
Hibsago is the first FDA-approved antisense oligonucleotide for chronic hepatitis B, approved for certain adults without cirrhosis.
Adults need at least six months of HBV antivirals, suppressed virus levels, and HBsAg no higher than 3,000 IU/mL.
An FDA-authorized companion test helps select patients under approved labeling and supports monitoring during Hibsago treatment.
Hibsago targets genetic instructions HBV uses to make copies and viral proteins, helping reduce virus and surface antigen levels.
Injections are given under the skin for up to 24 weeks, alongside existing antivirals, which continue at least 24 weeks afterward.
Trials: 24% qualified to stop antivirals versus none on placebo; after treatment ended, 19% maintained control without detectable HBsAg 24 weeks later.
Boxed warnings cover serious liver reactions and low platelets, which can raise bleeding risk; regular blood tests and provider follow-up are needed.
Read the FDA announcement for full eligibility details, trial findings, safety warnings, and information about Hibsago’s approval.