ml in 49% of recipients (598 of 1220) in the overall study population and in 62% of recipients in the ≤1000 IU/ml (476 of 768) sub-group[9] as of the week 72 visit. Medical literature has linked this level of low surface antigen with increased immune control and improved patient outcomes.[10],[11],[12]  
 
The trials showed an acceptable safety and tolerability profile consistent with other studies of bepirovirsen. The three most frequently observed adverse events were injection site erythema, local pain and temporary rise in the blood level of a liver enzyme.
 
About bepirovirsen
Bepirovirsen is an antisense oligonucleotide (ASO) designed to recognise and inhibit the production 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 reduces the production of RNA and viral proteins associated with HBV, 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 and Breakthrough Designations from the US FDA, Breakthrough Therapy and Priority Review designation in China and SENKU designation in Japan. 

About the B-Well trials
The 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 durability of functional cure in nucleos(t)ide analogue-treated adult participants with chronic hepatitis B and baseline surface antigen (HBsAg) ≤3000 IU/ml. The primary endpoint assessed the proportion of participants achieving functional cure in patients with baseline 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 HBsAg being undetectable in the blood for at least 24 weeks after stopping all treatment, indicating that the disease is controlled by the immune system without medication.
 
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 240 million people worldwide. The disease causes approximately 1.1 million deaths each year[13], and is a leading cause of liver cancer cases globally4. Currently, many patients often require lifelong antiviral therapy for viral suppression, making functional cure a critical goal in disease management.
  
About GSK's hepatology portfolio
GSK is extending its expertise in inflammation to develop a next wave of innovation for the millions of people affected by chronic and life-threatening fibro-inflammatory liver conditions. GSK has a growing hepatology pipeline, harnessed by the science of the immune system and advanced technologies, with a focus on chronic hepatitis B, metabolic dysfunction-associated steatohepatitis (MASH) and alcohol-associated liver disease (ALD). 
 
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 www.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 2025, and GSK's Q2 Results for 2026.
 
 
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Footnote
 
[i] Hibsago (bepirovirsen) has been approved as a functional cure in chronic hepatitis B (CHB) virus infection in patients who have received nucleos (t) ide analogue therapy for at least 6 months before starting this drug and whose HBs antigen level at starting this drug is ≤ 3000 IU/mL and HBV DNA level is < 90 IU/mL (1.95logIU/mL).
 
References
 
 
[1] Polaris Observatory Dashboard. Available at https://cdafound.org/polaris/dashboard (last accessed August 2026)
[2] Korenaga M, Kanto T. Testing, diagnosis of viral hepatitis, and the follow-up policy in Japan. Glob Health Med. 2021 Oct 31;3(5):308-313. doi: 10.35772/ghm.2021.01072. PMID: 34782874; PMCID: PMC8562087.
[3] GSK Press release, Bepirovirsen granted SENKU designation in Japan for chronic hepatitis B, August 2024. Available at: https://www.gsk.com/en-gb/media/press-releases/bepirovirsen-granted-senku-designation-in-japan-for-chronic-hepatitis-b/  (last accessed July 2026)
[4] 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
[5] Hou J, Lim S-G, Buti M, et al. Phase 3 results of bepirovirsen treatment for chronic hepatitis B virus infection. N Engl J Med 2026;394:2395-406. DOI: 10.1056/NEJMoa2515131
[6] 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)
[7] Drysdale M, Chang R, Wang S, Coutinho A, Gielen V, Man T, Song R, Duh MS, Khalili M, Theodore D. Hepatitis B Surface Antigen Loss and Improved Clinical Outcomes in US Individuals With Chronic Hepatitis B Virus Infection. J Viral Hepat. 2026 Jun;33(6):e70184. doi: 10.1111/jvh.70184. PMID: 42141794; PMCID: PMC13179525.
[8] GSK data on file, 2026
[9] Hou J, EASL 2026. Oral presentation. Slides available upon request.
[10] Tseng TC et al. Gut 2025;74:1896-1906
[11] Zhou K et al. Lancet Gastroenterol Hepatol 2019;4:227-238
[12] Tseng TC et al. Hepatology 2012;55:68-76
[13] WHO Global Hepatitis Report 2026. Available at : https://www.who.int/publications/i/item/9789240122383  (last accessed August 2026)
 
 
 
 
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GSK plc
 
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Date: August 24, 2026
 
 
 
 
By:/s/ VICTORIA WHYTE
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Victoria Whyte
 
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