bulevirtide (Pending FDA Approval)

Brand and Other Names:Hepcludex

Dosing & Uses

Hepatitis D Infection

Pending FDA approval for treatment of chronic hepatitis delta virus (HDV) infection in adults with compensated liver disease



Mechanism of Action

First-in-class sodium taurocholate cotransporting polypeptide (NTCP) blocker; NTCP serves to transport bile acids to the liver from the portal circulation as an important component of enterohepatic circulation

Hepatitis D virus (HDV) replicates independently within liver cells, but requires hepatitis B surface antigen to propagate; hepatitis B and D viruses enter hepatocytes through binding of NTCP to hepatitis B virus preS1 surface protein domain

Bulevirtide binds and subsequently inactivates HBV and HDV receptors on hepatocytes; it also blocks NTCP binding site, subsequently blocking HBV and HDV viral entry into cells resulting in prevention of viral replication



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Patient Handout

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Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature.